,i #aad? ,,congress #b;d ,session ,h4 ,r4 #eahi ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,may #aa1 #bjaf ,ms4 ,ku/] introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce1 & 9 addition to ! ,committees on ! ,judici>y1 ,vet]ans' ,affairs1 ,education & ! ,work=ce1 ,ways & ,means1 ,arm$ ,s]vices1 & ,natural ,res\rces1 = 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 address ! opioid abuse crisis4 #a4 ,%ort title2 table ( cont5ts 7a7 ,%ort title ,?is ,act may be cit$ z ! ,opioid ,abuse ,crisis ,act ( #bjaf4 7b7 ,table ( cont5ts ,! table ( cont5ts is z foll[s3 ,sec4 #a4 ,%ort title2 table ( cont5ts4 ,title ,i--,public ,heal? ,provisions ,sec4 #aja4 ,fund+ = opioid & h]o9 abuse prev5tion & treatm5t4 ,sec4 #ajb4 ,opioid ov]dose rev]sal drugs prescrib+ grant program4 ,sec4 #ajc4 ,p>tial fills ( s*$ule ,,ii controll$ sub/ances4 ,sec4 #ajd4 ,opioid use disord] treatm5t mod]nization4 ,sec4 #aje4 ,nurtur+ & support+ heal?y babies4 ,sec4 #ajf4 ,improv+ treatm5t = pregnant & po/p>tum wom54 ,sec4 #ajg4 ,assi/+ vet]ans ) milit>y em]g5cy m$ical tra9+ to meet requirem5ts = becom+ civilian em]g5cy m$ical te*nicians4 ,sec4 #ajh4 ,in=mation mat]ials & res\rces to prev5t addiction relat$ to y\? sports injuries4 ,sec4 #aji4 ,lali's ,law4 ,sec4 #aaj4 ,opioid review mod]nization4 ,sec4 #aaa4 ,/udy on treatm5t infra/ructure4 ,sec4 #aab4 ,national y\? recov]y initiative4 ,sec4 #aac4 ,build+ communities ( recov]y4 ,title ,,ii--,compreh5sive ,opioid ,abuse ,r$uction ,sec4 #bja4 ,compreh5sive opioid abuse grant program4 ,sec4 #bjb4 ,audit & acc\ntability ( grantees4 ,sec4 #bjc4 ,vet]ans treatm5t c\rts4 ,sec4 #bjd4 ,em]g5cy ,f$]al law en=cem5t assi/ance4 ,sec4 #bje4 ,opioid ,program ,evaluation ,act4 ,sec4 #bjf4 ,good ,sam>itan ,assessm5t ,act4 ,title ,,iii--,promot+ ,responsible ,opioid ,managem5t & ,incorporat+ ,sci5tific ,exp]tise ,sec4 #cja4 ,%ort title4 ,subtitle ,a--,opioid ,!rapy & ,pa9 ,managem5t ,sec4 #caa4 ,guidel9es on managem5t ( opioid !rapy by ,dep>tm5t ( ,vet]ans ,affairs & ,dep>tm5t ( ,def5se & implem5tation ( su* guidel9es by ,dep>tm5t ( ,vet]ans ,affairs4 ,sec4 #cab4 ,improvem5t ( opioid safety measures by ,dep>tm5t ( ,vet]ans ,affairs4 ,sec4 #cac4 ,/r5g!n+ ( jo9t work+ gr\p on pa9 managem5t ( ! ,dep>tm5t ( ,vet]ans ,affairs & ! ,dep>tm5t ( ,def5se4 ,sec4 #cad4 ,review1 inve/igation1 & report on use ( opioids 9 treatm5t by ,dep>tm5t ( ,vet]ans ,affairs4 ,subtitle ,b--,pati5t ,advocacy ,sec4 #cba4 ,community meet+s on improv+ c>e furni%$ by ,dep>tm5t ( ,vet]ans ,affairs4 ,sec4 #cbb4 ,improvem5t ( aw>5ess ( pati5t advocacy program & pati5t bill ( rights ( ,dep>tm5t ( ,vet]ans ,affairs4 ,sec4 #cbc4 ,comptroll] g5]al report on pati5t advocacy program ( ,dep>tm5t ( ,vet]ans ,affairs4 ,subtitle ,c--,complem5t>y & ,integrative ,heal? ,sec4 #cca4 ,expansion ( rese>* & education on & deliv]y ( complem5t>y & integrative heal? to vet]ans4 ,sec4 #ccb4 ,pilot program on integration ( complem5t>y alt]native m$ic9es & relat$ issues = vet]ans & family memb]s ( vet]ans4 ,subtitle ,d--,fitness ( ,heal? ,c>e ,provid]s ,sec4 #cda4 ,additional requirem5ts = hir+ ( heal? c>e provid]s by ,dep>tm5t ( ,vet]ans ,affairs4 ,sec4 #cdb4 ,provision ( in=mation on heal? c>e provid]s ( ,dep>tm5t ( ,vet]ans ,affairs to ,/ate ,m$ical ,bo>ds4 ,sec4 #cdc4 ,report on compliance by ,dep>tm5t ( ,vet]ans ,affairs ) reviews ( heal? c>e provid]s leav+ ! ,dep>tm5t or transf]r+ to o!r facilities4 ,subtitle ,e--,o!r ,vet]ans ,matt]s ,sec4 #cea4 ,audit ( ,vet]ans ,heal? ,adm9i/ration programs ( ,dep>tm5t ( ,vet]ans ,affairs4 ,title ,,iv--,improv+ ,safe ,c>e = ,prev5t+ ,infant ,abuse & ,neglect ,sec4 #dja4 ,%ort title4 ,sec4 #djb4 ,be/ practices = developm5t ( plans ( safe c>e4 ,sec4 #djc4 ,/ate plans4 ,sec4 #djd4 ,data reports4 ,sec4 #dje4 ,monitor+ & ov]sight4 ,sec4 #djf4 ,rule ( con/ruction4 ,title ,v--,o!r ,provisions ,sec4 #eja4 ,programs to prev5t prescription drug abuse "u ,m$ic>e p>ts ,c & ,d4 ,sec4 #ejb4 ,exclusion ( au?oriz$ g5]ic drugs f calculation ( av]age manufactur] price = br& "n drugs4 ,i ,public ,heal? ,provisions #aja4 ,fund+ = opioid & h]o9 abuse prev5tion & treatm5t 7a7 ,fund+ ,!re are au?oriz$ to be appropriat$1 & are appropriat$1 out ( monies 9 ! ,treasury n o!rwise obligat$1 #fjj1jjj1jjj = fiscal ye> #bjag1 to improve opioid prescrib+ practices & exp& access to sub/ance use treatm5ts to r$uce opioid use disord]s & ov]dose1 to be made available 9 accordance ) ?is ,act4 7b7 ,/ate t>get$ response coop]ative agreem5ts ,subp>t #a ( "p ,b ( title ,v ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb et seq47 is am5d$ by ins]t+ aft] section #eji ! foll[+3 #eaj4 ,/ate t>get$ response coop]ative agreem5ts 7a7 ,9 g5]al ,! ,secret>y %all ent] into additional t>get$ response coop]ative agreem5ts ) ,/ates "u ?is title to exp& opioid treatm5t capacity & make s]vices m af=dable to ^? :o _c af=d su* s]vices4 7b7 ,aw>d+ ( fund+ ,! ,secret>y %all allocate fund+ to ,/ates "u ?is section bas$ on-- 7#a7 ! sev]ity ( ! opioid epidemic 9 ! ,/ate2 & 7#b7 ! /r5g? ( ! /rategy ( ! ,/ate to respond to su* epidemic4 7c7 ,use ( funds ,am\nts receiv$ by a ,/ate "u ?is section %all be us$ to exp& treatm5t capacity & make s]vices m af=dable to ^? :o _c af=d su* s]vices & to help individuals seek treatm5t1 successfully complete treatm5t1 & su/a9 recov]y4 7d7 ,fund+ ,( ! am\nts appropriat$ "u section #aja7;a7 ( ! ,opioid ,use ,disord] ,treatm5t ,expansion & ,mod]nization ,act = fiscal ye> #bjag1 #dfj1jjj1jjj %all be made available to c>ry out ?is section1 to rema9 available until exp5d$4 4 7c7 ,treatm5t = prescription drug abuse & h]o9 use ,section #cca7;b7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bed;d7b77 is am5d$ by add+ at ! end ! foll[+3 7#c7 7,a7 ,! ,secret>y %all use am\nts made available "u subp>agraph 7,b7 to support enhanc$ loan repaym5t aw>ds to increase ! numb] ( cl9icians 9 ! ,corps ) m$ication assi/$ treatm5t tra9+ to treat individuals ) opioid use disord]s ?r\gh loan repaym5ts to cl9icians4 7,b7 ,( ! am\nts appropriat$ "u section #aja7;a7 ( ! ,opioid ,use ,disord] ,treatm5t ,expansion & ,mod]nization ,act = fiscal ye> #bjag1 #be1jjj1jjj %all be made available to c>ry out ?is section1 to rema9 available until exp5d$4 4 7d7 ,evaluation ( m$ication-,assi/$ treatm5t ,subp>t #a ( "p ,b ( title ,v ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb et seq47 is am5d$ by ins]t+ aft] section #eaj1 z add$ by subsection 7b71 ! foll[+3 #eaa4 ,evaluation ( m$ication-assi/$ treatm5t 7a7 ,9 g5]al ,9 ord] to assess ! treatm5t outcomes ( pati5ts ) opioid addiction receiv+ m$ication-assi/$ treatm5t1 ! ,secret>y %all evaluate ! %ort1 m$ium1 & long-t]m outcomes ( su* sub/ance abuse treatm5t programs 9 ord] to increase effectiv5ess 9 r$uc+ opioid use disord]s1 ov]dose1 & dea?4 7b7 ,fund+ ,( ! am\nts appropriat$ "u section #aja7;a7 ( ! ,opioid ,use ,disord] ,treatm5t ,expansion & ,mod]nization ,act = fiscal ye> #bjag1 #ae1jjj1jjj %all be made available to c>ry out ?is section1 to rema9 available until exp5d$4 4 #ajb4 ,opioid ov]dose rev]sal drugs prescrib+ grant program 7a7 ,e/abli%m5t 7#a7 ,9 g5]al ,n lat] ?an six mon?s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices may e/abli%1 9 accordance ) ?is section1 a five-ye> opioid ov]dose rev]sal drugs prescrib+ grant program 79 ?is section ref]r$ to z ! grant program74 7#b7 ,maximum grant am\nt ,a grant made "u ?is section may n be = m ?an #bjj1jjj p] grant ye>4 7#c7 ,eligible entity ,= purposes ( ?is section1 ! t]m eligible entity means a f$]ally qualifi$ heal? c5t] 7z def9$ 9 section #ahfa7;aa7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex7aa7771 an opioid treatm5t program "u "p #h ( title #db1 ,code ( ,f$]al ,regulations1 any practition] disp5s+ n>cotic drugs pursuant to section #cjc7;g7 ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hbc7;g771 or any o!r entity t ! ,secret>y deems appropriate4 7#d7 ,prescrib+ ,= purposes ( ?is section1 ! t]m prescrib+ means1 ) respect to an opioid ov]dose rev]sal drug1 su* z naloxone1 ! practice ( prescrib+ su* drug-- 7,a7 9 conjunction ) an opioid prescription = pati5ts at an elevat$ risk ( ov]dose2 7,b7 9 conjunction ) an opioid agoni/ approv$ "u section #eje ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cee7 = ! treatm5t ( opioid abuse disord]2 7,c7 to ! c>egiv] or a close relative ( pati5ts at an elevat$ risk ( ov]dose f opioids2 or 7,d7 9 o!r circum/ances1 z id5tifi$ by ! ,secret>y1 9 :i* a provid] id5tifies a pati5t is at an elevat$ risk = an int5tional or un9t5tional drug ov]dose f h]o9 or prescription opioid !rapies4 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[+ activities1 b may use n m ?an #bj p]c5t ( ! grant funds = activities describ$ 9 p>agraphs 7#d7 & 7#e73 7#a7 ,to e/abli% a program = 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 ! prescrib+ ( opioid ov]dose rev]sal drugs1 su* z naloxone4 7#c7 ,to e/abli% me*anisms & processes = track+ pati5ts p>ticipat+ 9 ! program describ$ 9 p>agraph 7#a7 & ! heal? outcomes ( su* pati5ts4 7#d7 ,to pur*ase opioid ov]dose rev]sal drugs1 su* z naloxone1 = 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 drugs1 su* z naloxone1 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 ( prescrib+ practices1 & ! availability ( opioid ov]dose rev]sal drugs1 su* z naloxone4 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 drug1 su* z naloxone1 to at lea/ "o pati5t2 7#c7 ! total numb] ( prescriptions writt5 = opioid ov]dose rev]sal drugs1 su* z naloxone2 7#d7 ! p]c5tage ( pati5ts at elevat$ risk :o receiv$ a prescription = an opioid ov]dose rev]sal drug1 su* z naloxone2 7#e7 ! numb] ( pati5ts report+ use ( an opioid ov]dose rev]sal drug1 su* z naloxone2 & 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 ,provid+ in=mation to prescrib]s 9 c]ta9 ,f$]al heal? c>e & m$ical facilities on be/ practices = prescrib+ opioid ov]dose rev]sal drugs 7#a7 ,9 g5]al ,n lat] ?an #ahj days aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices 79 ?is subsection ref]r$ to z ! ,secret>y7 may1 z appropriate1 provide in=mation to prescrib]s )9 ,f$]ally qualifi$ heal? c5t]s 7z def9$ 9 p>agraph 7#d7 ( section #ahfa7;aa7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex7aa7771 & ! heal? c>e facilities ( ! ,indian ,heal? ,s]vice1 on be/ practices = prescrib+ opioid ov]dose rev]sal drugs1 su* z naloxone1 = pati5ts receiv+ *ronic opioid !rapy1 pati5ts be+ treat$ = opioid use disord]s1 & o!r pati5ts t a provid] id5tifies z hav+ an elevat$ risk ( ov]dose f h]o9 or prescription opioid !rapies4 7#b7 ,n e/abli%+ a m$ical /&>d ( c>e ,! in=mation on be/ practices provid$ "u ?is section %all n be con/ru$ z con/itut+ or e/abli%+ a m$ical /&>d ( c>e = prescrib+ opioid ov]dose rev]sal drugs1 su* z naloxone1 = pati5ts describ$ 9 p>agraph 7#a74 7#c7 ,no au?orization ( any additional appropriations ,! ,secret>y %all c>ry out ?is subsection ?r\gh funds o!rwise appropriat$ & no?+ 9 ?is subsection %all be con/ru$ z au?oriz+ ! appropriations ( additional funds to c>ry out ?is subsection4 7#d7 ,elevat$ risk ( ov]dose def9$ ,9 ?is subsection1 ! t]m elevat$ risk ( ov]dose has ! mean+ giv5 su* t]m by ! ,secret>y1 :i*-- 7,a7 may be bas$ on ! crit]ia provid$ 9 ! ,opioid ,ov]dose ,toolkit publi%$ by ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration 7,,samhsa72 & 7,b7 may include pati5ts on a fir/ c\rse opioid treatm5t1 pati5ts us+ ext5d$-release & long-act+ opioid analgesics1 & pati5ts ) a respiratory disease or o!r co-morbidities4 7g7 ,fund+ ,!re is au?oriz$ to be appropriat$ #e1jjj1jjj to c>ry out ?is section 7o!r ?an subsection 7f77 = ! p]iod ( fiscal ye>s #bjag ?r\gh #bjba1 ( :i* #e1jjj1jjj %all be made available f am\nts appropriat$ "u section #aja7;a7 ( ! ,opioid ,use ,disord] ,treatm5t ,expansion & ,mod]nization ,act = fiscal ye> #bjag1 to rema9 available until exp5d$4 #ajc4 ,p>tial fills ( s*$ule ,,ii controll$ sub/ances 7a7 ,9 g5]al ,section #cji ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hbi7 is am5d$ by add+ at ! end ! foll[+3 7f7 ,p>tial fills ( s*$ule ,,ii controll$ sub/ances 7#a7 ,p>tial fills 7,a7 ,9 g5]al ,a prescription = a controll$ sub/ance 9 s*$ule ,,ii may be p>tially fill$ if-- 7i7 x is n prohibit$ by ,/ate law2 7ii7 ! prescription is writt5 & fill$ 9 accordance ) ?is ,act1 regulations prescrib$ by ! ,attorney ,g5]al1 & ,/ate law2 7iii7 ! p>tial fill is reque/$ by ! pati5t or ! practition] t wrote ! prescription2 & 7iv7 ! total quantity disp5s$ 9 all p>tial fill+s does n exce$ ! total quantity prescrib$4 7,b7 ,o!r circum/ances ,a prescription = a controll$ sub/ance 9 s*$ule ,,ii may be p>tially fill$ 9 accordance ) section #acjf4ac ( title #ba1 ,code ( ,f$]al ,regulations 7z 9 effect on ! date ( enactm5t ( ! ,opioid ,abuse ,crisis ,act ( #bjaf74 7#b7 ,rema9+ portions 7,a7 ,9 g5]al ,except z provid$ 9 subp>agraph 7,b71 rema9+ portions ( a p>tially fill$ prescription = a controll$ sub/ance 9 s*$ule ,,ii-- 7i7 may be fill$2 & 7ii7 %all be fill$ n lat] ?an #cj days aft] ! date on :i* ! prescription is writt54 7,b7 ,em]g5cy situations ,9 em]g5cy situations1 z describ$ 9 subsection 7a71 ! rema9+ portions ( a p>tially fill$ prescription = a controll$ sub/ance 9 s*$ule ,,ii-- 7i7 may be fill$2 & 7ii7 %all be fill$ n lat] ?an #gb h\rs aft] ! prescription is issu$4 4 7b7 ,rule ( con/ruction ,no?+ 9 ?is section %all be con/ru$ to affect ! au?ority ( ! ,attorney ,g5]al to all[ a prescription = a controll$ sub/ance 9 s*$ule ,,iii1 ,,iv1 or ,v ( section #bjb7;c7 ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hab7;c77 to be p>tially fill$4 #ajd4 ,opioid use disord] treatm5t mod]nization 7a7 ,9 g5]al ,section #cjc7;g77#b7 ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hbc7;g77#b77 is am5d$-- 7#a7 9 subp>agraph 7,b71 by /rik+ clauses 7i71 7ii71 & 7iii7 & ins]t+ ! foll[+3 7i7 ,! practition] is a qualify+ practition] 7z def9$ 9 subp>agraph 7,g774 7ii7 ,) respect to pati5ts to :om ! practition] w provide su* drugs or comb9ations ( drugs1 ! practition] has ! capacity to provide directly1 by ref]ral1 or 9 su* o!r mann] z det]m9$ by ! ,secret>y-- 7,i7 all s*$ule ,,iii1 ,,iv1 & ,v drugs1 z well z uns*$ul$ m$ications approv$ by ! ,food & ,drug ,adm9i/ration1 = ! treatm5t ( opioid use disord]1 includ+ su* drugs & m$ications = ma9t5ance1 detoxification1 ov]dose rev]sal1 & relapse prev5tion1 z available2 & 7,,ii7 appropriate c\nsel+ & o!r appropriate ancill>y s]vices4 7iii7 7,i7 ,! total numb] ( su* pati5ts ( ! practition] at any "o "t w n exce$ ! applicable numb]4 ,except z provid$ 9 subclauses 7,,ii7 & 7,,iii71 ! applicable numb] is #cj4 7,,ii7 ,! applicable numb] is #ajj if1 n soon] ?an #a ye> aft] ! date on :i* ! practition] submitt$ ! initial notification1 ! practition] submits a second notification to ! ,secret>y ( ! ne$ & int5t ( ! practition] to treat up to #ajj pati5ts4 7,,iii7 ,! applicable numb] is #cjj if ! practition] is a qualify+ physician meet+ ! requirem5t ( subclause 7,,vi7 &1 n soon] ?an #a ye> aft] ! date on :i* ! physician submitt$ a second notification "u subclause 7,,ii71 ! practition] submits a ?ird notification to ! ,secret>y ( ! ne$ & int5t ( ! physician to treat up to #cjj pati5ts4 7,,iv7 ,! ,secret>y may by regulation *ange su* total numb]4 7,v7 ,! ,secret>y may exclude f ! applicable numb] pati5ts to :om su* drugs or comb9ations ( drugs are directly adm9i/]$ by ! qualify+ practition] 9 ! (fice sett+4 7,,vi7 ,= purposes ( subclause 7,,iii71 a qualify+ physician meets ! requirem5t ( ?is subclause if ! physician-- 7aa7 holds a special c]tification 9 addiction psy*iatry or addiction m$ic9e z describ$ 9 clause 7ii7 f ! ,am]ican ,bo>d ( ,m$ical ,specialties1 ! ,am]ican ,bo>d ( ,addiction ,m$ic9e1 ! ,am]ican ,o/eopa?ic ,association1 ! ,am]ican ,society ( ,addiction ,m$ic9e1 or su* o!r organization z ! ,secret>y det]m9es to be appropriate = purposes ( ?is subclause2 or 7bb7 has complet$ n few] ?an #bd h\rs ( tra9+1 ) respect to ! treatm5t & managem5t ( opiate-dep5d5t pati5ts1 address+ ! topics li/$ 9 subp>agraph 7,g77ii77,,iv74 ,! ,secret>y may review & update ! requirem5ts ( ?is subclause4 7iv7 ,9 ! case ( a ?ird notification "u clause 7iii77,,iii71 ! qualify+ physician ma9ta9s & implem5ts a div]sion control plan t conta9s specific measures to r$uce ! likelihood ( ! div]sion ( controll$ sub/ances prescrib$ by ! physician = ! treatm5t ( opioid use disord]4 7v7 ,9 ! case ( a ?ird notification "u clause 7iii77,,iii71 ! qualify+ physician obta9s a writt5 agreem5t f ea* pati5t1 includ+ ! pati5t's signature1 t ! pati5t-- 7,i7 w receive an initial assessm5t & treatm5t plan & p]iodic assessm5ts & treatm5t plans !reaft]2 7,,ii7 w be subject to m$ication adh]5ce & sub/ance use monitor+2 7,,iii7 und]/&s available treatm5t options1 includ+ all drugs approv$ by ! ,food & ,drug ,adm9i/ration = ! treatm5t ( opioid use disord]1 includ+ _! pot5tial risks & b5efits2 & 7,,iv7 und]/&s t receiv+ regul> c\nsel+ s]vices is critical to recov]y4 7vi7 ,! practition] w comply ) ! report+ requirem5ts ( subp>agraph 7,d77i77,,iv74 2 7#b7 9 subp>agraph 7,d7-- 7,a7 9 clause 7i71 by add+ at ! end ! foll[+3 7,,iv7 ,! practition] reports to ! ,secret>y1 at su* times & 9 su* mann] z specifi$ by ! ,secret>y1 su* in=mation & assurances z ! ,secret>y det]m9es necess>y to assess :e!r ! practition] cont9ues to meet ! requirem5ts = a waiv] "u ?is p>agraph4 2 7,b7 9 clause 7ii71 by /rik+ ,^u receiv+ a notification "u subp>agraph 7,b7 & ins]t+ ,^u receiv+ a det]m9ation f ! ,secret>y "u clause 7iii7 f9d+ t a practition] meets all requirem5ts = a waiv] "u subp>agraph 7,b72 & 7,c7 9 clause 7iii7-- 7i7 by ins]t+ & %all =w>d su* det]m9ation to ! ,attorney ,g5]al be=e ! p]iod at ! end ( ! fir/ s5t5ce2 & 7ii7 by /rik+ physician & ins]t+ practition]2 7#c7 9 subp>agraph 7,g7-- 7,a7 by am5d+ clause 7ii77,,iv7 to read z foll[s3 7,,iv7 ,! physician has1 ) respect to ! treatm5t & managem5t ( opiate-dep5d5t pati5ts1 complet$ n less ?an eight h\rs ( tra9+ 7?r\gh classroom situations1 sem9>s at pr(essional society meet+s1 electronic communications1 or o!rwise7 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 or any o!r organization t ! ,secret>y det]m9es is appropriate = purposes ( ?is subclause4 ,su* tra9+ %all address-- 7aa7 opioid ma9t5ance & detoxification2 7bb7 appropriate cl9ical use ( all drugs approv$ by ! ,food & ,drug ,adm9i/ration = ! treatm5t ( opioid use disord]2 7cc7 initial & p]iodic pati5t assessm5ts 7includ+ sub/ance use monitor+72 7dd7 individualiz$ treatm5t plann+2 ov]dose rev]sal2 relapse prev5tion2 7ee7 c\nsel+ & recov]y support s]vices2 7ff7 /aff+ roles & consid]ations2 7gg7 div]sion control2 & 7hh7 o!r be/ practices1 z id5tifi$ by ! ,secret>y4 2 & 7,b7 by add+ at ! end ! foll[+3 7iii7 ,! t]m qualify+ practition] means-- 7,i7 a qualify+ physician1 z def9$ 9 clause 7ii72 or 7,,ii7 a qualify+ o!r practition]1 z def9$ 9 clause 7iv74 7iv7 ,! t]m qualify+ o!r practition] means a nurse practition] or physician assi/ant :o satisfies ea* ( ! foll[+3 7,i7 ,! nurse practition] or physician assi/ant is lic5s$ "u ,/ate law to prescribe s*$ule ,,iii1 ,,iv1 or ,v m$ications = ! treatm5t ( pa94 7,,ii7 ,! nurse practition] or physician assi/ant satisfies #a or m ( ! foll[+3 7aa7 ,has complet$ n few] ?an #bd h\rs ( initial tra9+ address+ ea* ( ! topics li/$ 9 clause 7ii77,,iv7 7?r\gh classroom situations1 sem9>s at pr(essional society meet+s1 electronic communications1 or o!rwise7 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 ,nurses ,cr$5tial+ ,c5t]1 ! ,am]ican ,psy*iatric ,association1 ! ,am]ican ,association ( ,nurse ,practition]s1 ! ,am]ican ,academy ( ,physician ,assi/ants1 or any o!r organization t ! ,secret>y det]m9es is appropriate = purposes ( ?is subclause4 7bb7 ,has su* o!r tra9+ or exp]i5ce z ! ,secret>y det]m9es w demon/rate ! ability ( ! nurse practition] or physician assi/ant to treat & manage opiate-dep5d5t pati5ts4 7,,iii7 ,! nurse practition] or physician assi/ant is sup]vis$ by or works 9 collaboration ) a qualify+ physician1 if ! nurse practition] or physician assi/ant is requir$ by ,/ate law to prescribe m$ications = ! treatm5t ( opioid use disord] 9 collaboration ) or "u ! sup]vision ( a physician4 ,! ,secret>y may review & update ! requirem5ts = be+ a qualify+ o!r practition] "u ?is clause4 2 & 7#d7 9 subp>agraph 7,h7-- 7,a7 9 clause 7i71 by ins]t+ aft] subclause 7,,ii7 ! foll[+3 7,,iii7 ,su* o!r elem5ts ( ! requirem5ts "u ?is p>agraph z ! ,secret>y det]m9es necess>y = purposes ( implem5t+ su* requirem5ts4 2 & 7,b7 by am5d+ clause 7ii7 to read z foll[s3 7ii7 ,n lat] ?an "o ye> aft] ! date ( enactm5t ( ! ,opioid ,use ,disord] ,treatm5t ,expansion & ,mod]nization ,act1 ! ,secret>y %all update ! treatm5t improvem5t protocol conta9+ be/ practice guidel9es = ! treatm5t ( opioid-dep5d5t pati5ts 9 (fice-bas$ sett+s4 ,! ,secret>y %all update su* protocol 9 consultation ) exp]ts 9 opioid use disord] rese>* & treatm5t4 4 7b7 ,recomm5dation ( revocation or susp5sion ( regi/ration 9 case ( sub/antial noncompliance ,! ,secret>y ( ,heal? & ,human ,s]vices may recomm5d to ! ,attorney ,g5]al t ! regi/ration ( a practition] be revok$ or susp5d$ if ! ,secret>y det]m9es1 accord+ to su* crit]ia z ! ,secret>y e/abli%es by regulation1 t a practition] :o is regi/]$ "u section #cjc7;g77#b7 ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hbc7;g77#b77 is n 9 sub/antial compliance ) ! requirem5ts ( su* section1 z am5d$ by ?is ,act4 7c7 ,opioid def9$ ,section #ajb7ah7 ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hjb7ah77 is am5d$ by ins]t+ or opioid aft] ,! t]m opiate4 7d7 ,reports to ,congress 7#a7 ,9 g5]al ,n lat] ?an #b ye>s aft] ! date ( enactm5t ( ?is ,act & n less ?an ov] e #e ye>s !reaft]1 ! ,secret>y ( ,heal? & ,human ,s]vices1 9 consultation ) ! ,drug ,en=cem5t ,adm9i/ration & exp]ts 9 opioid use disord] rese>* & treatm5t1 %all-- 7,a7 p]=m a ?or\gh review ( ! provision ( opioid use disord] treatm5t s]vices 9 ! ,unit$ ,/ates1 includ+ s]vices provid$ 9 opioid treatm5t programs & o!r specialty & nonspecialty sett+s2 & 7,b7 submit a report to ! ,congress on ! f9d+s & conclusions ( su* review4 7#b7 ,cont5ts ,ea* report "u p>agraph 7#a7 %all include an assessm5t (-- 7,a7 compliance ) ! requirem5ts ( section #cjc7;g77#b7 ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hbc7;g77#b771 z am5d$ by ?is ,act2 7,b7 ! measures tak5 by ! ,secret>y ( ,heal? & ,human ,s]vices to ensure su* compliance2 7,c7 :e!r !re is fur!r ne$ to increase or decrease ! numb] ( pati5ts a waiv]$ practition] is p]mitt$ to treat1 z provid$ = by ! am5dm5t made by subsection 7a77#a72 7,d7 ! ext5t to :i*1 & proportions ) :i*1 ! full range ( ,food & ,drug ,adm9i/ration-approv$ treatm5ts = opioid use disord] are us$ 9 r\t9e heal? c>e sett+s & specialty sub/ance use disord] treatm5t sett+s2 7,e7 access to1 & use (1 c\nsel+ & recov]y support s]vices1 includ+ ! p]c5tage ( pati5ts receiv+ su* s]vices2 7,f7 *anges 9 ,/ate or local policies & legislation relat+ to opioid use disord] treatm5t2 7,g7 ! use ( prescription drug monitor+ programs by practition]s :o are p]mitt$ to disp5se n>cotic drugs to individuals pursuant to a waiv] "u section #cjc7;g77#b7 ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hbc7;g77#b772 7,h7 ! f9d+s result+ f inspections by ! ,drug ,en=cem5t ,adm9i/ration ( practition]s describ$ 9 subp>agraph 7,g72 & 7,i7 ! effectiv5ess ( cross-ag5cy collaboration betwe5 ! ,dep>tm5t ( ,heal? & ,human ,s]vices & ! ,drug ,en=cem5t ,adm9i/ration = exp&+ effective opioid use disord] treatm5t4 #aje4 ,nurtur+ & support+ heal?y babies 7a7 ,,gao report on neonatal ab/95ce syndrome 7,,nas7 7#a7 ,9 g5]al ,n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all submit to ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives & ! ,committee on ,f9ance & ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate a report on neonatal ab/95ce syndrome 79 ?is section ref]r$ to z ,,nas7 9 ! ,unit$ ,/ates4 7#b7 ,in=mation to be includ$ 9 report ,su* report %all include in=mation on ! foll[+3 7,a7 ,! preval5ce ( ,,nas 9 ! ,unit$ ,/ates1 includ+ ! proportion ( *ildr5 born 9 ! ,unit$ ,/ates ) ,,nas :o are eligible = m$ical assi/ance "u ,/ate ,m$icaid programs "u title ,,xix ( ! ,social ,security ,act at bir? & ! co/s associat$ ) ,,nas ?r\gh su* programs4 7,b7 ,! s]vices = :i* cov]age is available "u ,/ate ,m$icaid programs = treatm5t ( infants ) ,,nas4 7,c7 ,! sett+s 7includ+ inpati5t1 outpati5t1 hospital-bas$1 & o!r sett+s7 = ! treatm5t ( infants ) ,,nas & ! reimbursem5t me?odologies & co/s associat$ ) su* treatm5t 9 su* sett+s4 7,d7 ,! preval5ce ( utilization ( v>i\s c>e sett+s "u ,/ate ,m$icaid programs = treatm5t ( infants ) ,,nas & any ,f$]al b>ri]s to treat+ su* infants "u su* programs1 p>ticul>ly 9 non-hospital-bas$ sett+s4 7#c7 ,recomm5dations ,su* report also %all include su* recomm5dations z ! ,comptroll] ,g5]al det]m9es appropriate = improvem5ts t w ensure access to treatm5t = infants ) ,,nas "u ,/ate ,m$icaid programs4 7b7 ,exclud+ abuse-,det]r5t =mulations ( prescription drugs f ! ,m$icaid additional rebate requirem5t = new =mulations ( prescription drugs 7#a7 ,9 g5]al ,! la/ s5t5ce ( section #aibg7;c77#b77;,c7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acifr-#h7;c77#b77;,c77 is am5d$ by ins]t+ be=e ! p]iod at ! end ! foll[+3 1 b does n include an abuse-det]r5t =mulation ( ! drug 7z det]m9$ by ! ,secret>y71 reg>dless ( :e!r su* abuse-det]r5t =mulation is an ext5d$ release =mulation4 7#b7 ,effective date ,! am5dm5t made by p>agraph 7#a7 %all apply to drugs t are paid = by a ,/ate 9 cal5d> qu>t]s beg9n+ on or aft] ! date ( ! enactm5t ( ?is ,act4 7c7 ,limit+ disclosure ( pr$ictive model+ & o!r analytics te*nologies ,to id5tify & prev5t wa/e1 fraud1 & abuse 7#a7 ,9 g5]al ,title ,,xi ( ! ,social ,security ,act is am5d$ by ins]t+ aft] section #aabh;,j 7#db ,u4,s4,c4 #acbj;a-#gk7 ! foll[+ new section3 #aabh,k4 ,disclosure ( pr$ictive model+ & o!r analytics te*nologies to id5tify & prev5t wa/e1 fraud1 & abuse 7a7 ,ref]5ce to pr$ictive model+ te*nologies requirem5ts ,= provisions relat+ to ! use ( pr$ictive model+ & o!r analytics te*nologies to id5tify & prev5t wa/e1 fraud1 & abuse ) respect to ! ,m$ic>e program "u title ,,xviii1 ! ,m$icaid program "u title ,,xix1 & ! ,*ildr5's ,heal? ,insurance ,program "u title ,,xxi1 see section #dbda ( ! ,small ,bus9ess ,jobs ,act ( #bjaj 7#db ,u4,s4,c4 #acbj;a-#gm74 7b7 ,limit+ disclosure ( pr$ictive model+ te*nologies ,9 implem5t+ su* provisions "u su* section #dbda ) respect to cov]$ algori?ms 7z def9$ 9 subsection 7c771 ! foll[+ %all apply3 7#a7 ,nonapplication ( ,,foia ,! cov]$ algori?ms us$ or develop$ = purposes ( su* section 7includ+ by ! ,secret>y or a ,/ate 7or an entity op]at+ "u a contract ) a ,/ate77 %all be exempt f disclosure "u section #eeb7;b77#c7 ( title #e1 ,unit$ ,/ates ,code4 7#b7 ,limitation ) respect to use & disclosure ( in=mation by ,/ate ag5cies 7,a7 ,9 g5]al ,a ,/ate ag5cy may n use or disclose cov]$ algori?ms us$ or develop$ = purposes ( su* section except = purposes ( adm9i/]+ ! ,/ate plan 7or a waiv] ( ! plan7 "u ! ,m$icaid program "u title ,,xix or ! ,/ate *ild heal? plan 7or a waiv] ( ! plan7 "u ! ,*ildr5's ,heal? ,insurance ,program "u title ,,xxi1 includ+ by enabl+ an entity op]at+ "u a contract ) a ,/ate to assi/ ! ,/ate to id5tify or prev5t wa/e1 fraud & abuse ) respect to su* programs4 7,b7 ,in=mation security ,a ,/ate ag5cy %all h 9 effect data security & control policies t ! ,secret>y f9ds adequate to ensure ! security ( cov]$ algori?ms us$ or develop$ = purposes ( su* section #dbda & to ensure t access to su* in=mation is re/rict$ to au?oriz$ p]sons = purposes ( au?oriz$ uses & disclosures describ$ 9 subp>agraph 7,a74 7,c7 ,proc$ural requirem5ts ,/ate ag5cies to :i* in=mation is disclos$ pursuant to su* section #dbda %all adh]e to uni=m proc$ures e/abli%$ by ! ,secret>y4 7c7 ,cov]$ algori?m def9$ ,9 ?is section1 ! t]m cov]$ algori?m-- 7#a7 means a pr$ictive model+ or o!r analytics te*nology1 z us$ = purposes ( section #dbda7;a7 ( ! ,small ,bus9ess ,jobs ,act ( #bjaj 7#db ,u4,s4,c4 #acbj;a-#gm7a77 to id5tify & prev5t wa/e1 fraud1 & abuse ) respect to ! ,m$ic>e program "u title ,,xviii1 ! ,m$icaid program "u title ,,xix1 & ! ,*ildr5's ,heal? ,insurance ,program "u title ,,xxi2 & 7#b7 includes ! ma!matical expressions utiliz$ 9 ! application ( su* te*nology & ! means by :i* su* te*nology is develop$4 4 7#b7 ,con=m+ am5dm5ts 7,a7 ,m$icaid ,/ate plan requirem5t ,section #aijb7;a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;a7a77 is am5d$-- 7i7 9 p>agraph 7#hj71 by /rik+ & at ! end2 7ii7 9 p>agraph 7#ha71 by /rik+ ! p]iod at ! end & ins]t+ 2 &2 & 7iii7 by ins]t+ aft] p>agraph 7#ha7 ! foll[+ new p>agraph3 7#hb7 provide t ! ,/ate ag5cy responsible = adm9i/]+ ! ,/ate plan "u ?is title provides assurances to ! ,secret>y t ! ,/ate ag5cy is 9 compliance ) subp>agraphs 7,a71 7,b71 & 7,c7 ( section #aabh,k7b77#b74 4 7,b7 ,/ate *ild heal? plan requirem5t ,section #bajb7;a77#g7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acig;bb7a77#g77 is am5d$-- 7i7 9 subp>agraph 7,a71 by /rik+ 1 & at ! end & ins]t+ a semicolon2 7ii7 9 subp>agraph 7,b71 by /rik+ ! p]iod at ! end & ins]t+ 2 &2 & 7iii7 by add+ at ! end ! foll[+ new subp>agraph3 7,c7 to ensure t ! ,/ate ag5cy involv$ is 9 compliance ) subp>agraphs 7,a71 7,b71 & 7,c7 ( section #aabh,k7b77#b74 4 7d7 ,m$icaid ,improvem5t ,fund ,section #aida7;b77#a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acifw-#a7;b77#a77 is am5d$ to read z foll[s3 7#a7 ,9 g5]al ,!re %all be available to ! ,fund1 = exp5ditures f ! ,fund = fiscal ye> #bjba & !reaft]1 #e1jjj1jjj4 4 #ajf4 ,improv+ treatm5t = pregnant & po/p>tum wom5 7a7 ,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$-- 7#a7 9 subsection 7p71 9 ! fir/ s5t5ce1 by ins]t+ 7o!r ?an subsection 7r77 aft] section2 & 7#b7 9 subsection 7r71 by /rik+ su* sums & all t foll[s ?r\gh #bjjc & ins]t+ #af1ijj1jjj = ea* ( fiscal ye>s #bjag ?r\gh #bjba4 7b7 ,pilot program grants = ,/ate sub/ance abuse ag5cies 7#a7 ,9 g5]al ,section #ejh ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#a7 is am5d$-- 7,a7 by r$esignat+ subsection 7r71 z am5d$ by subsection 7a71 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 nonresid5tial 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 7#b7 ,fund+ ,subsection 7s7 ( section #ejh ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#a71 z am5d$ by subsection 7a7 & r$esignat$ by p>agraph 7#a71 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* subsection4 ,not)/&+ ! prec$+ s5t5ce1 no funds %all be made available to c>ry out subsection 7r7 = a fiscal ye> unless ! am\nt made available to c>ry out ?is section = su* fiscal ye> is m ?an ! am\nt made available to c>ry out ?is section = fiscal ye> #bjaf44 7c7 ,cut-,g ,compliance ,subsection 7f7 ( section #cai;,d ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;d-#d7 is am5d$ by /rik+ ?r\gh #bjah & ins]t+ ?r\gh #bjaf1 #acc1cjj1jjj = fiscal ye> #bjag1 & #ach1cjj1jjj = fiscal ye> #bjah4 #ajg4 ,assi/+ vet]ans ) milit>y em]g5cy m$ical tra9+ to meet requirem5ts = becom+ civilian em]g5cy m$ical te*nicians ,"p ,b ( title ,,iii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdc et seq47 is am5d$ by ins]t+ aft] section #cad ! foll[+3 #cae4 ,assi/+ vet]ans ) milit>y em]g5cy m$ical tra9+ to meet requirem5ts = becom+ civilian em]g5cy m$ical te*nicians 7a7 ,program ,! ,secret>y %all e/abli% a program consi/+ ( aw>d+ demon/ration grants to ,/ates to /reaml9e ,/ate requirem5ts & proc$ures 9 ord] to assi/ vet]ans :o complet$ milit>y em]g5cy m$ical te*nician tra9+ :ile s]v+ 9 ! ,arm$ ,=ces ( ! ,unit$ ,/ates to meet c]tification1 lic5sure1 & o!r requirem5ts applicable to becom+ an em]g5cy m$ical te*nician 9 ! ,/ate4 7b7 ,use ( funds ,am\nts receiv$ z a demon/ration grant "u ?is section %all be us$ to prep>e & implem5t a plan to /reaml9e ,/ate requirem5ts & proc$ures z describ$ 9 subsection 7a71 includ+ by-- 7#a7 det]m9+ ! ext5t to :i* ! requirem5ts = ! education1 tra9+1 & skill level ( em]g5cy m$ical te*nicians 9 ! ,/ate are equival5t to requirem5ts = ! education1 tra9+1 & skill level ( milit>y em]g5cy m$ical te*nicians2 & 7#b7 id5tify+ me?ods1 su* z waiv]s1 = milit>y em]g5cy m$ical te*nicians to =go or meet any su* equival5t ,/ate requirem5ts4 7c7 ,eligibility ,to be eligible = a grant "u ?is section1 a ,/ate %all demon/rate t ! ,/ate has a %ortage ( em]g5cy m$ical te*nicians4 7d7 ,report ,! ,secret>y %all submit to ! ,congress an annual report on ! program "u ?is section4 7e7 ,fund+ ,no additional funds are au?oriz$ to be appropriat$ = ! purpose ( c>ry+ out ?is section4 ,?is section %all be c>ri$ out us+ am\nts o!rwise available = su* purpose4 4 #ajh4 ,in=mation mat]ials & res\rces to prev5t addiction relat$ to y\? sports injuries 7a7 ,te*nical cl>ification ,effective z if includ$ 9 ! enactm5t ( ! ,*ildr5's ,heal? ,act ( #bjjj 7,public ,law #ajf-caj71 section #cdje7;a7 ( su* ,act 7#aad ,/at4 #abba7 is am5d$ by /rik+ ,"p ,e ( title ,,iii & ins]t+ ,"p ,e ( title ,,iii ( ! ,public ,heal? ,s]vice ,act4 7b7 ,am5dm5t ,title ,,iii ( ! ,public ,heal? ,s]vice ,act is am5d$ by ins]t+ aft] "p ,d ( su* title 7#db ,u4,s4,c4 #bed;b et seq47 ! foll[+ new "p ,e3 ,e ,opioid ,use ,disord] #cda4 ,in=mation mat]ials & res\rces to prev5t addiction relat$ to y\? sports injuries 7a7 ,report ,! ,secret>y %all-- 7#a7 n lat] ?an #bd mon?s aft] ! date ( ! enactm5t ( ?is section1 make publicly available a report det]m9+ ! ext5t to :i* in=mational mat]ials & res\rces describ$ 9 subsection 7b7 are available to te5ag]s & adolesc5ts :o play y\? sports1 families ( su* te5ag]s & adolesc5ts1 nurses1 y\? sports gr\ps1 & relevant heal? c>e provid] gr\ps2 & 7#b7 = purposes ( educat+ & prev5t+ addiction 9 te5ag]s & adolesc5ts :o are injur$ play+ y\? sports & are subsequ5tly prescrib$ an opioid1 n lat] ?an #ab mon?s aft] su* report is made publicly available & tak+ into consid]ation ! f9d+s ( su* report1 develop &1 9 coord9ation ) y\? sports gr\ps1 dissem9ate in=mational mat]ials & res\rces describ$ 9 subsection 7b7 = te5ag]s & adolesc5ts :o play y\? sports1 families ( su* te5ag]s & adolesc5ts1 nurses1 y\? sports gr\ps1 & relevant heal? c>e provid] gr\ps4 7b7 ,mat]ials & res\rces describ$ ,= purposes ( ?is section1 ! in=mational mat]ials & res\rces describ$ 9 ?is subsection are in=mational mat]ials & res\rces ) respect to y\? sports injuries = :i* opioids are pot5tially prescrib$ & subsequ5tly pot5tially lead to addiction1 includ+ mat]ials & res\rces focus$ on ! dang]s ( opioid use & misuse1 treatm5t options = su* injuries t d n involve ! use ( opioids1 & h[ to seek treatm5t = addiction4 7c7 ,no additional funds ,no additional funds are au?oriz$ to be appropriat$ = ! purpose ( c>ry+ out ?is section4 ,?is section %all be c>ri$ out us+ am\nts o!rwise available = su* purpose4 4 #aji4 ,lali's ,law 7a7 ,opioid ov]dose rev]sal m$ication access & education grant program ,"p ,e ( title ,,iii ( ! ,public ,heal? ,s]vice ,act1 z add$ by section #aji1 is am5d$ by add+ at ! end ! foll[+ #cdb4 ,opioid ov]dose rev]sal m$ication access & education grant programs 7a7 ,grants to ,/ates ,! ,secret>y may make grants to ,/ates =-- 7#a7 develop+ /&+ ord]s = ph>macies reg>d+ opioid ov]dose rev]sal m$ication2 7#b7 enc\rag+ ph>macies to disp5se opioid ov]dose rev]sal m$ication pursuant to a /&+ ord]2 7#c7 implem5t+ be/ practices = p]sons au?oriz$ to prescribe m$ication reg>d+-- 7,a7 prescrib+ opioids = ! treatm5t ( *ronic pa92 7,b7 co-prescrib+ opioid ov]dose rev]sal m$ication ) opioids2 & 7,c7 discuss+ ! purpose & adm9i/ration ( opioid ov]dose rev]sal m$ication ) pati5ts2 7#d7 develop+ or adapt+ tra9+ mat]ials & me?ods = p]sons au?oriz$ to prescribe or disp5se m$ication to use 9 educat+ ! public reg>d+-- 7,a7 :5 & h[ to adm9i/] opioid ov]dose rev]sal m$ication2 & 7,b7 /eps to be tak5 aft] adm9i/]+ opioid ov]dose rev]sal m$ication2 & 7#e7 educat+ ! public reg>d+-- 7,a7 ! public heal? b5efits ( opioid ov]dose rev]sal m$ication2 & 7,b7 ! availability ( opioid ov]dose rev]sal m$ication )\t a p]son-specific prescription4 7b7 ,c]ta9 requirem5t ,a grant may be made "u ?is section only if ! ,/ate involv$ has au?oriz$ /&+ ord]s reg>d+ opioid ov]dose rev]sal m$ication4 7c7 ,pref]5ce 9 mak+ grants ,9 mak+ grants "u ?is section1 ! ,secret>y %all give pref]5ce to ,/ates t-- 7#a7 h n issu$ /&+ ord]s reg>d+ opioid ov]dose rev]sal m$ication2 7#b7 au?orize /&+ ord]s t p]mit community-bas$ organizations1 sub/ance abuse programs1 or o!r nonpr(it entities to acquire1 disp5se1 or adm9i/] opioid ov]dose rev]sal m$ication2 7#c7 au?orize /&+ ord]s t p]mit police1 fire1 or em]g5cy m$ical s]vices ag5cies to acquire & adm9i/] opioid ov]dose rev]sal m$ication2 7#d7 h a high] p] capita rate ( opioid ov]doses ?an o!r applicant ,/ates2 or 7#e7 meet any o!r crit]ia deem$ appropriate by ! ,secret>y4 7d7 ,grant t]ms 7#a7 ,numb] ,a ,/ate may n receive m ?an #a grant "u ?is section4 7#b7 ,p]iod ,a grant "u ?is section %all be = a p]iod ( #c ye>s4 7#c7 ,am\nt ,a grant "u ?is section may n exce$ #ejj1jjj4 7#d7 ,limitation ,a ,/ate may use n m ?an #bj p]c5t ( a grant "u ?is section = educat+ ! public pursuant to subsection 7a77#e74 7e7 ,applications ,to be eligible to receive a grant "u ?is section1 a ,/ate %all submit an application to ! ,secret>y 9 su* =m & mann] & conta9+ su* in=mation z ! ,secret>y may require1 includ+ detail$ propos$ exp5ditures ( grant funds4 7f7 ,report+ ,n lat] ?an #c mon?s aft] ! ,secret>y disburses ! fir/ grant paym5t to any ,/ate "u ?is section & e #f mon?s !reaft] = #c ye>s1 su* ,/ate %all submit a report to ! ,secret>y t includes ! foll[+3 7#a7 ,! "n & ,,zip ,code ( ea* ph>macy 9 ! ,/ate t disp5ses opioid ov]dose rev]sal m$ication "u a /&+ ord]4 7#b7 ,! total numb] ( opioid ov]dose rev]sal m$ication doses disp5s$ by ea* su* ph>macy1 specify+ h[ _m 7 disp5s$ ) or )\t a p]son-specific prescription4 7#c7 ,! numb] ( ph>maci/s 9 ! ,/ate :o h p>ticipat$ 9 tra9+ pursuant to subsection 7a77#d74 7g7 ,def9itions ,9 ?is section3 7#a7 ,opioid ov]dose rev]sal m$ication ,! t]m opioid ov]dose rev]sal m$ication means any drug1 includ+ naloxone1 t-- 7,a7 blocks opioids f atta*+ to1 b does n itself activate1 opioid receptors2 or 7,b7 inhibits ! effects ( opioids on opioid receptors4 7#b7 ,/&+ ord] ,! t]m /&+ ord] means a docum5t prep>$ by a p]son au?oriz$ to prescribe m$ication t p]mits ano!r p]son to acquire1 disp5se1 or adm9i/] m$ication )\t a p]son-specific prescription4 7h7 ,au?orization ( appropriations 7#a7 ,9 g5]al ,to c>ry out ?is section1 !re is au?oriz$ to be appropriat$ #e1jjj1jjj = ! p]iod ( fiscal ye>s #bjag ?r\gh #bjai4 7#b7 ,adm9i/rative co/s ,n m ?an #c p]c5t ( ! am\nts made available to c>ry out ?is section may be us$ by ! ,secret>y = adm9i/rative exp5ses ( c>ry+ out ?is section4 4 7b7 ,cut-,g ,compliance ,subsection 7f7 ( section #cai;,d ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;d-#d7 is am5d$ by ins]t+ be=e ! p]iod at ! end ! foll[+3 7except su* doll> am\nt %all be r$uc$ by #e1jjj1jjj = fiscal ye> #bjag74 #aaj4 ,opioid review mod]nization 7a7 ,,fda opioid action plan ,*apt] ,v ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act is am5d$ by ins]t+ aft] section #efi ( su* ,act 7#ba ,u4,s4,c4 #cej;bbb-#h7 ! foll[+3 #efi-a4 ,opioid action plan 7a7 ,new drug application 7#a7 ,9 g5]al ,subject to p>agraph 7#b71 prior to ! approval pursuant to an application "u section #eje7;b7 ( a new drug t is an opioid & does n h abuse-det]r5t prop]ties1 ! ,secret>y %all ref] ! application to an advisory committee ( ! ,food & ,drug ,adm9i/ration to seek recomm5dations f su* advisory committee4 7#b7 ,public heal? exemption ,a ref]ral to an advisory committee "u p>agraph 7#a7 is n requir$ ) respect to a new drug if ! ,secret>y-- 7,a7 f9ds t su* a ref]ral is n 9 ! int]e/ ( protect+ & promot+ public heal?2 7,b7 f9ds t su* a ref]ral is n necess>y bas$ on a review ( ! relevant sci5tific in=mation2 & 7,c7 submits a notice conta9+ ! rationale = su* f9d+s to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate & ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives4 7b7 ,p$iatric opioid label+ ,! ,secret>y %all conv5e ! ,p$iatric ,advisory ,committee ( ! ,food & ,drug ,adm9i/ration to seek recomm5dations f su* ,committee reg>d+ a framework = ! inclusion ( in=mation 9 ! label+ ( drugs t are opioids relat+ to ! use ( su* drugs 9 p$iatric populations be=e ! ,secret>y approves any label+ or *ange to label+ = any drug t is an opioid int5d$ = use 9 a p$iatric population4 7c7 ,sunset ,! requirem5ts ( subsections 7a7 & 7b7 %all cease to be effective on ,octob] #a1 #bjbb4 4 7b7 ,prescrib] education ,n lat] ?an #a ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices1 act+ ?r\gh ! ,commission] ( ,food & ,drugs1 z "p ( ! ,food & ,drug ,adm9i/ration's evaluation ( ! ,ext5d$-,release_/,long-,act+ ,opioid ,analgesics ,risk ,evaluation & ,mitigation ,/rategy1 & 9 consultation ) relevant /akehold]s1 %all develop recomm5dations reg>d+ education programs = prescrib]s ( opioids pursuant to section #eje-a ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cee-a71 includ+ recomm5dations on-- 7#a7 :i* prescrib]s %\ld p>ticipate 9 su* programs2 & 7#b7 h[ (t5 p>ticipation 9 su* programs is necess>y4 7c7 ,guidance on evaluat+ ! abuse det]r5ce ( g5]ic solid oral opioid drug products ,n lat] ?an #b ye>s aft] ! end ( ! p]iod = public comm5t on ! draft guidance entitl$ ,g5]al ,pr9cipals = ,evaluat+ ! ,abuse ,det]r5ce ( ,g5]ic ,solid ,oral ,opioid ,drug ,products issu$ by ! ,c5t] = ,drug ,evaluation & ,rese>* ( ! ,food & ,drug ,adm9i/ration 9 ,m>* #bjaf1 ! ,commission] ( ,food & ,drugs %all publi% 9 ! ,f$]al ,regi/] a f9al v]sion ( su* guidance4 #aaa4 ,/udy on treatm5t infra/ructure ,n lat] ?an #bd mon?s aft] ! date ( enactm5t ( ?is ,act1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all initiate an evaluation1 & submit to ,congress a report1 ( ! inpati5t & outpati5t treatm5t capacity1 availability1 & ne$s ( ! ,unit$ ,/ates1 :i* %all include1 to ! ext5t data are 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>e2 7#h7 ! availability ( resid5tial & outpati5t treatm5t programs to ,am]ican ,indians & ,alaska ,natives ?r\gh an ,indian heal? program 7z def9$ by section #d ( ! ,indian ,heal? ,c>e ,improvem5t ,act 7#be ,u4,s4,c4 #afjc772 & 7#i7 ! b>ri]s 7includ+ te*nological b>ri]s7 at ! ,f$]al1 ,/ate1 & local levels to real-"t report+ ( de-id5tifi$ in=mation on drug ov]doses & ways to ov]come su* b>ri]s4 #aab4 ,national y\? recov]y initiative ,"p ,,ii ( title ,i ( ! ,omnibus ,crime ,control & ,safe ,/reets ,act ( #aifh 7#db ,u4,s4,c4 #cgig;cc et seq47 is am5d$ by add+ at ! end ! foll[+3 #biii;,a4 ,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 9 coord9ation ) ! ,secret>y ( ,education1 may aw>d grants to eligible entities to enable ! entities to-- 7#a7 provide sub/ance use disord] 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?- & 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?- & 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]s & physicians2 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 high s*ools & 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 ,fund+ ,!re is au?oriz$ to be appropriat$ #e1jjj1jjj to c>ry out ?is section = ea* ( fiscal ye>s #bjag ?r\gh #bjba1 ( :i* #e1jjj1jjj %all be made available f am\nts appropriat$ "u section #aja7;a7 ( ! ,opioid ,use ,disord] ,treatm5t ,expansion & ,mod]nization ,act = fiscal ye> #bjag1 to rema9 available until exp5d$4 4 #aac4 ,build+ communities ( recov]y ,"p ,,ii ( title ,i ( ! ,omnibus ,crime ,control & ,safe ,/reets ,act ( #aifh 7#db ,u4,s4,c4 #cgig;cc et seq471 z am5d$ by section #aac1 is am5d$ by add+ at ! end ! foll[+3 #biii;,b4 ,build+ communities ( recov]y 7a7 ,def9ition ,9 ?is section1 ! t]m recov]y community organization means an indep5d5t nonpr(it organization t-- 7#a7 mobilizes res\rces )9 & outside ( ! recov]y community to increase ! preval5ce & quality ( long-t]m recov]y f sub/ance use disord]s2 & 7#b7 is :olly or pr9cipally gov]n$ by p 9 recov]y = sub/ance use disord]s :o reflect ! community s]v$4 7b7 ,grants au?oriz$ ,! ,secret>y ( ,heal? & ,human ,s]vices may aw>d grants to recov]y community organizations to enable su* organizations to develop1 exp&1 & enhance recov]y s]vices4 7c7 ,f$]al %>e ,! ,f$]al %>e ( ! co/s ( a program fund$ by a grant "u ?is section may n exce$ #ej p]c5t4 7d7 ,use ( funds ,grants aw>d$ "u subsection 7b7-- 7#a7 %all be us$ to develop1 exp&1 & enhance community & /atewide recov]y support s]vices2 & 7#b7 may be us$ to-- 7,a7 advocate = individuals 9 recov]y f sub/ance use disord]s2 7,b7 build connections betwe5 recov]y networks1 betwe5 recov]y community organizations1 & ) o!r recov]y support s]vices1 includ+-- 7i7 sub/ance use disord] treatm5t programs & sy/ems2 7ii7 provid]s ( m5tal heal? s]vices2 7iii7 prim>y c>e provid]s & physicians2 7iv7 ! crim9al ju/ice sy/em2 7v7 employ]s2 7vi7 h\s+ s]vices2 7vii7 *ild welf>e ag5cies2 & 7viii7 o!r recov]y support s]vices t facilitate recov]y f sub/ance use disord]s2 7,c7 r$uce ! /igma associat$ ) sub/ance use disord]s2 7,d7 conduct public education & outrea* on issues relat+ to sub/ance use disord]s & recov]y1 includ+-- 7i7 h[ to id5tify ! signs ( addiction2 7ii7 ! res\rces t are available to individuals /ruggl+ ) addiction & families :o h a family memb] /ruggl+ ) or be+ treat$ = addiction1 includ+ programs t m5tor & provide support s]vices to *ildr52 7iii7 ! res\rces t are available to help support individuals 9 recov]y2 & 7iv7 in=mation on ! m$ical consequ5ces ( sub/ance use disord]s1 includ+ neonatal ab/95ce syndrome & pot5tial infection ) human immunodefici5cy virus & viral hepatitis2 & 7,e7 c>ry out o!r activities t /r5g!n ! network ( community support = individuals 9 recov]y4 7e7 ,fund+ ,( ! am\nts appropriat$ "u section #aja7;a7 ( ! ,opioid ,use ,disord] ,treatm5t ,expansion & ,mod]nization ,act = fiscal ye> #bjag1 #be1jjj1jjj %all be made available to c>ry out ?is section1 to rema9 available until exp5d$ 4 ,,ii ,compreh5sive ,opioid ,abuse ,r$uction #bja4 ,compreh5sive opioid abuse grant program 7a7 ,9 g5]al ,title ,i ( ! ,omnibus ,crime ,control & ,safe ,/reets ,act ( #aifh 7#db ,u4,s4,c4 #cgaa et seq47 is am5d$ by add+ at ! end ! foll[+3 ,,ll ,,compreh5sive ,,opioid ,,abuse ,,grant ,,program #cjba4 ,description 7a7 ,grants au?oriz$ ,f am\nts made available to c>ry out ?is "p1 ! ,attorney ,g5]al may make grants to ,/ates1 units ( local gov]nm5t1 & ,indian tribes1 = use by ! ,/ate1 unit ( local gov]nm5t1 or ,indian tribe to provide s]vices prim>ily relat+ to opioid abuse1 includ+ = any "o or m ( ! foll[+3 7#a7 ,develop+1 implem5t+1 or exp&+ a treatm5t alt]native to inc>c]ation program1 :i* may include-- 7,a7 pre-book+ or po/-book+ compon5ts1 :i* may include ! activities describ$ 9 "p ,,hh ( ?is title2 7,b7 tra9+ = crim9al ju/ice ag5cy p]sonnel on sub/ance use disord]s & co-occurr+ m5tal illness & sub/ance use disord]s2 7,c7 a m5tal heal? c\rt1 includ+ ! activities describ$ 9 "p ,v ( ?is title2 7,d7 a drug c\rt1 includ+ ! activities describ$ 9 "p ,,ee ( ?is title2 & 7,e7 a vet]ans treatm5t c\rt program1 includ+ ! activities describ$ 9 subsection 7i7 ( section #biia ( ?is title4 7#b7 ,9 ! case ( a ,/ate1 facilitat+ or enhanc+ plann+ & collaboration betwe5 ,/ate crim9al ju/ice ag5cies & ,/ate sub/ance abuse sy/ems 9 ord] to m effici5tly & effectively c>ry out programs describ$ 9 p>agraph 7#a7 t address problems relat$ to opioid abuse4 7#c7 ,provid+ tra9+ & res\rces = fir/ respond]s on c>ry+ & adm9i/]+ an opioid ov]dose rev]sal drug or device approv$ by ! ,food & ,drug ,adm9i/ration1 & pur*as+ su* a drug or device = fir/ respond]s :o h receiv$ su* tra9+ to c>ry & adm9i/]4 7#d7 ,inve/igative purposes to locate or inve/igate illicit activities relat$ to ! unlawful di/ribution ( opioids4 7#e7 ,develop+1 implem5t+1 or exp&+ a m$ication-assi/$ treatm5t program us$ or op]at$ by a crim9al ju/ice ag5cy1 :i* may include tra9+ crim9al ju/ice ag5cy p]sonnel on m$ication-assi/$ treatm5t1 & c>ry+ out ! activities describ$ 9 "p ,s ( ?is title4 7#f7 ,9 ! case ( a ,/ate1 develop+1 implem5t+1 or exp&+ a prescription drug monitor+ program to collect & analyze data relat$ to ! prescrib+ ( s*$ule ,,ii1 ,,iii1 & ,,iv controll$ sub/ances ?r\gh a c5traliz$ database adm9i/]$ by an au?oriz$ ,/ate ag5cy1 :i* includes track+ ! disp5sation ( su* sub/ances1 & provid+ = data %>+ ) o!r ,/ates4 7#g7 ,develop+1 implem5t+1 or exp&+ a program to prev5t & address opioid abuse by juv5iles4 7#h7 ,develop+1 implem5t+1 or exp&+ an integrat$ & compreh5sive opioid abuse response program4 7b7 ,contracts & subaw>ds ,a ,/ate1 unit ( local gov]nm5t1 or ,indian tribe may1 9 us+ a grant "u ?is subp>t = purposes au?oriz$ by subsection 7a71 use all or a portion ( t grant to contract ) or make "o or m subaw>ds to "o or m-- 7#a7 local or regional organizations t are private & nonpr(it1 includ+ fai?-bas$ organizations2 7#b7 units ( local gov]nm5t2 or 7#c7 tribal organizations4 7c7 ,program assessm5t compon5t2 waiv] 7#a7 ,program assessm5t compon5t ,ea* program fund$ "u ?is subp>t %all conta9 a program assessm5t compon5t1 develop$ pursuant to guidel9es e/abli%$ by ! ,attorney ,g5]al1 9 coord9ation ) ! ,national ,in/itute ( ,ju/ice4 7#b7 ,waiv] ,! ,attorney ,g5]al may waive ! requirem5t ( p>agraph 7#a7 ) respect to a program if1 9 ! op9ion ( ! ,attorney ,g5]al1 ! program is n ( suffici5t size to ju/ify a full program assessm5t4 7d7 ,adm9i/rative co/s ,n m ?an #aj p]c5t ( a grant made "u ?is subp>t may be us$ = co/s incurr$ to adm9i/] su* grant4 7e7 ,p]iod ,! p]iod ( a grant made "u ?is "p may n be long] ?an #d ye>s1 except t r5ewals & ext5sions beyond t p]iod may be grant$ at ! discretion ( ! ,attorney ,g5]al4 #cjbb4 ,applications ,to reque/ a grant "u ?is "p1 ! *ief executive (fic] ( a ,/ate1 unit ( local gov]nm5t1 or ,indian tribe %all submit an application to ! ,attorney ,g5]al at su* "t & 9 su* =m z ! ,attorney ,g5]al may require4 ,su* application %all include ! foll[+3 7#a7 ,a c]tification t ,f$]al funds made available "u ?is subp>t w n be us$ to supplant ,/ate1 local1 or tribal funds1 b w be us$ to increase ! am\nts ( su* funds t w\ld1 9 ! abs5ce ( ,f$]al funds1 be made available = ! activities describ$ 9 section #cjba7;a74 7#b7 ,an assurance t1 = ea* fiscal ye> cov]$ by an application1 ! applicant %all ma9ta9 & report su* data1 records1 & in=mation 7programmatic & f9ancial7 z ! ,attorney ,g5]al may reasonably require4 7#c7 ,a c]tification1 made 9 a =m acceptable to ! ,attorney ,g5]al & execut$ by ! *ief executive (fic] ( ! applicant 7or by ano!r (fic] ( ! applicant1 if qualifi$ "u regulations promulgat$ by ! ,attorney ,g5]al71 t-- 7,a7 ! programs to be fund$ by ! grant meet all ! requirem5ts ( ?is "p2 7,b7 all ! in=mation conta9$ 9 ! application is correct2 7,c7 !re has be5 appropriate coord9ation ) affect$ ag5cies2 & 7,d7 ! applicant w comply ) all provisions ( ?is "p & all o!r applicable ,f$]al laws4 7#d7 ,an assurance t ! applicant w "w ) ! ,drug ,en=cem5t ,adm9i/ration to develop an integrat$ & compreh5sive /rategy to address opioid abuse4 #cjbc4 ,review ( applications ,! ,attorney ,g5]al %all n f9ally disapprove any application 7or any am5dm5t to t application7 submitt$ "u ?is "p )\t fir/ af=d+ ! applicant reasonable notice ( any defici5cies 9 ! application & opportunity = correction & reconsid]ation4 #cjbd4 ,geographic div]sity ,! ,attorney ,g5]al %all ensure equitable geographic di/ribution ( grants "u ?is "p & take into consid]ation ! ne$s ( und]s]v$ populations1 includ+ rural & tribal communities4 #cjbe4 ,def9itions ,9 ?is "p3 7#a7 ,! t]m fir/ respond] includes a firefight]1 law en=cem5t (fic]1 p>am$ic1 em]g5cy m$ical te*nician1 or o!r individual 7includ+ an employee ( a legally organiz$ & recogniz$ volunte] organization1 :e!r comp5sat$ or n71 :o1 9 ! c\rse ( pr(essional duties1 responds to fire1 m$ical1 haz>d\s mat]ial1 or o!r simil> em]g5cies4 7#b7 ,! t]m m$ication-assi/$ treatm5t means ! use ( m$ications approv$ by ! ,food & ,drug ,adm9i/ration = ! treatm5t ( opioid abuse4 7#c7 ,! t]m opioid means any drug1 includ+ h]o91 hav+ an addiction-=m+ or addiction-su/a9+ liability simil> to morph9e or be+ capable ( conv]sion into a drug hav+ su* addiction-=m+ or addiction-su/a9+ liability4 7#d7 ,! t]m s*$ule ,,ii1 ,,iii1 or ,,iv controll$ sub/ance means a controll$ sub/ance t is li/$ on s*$ule ,,ii1 s*$ule ,,iii1 or s*$ule ,,iv ( section #bjb7;c7 ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hab7;c774 7#e7 ,! t]ms drug & device h ! mean+s giv5 ^? t]ms 9 section #bja ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cba74 7#f7 ,! t]m crim9al ju/ice ag5cy means a ,/ate1 local1 or tribal-- 7,a7 c\rt2 7,b7 prison2 7,c7 jail2 7,d7 law en=cem5t ag5cy2 or 7,e7 o!r ag5cy t p]=ms ! adm9i/ration ( crim9al ju/ice1 includ+ prosecution1 pretrial s]vices1 & community sup]vision4 7#g7 ,! t]m tribal organization has ! mean+ giv5 t t]m 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act 7#be ,u4,s4,c4 #dej;b74 4 7b7 ,fund+ ,!re is au?oriz$ to be appropriat$ #fe1jjj1jjj to c>ry out ?is section1 section #bjc1 & section #bjd 7includ+ ! am5dm5ts made by su* sections7 = ! p]iod ( fiscal ye>s #bjag ?r\gh #bjba1 ( :i* #fe1jjj1jjj %all be made available f am\nts appropriat$ "u section #aja7;a7 ( ! ,opioid ,use ,disord] ,treatm5t ,expansion & ,mod]nization ,act = fiscal ye> #bjag1 to rema9 available until exp5d$4 #bjb4 ,audit & acc\ntability ( grantees 7a7 ,def9itions ,9 ?is section-- 7#a7 ! t]m cov]$ grant program means a grant program op]at$ by ! ,dep>tm5t ( ,ju/ice2 7#b7 ! t]m cov]$ grantee means a recipi5t ( a grant f a cov]$ grant program2 7#c7 ! t]m nonpr(it1 :5 us$ ) respect to an organization1 means an organization t is describ$ 9 section #eja7;c77#c7 ( ! ,int]nal ,rev5ue ,code ( #aihf1 & is exempt f taxation "u section #eja7;a7 ( su* ,code2 & 7#d7 ! t]m unresolv$ audit f9d+ means an audit report f9d+ 9 a f9al audit report ( ! ,inspector ,g5]al ( ! ,dep>tm5t ( ,ju/ice t a cov]$ grantee has us$ grant funds aw>d$ to t grantee "u a cov]$ grant program = an unau?oriz$ exp5diture or o!rwise unall[able co/ t is n clos$ or resolv$ dur+ a #ab-mon? p]iod prior to ! date on :i* ! f9al audit report is issu$4 7b7 ,audit requirem5t ,beg9n+ 9 fiscal ye> #bjaf1 & annually !reaft]1 ! ,inspector ,g5]al ( ! ,dep>tm5t ( ,ju/ice %all conduct audits ( cov]$ grantees to prev5t wa/e1 fraud1 & abuse ( funds aw>d$ "u cov]$ grant programs4 ,! ,inspector ,g5]al %all det]m9e ! appropriate numb] ( cov]$ grantees to be audit$ ea* ye>4 7c7 ,m&atory exclusion ,a grantee t is f\nd to h an unresolv$ audit f9d+ "u an audit conduct$ "u subsection 7b7 may n receive grant funds "u a cov]$ grant program 9 ! fiscal ye> foll[+ ! fiscal ye> to :i* ! f9d+ relates4 7d7 ,reimbursem5t ,if a cov]$ grantee is aw>d$ funds "u ! cov]$ grant program f :i* x receiv$ a grant aw>d dur+ ! #a-;fiscal-ye> p]iod dur+ :i* ! cov]$ grantee is ineligible = an allocation ( grant funds "u subsection 7c71 ! ,attorney ,g5]al %all-- 7#a7 deposit into ! ,g5]al ,fund ( ! ,treasury an am\nt t is equal to ! am\nt ( ! grant funds t 7 improp]ly aw>d$ to ! cov]$ grantee2 & 7#b7 seek to rec\p ! co/s ( ! repaym5t to ! ,fund f ! cov]$ grantee t 0 improp]ly aw>d$ ! grant funds4 7e7 ,priority ( grant aw>ds ,! ,attorney ,g5]al1 9 aw>d+ grants "u a cov]$ grant program %all give priority to eligible entities t dur+ ! #b-ye> p]iod prec$+ ! application = a grant h n be5 f\nd to h an unresolv$ audit f9d+4 7f7 ,nonpr(it requirem5ts 7#a7 ,prohibition ,a nonpr(it organization t holds money 9 (f%ore acc\nts = ! purpose ( avoid+ ! tax describ$ 9 section #eaa7;a7 ( ! ,int]nal ,rev5ue ,code ( #aihf1 %all n be eligible to receive1 directly or indirectly1 any funds f a cov]$ grant program4 7#b7 ,disclosure ,ea* nonpr(it organization t is a cov]$ grantee %all disclose 9 its application = su* a grant1 z a condition ( receipt ( su* a grant1 ! comp5sation ( its (fic]s1 directors1 & tru/ees4 ,su* disclosure %all include a description ( ! crit]ia reli$ on to det]m9e su* comp5sation4 #bjc4 ,vet]ans treatm5t c\rts ,section #biia ( ! ,omnibus ,crime ,control & ,safe ,/reets ,act ( #aifh 7#db ,u4,s4,c4 #cgig;aa7 is am5d$-- 7#a7 by r$esignat+ subsection 7i7 z subsection 7j72 & 7#b7 by ins]t+ aft] subsection 7h7 ! foll[+3 7i7 ,assi/+ vet]ans 7#a7 ,def9itions ,9 ?is subsection3 7,a7 ,pe] to pe] s]vices or programs ,! t]m pe] to pe] s]vices or programs means s]vices or programs t connect qualifi$ vet]ans ) o!r vet]ans = ! purpose ( provid+ support & m5tor%ip to assi/ qualifi$ vet]ans 9 obta9+ treatm5t1 recov]y1 /abilization1 or rehabilitation4 7,b7 ,qualifi$ vet]an ,! t]m qualifi$ vet]an means a prelim9>ily qualifi$ (f5d] :o-- 7i7 s]v$ on active duty 9 any bran* ( ! ,arm$ ,=ces1 includ+ ! ,national ,gu>d or ,res]ves2 & 7ii7 0 dis*>g$ or releas$ f su* s]vice "u conditions o!r ?an di%onorable4 7,c7 ,vet]ans treatm5t c\rt program ,! t]m vet]ans treatm5t c\rt program means a c\rt program involv+ collaboration among crim9al ju/ice1 vet]ans1 & m5tal heal? & sub/ance abuse ag5cies t provides qualifi$ vet]ans )-- 7i7 int5sive judicial sup]vision & case managem5t1 :i* may include r&om & frequ5t drug te/+ :]e appropriate2 7ii7 a full cont9uum ( treatm5t s]vices1 includ+ m5tal heal? s]vices1 sub/ance abuse s]vices1 m$ical s]vices1 & s]vices to address trauma2 7iii7 alt]natives to inc>c]ation2 or 7iv7 o!r appropriate s]vices1 includ+ h\s+1 transportation1 m5tor+1 employm5t1 job tra9+1 education1 or assi/ance 9 apply+ = & obta9+ available b5efits4 7#b7 ,vet]ans assi/ance program 7,a7 ,9 g5]al ,! ,attorney ,g5]al1 9 consultation ) ! ,secret>y ( ,vet]ans ,affairs1 may aw>d grants "u ?is subsection to applicants to e/abli% or exp&-- 7i7 vet]ans treatm5t c\rt programs2 7ii7 pe] to pe] s]vices or programs = qualifi$ vet]ans2 7iii7 practices t id5tify & provide treatm5t1 rehabilitation1 legal1 transitional1 & o!r appropriate s]vices to qualifi$ vet]ans :o h be5 inc>c]at$2 or 7iv7 tra9+ programs to tea* crim9al ju/ice1 law en=cem5t1 corrections1 m5tal heal?1 & sub/ance abuse p]sonnel h[ to id5tify & appropriately respond to incid5ts involv+ qualifi$ vet]ans4 7,b7 ,priority ,9 aw>d+ grants "u ?is subsection1 ! ,attorney ,g5]al %all give priority to applications t-- 7i7 demon/rate collaboration betwe5 & jo9t inve/m5ts by crim9al ju/ice1 m5tal heal?1 sub/ance abuse1 & vet]ans s]vice ag5cies2 7ii7 promote effective /rategies to id5tify & r$uce ! risk ( h>m to qualifi$ vet]ans & public safety2 & 7iii7 propose int]v5tions ) empirical support to improve outcomes = qualifi$ vet]ans4 4 #bjd4 ,em]g5cy ,f$]al law en=cem5t assi/ance ,section #fji,y7a7 ( ! ,ju/ice ,assi/ance ,act ( #aihd 7#db ,u4,s4,c4 #ajeac7;a77 is am5d$ by /rik+ ,septemb] #cj1 #aihd & ins]t+ ,septemb] #cj1 #bjba4 #bje4 ,opioid ,program ,evaluation ,act 7a7 ,%ort title ,?is section may be cit$ z ! ,opioid ,program ,evaluation ,act or ! ,,op5 ,act4 7b7 ,evaluation ( p]=mance ( ,dep>tm5t ( ,ju/ice program 7#a7 ,evaluation ( ,ju/ice ,dep>tm5t ,compreh5sive ,opioid ,abuse ,grant ,program ,n lat] ?an #e ye>s aft] ! date ( enactm5t ( ?is ,act1 ! ,attorney ,g5]al %all complete an evaluation ( ! effectiv5ess ( ! ,compreh5sive ,opioid ,abuse ,grant ,program "u "p ,,ll ( ! ,omnibus ,crime ,control & ,safe ,/reets ,act ( #aifh adm9i/]$ by ! ,dep>tm5t ( ,ju/ice bas$ ^u ! in=mation report$ "u p>agraph 7#d7 ( ?is subsection4 7#b7 ,int]im evaluation ,n lat] ?an #c ye>s aft] ! date ( enactm5t ( ?is ,act1 ! ,attorney ,g5]al %all complete an int]im evaluation assess+ ! nature & ext5t ( ! incid5ce ( opioid abuse & illegal opioid di/ribution 9 ! ,unit$ ,/ates4 7#c7 ,metrics & outcomes = evaluation ,n lat] ?an #ahj days aft] ! date ( enactm5t ( ?is ,act1 ! ,attorney ,g5]al %all id5tify outcomes t are to be a*iev$ by activities fund$ by ! ,compreh5sive ,opioid ,grant ,abuse ,program & ! metrics by :i* ! a*ievem5t ( su* outcomes %all be det]m9$4 7#d7 ,metrics data collection ,! ,attorney ,g5]al %all require grantees "u ! ,compreh5sive ,opioid ,abuse ,grant ,program 7& ^? receiv+ subaw>ds "u section #cjba7;b7 ( "p ,,ll ( ! ,omnibus ,crime ,control & ,safe ,/reets ,act ( #aifh7 to collect & annually report to ! ,dep>tm5t ( ,ju/ice data bas$ ^u ! metrics id5tifi$ "u p>agraph 7#c74 7#e7 ,publication ( data & f9d+s 7,a7 ,publication ( outcomes & metrics ,! ,attorney ,g5]al %all1 n lat] ?an #cj days aft] completion ( ! requirem5t "u p>agraph 7#c71 publi% ! outcomes & metrics id5tifi$ "u t p>agraph4 7,b7 ,publication ( evaluation ,9 ! case ( ! int]im evaluation "u p>agraph 7#b71 & ! f9al evaluation "u p>agraph 7#a71 ! ,secret>y %all arrange = an indep5d5t1 ext]nal evaluator to1 n lat] ?an #ij days aft] su* an evaluation is complet$1 publi% ! results ( su* evaluation & issue a report on su* evaluation to ! ,committee on ! ,judici>y ( ! ,h\se ( ,repres5tatives & ! ,committee on ! ,judici>y ( ! ,s5ate4 ,su* report %all also be publi%$ along ) ! data us$ to make su* evaluation4 7#f7 ,arrangem5t ) ! ,national ,academy ( ,sci5ces ,= purposes ( p>agraphs 7#a71 7#b71 & 7#c71 ! ,attorney ,g5]al %all ent] into an arrangem5t ) ! ,national ,academy ( ,sci5ces4 7c7 ,evaluation ( p]=mance ( ,dep>tm5t ( ,heal? & ,human ,s]vices program 7#a7 ,evaluation ( ,ju/ice ,dep>tm5t ,compreh5sive ,opioid ,abuse ,grant ,program ,n lat] ?an #e ye>s aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all complete an evaluation ( any program adm9i/]$ by ! ,secret>y t provides grants = ! prim>y purpose ( provid+ assi/ance 9 address+ problems p]ta9+ to opioid abuse bas$ ^u ! in=mation report$ "u p>agraph 7#d7 ( ?is subsection4 7#b7 ,int]im evaluation ,n lat] ?an #c ye>s aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y %all complete an int]im evaluation assess+ ! nature & ext5t ( ! incid5ce ( opioid abuse & illegal opioid di/ribution 9 ! ,unit$ ,/ates4 7#c7 ,metrics & outcomes = evaluation ,n lat] ?an #ahj days aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y %all id5tify outcomes t are to be a*iev$ by activities fund$ by ! programs describ$ 9 p>agraph 7#a7 & ! metrics by :i* ! a*ievem5t ( su* outcomes %all be det]m9$4 7#d7 ,metrics data collection ,! ,secret>y %all require grantees "u ! programs describ$ 9 p>agraph 7#a7 to collect & annually report to ! ,dep>tm5t ( ,heal? & ,human ,s]vices data bas$ ^u ! metrics id5tifi$ "u p>agraph 7#c74 7#e7 ,publication ( data & f9d+s 7,a7 ,publication ( outcomes & metrics ,! ,secret>y %all1 n lat] ?an #cj days aft] completion ( ! requirem5t "u p>agraph 7#c71 publi% ! outcomes & metrics id5tifi$ "u t p>agraph4 7,b7 ,publication ( evaluation ,9 ! case ( ! int]im evaluation "u subp>agraph 7,b71 & ea* f9al evaluation "u p>agraph 7#a71 ! ,secret>y %all arrange = an indep5d5t1 ext]nal evaluator to1 n lat] ?an #ij days aft] su* an evaluation is complet$1 publi% ! results ( su* evaluation & issue a report on su* evaluation to ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives & ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate4 ,su* report %all also be publi%$ along ) ! data us$ to make su* evaluation4 7#f7 ,arrangem5t ) an indep5d5t1 ext]nal evaluator ,= purposes ( p>agraphs 7#a71 7#b71 7#c71 & 7#e71 ! ,secret>y %all ent] into an arrangem5t ) an indep5d5t1 ext]nal evaluator4 7d7 ,def9ition ,9 ?is section1 ! t]m opioid has ! mean+ giv5 ! t]m opiate 9 section #ajb ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hjb74 7e7 ,no additional funds au?oriz$ ,no additional funds are au?oriz$ to be appropriat$ to c>ry out ?is ,act4 #bjf4 ,good ,sam>itan ,assessm5t ,act 7a7 ,,gao ,/udy on ,good ,sam>itan laws p]ta9+ to treatm5t ( opioid ov]doses ,! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all submit to ! ,committee on ! ,judici>y ( ! ,h\se ( ,repres5tatives1 ! ,committee on ,ov]sight & ,gov]nm5t ,re=m ( ! ,h\se ( ,repres5tatives1 ! ,committee on ! ,judici>y ( ! ,s5ate1 & ! ,committee on ,homel& ,security & ,gov]nm5tal ,affairs ( ! ,s5ate a report on-- 7#a7 ! ext5t to :i* ! ,director ( ,national ,drug ,control ,policy has review$ ,good ,sam>itan laws1 & any f9d+s f su* a review1 includ+ f9d+s relat$ to ! pot5tial effects ( su* laws1 if available2 7#b7 ef=ts by ! ,director to enc\rage ! enactm5t ( ,good ,sam>itan laws2 & 7#c7 a compilation ( ,good ,sam>itan laws 9 effect 9 ! ,/ates1 ! t]ritories1 & ! ,di/rict ( ,columbia4 7b7 ,def9itions ,9 ?is section-- 7#a7 ! t]m ,good ,sam>itan law means a law ( a ,/ate or unit ( local gov]nm5t t exempts f crim9al or civil liability any individual :o adm9i/]s an opioid ov]dose rev]sal drug or device1 or :o contacts em]g5cy s]vices provid]s 9 response to an ov]dose2 & 7#b7 ! t]m opioid means any drug1 includ+ h]o91 hav+ an addiction-=m+ or addiction-su/a9+ liability simil> to morph9e or be+ capable ( conv]sion into a drug hav+ su* addiction-=m+ or addiction-su/a9+ liability4 ,,iii ,promot+ ,responsible ,opioid ,managem5t & ,incorporat+ ,sci5tific ,exp]tise #cja4 ,%ort title ,?is title may be cit$ z ! ,promot+ ,responsible ,opioid ,managem5t & ,incorporat+ ,sci5tific ,exp]tise ,act or ! ,jason ,simcakoski ,,promise ,act4 ,a ,opioid ,!rapy & ,pa9 ,managem5t #caa4 ,guidel9es on managem5t ( opioid !rapy by ,dep>tm5t ( ,vet]ans ,affairs & ,dep>tm5t ( ,def5se & implem5tation ( su* guidel9es by ,dep>tm5t ( ,vet]ans ,affairs 7a7 ,9 g5]al ,n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,vet]ans ,affairs & ! ,secret>y ( ,def5se %all jo9tly update ! ,,va_/,,dod ,cl9ical ,practice ,guidel9e = ,managem5t ( ,opioid ,!rapy = ,*ronic ,pa9 to include ! foll[+3 7#a7 ,9 accordance ) subsection 7b71 common recomm5d$ guidel9es = safely prescrib+ opioids = ! treatm5t ( *ronic1 non-canc] pa9 9 outpati5t sett+s z compil$ by ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion4 7#b7 ,enhanc$ guidance ) respect to-- 7,a7 ! adm9i/ration ( two or m drugs t may result 9 a life-limit+ drug-to-drug int]action1 includ+ b5zodiazep9es2 7,b7 ! treatm5t ( pati5ts ) curr5t acute psy*iatric in/ability or sub/ance use disord] or pati5ts at risk ( suicide2 & 7,c7 ! use ( opioid !rapy to treat m5tal heal? disord]s o!r ?an opioid use disord]4 7#c7 ,enhanc$ guidance ) respect to ! treatm5t ( pati5ts ) behaviors or comorbidities1 su* z po/-traumatic /ress disord]1 psy*iatric disord]s1 or a hi/ory ( sub/ance abuse or addiction1 t requires a consultation or comanagem5t ( opioid !rapy ) "o or m speciali/s 9 pa9 managem5t1 m5tal heal?1 or addictions4 7#d7 ,enhanc$ guidance ) respect to ! conduct by heal? c>e provid]s ( an effective assessm5t = pati5ts receiv+ opioid !rapy1 includ+ pati5ts on long-t]m opioid !rapy1 to det]m9e-- 7,a7 :e!r opioid !rapy is meet+ ! expect$ goals ( ! pati5t & heal? c>e provid] ( reliev+ pa91 improv+ function1 & provid+ pati5t satisfaction2 & 7,b7 :e!r opioid !rapy %\ld be cont9u$4 7#e7 ,guidance t ea* heal? c>e provid] ( ! ,dep>tm5t ( ,vet]ans ,affairs & ! ,dep>tm5t ( ,def5se1 be=e initiat+ opioid !rapy to treat a pati5t z "p ( ! compreh5sive assessm5t conduct$ by ! heal? c>e provid]1 use ! ,opioid ,!rapy ,risk ,report tool ( ! ,dep>tm5t ( ,vet]ans ,affairs 7or successor tool71 :i* %all include ! ability to access ! mo/ rec5t pati5t in=mation f ! prescription drug monitor+ program ( ea* ,/ate t has su* a program to assess ! risk = adv]se outcomes ( opioid !rapy = ! pati5t1 includ+ ) respect to ! concurr5t use ( controll$ sub/ances1 includ+ b5zodiazep9es4 7#f7 ,guidel9es to gov]n ! me?odologies us$ by heal? c>e provid]s ( ! ,dep>tm5t ( ,vet]ans ,affairs & ! ,dep>tm5t ( ,def5se to safely titrate & tap] opioid !rapy :5 adju/+ or discrim9at+ ! use ( opioid !rapy1 includ+ ) respect to-- 7,a7 prescription ( ! l[e/ effective dose bas$ on pati5t ne$2 7,b7 use ( opioid only = a limit$ p]iod ( "t2 & 7,c7 augm5tation ( opioid !rapy ) o!r pa9 managem5t !rapies & modalities4 7#g7 ,guidel9es ) respect to appropriate case managem5t = pati5ts receiv+ opioid !rapy :o transition betwe5 inpati5t & outpati5t heal? c>e sett+s1 :i* may include ! use ( c>e transition plans4 7#h7 ,guidel9es ) respect to appropriate transf] ( case managem5t responsibility = pati5ts receiv+ opioid !rapy :o transition f receiv+ c>e furni%$ by ! ,secret>y ( ,def5se to receiv+ c>e furni%$ by o!r heal? c>e provid]s aft] ! pati5t has be5 dis*>g$ or sep>at$ f ! ,arm$ ,=ces4 7#i7 ,enhanc$ /&>ds ) respect to ! use ( r\t9e & r&om ur9e drug te/s = all pati5ts be=e & dur+ opioid !rapy to help prev5t sub/ance abuse1 dep5d5ce1 & div]sion1 includ+-- 7,a7 t su* te/s occur n less frequ5tly ?an once ea* ye>2 & 7,b7 t heal? c>e provid]s appropriately int]pret & respond to ! results f su* te/s to tailor pa9 !rapy1 safegu>ds1 & risk managem5t /rategies to ea* pati5t4 7#aj7 ,guidance t heal? c>e provid]s discuss ) pati5ts1 be=e initiat+ opioid !rapy1 options = pa9 managem5t !rapies )\t ! use ( opioids & options to augm5t opioid !rapy ) o!r cl9ical & complem5t>y & integrative heal? s]vices to m9imize opioid dep5d5ce4 7b7 ,treatm5t ( c]ta9 guidel9es develop$ aft] deadl9e ,if ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion issues ! guidel9es describ$ 9 p>agraph 7#a7 ( subsection 7a7 aft] ! date on :i* ! ,secret>y ( ,vet]ans ,affairs & ! ,secret>y ( ,def5se jo9tly update ! ,,va_/,,dod ,cl9ical ,practice ,guidel9e = ,managem5t ( ,opioid ,!rapy = ,*ronic ,pa9 pursuant to su* subsection1 ! ,secret>ies %all jo9tly modify ! ,,va_/,,dod ,cl9ical ,practice ,guidel9e = ,managem5t ( ,opioid ,!rapy = ,*ronic ,pa9 to incorporate su* guidel9es ( ! ,director4 7c7 ,consultation be=e update ,be=e updat+ ! guidel9e "u subsection 7a71 ! ,secret>y ( ,vet]ans ,affairs & ! ,secret>y ( ,def5se %all jo9tly consult ) ! ,pa9 ,managem5t ,work+ ,gr\p ( ! ,dep>tm5t ( ,vet]ans ,affairs-,dep>tm5t ( ,def5se ,jo9t ,executive ,committee e/abli%$ by section #cbj ( title #ch1 ,unit$ ,/ates ,code4 7d7 ,def9itions ,9 ?is section3 7#a7 ,! t]m controll$ sub/ance has ! mean+ giv5 t t]m 9 section #ajb ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hjb74 7#b7 ,! t]m ,/ate means ea* ( ! sev]al ,/ates1 t]ritories1 & possessions ( ! ,unit$ ,/ates1 ! ,di/rict ( ,columbia1 & ! ,commonweal? ( ,pu]to ,rico4 #cab4 ,improvem5t ( opioid safety measures by ,dep>tm5t ( ,vet]ans ,affairs 7a7 ,expansion ( opioid safety initiative ,n lat] ?an #ahj days aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,vet]ans ,affairs %all exp& ! ,opioid ,safety ,initiative ( ! ,dep>tm5t ( ,vet]ans ,affairs to include all m$ical facilities ( ! ,dep>tm5t4 7b7 ,pa9 managem5t education & tra9+ 7#a7 ,9 g5]al ,9 c>ry+ out ! ,opioid ,safety ,initiative ( ! ,dep>tm5t1 ! ,secret>y %all require all employees ( ! ,dep>tm5t responsible = prescrib+ opioids to receive education & tra9+ describ$ 9 p>agraph 7#b74 7#b7 ,education & tra9+ ,education & tra9+ describ$ 9 ?is p>agraph is education & tra9+ on pa9 managem5t & safe opioid prescrib+ practices = purposes ( safely & effectively manag+ pati5ts ) *ronic pa91 includ+ education & tra9+ on ! foll[+3 7,a7 ,! implem5tation ( & full compliance ) ! ,,va_/,,dod ,cl9ical ,practice ,guidel9e = ,managem5t ( ,opioid ,!rapy = ,*ronic ,pa91 includ+ any update to su* guidel9e4 7,b7 ,! use ( evid5ce-bas$ pa9 managem5t !rapies1 includ+ cognitive-behavioral !rapy1 non-opioid alt]natives1 & non-drug me?ods & proc$ures to manag+ pa9 & relat$ heal? conditions includ+ complem5t>y alt]native m$ic9es4 7,c7 ,scre5+ & id5tification ( pati5ts ) sub/ance use disord]1 includ+ drug-seek+ behavior1 be=e prescrib+ opioids1 assessm5t ( risk pot5tial = pati5ts develop+ an addiction1 & ref]ral ( pati5ts to appropriate addiction treatm5t pr(essionals if addiction is id5tifi$ or /rongly suspect$4 7,d7 ,communication ) pati5ts on ! pot5tial h>m associat$ ) ! use ( opioids & o!r controll$ sub/ances1 includ+ ! ne$ to safely /ore & dispose ( supplies relat+ to ! use ( opioids & o!r controll$ sub/ances4 7,e7 ,su* o!r education & tra9+ z ! ,secret>y consid]s appropriate to ensure t vet]ans receive safe & high-quality pa9 managem5t c>e f ! ,dep>tm5t4 7#c7 ,use ( exi/+ program ,9 provid+ education & tra9+ describ$ 9 p>agraph 7#b71 ! ,secret>y %all use ! ,int]discipl9>y ,*ronic ,pa9 ,managem5t ,tra9+ ,team ,program ( ! ,dep>tm5t 7or success program74 7c7 ,pa9 managem5t teams 7#a7 ,9 g5]al ,9 c>ry+ out ! ,opioid ,safety ,initiative ( ! ,dep>tm5t1 ! director ( ea* m$ical facility ( ! ,dep>tm5t %all id5tify & designate a pa9 managem5t team ( heal? c>e pr(essionals1 :i* may include bo>d c]tifi$ pa9 m$ic9e speciali/s1 responsible = coord9at+ & ov]see+ pa9 managem5t !rapy at su* facility = pati5ts exp]i5c+ acute & *ronic pa9 t is non-canc] relat$4 7#b7 ,e/abli%m5t ( protocols 7,a7 ,9 g5]al ,9 consultation ) ! ,directors ( ea* ,vet]ans ,integrat$ ,s]vice ,network1 ! ,secret>y %all e/abli% /&>d protocols = ! designation ( pa9 managem5t teams at ea* m$ical facility )9 ! ,dep>tm5t4 7,b7 ,consultation on prescription ( opioids ,ea* protocol e/abli%$ "u subp>agraph 7,a7 %all ensure t any heal? c>e provid] )\t exp]tise 9 prescrib+ analgesics or :o has n complet$ ! education & tra9+ "u subsection 7b71 includ+ a m5tal heal? c>e provid]1 does n prescribe opioids to a pati5t unless t heal? c>e provid]-- 7i7 consults ) a heal? c>e provid] ) pa9 managem5t exp]tise or :o is on ! pa9 managem5t team ( ! m$ical facility2 & 7ii7 ref]s ! pati5t to ! pa9 managem5t team = any subsequ5t prescriptions & relat$ !rapy4 7#c7 ,report 7,a7 ,9 g5]al ,n lat] ?an "o ye> aft] ! date ( enactm5t ( ?is ,act1 ! director ( ea* m$ical facility ( ! ,dep>tm5t %all submit to ! ,"u ,secret>y = ,heal? & ! director ( ! ,vet]ans ,integrat$ ,s]vice ,network 9 :i* ! m$ical facility is locat$ a report id5tify+ ! heal? c>e pr(essionals t h be5 designat$ z memb]s ( ! pa9 managem5t team at ! m$ical facility pursuant to p>agraph 7#a74 7,b7 ,elem5ts ,ea* report submitt$ "u subp>agraph 7,a7 ) respect to a m$ical facility ( ! ,dep>tm5t %all include-- 7i7 a c]tification z to :e!r all memb]s ( ! pa9 managem5t team at ! m$ical facility h complet$ ! education & tra9+ requir$ "u subsection 7b72 & 7ii7 a plan = ! managem5t & ref]ral ( pati5ts to su* pa9 managem5t team if heal? c>e provid]s )\t exp]tise 9 prescrib+ analgesics prescribe opioid m$ications to treat acute & *ronic pa9 t is non-canc] relat$4 7d7 ,track+ & monitor+ ( opioid use 7#a7 ,prescription drug monitor+ programs ( /ates ,9 c>ry+ out ! ,opioid ,safety ,initiative & ! ,opioid ,!rapy ,risk ,report tool ( ! ,dep>tm5t1 ! ,secret>y %all-- 7,a7 ensure access by heal? c>e provid]s ( ! ,dep>tm5t to in=mation on controll$ sub/ances1 includ+ opioids & b5zodiazep9es1 prescrib$ to vet]ans :o receive c>e outside ! ,dep>tm5t ?r\gh ! prescription drug monitor+ program ( ea* ,/ate ) su* a program1 includ+ by seek+ to ent] into memor&a ( und]/&+ ) ,/ates to all[ %>$ access ( su* in=mation betwe5 ,/ates & ! ,dep>tm5t2 7,b7 include su* in=mation 9 ! ,opioid ,!rapy ,risk ,report2 & 7,c7 require heal? c>e provid]s ( ! ,dep>tm5t to submit to ! prescription drug monitor+ program ( ea* ,/ate in=mation on prescriptions ( controll$ sub/ances receiv$ by vet]ans 9 t ,/ate "u ! laws adm9i/]$ by ! ,secret>y4 7#b7 ,report on track+ ( data on opioid use ,n lat] ?an #ah mon?s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y %all submit to ! ,committee on ,vet]ans' ,affairs ( ! ,s5ate & ! ,committee on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives a report on ! feasibility & advisability ( improv+ ! ,opioid ,!rapy ,risk ,report tool ( ! ,dep>tm5t to all[ = m advanc$ real-"t track+ ( & access to data on-- 7,a7 ! key cl9ical indicators ) respect to ! totality ( opioid use by vet]ans2 7,b7 concurr5t prescrib+ by heal? c>e provid]s ( ! ,dep>tm5t ( opioids 9 diff]5t heal? c>e sett+s1 includ+ data on concurr5t prescrib+ ( opioids to treat m5tal heal? disord]s o!r ?an opioid use disord]2 & 7,c7 mail-ord] prescriptions ( opioid prescrib$ to vet]ans "u ! laws adm9i/]$ by ! ,secret>y4 7e7 ,availability ( opioid receptor antagoni/s 7#a7 ,increas$ availability & use 7,a7 ,9 g5]al ,! ,secret>y %all maximize ! availability ( opioid receptor antagoni/s approv$ by ! ,food & ,drug ,adm9i/ration1 includ+ naloxone1 to vet]ans4 7,b7 ,availability1 tra9+1 & di/ribut+ ,9 c>ry+ out subp>agraph 7,a71 n lat] ?an #ij days aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y %all-- 7i7 equip ea* ph>macy ( ! ,dep>tm5t ) opioid receptor antagoni/s approv$ by ! ,food & ,drug ,adm9i/ration to be disp5s$ to outpati5ts z ne$$2 & 7ii7 exp& ! ,ov]dose ,education & ,naloxone ,di/ribution program ( ! ,dep>tm5t to ensure t all vet]ans 9 receipt ( heal? c>e "u laws adm9i/]$ by ! ,secret>y :o are at risk ( opioid ov]dose may access su* opioid receptor antagoni/s & tra9+ on ! prop] adm9i/ration ( su* opioid receptor antagoni/s4 7,c7 ,vet]ans :o are at risk ,= purposes ( subp>agraph 7,b71 vet]ans :o are at risk ( opioid ov]dose include-- 7i7 vet]ans receiv+ long-t]m opioid !rapy2 7ii7 vet]ans receiv+ opioid !rapy :o h a hi/ory ( sub/ance use disord] or prior in/ances ( ov]dose2 & 7iii7 vet]ans :o are at risk z det]m9$ by a heal? c>e provid] :o is treat+ ! vet]an4 7#b7 ,report ,n lat] ?an #abj days aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y %all submit to ! ,committee on ,vet]ans' ,affairs ( ! ,s5ate & ! ,committee on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives a report on c>ry+ out p>agraph 7#a71 includ+ an assessm5t ( any rema9+ /eps to be c>ri$ out by ! ,secret>y to c>ry out su* p>agraph4 7f7 ,inclusion ( c]ta9 in=mation & capabilities 9 opioid !rapy risk report tool ( ! ,dep>tm5t 7#a7 ,in=mation ,! ,secret>y %all include 9 ! ,opioid ,!rapy ,risk ,report tool ( ! ,dep>tm5t-- 7,a7 in=mation on ! mo/ rec5t "t ! tool 0 access$ by a heal? c>e provid] ( ! ,dep>tm5t ) respect to ea* vet]an2 & 7,b7 in=mation on ! results ( ! mo/ rec5t ur9e drug te/ = ea* vet]an4 7#b7 ,capabilities ,! ,secret>y %all include 9 ! ,opioid ,!rapy ,risk ,report tool ! ability ( ! heal? c>e provid]s ( ! ,dep>tm5t to det]m9e :e!r a heal? c>e provid] ( ! ,dep>tm5t prescrib$ opioids to a vet]an )\t *eck+ ! in=mation 9 ! tool ) respect to ! vet]an4 7g7 ,notifications ( risk 9 comput]iz$ heal? record ,! ,secret>y %all modify ! comput]iz$ pati5t record sy/em ( ! ,dep>tm5t to ensure t any heal? c>e provid] t accesses ! record ( a vet]an1 reg>dless ( ! reason ! vet]an seeks c>e f ! heal? c>e provid]1 w be imm$iately notifi$ :e!r ! vet]an-- 7#a7 is receiv+ opioid !rapy & has a hi/ory ( sub/ance use disord] or prior in/ances ( ov]dose2 7#b7 has a hi/ory ( opioid abuse2 or 7#c7 is at risk ( becom+ an opioid abus] z det]m9$ by a heal? c>e provid] :o is treat+ ! vet]an4 7h7 ,def9itions ,9 ?is section3 7#a7 ,! t]m controll$ sub/ance has ! mean+ giv5 t t]m 9 section #ajb ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hjb74 7#b7 ,! t]m ,/ate means ea* ( ! sev]al ,/ates1 t]ritories1 & possessions ( ! ,unit$ ,/ates1 ! ,di/rict ( ,columbia1 & ! ,commonweal? ( ,pu]to ,rico4 #cac4 ,/r5g!n+ ( jo9t work+ gr\p on pa9 managem5t ( ! ,dep>tm5t ( ,vet]ans ,affairs & ! ,dep>tm5t ( ,def5se 7a7 ,9 g5]al ,n lat] ?an #ij days aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,vet]ans ,affairs & ! ,secret>y ( ,def5se %all ensure t ! ,pa9 ,managem5t ,work+ ,gr\p ( ! ,heal? ,executive ,committee ( ! ,dep>tm5t ( ,vet]ans ,affairs-,dep>tm5t ( ,def5se ,jo9t ,executive ,committee e/abli%$ "u section #cbj ( title #ch1 ,unit$ ,/ates ,code1 includes a focus on ! foll[+3 7#a7 ,! opioid prescrib+ practices ( heal? c>e provid]s ( ea* ,dep>tm5t4 7#b7 ,! ability ( ea* ,dep>tm5t to manage acute & *ronic pa9 among individuals receiv+ heal? c>e f ! ,dep>tm5t1 includ+ tra9+ heal? c>e provid]s ) respect to pa9 managem5t4 7#c7 ,! use by ea* ,dep>tm5t ( complem5t>y & integrative heal? & complem5t>y alt]native m$ic9es 9 treat+ su* individuals4 7#d7 ,! concurr5t use by heal? c>e provid]s ( ea* ,dep>tm5t ( opioids & prescription drugs to treat m5tal heal? disord]s1 includ+ b5zodiazep9es4 7#e7 ,! practice by heal? c>e provid]s ( ea* ,dep>tm5t ( prescrib+ opioids to treat m5tal heal? disord]s4 7#f7 ,! coord9ation 9 cov]age ( & consi/5t access to m$ications prescrib$ = pati5ts transition+ f receiv+ heal? c>e f ! ,dep>tm5t ( ,def5se to receiv+ heal? c>e f ! ,dep>tm5t ( ,vet]ans ,affairs4 7#g7 ,! ability ( ea* ,dep>tm5t to id5tify & treat sub/ance use disord]s among individuals receiv+ heal? c>e f t ,dep>tm5t4 7b7 ,coord9ation & consultation ,! ,secret>y ( ,vet]ans ,affairs & ! ,secret>y ( ,def5se %all ensure t ! work+ gr\p describ$ 9 subsection 7a7-- 7#a7 coord9ates ! activities ( ! work+ gr\p ) o!r relevant work+ gr\ps e/abli%$ "u section #cbj ( title #ch1 ,unit$ ,/ates ,code1 includ+ ! work+ gr\ps on evid5ce-bas$ practice1 pati5t safety1 ph>macy1 psy*ological heal?1 & psy*ological heal?2 7#b7 consults ) o!r relevant ,f$]al ag5cies1 includ+ ! ,c5t]s = ,disease ,control & ,prev5tion1 ) respect to ! activities ( ! work+ gr\p2 & 7#c7 consults ) ! ,dep>tm5t ( ,vet]ans ,affairs & ! ,dep>tm5t ( ,def5se ) respect to1 reviews1 & comm5ts on ! ,,va_/,,dod ,cl9ical ,practice ,guidel9e = ,managem5t ( ,opioid ,!rapy = ,*ronic ,pa91 or any successor guidel9e1 be=e any update to ! guidel9e is releas$4 7c7 ,consultations ,! ,secret>y ( ,vet]ans ,affairs & ! ,secret>y ( ,def5se %all ensure t ! work+ gr\p describ$ 9 subsection 7a7 is able to mean+fully consult ) respect to ! updat$ guidel9e requir$ "u subsection 7a7 ( section #caa1 z requir$ by subsection 7b7 ( su* section1 n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act4 #cad4 ,review1 inve/igation1 & report on use ( opioids 9 treatm5t by ,dep>tm5t ( ,vet]ans ,affairs 7a7 ,comptroll] g5]al report 7#a7 ,9 g5]al ,n lat] ?an two ye>s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all submit to ! ,committee on ,vet]ans' ,affairs ( ! ,s5ate & ! ,committee on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives a report on ! ,opioid ,safety ,initiative ( ! ,dep>tm5t ( ,vet]ans ,affairs & ! opioid prescrib+ practices ( heal? c>e provid]s ( ! ,dep>tm5t4 7#b7 ,elem5ts ,! report submitt$ "u p>agraph 7#a7 %all include ! foll[+3 7,a7 ,recomm5dations on su* improvem5ts to ! ,opioid ,safety ,initiative ( ! ,dep>tm5t z ! ,comptroll] ,g5]al consid]s appropriate4 7,b7 ,in=mation ) respect to-- 7i7 dea?s result+ f s5t9el ev5ts involv+ vet]ans prescrib$ opioids by a heal? c>e provid] ( ! ,dep>tm5t2 7ii7 ov]all prescription rates & prescriptions indications ( opioids to treat non-canc]1 non-palliative1 & non-hospice c>e pati5ts2 7iii7 ! prescription rates & prescriptions indications ( b5zodiazep9es & opioids concomitantly by heal? c>e provid]s ( ! ,dep>tm5t2 7iv7 ! practice by heal? c>e provid]s ( ! ,dep>tm5t ( prescrib+ opioids to treat pati5ts )\t any pa91 includ+ to treat pati5ts ) m5tal heal? disord]s o!r ?an opioid use disord]2 & 7v7 ! effectiv5ess ( opioid !rapy = pati5ts receiv+ su* !rapy1 includ+ ! effectiv5ess ( long-t]m opioid !rapy4 7,c7 ,an evaluation ( processes ( ! ,dep>tm5t 9 place to ov]see opioid use among vet]ans1 includ+ proc$ures to id5tify & rem$y pot5tial ov]-prescrib+ ( opioids by heal? c>e provid]s ( ! ,dep>tm5t4 7,d7 ,an assessm5t ( ! implem5tation by ! ,secret>y ( ! ,,va_/,,dod ,cl9ical ,practice ,guidel9e = ,managem5t ( ,opioid ,!rapy = ,*ronic ,pa94 7b7 ,qu>t]ly progress report on implem5tation ( comptroll] g5]al recomm5dations ,n lat] ?an two ye>s aft] ! date ( ! enactm5t ( ?is ,act1 & n lat] ?an #cj days aft] ! end ( ea* qu>t] !reaft]1 ! ,secret>y ( ,vet]ans ,affairs %all submit to ! ,committee on ,vet]ans' ,affairs ( ! ,s5ate & ! ,committee on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives a progress report detail+ ! actions by ! ,secret>y dur+ ! p]iod cov]$ by ! report to address any out/&+ f9d+s & recomm5dations by ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates "u subsection 7a7 ) respect to ! ,vet]ans ,heal? ,adm9i/ration4 7c7 ,annual review ( prescription rates ,n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is ,act1 & n less frequ5tly ?an annually = ! foll[+ five ye>s1 ! ,secret>y %all submit to ! ,committee on ,vet]ans' ,affairs ( ! ,s5ate & ! ,committee on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives a report1 ) respect to ea* m$ical facility ( ! ,dep>tm5t ( ,vet]ans ,affairs1 to collect & review in=mation on opioids prescrib$ by heal? c>e provid]s at ! facility to treat non-canc]1 non-palliative1 & non-hospice c>e pati5ts t conta9s1 = ! "o-ye> p]iod prec$+ ! submission ( ! report1 ! foll[+3 7#a7 ,! numb] ( pati5ts & ! p]c5tage ( ! pati5t population ( ! ,dep>tm5t :o 7 prescrib$ b5zodiazep9es & opioids concurr5tly by a heal? c>e provid] ( ! ,dep>tm5t4 7#b7 ,! numb] ( pati5ts & ! p]c5tage ( ! pati5t population ( ! ,dep>tm5t )\t any pa9 :o 7 prescrib$ opioids by a heal? c>e provid] ( ! ,dep>tm5t1 includ+ ^? :o 7 prescrib$ b5zodiazep9es & opioids concurr5tly4 7#c7 ,! numb] ( non-canc]1 non-palliative1 & non-hospice c>e pati5ts & ! p]c5tage ( su* pati5ts :o 7 treat$ ) opioids by a heal? c>e provid] ( ! ,dep>tm5t on an inpati5t-basis & :o also receiv$ prescription opioids by mail f ! ,dep>tm5t :ile be+ treat$ on an inpati5t-basis4 7#d7 ,! numb] ( non-canc]1 non-palliative1 & non-hospice c>e pati5ts & ! p]c5tage ( su* pati5ts :o 7 prescrib$ opioids concurr5tly by a heal? c>e provid] ( ! ,dep>tm5t & a heal? c>e provid] t is n heal? c>e provid] ( ! ,dep>tm5t4 7#e7 ,) respect to ea* m$ical facility ( ! ,dep>tm5t1 in=mation on opioids prescrib$ by heal? c>e provid]s at ! facility to treat non-canc]1 non-palliative1 & non-hospice c>e pati5ts1 includ+ in=mation on-- 7,a7 ! prescription rate at :i* ea* heal? c>e provid] at ! facility prescrib$ b5zodiazep9es & opioids concurr5tly to su* pati5ts & ! aggregate su* prescription rate = all heal? c>e provid]s at ! facility2 7,b7 ! prescription rate at :i* ea* heal? c>e provid] at ! facility prescrib$ b5zodiazep9es or opioids to su* pati5ts to treat conditions = :i* b5zodiazep9es or opioids are n approv$ treatm5t & ! aggregate su* prescription rate = all heal? c>e provid]s at ! facility2 7,c7 ! prescription rate at :i* ea* heal? c>e provid] at ! facility prescrib$ or disp5s$ mail-ord] prescriptions ( opioids to su* pati5ts :ile su* pati5ts 7 be+ treat$ ) opioids on an inpati5t-basis & ! aggregate ( su* prescription rate = all heal? c>e provid]s at ! facility2 & 7,d7 ! prescription rate at :i* ea* heal? c>e provid] at ! facility prescrib$ opioids to su* pati5ts :o 7 also concurr5tly prescrib$ opioids by a heal? c>e provid] t is n a heal? c>e provid] ( ! ,dep>tm5t & ! aggregate ( su* prescription rates = all heal? c>e provid]s at ! facility4 7#f7 ,) respect to ea* m$ical facility ( ! ,dep>tm5t1 ! numb] ( times a ph>maci/ at ! facility ov]rode a critical drug int]action w>n+ ) respect to an int]action betwe5 opioids & ano!r m$ication be=e disp5s+ su* m$ication to a vet]an4 7d7 ,inve/igation ( prescription rates ,if ! ,secret>y det]m9es t a prescription rate ) respect to a heal? c>e provid] or m$ical facility ( ! ,dep>tm5t conflicts ) or is o!rwise inconsi/5t ) ! /&>ds ( appropriate & safe c>e1 ! ,secret>y %all-- 7#a7 imm$iately notify ! ,committee on ,vet]ans' ,affairs ( ! ,s5ate & ! ,committee on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives ( su* det]m9ation1 includ+ in=mation relat+ to su* det]m9ation1 prescription rate1 & heal? c>e provid] or m$ical facility1 z ! case may be2 & 7#b7 ?r\gh ! ,(fice ( ! ,m$ical ,inspector ( ! ,vet]ans ,heal? ,adm9i/ration1 conduct a full inve/igation ( ! heal? c>e provid] or m$ical facility1 z ! case may be4 7e7 ,prescription rate def9$ ,9 ?is section1 ! t]m prescription rate means1 ) respect to a heal? c>e provid] or m$ical facility ( ! ,dep>tm5t1 ea* ( ! foll[+3 7#a7 ,! numb] ( pati5ts treat$ ) opioids by ! heal? c>e provid] or at ! m$ical facility1 z ! case may be1 divid$ by ! total numb] ( ph>macy us]s ( t heal? c>e provid] or m$ical facility4 7#b7 ,! av]age numb] ( morph9e equival5ts p] day prescrib$ by ! heal? c>e provid] or at ! m$ical facility1 z ! case may be1 to pati5ts be+ treat$ ) opioids4 7#c7 ,( ! pati5ts be+ treat$ ) opioids by ! heal? c>e provid] or at ! m$ical facility1 z ! case may be1 ! av]age numb] ( prescriptions ( opioids p] pati5t4 ,b ,pati5t ,advocacy #cba4 ,community meet+s on improv+ c>e furni%$ by ,dep>tm5t ( ,vet]ans ,affairs 7a7 ,community meet+s 7#a7 ,m$ical c5t]s ,n lat] ?an #ij days aft] ! date ( ! enactm5t ( ?is ,act1 & n less frequ5tly ?an once e #ij days !reaft]1 ! ,secret>y %all ensure t ea* m$ical facility ( ! ,dep>tm5t ( ,vet]ans ,affairs ho/s a community meet+ op5 to ! public on improv+ heal? c>e furni%$ by ! ,secret>y4 7#b7 ,community bas$ outpati5t cl9ics ,n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is ,act1 & n less frequ5tly ?an annually !reaft]1 ! ,secret>y %all ensure t ea* community bas$ outpati5t cl9ic ( ! ,dep>tm5t ho/s a community meet+ op5 to ! public on improv+ heal? c>e furni%$ by ! ,secret>y4 7b7 ,att5dance by ,director ( vet]ans integrat$ s]vice network or designee 7#a7 ,9 g5]al ,ea* community meet+ ho/$ by a m$ical facility or community bas$ outpati5t cl9ic "u subsection 7a7 %all be att5d$ by ! ,director ( ! ,vet]ans ,integrat$ ,s]vice ,network 9 :i* ! m$ical facility or community bas$ outpati5t cl9ic1 z ! case may be1 is locat$4 ,subject to p>agraph 7#b71 ! ,director may delegate su* att5dance only to an employee :o works 9 ! ,(fice ( ! ,director4 7#b7 ,att5dance by director ,ea* ,director ( a ,vet]ans ,integrat$ ,s]vice ,network %all p]sonally att5d n less ?an "o community meet+ "u subsection 7a7 ho/$ by ea* m$ical facility locat$ 9 ! ,vet]ans ,integrat$ ,s]vice ,network ea* ye>4 7c7 ,notice ,! ,secret>y %all notify ! ,committee on ,vet]ans' ,affairs ( ! ,s5ate1 ! ,committee on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives1 & ea* ,memb] ( ,congress 7z def9$ 9 section #cad7 :o repres5ts ! area 9 :i* ! m$ical facility is locat$ ( a community meet+ "u subsection 7a7 by n lat] ?an #aj days be=e su* community meet+ occurs4 #cbb4 ,improvem5t ( aw>5ess ( pati5t advocacy program & pati5t bill ( rights ( ,dep>tm5t ( ,vet]ans ,affairs ,n lat] ?an #ij days aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,vet]ans ,affairs %all1 9 z _m prom95t locations z ! ,secret>y det]m9es appropriate to be se5 by ! l>ge/ p]c5tage ( pati5ts & family memb]s ( pati5ts at ea* m$ical facility ( ! ,dep>tm5t ( ,vet]ans ,affairs-- 7#a7 display ! purposes ( ! ,pati5t ,advocacy ,program ( ! ,dep>tm5t & ! contact in=mation = ! pati5t advocate at su* m$ical facility2 & 7#b7 display ! rights & responsibilities (-- 7,a7 pati5ts & family memb]s & pati5ts at su* m$ical facility2 & 7,b7 ) respect to community liv+ c5t]s & o!r resid5tial facilities ( ! ,dep>tm5t1 resid5ts & family memb]s ( resid5ts at su* m$ical facility4 #cbc4 ,comptroll] g5]al report on pati5t advocacy program ( ,dep>tm5t ( ,vet]ans ,affairs 7a7 ,9 g5]al ,n lat] ?an two ye>s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all submit to ! ,committee on ,vet]ans' ,affairs ( ! ,s5ate & ! ,committee on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives a report on ! ,pati5t ,advocacy ,program ( ! ,dep>tm5t ( ,vet]ans ,affairs 79 ?is section ref]r$ to z ! ,program74 7b7 ,elem5ts ,! report requir$ by subsection 7a7 %all include ! foll[+3 7#a7 ,a description ( ! ,program1 includ+-- 7,a7 ! purpose ( ! ,program2 7,b7 ! activities c>ri$ out "u ! ,program2 & 7,c7 ! suffici5cy ( ! ,program 9 a*iev+ ! purpose ( ! ,program4 7#b7 ,an assessm5t ( ! suffici5cy ( /aff+ ( employees ( ! ,dep>tm5t responsible = c>ry+ out ! ,program4 7#c7 ,an assessm5t ( ! suffici5cy ( ! tra9+ ( su* employees4 7#d7 ,an assessm5t (-- 7,a7 ! aw>5ess ( ! ,program among vet]ans & family memb]s ( vet]ans2 & 7,b7 ! use ( ! ,program by vet]ans & family memb]s ( vet]ans4 7#e7 ,su* recomm5dations & proposals = improv+ or modify+ ! ,program z ! ,comptroll] ,g5]al consid]s appropriate4 7#f7 ,su* o!r in=mation ) respect to ! ,program z ! ,comptroll] ,g5]al consid]s appropriate4 ,c ,complem5t>y & ,integrative ,heal? #cca4 ,expansion ( rese>* & education on & deliv]y ( complem5t>y & integrative heal? to vet]ans 7a7 ,e/abli%m5t ,!re is e/abli%$ a commission to be kn[n z ! ,creat+ ,options = ,vet]ans' ,exp$it$ ,recov]y or ! ,,cov] ,commission 79 ?is ,act ref]r$ to z ! ,commission74 ,! ,commission %all exam9e ! evid5ce-bas$ !rapy treatm5t model us$ by ! ,secret>y ( ,vet]ans ,affairs = treat+ m5tal heal? conditions ( vet]ans & ! pot5tial b5efits ( incorporat+ complem5t>y alt]native treatm5ts available 9 non-,dep>tm5t facilities 7z def9$ 9 section #agja ( title #ch1 ,unit$ ,/ates ,code74 7b7 ,duties ,! ,commission %all p]=m ! foll[+ duties3 7#a7 ,exam9e ! efficacy ( ! evid5ce-bas$ !rapy model us$ by ! ,secret>y = treat+ m5tal heal? illnesses ( vet]ans & id5tify areas to improve wellness-bas$ outcomes4 7#b7 ,conduct a pati5t-c5t]$ survey )9 ea* ( ! ,vet]ans ,integrat$ ,s]vice ,networks to exam9e-- 7,a7 ! exp]i5ce ( vet]ans ) ! ,dep>tm5t ( ,vet]ans ,affairs :5 seek+ m$ical assi/ance = m5tal heal? issues ?r\gh ! heal? c>e sy/em ( ! ,dep>tm5t2 7,b7 ! exp]i5ce ( vet]ans ) non-,dep>tm5t facilities & heal? pr(essionals = treat+ m5tal heal? issues2 7,c7 ! pref]5ce ( vet]ans reg>d+ available treatm5t = m5tal heal? issues & :i* me?ods ! vet]ans believe to be mo/ effective2 7,d7 ! exp]i5ce1 if any1 ( vet]ans ) respect to ! complem5t>y alt]native treatm5t !rapies describ$ 9 p>agraph 7#c72 7,e7 ! preval5ce ( prescrib+ prescription m$ication among vet]ans seek+ treatm5t ?r\gh ! heal? c>e sy/em ( ! ,dep>tm5t z rem$ies = address+ m5tal heal? issues2 & 7,f7 ! outrea* ef=ts ( ! ,secret>y reg>d+ ! availability ( b5efits & treatm5ts = vet]ans = address+ m5tal heal? issues1 includ+ by id5tify+ ways to r$uce b>ri]s to gaps 9 su* b5efits & treatm5ts4 7#c7 ,exam9e available rese>* on complem5t>y alt]native treatm5t !rapies = m5tal heal? issues & id5tify :at b5efits c\ld be made ) ! inclusion ( su* treatm5ts = vet]ans1 includ+ ) respect to-- 7,a7 music !rapy2 7,b7 equ9e !rapy2 7,c7 tra9+ & c>+ = s]vice dogs2 7,d7 yoga !rapy2 7,e7 acupuncture !rapy2 7,f7 m$itation !rapy2 7,g7 outdoor sports !rapy2 7,h7 hyp]b>ic oxyg5 !rapy2 7,i7 accel]at$ resolution !rapy2 7,j7 art !rapy2 7,k7 magnetic resonance !rapy2 & 7,l7 o!r !rapies ! ,commission det]m9es appropriate4 7#d7 ,/udy ! suffici5cy ( ! res\rces ( ! ,dep>tm5t to ensure ! deliv]y ( quality heal? c>e = m5tal heal? issues among vet]ans seek+ treatm5t )9 ! ,dep>tm5t4 7#e7 ,/udy ! curr5t treatm5ts & res\rces available )9 ! ,dep>tm5t & assess-- 7,a7 ! effectiv5ess ( su* treatm5ts & res\rces 9 decreas+ ! numb] ( suicides p] day by vet]ans2 7,b7 ! numb] ( vet]ans :o h be5 diagnos$ ) m5tal heal? issues2 7,c7 ! p]c5tage ( vet]ans us+ ! res\rces ( ! ,dep>tm5t :o h be5 diagnos$ ) m5tal heal? issues2 7,d7 ! p]c5tage ( vet]ans :o h complet$ c\nsel+ sessions (f]$ by ! ,dep>tm5t2 & 7,e7 ! ef=ts ( ! ,dep>tm5t to exp& complem5t>y alt]native treatm5ts viable to ! recov]y ( vet]ans ) m5tal heal? issues z det]m9$ by ! ,secret>y to improve ! effectiv5ess ( treatm5ts (f]$ ) ! ,dep>tm5t4 7c7 ,memb]%ip 7#a7 ,9 g5]al ,! ,commission %all be compos$ ( #aj memb]s1 appo9t$ z foll[s3 7,a7 ,two memb]s appo9t$ by ! ,speak] ( ! ,h\se ( ,repres5tatives1 at lea/ "o ( :om %all be a vet]an4 7,b7 ,two memb]s appo9t$ by ! ,m9ority ,lead] ( ! ,h\se ( ,repres5tatives1 at lea/ "o ( :om %all be a vet]an4 7,c7 ,two memb]s appo9t$ by ! ,majority ,lead] ( ! ,s5ate1 at lea/ "o ( :om %all be a vet]an4 7,d7 ,two memb]s appo9t$ by ! ,m9ority ,lead] ( ! ,s5ate1 at lea/ "o ( :om %all be a vet]an4 7,e7 ,two memb]s appo9t$ by ! ,presid5t1 at lea/ "o ( :om %all be a vet]an4 7#b7 ,qualifications ,memb]s ( ! ,commission %all be-- 7,a7 individuals :o are ( recogniz$ /&+ & di/9ction )9 ! m$ical community ) a backgr\nd 9 treat+ m5tal heal?2 7,b7 individuals ) exp]i5ce work+ ) ! milit>y & vet]an population2 & 7,c7 individuals :o d n h a f9ancial int]e/ 9 any ( ! complem5t>y alt]native treatm5ts review$ by ! ,commission4 7#c7 ,*airman ,! ,presid5t %all designate a memb] ( ! ,commission to be ! ,*airman4 7#d7 ,p]iod ( appo9tm5t ,memb]s ( ! ,commission %all be appo9t$ = ! life ( ! ,commission4 7#e7 ,vacancy ,a vacancy 9 ! ,commission %all be fill$ 9 ! mann] 9 :i* ! orig9al appo9tm5t 0 made4 7#f7 ,appo9tm5t deadl9e ,! appo9tm5t ( memb]s ( ! ,commission 9 ?is section %all be made n lat] ?an #ij days aft] ! date ( ! enactm5t ( ?is ,act4 7d7 ,p[]s ( commission 7#a7 ,meet+s 7,a7 ,initial meet+ ,! ,commission %all hold its fir/ meet+ n lat] ?an #cj days aft] a majority ( memb]s are appo9t$ to ! ,commission4 7,b7 ,meet+ ,! ,commission %all regul>ly meet at ! call ( ! ,*airman4 ,su* meet+s may be c>ri$ out ?r\gh ! use ( telephonic or o!r appropriate telecommunication te*nology if ! ,commission det]m9es t su* te*nology w all[ ! memb]s to communicate simultane\sly4 7#b7 ,he>+s ,! ,commission may hold su* he>+s1 sit & act at su* times & places1 take su* te/imony1 & receive evid5ce z ! ,commission consid]s advisable to c>ry out ! responsibilities ( ! ,commission4 7#c7 ,in=mation f f$]al ag5cies ,! ,commission may secure directly f any dep>tm5t or ag5cy ( ! ,f$]al ,gov]nm5t su* in=mation z ! ,commission consid]s necess>y to c>ry out ! duties ( ! ,commission4 7#d7 ,in=mation f nongov]nm5tal organizations ,9 c>ry+ out its duties1 ! ,commission may seek guidance ?r\gh consultation ) f\ndations1 vet]an s]vice organizations1 nonpr(it gr\ps1 fai?-bas$ organizations1 private & public in/itutions ( high] education1 & o!r organizations z ! ,commission det]m9es appropriate4 7#e7 ,commission records ,! ,commission %all keep an accurate & complete record ( ! actions & meet+ ( ! ,commission4 ,su* record %all be made available = public inspection & ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates may audit & exam9e su* record4 7#f7 ,p]sonnel records ,! ,commission %all keep an accurate & complete record ( ! actions & meet+s ( ! ,commission4 ,su* record %all be made available = public inspection & ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates may audit & exam9e su* records4 7#g7 ,comp5sation ( memb]s2 travel exp5ses ,ea* memb] %all s]ve )\t pay b %all receive travel exp5ses to p]=m ! duties ( ! ,commission1 includ+ p] diem 9 lieu ( sub/ances1 at rates au?oriz$ "u sub*apt] ,i ( *apt] #eg ( title #e1 ,unit$ ,/ates ,code4 7#h7 ,/aff ,! ,*airman1 9 accordance ) rules agre$ ^u ! ,commission1 may appo9t fix ! comp5sation ( a /aff director & su* o!r p]sonnel z may be necess>y to enable ! ,commission to c>ry out its functions1 )\t reg>d to ! provisions ( title #e1 ,unit$ ,/ates ,code1 gov]n+ appo9tm5ts 9 ! competitive s]vice1 )\t reg>d to ! provision ( *apt] #ea & sub*apt] ,,iii ( *apt] #ec ( su* title relat+ to classification & ,g5]al ,s*$ule pay rates1 except t no rate ( pay fix$ "u ?is p>agraph may exce$ ! equival5t ( t payable = a position at a level ,,iv ( ! ,executive ,s*$ule "u section #ecaf ( title #e1 ,unit$ ,/ates ,code4 7#i7 ,p]sonnel z f$]al employees 7,a7 ,9 g5]al ,! executive director & any p]sonnel ( ! ,commission are employees "u section #baje ( title #e1 ,unit$ ,/ates ,code1 = purpose ( *apt]s #fc1 #ha1 #hc1 #hd1 #he1 #hg1 #hi1 & #ij ( su* title4 7,b7 ,memb]s ( ! commission ,subp>agraph 7,a7 %all n be con/ru$ to apply to memb]s ( ! ,commission4 7#aj7 ,contract+ ,! ,commission may1 to su* ext5t & 9 su* am\nts z are provid$ 9 appropriations ,acts1 ent] into contracts to enable ! ,commission to dis*>ge ! duties ( ! ,commission "u ?is ,act4 7#aa7 ,exp]t & consultant s]vice ,! ,commission may procure ! s]vices ( exp]ts & consultants 9 accordance ) section #caji or title #e1 ,unit$ ,/ates ,code1 at rates n to exce$ ! daily rate paid to a p]son occupy+ a position at level ,,iv ( ! ,executive ,s*$ule "u section #caji ( title #e1 ,unit$ ,/ates ,code4 7#ab7 ,po/al s]vice ,! ,commission may use ! ,unit$ ,/ates mails 9 ! same mann] & "u ! same conditions z dep>tm5ts & ag5cies ( ! ,unit$ ,/ates4 7#ac7 ,physical facilities & equipm5t ,^u ! reque/ ( ! ,commission1 ! ,adm9i/rator ( ,g5]al ,s]vices %all provide to ! ,commission1 on a reimbursable basis1 ! adm9i/rative support s]vices necess>y = ! ,commission to c>ry out its responsibilities "u ?is ,act4 ,^! adm9i/rative s]vices may include human res\rce managem5t1 budget1 leas+ acc\nt+1 & payroll s]vices4 7e7 ,report 7#a7 ,int]im reports 7,a7 ,9 g5]al ,n lat] ?an #fj days aft] ! date on :i* ! ,commission fir/ meets1 & ea* #cj-;day p]iod !reaft] end+ on ! date on :i* ! ,commission submits ! f9al report "u p>agraph 7#b71 ! ,commission %all submit to ! ,committees on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives & ! ,s5ate & ! ,presid5t a report detail+ ! level ( coop]ation ! ,secret>y ( ,vet]ans ,affairs 7& ! heads ( o!r dep>tm5ts or ag5cies ( ! ,f$]al ,gov]nm5t7 has provid$ to ! ,commission4 7,b7 ,o!r reports ,9 c>ry+ out its duties1 at times t ! ,commission det]m9es appropriate1 ! ,commission %all submit to ! ,committee on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives & ! ,s5ate & any o!r appropriate entities an int]im report ) respect to ! f9d+s id5tifi$ by ! ,commission4 7#b7 ,f9al report ,n lat] ?an #ah mon?s aft] ! fir/ meet+ ( ! ,commission1 ! ,commission %all submit to ! ,committee on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives & ! ,s5ate1 ! ,presid5t1 & ! ,secret>y ( ,vet]ans ,affairs a f9al report on ! f9d+s ( ! ,commission4 ,su* report %all include ! foll[+3 7,a7 ,recomm5dations to implem5t 9 a feasible1 timely1 & co/ effici5t mann] ! solutions & rem$ies id5tifi$ )9 ! f9d+s ( ! ,commission pursuant to subsection 7b74 7,b7 ,an analysis ( ! evid5ce-bas$ !rapy model us$ by ! ,secret>y ( ,vet]ans ,affairs = treat+ vet]ans ) m5tal heal? c>e issues1 & an exam9ation ( ! preval5ce & efficacy ( prescription drugs z a means = treatm5t4 7,c7 ,! f9d+s ( ! pati5t-c5t]$ survey conduct$ )9 ea* ( ! ,vet]ans ,integrat$ ,s]vice ,networks pursuant to subsection 7b77#b74 7,d7 ,an exam9ation ( complem5t>y alt]native treatm5ts describ$ 9 subsection 7b77#c7 & ! pot5tial b5efits ( incorporat+ su* treatm5ts 9 ! !rapy models us$ by ! ,secret>y = treat+ vet]ans ) m5tal heal? issues4 7#c7 ,plan ,n lat] ?an #ij days aft] ! date on :i* ! ,commission submits ! f9al report "u p>agraph 7#b71 ! ,secret>y ( ,vet]ans ,affairs %all submit to ! ,committee on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives & ! ,s5ate a report on ! foll[+3 7,a7 ,an action plan = implem5t+ ! recomm5dations e/abli%$ by ! ,commission on su* solutions & rem$ies = improv+ wellness-bas$ outcomes = vet]ans ) m5tal heal? c>e issues4 7,b7 ,a feasible timeframe on :5 ! complem5t>y alt]native treatm5ts describ$ 9 subsection 7b77#c7 c be implem5t$ ,dep>tm5t-wide4 7,c7 ,) respect to ea* recomm5dation e/abli%$ by ! ,commission1 includ+ any complem5t>y alt]native treatm5t1 t ! ,secret>y det]m9es is n appropriate or feasible to implem5t1 a ju/ification = su* det]m9ation & an alt]native solution to improve ! efficacy ( ! !rapy models us$ by ! ,secret>y = treat+ vet]ans ) m5tal heal? issues4 7f7 ,t]m9ation ( commission ,! ,commission %all t]m9ate #cj days aft] ! ,commission submits ! f9al report "u subsection 7e77#b74 #ccb4 ,pilot program on integration ( complem5t>y alt]native m$ic9es & relat$ issues = vet]ans & family memb]s ( vet]ans 7a7 ,pilot program 7#a7 ,9 g5]al ,n lat] ?an #ahj days aft] ! date on :i* ! ,secret>y ( ,vet]ans ,affairs receives ! f9al report "u section #cca7;e71 ! ,secret>y %all comm5ce a pilot program to assess ! feasibility & advisability ( us+ wellness-bas$ programs 7z def9$ by ! ,secret>y7 to complem5t ! provision ( pa9 managem5t & relat$ heal? c>e s]vices1 includ+ m5tal heal? c>e s]vices1 to vet]ans4 7#b7 ,matt]s address$ ,9 c>ry+ out ! pilot program1 ! ,secret>y %all assess ! foll[+3 7,a7 ,means ( improv+ coord9ation betwe5 ,f$]al1 ,/ate1 local1 & community provid]s ( heal? c>e 9 ! provision ( pa9 managem5t & relat$ heal? c>e s]vices to vet]ans4 7,b7 ,means ( enhanc+ outrea*1 & coord9ation ( outrea*1 by & among provid]s ( heal? c>e ref]r$ to 9 subp>agraph 7,a7 on ! pa9 managem5t & relat$ heal? c>e s]vices available to vet]ans4 7,c7 ,means ( us+ wellness-bas$ programs ( provid]s ( heal? c>e ref]r$ to 9 subp>agraph 7,a7 z complem5ts to ! provision by ! ,dep>tm5t ( pa9 managem5t & relat$ heal? c>e s]vices to vet]ans4 7,d7 ,:e!r wellness-bas$ programs describ$ 9 subp>agraph 7,c7-- 7i7 are effective 9 enhanc+ ! quality ( life & well-be+ ( vet]ans2 7ii7 are effective 9 increas+ ! adh]5ce ( vet]ans to ! prim>y pa9 managem5t & relat$ heal? c>e s]vices provid$ su* vet]ans by ! ,dep>tm5t2 7iii7 h an effect on ! s5se ( well-be+ ( vet]ans :o receive prim>y pa9 managem5t & relat$ heal? c>e s]vices f ! ,dep>tm5t2 & 7iv7 are effective 9 enc\rag+ vet]ans receiv+ heal? c>e f ! ,dep>tm5t to adopt a m heal?y life/yle4 7b7 ,duration ,! ,secret>y %all c>ry out ! pilot program "u subsection 7a77#a7 = a p]iod ( ?ree ye>s4 7c7 ,locations 7#a7 ,facilities ,! ,secret>y %all c>ry out ! pilot program "u subsection 7a77#a7 at facilities ( ! ,dep>tm5t provid+ pa9 managem5t & relat$ heal? c>e s]vices1 includ+ m5tal heal? c>e s]vices1 to vet]ans4 ,9 select+ su* facilities to c>ry out ! pilot program1 ! ,secret>y %all select n few] ?an #ae m$ical c5t]s ( ! ,dep>tm5t1 ( :i* n few] ?an two %all be polytrauma rehabilitation c5t]s ( ! ,dep>tm5t4 7#b7 ,m$ical c5t]s ) prescription rates ( opioids t conflict ) c>e /&>ds ,9 select+ ! m$ical c5t]s "u p>agraph 7#a71 ! ,secret>y %all give priority to m$ical c5t]s ( ! ,dep>tm5t at :i* !re is a prescription rate ( opioids t conflicts ) or is o!rwise inconsi/5t ) ! /&>ds ( appropriate & safe c>e4 7d7 ,provision ( s]vices ,"u ! pilot program "u subsection 7a77#a71 ! ,secret>y %all provide cov]$ s]vices to cov]$ vet]ans by integrat+ complem5t>y & alt]native m$ic9es & integrative heal? s]vices ) o!r s]vices provid$ by ! ,dep>tm5t at ! m$ical c5t]s select$ "u subsection 7c74 7e7 ,cov]$ vet]ans ,= purposes ( ! pilot program "u subsection 7a77#a71 a cov]$ vet]an is any vet]an :o-- 7#a7 has a m5tal heal? condition diagnos$ by a cl9ician ( ! ,dep>tm5t2 7#b7 exp]i5ces *ronic pa92 7#c7 has a *ronic condition be+ treat$ by a cl9ician ( ! ,dep>tm5t2 or 7#d7 is n describ$ 9 p>agraph 7#a71 7#b71 or 7#c7 & reque/s to p>ticipate 9 ! pilot program or is ref]r$ by a cl9ician ( ! ,dep>tm5t :o is treat+ ! vet]an4 7f7 ,cov]$ s]vices 7#a7 ,9 g5]al ,= purposes ( ! pilot program1 cov]$ s]vices are s]vices consi/+ ( complem5t>y & integrative heal? s]vices z select$ by ! ,secret>y4 7#b7 ,adm9i/ration ( s]vices ,cov]$ s]vices %all be adm9i/]$ "u ! pilot program z foll[s3 7,a7 ,cov]$ s]vices %all be adm9i/]$ by pr(essionals or o!r in/ructors ) appropriate tra9+ & exp]tise 9 complem5t>y & integrative heal? s]vices :o are employees ( ! ,dep>tm5t or ) :om ! ,dep>tm5t ent]s into an agreem5t to provide su* s]vices4 7,b7 ,cov]$ s]vices %all be includ$ z "p ( ! ,pati5t ,align$ ,c>e ,teams initiative ( ! ,(fice ( ,pati5t ,c>e ,s]vices1 ,prim>y ,c>e ,program ,(fice1 9 coord9ation ) ! ,(fice ( ,pati5t ,c5t]$ ,c>e & ,cultural ,trans=mation4 7,c7 ,cov]$ s]vices %all be made available to-- 7i7 cov]$ vet]ans :o h receiv$ conv5tional treatm5ts f ! ,dep>tm5t = ! conditions = :i* ! cov]$ vet]an seeks complem5t>y & integrative heal? s]vices "u ! pilot program2 & 7ii7 cov]$ vet]ans :o h n receiv$ conv5tional treatm5ts f ! ,dep>tm5t = su* conditions4 7g7 ,reports 7#a7 ,9 g5]al ,n lat] ?an #cj mon?s aft] ! date on :i* ! ,secret>y comm5ces ! pilot program "u subsection 7a77#a71 ! ,secret>y %all submit to ! ,committee on ,vet]ans' ,affairs ( ! ,s5ate & ! ,committee on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives a report on ! pilot program4 7#b7 ,elem5ts ,! report "u p>agraph 7#a7 %all include ! foll[+3 7,a7 ,! f9d+s & conclusions ( ! ,secret>y ) respect to ! pilot program "u subsection 7a77#a71 includ+ ) respect to-- 7i7 ! use & efficacy ( ! complem5t>y & integrative heal? s]vices e/abli%$ "u ! pilot program2 7ii7 ! outrea* conduct$ by ! ,secret>y to in=m vet]ans & community organizations ab\t ! pilot program2 & 7iii7 an assessm5t ( ! b5efit ( ! pilot program to cov]$ vet]ans 9 m5tal heal? diagnoses1 pa9 managem5t1 & treatm5t ( *ronic illness4 7,b7 ,id5tification ( any unresolv$ b>ri]s t imp$e ! ability ( ! ,secret>y to incorporate complem5t>y & integrative heal? s]vices ) o!r heal? c>e s]vices provid$ by ! ,dep>tm5t4 7,c7 ,su* recomm5dations = ! cont9uation or expansion ( ! pilot program z ! ,secret>y consid]s appropriate4 7h7 ,complem5t>y & integrative heal? def9$ ,9 ?is section1 ! t]m complem5t>y & integrative heal? %all h ! mean+ giv5 t t]m by ! ,national ,in/itutes ( ,heal?4 ,d ,fitness ( ,heal? ,c>e ,provid]s #cda4 ,additional requirem5ts = hir+ ( heal? c>e provid]s by ,dep>tm5t ( ,vet]ans ,affairs ,z "p ( ! hir+ process = ea* heal? c>e provid] consid]$ = a position at ! ,dep>tm5t ( ,vet]ans ,affairs aft] ! date ( ! enactm5t ( ! ,act1 ! ,secret>y ( ,vet]ans ,affairs %all require f ! m$ical bo>d ( ea* ,/ate 9 :i* ! heal? c>e provid] has a m$ical lic5se-- 7#a7 in=mation on any violation ( ! requirem5ts ( ! m$ical lic5se ( ! heal? c>e provid] dur+ ! #bj-ye> p]iod prec$+ ! consid]ation ( ! heal? c>e provid] by ! ,dep>tm5t2 & 7#b7 in=mation on :e!r ! heal? c>e provid] has ent]$ into any settlem5t agreem5t = ! discipl9>y *>ge relat+ to ! practice ( m$ic9e by ! heal? c>e provid]4 #cdb4 ,provision ( in=mation on heal? c>e provid]s ( ,dep>tm5t ( ,vet]ans ,affairs to ,/ate ,m$ical ,bo>ds ,not)/&+ section #eeb;a ( title #e1 ,unit$ ,/ates ,code1 ) respect to ea* heal? c>e provid] ( ! ,dep>tm5t ( ,vet]ans ,affairs :o has violat$ a requirem5t ( ! m$ical lic5se ( ! heal? c>e provid]1 ! ,secret>y ( ,vet]ans ,affairs %all provide to ! m$ical bo>d ( ea* ,/ate 9 :i* ! heal? c>e provid] is lic5s$ detail$ in=mation ) respect to su* violation1 reg>dless ( :e!r su* bo>d has =mally reque/$ su* in=mation4 #cdc4 ,report on compliance by ,dep>tm5t ( ,vet]ans ,affairs ) reviews ( heal? c>e provid]s leav+ ! ,dep>tm5t or transf]r+ to o!r facilities ,n lat] ?an two ye>s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,vet]ans ,affairs %all submit to ! ,committee on ,vet]ans' ,affairs ( ! ,s5ate & ! ,committee on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives a report on ! compliance by ! ,dep>tm5t ( ,vet]ans ,affairs ) ! policy ( ! ,dep>tm5t-- 7#a7 to conduct a review ( ea* heal? c>e provid] ( ! ,dep>tm5t :o transf]s to ano!r m$ical facility ( ! ,dep>tm5t1 retires1 or is t]m9at$ to det]m9e :e!r !re are any conc]ns1 compla9ts1 or allegations ( violations relat+ to ! m$ical practice ( ! heal? c>e provid]2 & 7#b7 to take appropriate action ) respect to any su* conc]n1 compla9t1 or allegation4 ,e ,o!r ,vet]ans ,matt]s #cea4 ,audit ( ,vet]ans ,heal? ,adm9i/ration programs ( ,dep>tm5t ( ,vet]ans ,affairs 7a7 ,audit ,! ,secret>y ( ,vet]ans ,affairs %all seek to ent] into a contract ) a nongov]nm5tal entity "u :i* ! entity %all conduct a audits ( ! programs ( ! ,vet]ans ,heal? ,adm9i/ration ( ! ,dep>tm5t ( ,vet]ans ,affairs to id5tify ways to improve ! furni%+ ( b5efits & heal? c>e adm9i/]$ by ! ,vet]ans ,heal? ,adm9i/ration to vet]ans & families ( vet]ans4 7b7 ,audit requirem5ts ,9 c>ry+ out ea* audit "u subsection 7a71 ! entity %all p]=m ! foll[+3 7#a7 ,five-ye> risk assessm5ts to id5tify ! functions1 /aff organizations1 & /aff (fices ( ! ,vet]ans ,heal? ,adm9i/ration t w\ld lead t[>ds ! greate/ improvem5t 9 furni%+ ( b5efits & heal? c>e to vet]ans & families ( vet]ans4 7#b7 ,developm5t ( plans t are in=m$ by ! risk assessm5t "u p>agraph 7#a7 to conduct audits ( ! functions1 /aff organizations1 & /aff (fices id5tifi$ "u p>agraph 7#a74 7#c7 ,conduct audits 9 accordance ) ! plans develop$ pursuant to p>agraph 7#b74 7c7 ,reports ,n lat] ?an #ij days aft] ! date on :i* ea* audit is complet$ "u subsection 7a71 ! ,secret>y %all submit to ! ,committees on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives & ! ,s5ate a report t includes-- 7#a7 a summ>y ( ! audit2 7#b7 ! f9d+s ( ! entity t conduct$ ! audit ) respect to ! audit2 & 7#c7 su* recomm5dations z ! ,secret>y det]m9es appropriate = legislative or adm9i/rative action to improve ! furni%+ ( b5efits & heal? c>e to vet]ans & families ( vet]ans4 ,,iv ,improv+ ,safe ,c>e = ,prev5t+ ,infant ,abuse & ,neglect #dja4 ,%ort title ,?is title may be cit$ z ! ,improv+ ,safe ,c>e = ! ,prev5tion ( ,infant ,abuse & ,neglect ,act4 #djb4 ,be/ practices = developm5t ( plans ( safe c>e ,section #ajc7;b7 ( ! ,*ild ,abuse ,prev5tion & ,treatm5t ,act 7#db ,u4,s4,c4 #eajd7;b77 is am5d$-- 7#a7 by r$esignat+ p>agraphs 7#e7 ?r\gh 7#h7 z p>agraphs 7#f7 ?r\gh 7#i71 respectively2 & 7#b7 by ins]t+ aft] p>agraph 7#d71 ! foll[+3 7#e7 ma9ta9 & dissem9ate in=mation ab\t ! be/ practices relat+ to ! developm5t ( plans ( safe c>e z describ$ 9 section #ajf7;b77#b77;,b77iii7 = infants born & id5tifi$ z be+ affect$ by illegal sub/ance abuse or )drawal symptoms1 or a ,fetal ,alcohol ,spectrum ,disord]2 4 #djc4 ,/ate plans ,section #ajf7;b77#b77;,b77iii7 ( ! ,*ild ,abuse ,prev5tion & ,treatm5t ,act 7#db ,u4,s4,c4 #eajf;a7b77#b77;,b77iii77 is am5d$ by ins]t+ be=e ! p]iod at ! end ! foll[+3 to ensure ! safety & well-be+ ( su* infant foll[+ release f ! c>e ( heal?c>e provid]s1 includ+ ?r\gh address+ ! heal? ( ! affect$ family or c>egiv]4 #djd4 ,data reports 7a7 ,9 g5]al ,section #ajf7;d7 ( ! ,*ild ,abuse ,prev5tion & ,treatm5t ,act 7#db ,u4,s4,c4 #eajf;a7d77 is am5d$ by add+ at ! end ( ! foll[+3 7#ag7 ,! total numb] ( infants-- 7,a7 id5tifi$ "u subsection 7b77#b77;,b77ii72 7,b7 = :om a plan ( safe c>e 0 develop$ "u subsection 7b77#b77;,b77iii72 & 7,c7 = :om ref]rals are made = appropriate s]vices1 includ+ s]vices = ! affect$ family or c>egiv]1 z may be necess>y "u subsection 7b77#b77;,b77iii74 4 7b7 ,r$esignation ,effective on ,may #bi1 #bjag1 section #ajf7;d7 ( ! ,*ild ,abuse ,prev5tion & ,treatm5t ,act 7#db ,u4,s4,c4 #eajf;a7d77 is am5d$ by r$esignat+ p>agraph 7#ag7 7z add$ by subsection 7a77 z p>agraph 7#ah74 #dje4 ,monitor+ & ov]sight 7a7 ,am5dm5t ,title ,i ( ! ,*ild ,abuse ,prev5tion & ,treatm5t ,act 7#db ,u4,s4,c4 #eaja et seq47 is fur!r am5d$ by add+ at ! end ! foll[+3 #aad4 ,monitor+ & ov]sight ,! ,secret>y %all conduct monitor+ to ensure t ea* ,/ate t receives a grant "u section #ajf is 9 compliance ) ! requirem5ts ( section #ajf7;b71 :i*-- 7#a7 %all-- 7,a7 be 9 addition to ! review ( ! ,/ate plan ^u its submission "u section #ajf7;b77#a77;,a72 & 7,b7 include monitor+ ( ,/ate policies & proc$ures requir$ "u clauses 7ii7 & 7iii7 ( section #ajf7;b77#b77;,b72 & 7#b7 may include-- 7,a7 a comp>ison ( activities c>ri$ out by ! ,/ate to comply ) ! requirem5ts ( section #ajf7;b7 ) ! ,/ate plan mo/ rec5tly approv$ "u section #dcb ( ! ,social ,security ,act2 7,b7 in=mation available on ! ,website ( ! ,/ate relat+ to its compliance ) ! requirem5ts ( section #ajf7;b72 7,c7 site visits1 z may be necess>y to c>ry out su* monitor+2 & 7,d7 in=mation available 9 ! ,/ate's ,annual ,progress & ,s]vices ,report mo/ rec5tly submitt$ "u section #aceg4af ( title #de1 ,code ( ,f$]al ,regulations 7or successor regulations74 4 7b7 ,table ( cont5ts ,! table ( cont5ts 9 section #a7;b7 ( ! ,*ild ,abuse ,prev5tion & ,treatm5t ,act 7#db ,u4,s4,c4 #eaja note7 is am5d$ by ins]t+ aft] ! item relat+ to section #aac1 ! foll[+3 ,sec4 #aad4 ,monitor+ & ov]sight4 4 #djf4 ,rule ( con/ruction ,no?+ 9 ?is ,act %all be con/ru$ to au?orize ! ,secret>y ( ,heal? & ,human ,s]vices or any o!r (fic] ( ! ,f$]al ,gov]nm5t to add new requirem5ts to section #ajf7;b7 ( ! ,*ild ,abuse ,prev5tion & ,treatm5t ,act 7#db ,u4,s4,c4 #eajf;a7b771 z am5d$ by ?is ,act4 ,v ,o!r ,provisions #eja4 ,programs to prev5t prescription drug abuse "u ,m$ic>e p>ts ,c & ,d 7a7 ,drug managem5t program = at-,risk b5efici>ies 7#a7 ,9 g5]al ,section #ahfj;,d-#d7;c7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#aj7;c77 is am5d$ by add+ at ! end ! foll[+3 7#e7 ,drug managem5t program = at-risk b5efici>ies 7,a7 ,au?ority to e/abli% ,a ,,pdp sponsor may e/abli% a drug managem5t program = at-risk b5efici>ies "u :i*1 subject to subp>agraph 7,b71 ! ,,pdp sponsor may1 9 ! case ( an at-risk b5efici>y = prescription drug abuse :o is an enrollee 9 a prescription drug plan ( su* ,,pdp sponsor1 limit su* b5efici>y's access to cov]age = frequ5tly abus$ drugs "u su* plan to frequ5tly abus$ drugs t are prescrib$ = su* b5efici>y by "o or m prescrib]s select$ "u subp>agraph 7,d71 & disp5s$ = su* b5efici>y by "o or m ph>macies select$ "u su* subp>agraph4 7,b7 ,requirem5t = notices 7i7 ,9 g5]al ,a ,,pdp sponsor may n limit ! access ( an at-risk b5efici>y = prescription drug abuse to cov]age = frequ5tly abus$ drugs "u a prescription drug plan until su* sponsor-- 7,i7 provides to ! b5efici>y an initial notice describ$ 9 clause 7ii7 & a second notice describ$ 9 clause 7iii72 & 7,,ii7 v]ifies ) ! provid]s ( ! b5efici>y t ! b5efici>y is an at-risk b5efici>y = prescription drug abuse4 7ii7 ,initial notice ,an initial notice describ$ 9 ?is clause is a notice t provides to ! b5efici>y-- 7,i7 notice t ! ,,pdp sponsor has id5tifi$ ! b5efici>y z pot5tially be+ an at-risk b5efici>y = prescription drug abuse2 7,,ii7 in=mation describ+ all ,/ate & ,f$]al public heal? res\rces t are design$ to address prescription drug abuse to :i* ! b5efici>y has access1 includ+ m5tal heal? s]vices & o!r c\nsel+ s]vices2 7,,iii7 notice (1 & in=mation ab\t1 ! "r ( ! b5efici>y to appeal su* id5tification "u subsection 7h7 & ! option ( an automatic escalation to ext]nal review2 7,,iv7 a reque/ = ! b5efici>y to submit to ! ,,pdp sponsor pref]5ces = :i* prescrib]s & ph>macies ! b5efici>y w\ld pref] ! ,,pdp sponsor to select "u subp>agraph 7,d7 9 ! case t ! b5efici>y is id5tifi$ z an at-risk b5efici>y = prescription drug abuse z describ$ 9 clause 7iii77,i72 7,v7 an explanation ( ! mean+ & consequ5ces ( ! id5tification ( ! b5efici>y z pot5tially be+ an at-risk b5efici>y = prescription drug abuse1 includ+ an explanation ( ! drug managem5t program e/abli%$ by ! ,,pdp sponsor pursuant to subp>agraph 7,a72 7,,vi7 cle> in/ructions t expla9 h[ ! b5efici>y c contact ! ,,pdp sponsor 9 ord] to submit to ! ,,pdp sponsor ! pref]5ces describ$ 9 subclause 7,,iv7 & any o!r communications relat+ to ! drug managem5t program = at-risk b5efici>ies e/abli%$ by ! ,,pdp sponsor2 & 7,,vii7 contact in=mation = o!r organizations t c provide ! b5efici>y ) assi/ance reg>d+ su* drug managem5t program 7simil> to ! in=mation provid$ by ! ,secret>y 9 o!r /&>diz$ notices provid$ to "p ,d eligible individuals enroll$ 9 prescription drug plans "u ?is "p74 7iii7 ,second notice ,a second notice describ$ 9 ?is clause is a notice t provides to ! b5efici>y notice-- 7,i7 t ! ,,pdp sponsor has id5tifi$ ! b5efici>y z an at-risk b5efici>y = prescription drug abuse2 7,,ii7 t su* b5efici>y is subject to ! requirem5ts ( ! drug managem5t program = at-risk b5efici>ies e/abli%$ by su* ,,pdp sponsor = su* plan2 7,,iii7 ( ! prescrib] 7or prescrib]s7 & ph>macy 7or ph>macies7 select$ = su* individual "u subp>agraph 7,d72 7,,iv7 (1 & in=mation ab\t1 ! b5efici>y's "r to appeal su* id5tification "u subsection 7h7 & ! option ( an automatic escalation to ext]nal review2 7,v7 t ! b5efici>y c1 9 ! case t ! b5efici>y has n previ\sly submitt$ to ! ,,pdp sponsor pref]5ces = :i* prescrib]s & ph>macies ! b5efici>y w\ld pref] ! ,,pdp sponsor select "u subp>agraph 7,d71 submit su* pref]5ces to ! ,,pdp sponsor2 & 7,,vi7 t includes cle> in/ructions t expla9 h[ ! b5efici>y c contact ! ,,pdp sponsor4 7iv7 ,tim+ ( notices 7,i7 ,9 g5]al ,subject to subclause 7,,ii71 a second notice describ$ 9 clause 7iii7 %all be provid$ to ! b5efici>y on a date t is n less ?an #fj days aft] an initial notice describ$ 9 clause 7ii7 is provid$ to ! b5efici>y4 7,,ii7 ,exception ,9 ! case t ! ,,pdp sponsor1 9 conjunction ) ! ,secret>y1 det]m9es t conc]ns id5tifi$ ?r\gh rulemak+ by ! ,secret>y reg>d+ ! heal? or safety ( ! b5efici>y or reg>d+ significant drug div]sion activities require ! ,,pdp sponsor to provide a second notice describ$ 9 clause 7iii7 to ! b5efici>y on a date t is e>li] ?an ! date describ$ 9 subclause 7,i71 ! ,,pdp sponsor may provide su* second notice on su* e>li] date4 7,c7 ,at-risk b5efici>y = prescription drug abuse 7i7 ,9 g5]al ,= purposes ( ?is p>agraph1 ! t]m at-risk b5efici>y = prescription drug abuse means a "p ,d eligible individual :o is n an exempt$ individual describ$ 9 clause 7ii7 &-- 7,i7 :o is id5tifi$ z su* an at-risk b5efici>y ?r\gh ! use ( cl9ical guidel9es develop$ by ! ,secret>y 9 consultation ) ,,pdp sponsors & o!r /akehold]s describ$ 9 section #cada7;f77#b77;,a7 ( ! #ba/ ,c5tury ,cures ,act2 or 7,,ii7 ) respect to :om ! ,,pdp sponsor ( a prescription drug plan1 ^u enroll+ su* individual 9 su* plan1 receiv$ notice f ! ,secret>y t su* individual 0 id5tifi$ "u ?is p>agraph to be an at-risk b5efici>y = prescription drug abuse "u ! prescription drug plan 9 :i* su* individual 0 mo/ rec5tly previ\sly enroll$ & su* id5tification has n be5 t]m9at$ "u subp>agraph 7,f74 7ii7 ,exempt$ individual describ$ ,an exempt$ individual describ$ 9 ?is clause is an individual :o-- 7,i7 receives hospice c>e "u ?is title2 7,,ii7 is a resid5t ( a long-t]m c>e facility1 ( an int]m$iate c>e facility = ! m5tally ret>d$1 or ( ano!r facility = :i* frequ5tly abus$ drugs are disp5s$ = resid5ts ?r\gh a contract ) a s+le ph>macy2 or 7,,iii7 ! ,secret>y elects to treat z an exempt$ individual = purposes ( clause 7i74 7,d7 ,selection ( prescrib]s & ph>macies 7i7 ,9 g5]al ,) respect to ea* at-risk b5efici>y = prescription drug abuse enroll$ 9 a prescription drug plan (f]$ by su* sponsor1 a ,,pdp sponsor %all1 bas$ on ! pref]5ces submitt$ to ! ,,pdp sponsor by ! b5efici>y pursuant to clauses 7ii77,,iv7 & 7iii77,v7 ( subp>agraph 7,b7 7except z o!rwise provid$ 9 ?is subp>agraph71 select-- 7,i7 "o or m individuals :o are au?oriz$ to prescribe frequ5tly abus$ drugs 7ref]r$ to 9 ?is p>agraph z prescrib]s7 :o may write prescriptions = su* drugs = su* b5efici>y2 & 7,,ii7 "o or m ph>macies t may disp5se su* drugs to su* b5efici>y4 7ii7 ,reasonable access ,9 mak+ ! selections "u ?is subp>agraph-- 7,i7 a ,,pdp sponsor %all ensure t ! b5efici>y cont9ues to h reasonable access to frequ5tly abus$ drugs 7z def9$ 9 subp>agraph 7,g771 tak+ into acc\nt geographic location1 b5efici>y pref]5ce1 impact on co/-%>+1 & reasonable travel "t2 & 7,,ii7 a ,,pdp sponsor %all ensure su* access 7includ+ access to prescrib]s & ph>macies ) respect to frequ5tly abus$ drugs7 9 ! case ( individuals ) multiple resid5ces & 9 ! case ( natural disa/]s & simil> em]g5cy situations4 7iii7 ,b5efici>y pref]5ces ,if an at-risk b5efici>y = prescription drug abuse submits pref]5ces = :i* 9-network prescrib]s & ph>macies ! b5efici>y w\ld pref] ! ,,pdp sponsor select 9 response to a notice "u subp>agraph 7,b71 ! ,,pdp sponsor %all-- 7,i7 review su* pref]5ces2 7,,ii7 select or *ange ! selection ( prescrib]s & ph>macies = ! b5efici>y bas$ on su* pref]5ces2 & 7,,iii7 in=m ! b5efici>y ( su* selection or *ange ( selection4 7iv7 ,exception reg>d+ b5efici>y pref]5ces ,9 ! case t ! ,,pdp sponsor det]m9es t a *ange to ! selection ( prescrib] or ph>macy "u clause 7iii77,,ii7 by ! ,,pdp sponsor is contribut+ or w\ld contribute to prescription drug abuse or drug div]sion by ! b5efici>y1 ! ,,pdp sponsor may *ange ! selection ( prescrib] or ph>macy = ! b5efici>y )\t reg>d to ! pref]5ces ( ! b5efici>y describ$ 9 clause 7iii74 7v7 ,confirmation ,be=e select+ a prescrib] 7or prescrib]s7 or ph>macy 7or ph>macies7 "u ?is subp>agraph1 a ,,pdp sponsor mu/ reque/ & receive confirmation f su* a prescrib] or ph>macy ackn[l$g+ & accept+ t ! b5efici>y involv$ is 9 ! drug managem5t program = at-risk b5efici>ies4 7,e7 ,t]m9ations & appeals ,! id5tification ( an individual z an at-risk b5efici>y = prescription drug abuse "u ?is p>agraph1 a cov]age det]m9ation made "u a drug managem5t program = at-risk b5efici>ies1 & ! selection ( prescrib] or ph>macy "u subp>agraph 7,d7 ) respect to su* individual %all be subject to reconsid]ation & appeal "u subsection 7h7 & ! option ( an automatic escalation to ext]nal review to ! ext5t provid$ by ! ,secret>y4 7,f7 ,t]m9ation ( id5tification 7i7 ,9 g5]al ,! ,secret>y %all develop /&>ds = ! t]m9ation ( id5tification ( an individual z an at-risk b5efici>y = prescription drug abuse "u ?is p>agraph4 ,"u su* /&>ds su* id5tification %all t]m9ate z ( ! e>li] (-- 7,i7 ! date ! individual demon/rates t ! individual is no long] likely1 9 ! abs5ce ( ! re/rictions "u ?is p>agraph1 to be an at-risk b5efici>y = prescription drug abuse describ$ 9 subp>agraph 7,c77i72 & 7,,ii7 ! end ( su* maximum p]iod ( id5tification z ! ,secret>y may specify4 7ii7 ,rule ( con/ruction ,no?+ 9 clause 7i7 %all be con/ru$ z prev5t+ a plan f id5tify+ an individual z an at-risk b5efici>y = prescription drug abuse "u subp>agraph 7,c77i7 aft] su* t]m9ation on ! basis ( additional in=mation on drug use occurr+ aft] ! date ( notice ( su* t]m9ation4 7,g7 ,frequ5tly abus$ drug ,= purposes ( ?is subsection1 ! t]m frequ5tly abus$ drug means a drug t is a controll$ sub/ance t ! ,secret>y det]m9es to be frequ5tly abus$ or div]t$4 7,h7 ,data disclosure ,9 ! case ( an at-risk b5efici>y = prescription drug abuse ^: access to cov]age = frequ5tly abus$ drugs "u a prescription drug plan has be5 limit$ by a ,,pdp sponsor "u ?is p>agraph1 su* ,,pdp sponsor %all disclose data1 includ+ any necess>y individually id5tifiable heal? in=mation1 9 a =m & mann] specifi$ by ! ,secret>y1 ab\t ! decision to impose su* limitations & ! limitations impos$ by ! sponsor "u ?is "p to o!r ,,pdp sponsors t reque/ su* data4 7,i7 ,education ,! ,secret>y %all provide education to enrollees 9 prescription drug plans ( ,,pdp sponsors & provid]s reg>d+ ! drug managem5t program = at-risk b5efici>ies describ$ 9 ?is p>agraph1 includ+ education-- 7i7 provid$ by ,m$ic>e adm9i/rative contractors ?r\gh ! improp] paym5t outrea* & education program describ$ 9 section #ahgd;,a7h72 & 7ii7 ?r\gh curr5t education ef=ts 7su* z ,/ate heal? insurance assi/ance programs describ$ 9 subsection 7a77#a77;,a7 ( section #aai ( ! ,m$ic>e ,improvem5ts = ,pati5ts & ,provid]s ,act ( #bjjh 7#db ,u4,s4,c4 #acie;b-#c note77 & mat]ials direct$ t[>d su* enrollees4 7,j7 ,application "u ,,ma-,,pd plans ,pursuant to section #ahfj;,d-#ba7;c77#a71 ! provisions ( ?is p>agraph apply "u "p ,d to ,,ma organizations (f]+ ,,ma-,,pd plans to ,,ma eligible individuals 9 ! same mann] z su* provisions apply "u ?is "p to a ,,pdp sponsor (f]+ a prescription drug plan to a "p ,d eligible individual4 4 7#b7 ,in=mation = consum]s ,section #ahfj;,d-#d7;a77#a77;,b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#ajd7;a77#a77;,b77 is am5d$ by add+ at ! end ! foll[+3 7v7 ,! drug managem5t program = at-risk b5efici>ies "u subsection 7c77#e74 4 7b7 ,utilization managem5t programs ,section #ahfj;,d-#d7;c7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#ajd7;c771 z am5d$ by subsection 7a77#a71 is fur!r am5d$-- 7#a7 9 p>agraph 7#a71 by ins]t+ aft] subp>agraph 7,d7 ! foll[+ new subp>agraph3 7,e7 ,a utilization managem5t tool to prev5t drug abuse 7z describ$ 9 p>agraph 7#f77;,a774 2 & 7#b7 by add+ at ! end ! foll[+ new p>agraph3 7#f7 ,utilization managem5t tool to prev5t drug abuse 7,a7 ,9 g5]al ,a tool describ$ 9 ?is p>agraph is any ( ! foll[+3 7i7 ,a utilization tool design$ to prev5t ! abuse ( frequ5tly abus$ drugs by individuals & to prev5t ! div]sion ( su* drugs at ph>macies4 7ii7 ,retrospective utilization review to id5tify-- 7,i7 individuals t receive frequ5tly abus$ drugs at a frequ5cy or 9 am\nts t are n cl9ically appropriate2 & 7,,ii7 provid]s ( s]vices or suppli]s t may facilitate ! abuse or div]sion ( frequ5tly abus$ drugs by b5efici>ies4 7iii7 ,consultation ) ! contractor describ$ 9 subp>agraph 7,b7 to v]ify if an individual enroll+ 9 a prescription drug plan (f]$ by a ,,pdp sponsor has be5 previ\sly id5tifi$ by ano!r ,,pdp sponsor z an individual describ$ 9 clause 7ii77,i74 7,b7 ,report+ ,a ,,pdp sponsor (f]+ a prescription drug plan 7& an ,,ma organization (f]+ an ,,ma-,,pd plan7 9 a ,/ate %all submit to ! ,secret>y & ! ,m$ic>e drug integrity contractor ) :i* ! ,secret>y has ent]$ into a contract "u section #ahic ) respect to su* ,/ate a report1 on a mon?ly basis1 conta9+ in=mation on-- 7i7 any provid] ( s]vices or suppli] describ$ 9 subp>agraph 7,a77ii77,,ii7 t is id5tifi$ by su* plan sponsor 7or organization7 dur+ ! #cj-;day p]iod be=e su* report is submitt$2 & 7ii7 ! "n & prescription records ( individuals describ$ 9 p>agraph 7#e77;,c74 4 7c7 ,exp&+ ,activities ( ,m$ic>e ,drug ,integrity ,contractors 7,m,e,d,i,cs7 7#a7 ,9 g5]al ,section #ahic ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie;ddd7 is am5d$ by add+ at ! end ! foll[+ new subsection3 7j7 ,exp&+ ,activities ( ,m$ic>e ,drug ,integrity ,contractors 7,m,e,d,i,cs7 7#a7 ,access to in=mation ,"u contracts ent]$ into "u ?is section ) ,m$ic>e drug integrity contractors 7includ+ any successor entity to a ,m$ic>e drug integrity contractor71 ! ,secret>y %all au?orize su* contractors to directly accept prescription & necess>y m$ical records f entities su* z ph>macies1 prescription drug plans1 ,,ma-,,pd plans1 & physicians ) respect to an individual 9 ord] = su* contractors to provide in=mation relevant to ! det]m9ation ( :e!r su* individual is an at-risk b5efici>y = prescription drug abuse1 z def9$ 9 section #ahfj;,d-#d7;c77#e77;,c74 7#b7 ,requirem5t = ackn[l$gm5t ( ref]rals ,if a ,,pdp sponsor or ,,ma organization ref]s in=mation to a contractor describ$ 9 p>agraph 7#a7 9 ord] = su* contractor to assi/ 9 ! det]m9ation describ$ 9 su* p>agraph1 ! contractor %all-- 7,a7 ackn[l$ge to ! sponsor or organization receipt ( ! ref]ral2 & 7,b7 9 ! case t any ,,pdp sponsor or ,,ma organization contacts ! contractor reque/+ to "k ! det]m9ation by ! contractor ( :e!r or n an individual has be5 det]m9$ to be an individual describ$ su* p>agraph1 %all in=m su* sponsor or organization ( su* det]m9ation on a date t is n lat] ?an #ae days aft] ! date on :i* ! sponsor or organization contacts ! contractor4 7#c7 ,mak+ data available to o!r entities 7,a7 ,9 g5]al ,= purposes ( c>ry+ out ?is subsection1 subject to subp>agraph 7,b71 ! ,secret>y %all au?orize ,m,e,d,i,cs to respond to reque/s = in=mation f ,,pdp sponsors & ,,ma organizations1 ,/ate prescription drug monitor+ programs1 & o!r entities delegat$ by su* sponsors or organizations us+ available programs & sy/ems 9 ! ef=t to prev5t fraud1 wa/e1 & abuse4 7,b7 ,,hipaa compliant in=mation only ,in=mation may only be disclos$ by a ,,m$ic "u subp>agraph 7,a7 if ! disclosure ( su* in=mation is p]mitt$ "u ! ,f$]al regulations 7conc]n+ ! privacy ( individually id5tifiable heal? in=mation7 promulgat$ "u section #bfd7;c7 ( ! ,heal? ,insurance ,portability & ,acc\ntability ,act ( #aiif 7#db ,u4,s4,c4 #acbj;d-#b note74 4 7#b7 ,,oig /udy & report on effectiv5ess ( ,m,e,d,i,cs 7,a7 ,/udy ,! ,inspector ,g5]al ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices %all conduct a /udy on ! effectiv5ess ( ,m$ic>e drug integrity contractors ) :i* ! ,secret>y ( ,heal? & ,human ,s]vices has ent]$ into a contract "u section #ahic ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie;ddd7 9 id5tify+1 combat+1 & prev5t+ fraud "u ! ,m$ic>e ,program1 includ+ "u ! au?ority provid$ "u section #ahic7;j7 ( ! ,social ,security ,act1 add$ by p>agraph 7#a74 7,b7 ,report ,n lat] ?an #a ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,inspector ,g5]al %all submit to ,congress a report on ! /udy conduct$ "u subp>agraph 7,a74 ,su* report %all include su* recomm5dations = improvem5ts 9 ! effectiv5ess ( su* contractors z ! ,inspector ,g5]al det]m9es appropriate4 7d7 ,treatm5t ( c]ta9 compla9ts = purposes ( quality or p]=mance assessm5t ,section #ahfj;,d-#db ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#aeb7 is am5d$ by add+ at ! end ! foll[+ new subsection3 7d7 ,treatm5t ( c]ta9 compla9ts = purposes ( quality or p]=mance assessm5t ,9 conduct+ a quality or p]=mance assessm5t ( a ,,pdp sponsor1 ! ,secret>y %all develop or utilize exi/+ scre5+ me?ods = review+ & consid]+ compla9ts t are receiv$ f enrollees 9 a prescription drug plan (f]$ by su* ,,pdp sponsor & t are compla9ts reg>d+ ! lack ( access by ! individual to prescription drugs due to a drug managem5t program = at-risk b5efici>ies4 4 7e7 ,s5se ( congress reg>d+ use ( te*nology tools ,to combat fraud ,x is ! s5se ( ,congress t ,,ma organizations & ,,pdp sponsors %\ld consid] us+ e-prescrib+ & o!r heal? in=mation te*nology tools to support combat+ fraud "u ,,ma-,,pd plans & prescription drug plans "u p>ts ,c & ,d ( ! ,m$ic>e ,program4 7f7 ,effective date 7#a7 ,9 g5]al ,! am5dm5ts made by ?is section %all apply to prescription drug plans 7& ,,ma-,,pd plans7 = plan ye>s beg9n+ m ?an #a ye> aft] ! date ( ! enactm5t ( ?is ,act4 7#b7 ,/akehold] meet+s prior to effective date 7,a7 ,9 g5]al ,n lat] ?an ,janu>y #a1 #bjaf1 ! ,secret>y ( ,heal? & ,human ,s]vices %all conv5e /akehold]s1 includ+ individuals entitl$ to b5efits "u "p ,a ( title ,,xviii ( ! ,social ,security ,act or enroll$ "u "p ,b ( su* title ( su* ,act1 advocacy gr\ps repres5t+ su* individuals1 physicians1 ph>maci/s1 & o!r cl9icians1 retail ph>macies1 plan sponsors1 entities delegat$ by plan sponsors1 & bioph>maceutical manufactur]s = input reg>d+ ! topics describ$ 9 subp>agraph 7,b74 7,b7 ,topics describ$ ,! topics describ$ 9 ?is subp>agraph are ! topics (-- 7i7 ! anticipat$ impact ( drug managem5t programs = at-risk b5efici>ies "u p>agraph 7#e7 ( section #ahfj;,d-#d7;c7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#ajd7;c77 on co/-%>+ & ensur+ accessibility to prescription drugs = enrollees 9 prescription drug plans ( ,,pdp sponsors1 & enrollees 9 ,,ma-,,pd plans1 :o are at-risk b5efici>ies = prescription drug abuse 7z def9$ 9 subp>agraph 7,c7 ( su* p>agraph72 7ii7 ! use ( an exp$it$ appeals process "u :i* su* an enrollee may appeal an id5tification ( su* enrollee z an at-risk b5efici>y = prescription drug abuse "u su* p>agraph 7simil> to ! processes e/abli%$ "u ! ,m$ic>e ,advantage program "u "p ,c ( title ,,xviii ( ! ,social ,security ,act t all[ an automatic escalation to ext]nal review ( claims submitt$ "u su* "p72 7iii7 ! types ( enrollees t %\ld be treat$ z exempt$ individuals1 z describ$ 9 subp>agraph 7,c77ii7 ( su* p>agraph2 7iv7 ! mann] 9 :i* t]ms & def9itions 9 su* p>agraph %\ld be appli$1 su* z ! use ( cl9ical appropriat5ess 9 det]m9+ :e!r an enrollee is an at-risk b5efici>y = prescription drug abuse z def9$ 9 subp>agraph 7,c7 ( su* p>agraph2 7v7 ! in=mation to be includ$ 9 ! notices describ$ 9 subp>agraph 7,b7 ( su* p>agraph & ! /&>dization ( su* notices2 & 7vi7 ) respect to a ,,pdp sponsor 7or ,m$ic>e ,advantage organization7 t e/abli%es a drug managem5t program = at-risk b5efici>ies "u su* p>agraph1 ! responsibilities ( su* ,,pdp sponsor 7or organization7 ) respect to ! implem5tation ( su* program4 7g7 ,rulemak+ ,! ,secret>y ( ,heal? & ,human ,s]vices %all promulgate regulations bas$ on ! input ga!r$ pursuant to subsection 7f77#b77;,a74 #ejb4 ,exclusion ( au?oriz$ g5]ic drugs f calculation ( av]age manufactur] price = br& "n drugs 7a7 ,9 g5]al ,section #aibg7k77#a77;,c7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acifr-#h7k77#a77;,c77 is am5d$-- 7#a7 9 ! subp>agraph head+1 by /rik+ ,inclusion & ins]t+ ,exclusion2 7#b7 by /rik+ a new drug application & ins]t+ ! manufactur]'s new drug application2 & 7#c7 by /rik+ inclusive & ins]t+ exclusive4 7b7 ,effective date ,! am5dm5ts made by subsection 7a7 %all take effect "o ye> aft] ! date ( ! enactm5t ( ?is section4