,i  #aad? ,,congress  #b;d ,session  ,h4
 ,r4 #ebaf  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,may #ab1 #bjaf ,mr4  
,b5 ,ray ,lujn ( ,new ,mexico 7=        
himself1 ,mr4 ,cumm+s1 ,ms4             
,roybal-,all>d1 ,mr4 ,k5n$y1 ,mr4       
,kilm]1 ,ms4 ,ku/]1 ,mr4 ,ha/+s1 ,mrs4  
,napolitano1 ,mr4 ,tonko1 ,ms4 ,matsui1 
,mr4 ,neal1 ,mr4 ,grayson1 ,ms4 ,norton1
 ,mr4 ,keat+1 ,ms4 ,mi*elle ,lujan      
,gri%am ( ,new ,mexico1 ,mr4 ,blum5au]1 
,mr4 ,lev91 ,mr4 ,clay1 ,mr4 ,l>s5 (    
,wa%+ton1 ,ms4 ,edw>ds1 ,ms4 ,kaptur1   
,ms4 ,jackson ,lee1 ,mrs4 ,capps1 ,mr4  
,lyn*1 ,mr4 ,norcross1 ,mrs4 ,lawr5ce1  
,mr4 ,meeks1 ,mr4 ,sean ,patrick        
,maloney ( ,new ,york1 ,ms4 ,spei]1 ,mr4
 ,quigley1 ,mr4 ,gutirrez1 ,mr4 ,wel*1  
,mr4 ,rupp]sb]g]1 ,mr4 ,connolly1 ,mr4  
,mc,govern1 ,mr4 ,loebsack1 ,mr4        
,s>banes1 ,ms4 ,br[n ( ,florida1 ,mrs4  
,d+ell1 ,mr4 ,k9d1 ,mr4 ,israel1 ,mr4   
,pascrell1 ,mr4 ,gallego1 ,mr4 ,capuano1
 ,mr4 ,c\rtney1 ,mr4 ,bey]1 ,mr4        
,?ompson ( ,mississippi1 ,mr4 ,jeffries1

 ,mr4 ,y>mu?1 ,mr4 ,crd5as1 ,mr4 ,sires1
 ,mr4 ,kildee1 ,ms4 ,e%oo1 ,mr4 ,g5e    
,gre5 ( ,texas1 ,mr4 ,v>gas1 ,ms4 ,bass1
 ,ms4 ,cl>ke ( ,new ,york1 ,mr4 ,van    
,holl51 ,ms4 ,cl>k ( ,massa*usetts1 ,mr4
 ,coh51 ,ms4 ,tsongas1 ,ms4 ,fudge1 ,mr4
 ,aguil>1 ,mr4 ,t$ ,lieu ( ,cali=nia1   
,mr4 ,ri*mond1 ,mr4 ,swalwell (         
,cali=nia1 ,mr4 ,lewis1 ,mr4 ,heck (    
,wa%+ton1 ,ms4 ,mc,collum1 ,ms4         
,duckwor?1 ,mr4 ,johnson ( ,georgia1    
,mr4 ,ryan ( ,ohio1 ,mr4 ,delaney1 ,ms4 
,e/y1 ,mr4 ,cony]s1 ,mr4 ,de,fazio1 ,mr4
 ,al ,gre5 ( ,texas1 ,mr4 ,l>son (      
,connecticut1 ,mr4 ,butt]field1 ,mr4    
,danny ,k4 ,davis ( ,ill9ois1 ,ms4      
,plaskett1 ,ms4 ,lee1 ,ms4 ,loretta     
,san*ez ( ,cali=nia1 ,mr4 ,br5dan ,f4   
,boyle ( ,p5nsylvania1 ,mr4 ,ruiz1 ,ms4 
,titus1 ,ms4 ,br[nley ( ,cali=nia1 ,mr4 
,m\lton1 ,ms4 ,de,lauro1 ,mr4 ,honda1 & 
,mr4 ,pet]son7 introduc$ ! foll[+ bill2 
:i* 0 ref]r$ to ! ,committee on ,en]gy &
 ,comm]ce1 & 9 addition to ! ,committees
 on ! ,judici>y & ! ,budget1 = a p]iod  

to be subsequ5tly det]m9$ by ! ,speak]1 
9 ea* case = consid]ation ( su*         
provisions z fall )9 ! jurisdiction ( ! 
committee conc]n$  ,a ,,bill  ,to       
provide fund+ = opioid & h]o9 abuse     
prev5tion & treatm5t1 & = o!r purposes4 
#a4 ,%ort title ,?is ,act may be cit$ z 
! ,opioid & ,h]o9 ,abuse ,crisis        
,inve/m5t ,act ( #bjaf4  #b4 ,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$1
 #a1afd1fjj1jjj = ! p]iod ( fiscal ye>s 
#bjag & #bjah1 to improve opioid        
prescrib+ practices & exp& access to    
sub/ance use treatm5t & to r$uce opioid 
use disord]s & ov]dose1 to be made      
available 9 accordance ) ?is ,act & !   
am5dm5ts made by ?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+ ,f am\nts appropriat$ "u section
 #b7;a7 ( ! ,opioid & ,h]o9 ,abuse      
,crisis ,inve/m5t ,act1 #dfe1jjj1jjj is 
available to c>ry out ?is section = ea* 
( fiscal ye>s #bjag & #bjah4  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 ,f am\nts appropriat$  
"u section #b7;a7 ( ! ,opioid & ,h]o9   
,abuse ,crisis ,inve/m5t ,act1          
#be1jjj1jjj is available to c>ry out ?is
 p>agraph = ea* ( fiscal ye>s #bjag &   
#bjah4  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 ! %ort-1 m$ium-1 &        
long-t]m outcomes ( su* sub/ance abuse  
treatm5t programs 9 ord] to increase    
effectiv5ess 9 r$uc+ opioid use         
disord]s1 ov]dose1 & dea?4  7b7 ,fund+  
,f am\nts appropriat$ "u section #b7;a7 
( ! ,opioid & ,h]o9 ,abuse ,crisis      
,inve/m5t ,act1 #ae1jjj1jjj is available
 to c>ry out ?is section = ea* ( fiscal 
ye>s #bjag & #bjah4  4  7e7             
,m$ication-,assi/$ treatm5t =           
prescription drug & opioid addiction    
,section #eji ( ! ,public ,heal? ,s]vice
 ,act 7#db ,u4,s4,c4 #bij;bb-#b7 is     
am5d$--  7#a7 by r$esignat+ subsection  
7f7 z subsection 7g72 &  7#b7 by ins]t+ 
aft] subsection 7e71 ! foll[+3  7f7     
,m$ication-,assi/$ treatm5t =           
prescription drug & opioid addiction    
7#a7 ,9 g5]al ,9 c>ry+ out ?is section1 
! ,secret>y %all use am\nts made        
available "u p>agraph 7#c7 to aw>d      
grants to ,/ates to exp& or enhance     
m$ication-assi/$ treatm5t utiliz+       
m$ications approv$ by ! ,food & ,drug   

,adm9i/ration 9 comb9ation ) psy*osocial
 s]vices1 recov]y support s]vices1 &    
coord9ation ) ,,hiv or hepatitis ,c     
direct s]vices4  7#b7 ,fund+ ,f am\nts  
appropriat$ "u section #b7;a7 ( !       
,opioid & ,h]o9 ,abuse ,crisis ,inve/m5t
 ,act1 #ej1ajj1jjj is available to c>ry 
out ?is subsection = fiscal ye> #bjag4  
4  7f7 ,dissem9ation ( guidel9es =      
prev5t+ prescription drug ov]dose       
,section #cag ( ! ,public ,heal? ,s]vice
 ,act 7#db ,u4,s4,c4 #bdg;b7 is am5d$ by
 add+ at ! end ! foll[+3  7n7           
,dissem9ation ( guidel9es = prev5t+     
prescription drug ov]dose  7#a7 ,9 g5]al
 ,! ,director ( ! ,c5t]s = ,disease     
,control & ,prev5tion %all dissem9ate   
guidel9es to improve opioid prescrib+   
practices to r$uce opioid use disord]s &
 ov]dose4  7#b7 ,use ( funds ,9 c>ry+   
out ?is subsection1 ! ,director ( !     
,c5t]s = ,disease ,control & ,prev5tion 
%all use am\nts made available "u       
p>agraph 7#c7 to--  7,a7 pilot te/1     
evaluate1 & adapt compreh5sive tools &  

dissem9ation /rategies to convey opioid 
prescrib+ guidel9es ( ! ,c5t]s =        
,disease ,control & ,prev5tion 9        
succ9ct1 usable =mats accessible to     
heal? c>e provid]s2  7,b7 develop1      
evaluate1 & publicly dissem9ate cl9ical 
decision support tools d]iv$ f ! opioid 
prescrib+ guidel9es ( ! ,c5t]s =        
,disease ,control & ,prev5tion2  7,c7   
e/abli% tra9+ modules 9 p>tn]%ip )      
pr(essional societies & heal? sy/ems1   
includ+ onl9e modules available =       
cont9u+ m$ical education cr$its &       
ma9t5ance ( c]tification2 &  7,d7       
coord9ate ) ,(fice ( ! ,national        
,coord9ator = ,heal? ,in=mation         
,te*nology to ensure t guidel9es        
develop$ "u ?is subsection are          
effectively dissem9at$ & translat$ into 
cl9ical support tools = integration into
 cl9ical workfl[4  7#c7 ,fund+ ,f am\nts
 appropriat$ "u section #b7;a7 ( !      
,opioid & ,h]o9 ,abuse ,crisis ,inve/m5t
 ,act1 #aj1jjj1jjj is available to c>ry 
out ?is subsection = fiscal ye> #bjag4  

4  7g7 ,rural opioid ov]dose rev]sal    
grant program ,section #ccj;,a ( !      
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bed;c7 is am5d$--  7#a7 by   
r$esignat+ subsection 7j7 z subsection  
7k72 &  7#b7 by ins]t+ aft] subsection  
7i71 ! foll[+3  7j7 ,rural opioid       
ov]dose rev]sal grant program  7#a7 ,9  
g5]al ,! ,director may aw>d grants to   
eligible entities to implem5t activities
 = ! prev5tion1 int]v5tion1 & treatm5t (
 opioid misuse & ov]dose4  7#b7         
,eligibility ,to be eligible to receive 
a grant "u ?is subsection1 an entity--  
7,a7 %all be a rural public or rural    
nonpr(it private entity2 &  7,b7 %all   
repres5t a network compos$ (            
p>ticipants-- 7i7 t include #c or m     
heal? c>e provid]s2 &  7ii7 t may be    
nonpr(it or =-pr(it entities4  7#c7 ,use
 ( funds ,am\nts aw>d$ "u a grant "u ?is
 subsection %all be us$--  7,a7 to      
provide opioid misuse education &       
prev5tion s]vices2  7,b7 to provide     
tra9+ to lic5s$ heal? c>e pr(essionals &

 fir/ respond]s 9 ! recognition ( !     
signs ( opioid ov]dose & le>n !         
appropriate way to adm9i/] naloxone2    
7,c7 to provide appropriate             
transportation s]vices to a hospital or 
cl9ic = cont9u$ c>e aft] adm9i/ration2  
7,d7 to ref] ^? individuals ) a drug    
dep5d5cy to an appropriate sub/ance use 
disord] treatm5t c5t]s :]e c>e          
coord9ation is provid$ by a team (      
provid]s2 &  7,e7 to pur*ase naloxone & 
opioid ov]dose rev]sal devices4  7#d7   
,fund+ ,f am\nts appropriat$ "u section 
#b7;a7 ( ! ,opioid & ,h]o9 ,abuse       
,crisis ,inve/m5t ,act1 #aj1jjj1jjj is  
available to c>ry out ?is subsection =  
fiscal ye> #bjag4  4  7h7 ,prescription 
drug ov]dose initiative ,section        
#cjja7;c7 ( ! ,public ,heal? ,s]vice    
,act 7#db ,u4,s4,c4 #cjj;jj-#aa7;c77 is 
am5d$ by add+ at ! end ! foll[+3  7#i7  
,prescription drug ov]dose initiative   
7,a7 ,9 g5]al ,! ,secret>y1 act+ ?r\gh !
 ,national ,coord9ator1 %all use am\nts 
made available "u subp>agraph 7,b7 to   

exp& ef=ts to h>monize te*nical /&>ds to
 support prescription drug monitor+     
programs & heal? in=mation te*nology    
int]op]ability4  7,b7 ,fund+ ,f am\nts  
appropriat$ "u section #b7;a7 ( !       
,opioid & ,h]o9 ,abuse ,crisis ,inve/m5t
 ,act1 #e1jjj1jjj is available to c>ry  
out ?is p>agraph = fiscal ye> #bjag4  4 
7i7 ,bureau ( ,prisons treatm5t programs
 ,section #djdb ( title #ah1 ,unit$     
,/ates ,code1 is am5d$ by add+ at ! end 
! foll[+3  7e7 ,treatm5t programs  7#a7 
,9 g5]al ,! ,director ( ! ,bureau (     
,prisons %all use am\nts made available 
"u p>agraph 7#b7 to support drug        
treatm5t programs )9 ! ,bureau (        
,prisons1 includ+ exp&+ !               
m$ication-assi/$ treatm5t pilot4  7#b7  
,fund+ ,f am\nts appropriat$ "u section 
#b7;a7 ( ! ,opioid & ,h]o9 ,abuse       
,crisis ,inve/m5t ,act1 #c1jjj1jjj is   
available to c>ry out ?is subsection =  
fiscal ye> #bjag4  4  7j7 ,second ,*ance
 ,act ( #bjjg ,section #bja ( ! ,second 
,*ance ,act ( #bjjg 7#db ,u4,s4,c4      

#ageba7 is am5d$--  7#a7 by r$esignat+  
subsection 7f7 z subsection 7g72 &  7#b7
 by ins]t+ aft] subsection 7e71 !       
foll[+3  7f7 ,community re9tegration    
7#a7 ,9 g5]al ,! ,attorney ,g5]al %all  
use am\nts made available "u p>agraph   
7#b7 to c>ry out activities to r$uce    
recidivism & increase public safety by  
help+ ju/ice-involv$ individuals        
successfully re9tegrate into !          
community1 includ+ by c>ry+ out         
activities includ+ provid+ treatm5t =   
co-occurr+ disord]s & provid+           
family-bas$ sub/ance abuse treatm5t4    
7#b7 ,fund+ ,f am\nts appropriat$ "u    
section #b7;a7 ( ! ,opioid & ,h]o9      
,abuse ,crisis ,inve/m5t ,act1          
#ej1jjj1jjj is available to c>ry out ?is
 subsection = fiscal ye> #bjag4  4  7k7 
,resid5tial sub/ance abuse treatm5t     
,section #ejc ( ! ,controll$ ,sub/ances 
,act 7#ba ,u4,s4,c4 #hgc7 is am5d$ by   
add+ at ! end ! foll[+3  7e7 7#a7 ,9    
c>ry+ out ?is section1 ! ,attorney      
,g5]al may use am\nts made available "u 

p>agraph 7#b7 to provide support =      
,/ate1 local1 & tribal gov]nm5ts 9 !    
developm5t ( resid5tial & aft]c>e       
s]vices = sub/ance-involv$ inmates4     
7#b7 ,f am\nts appropriat$ "u section   
#b7;a7 ( ! ,opioid & ,h]o9 ,abuse       
,crisis ,inve/m5t ,act1 #ad1jjj1jjj is  
available to c>ry out ?is section =     
fiscal ye> #bjag4  4  7l7 ,h]o9 en=cem5t
 gr\ps ,"p ,e ( ! ,controll$ ,sub/ances 
,act 7#ba ,u4,s4,c4 #hga et seq47 is    
am5d$ by add+ at ! end ! foll[+3  #eba4 
,h]o9 en=cem5t gr\ps  7a7 ,9 g5]al ,!   
,attorney ,g5]al %all use am\nts made   
available "u subsection 7b7 to e/abli%  
new h]o9 en=cem5t gr\ps )9 ! ,drug      
,en=cem5t ,adm9i/ration to t>get1       
disrupt1 & dismantle h]o9 traffick+     
organizations4  7b7 ,fund+ ,f am\nts    
appropriat$ "u section #b7;a7 ( !       
,opioid & ,h]o9 ,abuse ,crisis ,inve/m5t
 ,act1 #ab1ejj1jjj is available to c>ry 
out ?is section = fiscal ye> #bjag4  4  
7m7 ,em]g5cy designation ,! am\nts made 
available by ?is ,act are designat$ z an

 em]g5cy requirem5t pursuant to section 
#d7;g7 ( ! ,/atutory ,pay-,z-,y-,g ,act 
( #bjaj 7#b ,u4,s4,c4 #icc7;g774