,i  #aad? ,,congress  #b;d ,session  ,h4
 ,r4 #edcg  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,june #i1 #bjaf ,mrs4 
,noem introduc$ ! foll[+ bill2 :i* 0    
ref]r$ to ! ,committee on ,natural      
,res\rces1 & 9 addition to ! ,committee 
on ,en]gy & ,comm]ce1 = a p]iod to be   
subsequ5tly det]m9$ by ! ,speak]1 9 ea* 
case = consid]ation ( su* provisions z  
fall )9 ! jurisdiction ( ! committee    
conc]n$  ,a ,,bill  ,to implem5t a      
m&atory r&om drug te/+ program = c]ta9  
employees ( ! ,indian ,heal? ,s]vice1 & 
= o!r purposes4  #a4 ,%ort title ,?is   
,act may be cit$ z ! ,drug-,free ,indian
 ,heal? ,s]vice ,act ( #bjaf4  #b4      
,m&atory ,r&om ,drug ,te/+ ( ,c]ta9     
,employees ( ,indian ,heal? ,s]vice  7a7
 ,regulations  7#a7 ,9 ,g5]al ,n lat]   
?an #ij days aft] ! date ( ! enactm5t ( 
?is ,act1 ! ,secret>y %all promulgate   
su* regulations z are necess>y to       
implem5t a m&atory r&om drug te/+       
program = cov]$ employees ( ! ,indian   
,heal? ,s]vice4 ,except z o!rwise       

provid$ = 9 ?is section1 ! ,secret>y    
%all promulgate su* regulations 9       
accordance ) !--  7,a7 guidel9es        
promulgat$ on ,novemb] #be1 #bjjh1 titl$
 ,m&atory ,guidel9es = ,f$]al ,workplace
 ,drug ,te/+ 7#gc ,f$4 ,reg4 #gaheh72 & 
7,b7 regulations promulgat$ "u section  
#bfd7;c7 ( ! ,heal? ,insurance          
,portability & ,acc\ntability ,act (    
#aiif 7#db ,u4,s4,c4 #acbj;d-#b note74  
7#b7 ,te/+ ( ,c]ta9 ,drugs ,9 c>ry+ out 
! program requir$ "u p>agraph 7#a71 !   
,secret>y %all ensure t ea* cov]$       
employee is te/$ n less ?an once p] ye> 
= ea* ( ! foll[+ drugs3  7,a7 ,m>ijuana4
  7,b7 ,coca9e4  7,c7 ,opiates4  7,d7   
,amphetam9es4  7,e7 ,me?amphetam9e4     
7,f7 ,ph5cyclid9e4  7b7 ,notice (       
,m&atory ,r&om ,drug ,te/+ ,program ,n  
less ?an #ij days be=e implem5t+ !      
program requir$ "u subsection 7a71 !    
,secret>y %all provide writt5 notice to 
all cov]$ employees t--  7#a7 a m&atory 
r&om drug te/+ program w be implem5t$2 &
  7#b7 cov]$ employees w h !            

opportunity1 & reasonable "t1 to submit 
m$ical docum5tation ( lawful use ( a    
drug li/$ "u subsection 7a77#b74  7c7   
,notification ( ,selection ,! ,secret>y 
%all-- 7#a7 notify a cov]$ employee     
select$ = r&om drug te/+ "u ?is section 
on ! same day1 b prior to1 su* te/+2 &  
7#b7 include 9 ! notification an        
assurance t ! cov]$ employee 0 select$  
r&omly & is "u no suspicion ( illegal   
drug use4  7d7 ,def]ral ( ,te/+ ,a cov]$
 employee select$ = r&om drug te/+ "u   
?is section may obta9 a def]ral ( te/+  
if ! cov]$ employee is--  7#a7 9 a leave
 /atus2 or  7#b7 9 (ficial travel /atus 
away f ! te/ site or w emb>k on (ficial 
travel t 0 s*$ul$ prior to !            
notification ( selection "u subsection  
7c74  7e7 ,f9d+ ( ,illegal ,drug ,use & 
,discipl9>y ,consequ5ces  7#a7 ,f9d+ (  
,illegal ,drug ,use ,! ,secret>y may    
det]m9e t a cov]$ employee has engag$ 9 
illegal drug use bas$ on any ( ! foll[+3
  7,a7 ,a v]ifi$ positive te/ result f a
 specim5 submitt$ by ! cov]$ employee4  

7,b7 ,direct obs]vation by a high]-level
 sup]visor1 includ+ obs]v$ illegal drug 
use & ! unlawful possession ( a drug    
li/$ "u subsection 7a77#b74  7,c7       
,evid5ce obta9$ f an arre/ or crim9al   
conviction ( ! cov]$ employee4  7,d7 ,! 
volunt>y admission ( ! cov]$ employee4  
7#b7 ,m&atory ,adm9i/rative ,action     
7,a7 ,9 ,g5]al ,if a cov]$ employee is  
f\nd to h engag$ 9 illegal drug use "u  
p>agraph 7#a71 ! ,secret>y %all--  7i7  
prohibit ! cov]$ employee f p]=m+ any   
activity relat$ to provid+ heal? c>e or 
adm9i/rative s]vices to pati5ts2 &  7ii7
 ref] su* employee to ! ,employee       
,assi/ance ,program ( ! ,dep>tm5t (     
,heal? & ,human ,s]vices4  7,b7 ,return 
to ,duty ,at ! discretion ( ! ,secret>y1
 a cov]$ employee may return to p]=m+   
activities relat$ to provid+ heal? c>e  
or adm9i/rative s]vices to pati5ts aft] 
obta9+ c\nsel+ or rehabilitation ?r\gh !
 ,employee ,assi/ance ,program4  7#c7   
,adv]se ,actions  7,a7 ,9 ,g5]al        
,subject to subsection 7g71 9 addition  

to c>ry+ out ! requir$ actions "u       
p>agraph 7#b71 ! ,secret>y may initiate 
an adv]se action1 includ+ removal1 aga9/
 a cov]$ employee :o is f\nd to h engag$
 9 illegal drug use "u p>agraph 7#a74   
7,b7 ,volunt>y ,admission ,exception ,! 
,secret>y may n initiate an adv]se      
action "u subp>agraph 7,a7 aga9/ a cov]$
 employee :o--  7i7 volunt>ily admits to
 illegal drug use2  7ii7 ceases su*     
illegal drug use2 &  7iii7 obta9s       
c\nsel+ or rehabilitation ?r\gh !       
,employee ,assi/ance ,program4  7f7     
,refusal ,to ,submit to ,r&om ,drug     
,te/+ & ,discipl9>y ,consequ5ces ,if a  
cov]$ employee refuses to submit to r&om
 drug te/+ "u ?is section :5 s requir$1 
! ,secret>y--  7#a7 %all prohibit !     
cov]$ employee f p]=m+ any activity     
relat$ to provid+ heal? c>e or          
adm9i/rative s]vices to pati5ts2 &  7#b7
 subject to subsection 7g71 may initiate
 an adv]se action1 includ+ removal1     
aga9/ su* employee4  7g7 ,due ,process  
,9 c>ry+ out an adv]se action "u ?is    

section aga9/ a cov]$ employee1 !       
,secret>y %all provide ! cov]$ employee 
) notice & an opportunity to respond4   
7h7 ,appeals ,a cov]$ employee subject  
to an adm9i/rative or adv]se action "u  
?is section may appeal su* action to !  
,m]it ,sy/ems ,protection ,bo>d "u      
section #ggja ( title #e1 ,unit$ ,/ates 
,code4  7i7 ,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  7j7 ,def9itions ,= purposes ( 
?is section3 7#a7 ,cov]$ ,employee ,!   
t]m cov]$ employee--  7,a7 means an     
individual :o-- 7i7 is employ$ 9 a "p-"t
 or full-"t position at a heal? c>e     
facility ( ! ,indian ,heal? ,s]vice     
7exclud+ tribal contract or compact     
heal? c5t]s & urban ,indian heal?       
c5t]s72 &  7ii7 provides heal? c>e or   
adm9i/rative s]vices to pati5ts at su*  
heal? c>e facility2 &  7,b7 does n      
include (fic]s ( ! ,commission$ ,corps (

 ! ,unit$ ,/ates ,public ,heal? ,s]vice4
  7#b7 ,employee ,assi/ance ,program ,! 
t]m ,employee ,assi/ance ,program means 
! ,employee ,assi/ance ,program ( !     
,dep>tm5t ( ,heal? & ,human ,s]vices4   
7#c7 ,illegal ,drug ,use ,! t]m illegal 
drug use means ! unlawful use ( a drug  
li/$ "u subsection 7a77#b7 by a cov]$   
employee4  7#d7 ,r&om ,drug ,te/+ ,! t]m
 r&om drug te/+ means drug te/+ t is    
impos$ on a cov]$ employee )\t          
individualiz$ suspicion t su* employee  
is engag+1 or has engag$1 9 illegal drug
 use4  7#e7 ,secret>y ,! t]m ,secret>y  
means ! ,secret>y ( ,heal? & ,human     
,s]vices1 act+ ?r\gh ! ,director ( !    
,indian ,heal? ,s]vice4  7#f7 ,specim5  
,! t]m specim5 means ur9e collect$ f a  
cov]$ employee = ! purpose ( r&om drug  
te/+ "u ?is section4