,,ii  #aadth ,,congress  #b;d ,session  
,s4 #bhff  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,april #bg1    
#bjaf ,mr4 ,manchin 7for himself and    
,mrs4 ,capito7 introduced the following 
bill2 which was read twice and referred 
to the ,committee on ,health1           
,education1 ,labor1 and ,pensions  ,a   
,,bill  ,to amend the ,public ,health   
,service ,act to provide for the sharing
 of health information concerning an    
individual's substance abuse treatment  
by certain entities4  #a4 ,short title  
,this ,act may be cited as ,jessie's    
,law4  #b4 ,confidentiality of records  
7a7 ,expansion of who can consent       
,section #edc7;b7 of the ,public ,health
 ,service ,act 7#db ,u4,s4,c4           
#bij;dd-#b7;b77 is amended-- 7#a7 in    
paragraph 7#a7--  7,a7 by inserting or  
oral after written2 and  7,b7 by        
inserting or a parent1 legal guardian1  
or spouse of the patient1 after         
maintained2 and  7#b7 in paragraph      
7#b7-- 7,a7 by inserting 7or parent1    

legal guardian1 or spouse7 after        
patient2 and  7,b7 by inserting or oral 
after written4  7b7 ,exception for      
sharing of certain information ,section 
#edc7;e7 of the ,public ,health ,service
 ,act 7#db ,u4,s4,c4 #bij;dd-#b7;e77 is 
amended--  7#a7 in paragraph 7#a71 by   
striking 2 or and inserting a semicolon2
  7#b7 in paragraph 7#b71 by striking   
the period and inserting 2 or2 and  7#c7
 after paragraph 7#b71 by inserting the 
following3  7#c7 within accountable care
 organizations described in section     
#ahii of the ,social ,security ,act 7#db
 ,u4,s4,c4 #acie;jjj71 health           
information exchanges 7as defined for   
purposes of section #cjac71 health homes
 7as defined in section #aide7;h77#c7 of
 such ,act 7#db ,u4,s4,c4               
#acifw-#d7;h77#c7771 or other integrated
 care arrangements 7in existence before1
 on1 or after the date of the enactment 
of this paragraph7 involving the        
interchange of electronic health records
 7as defined in section #acdjj of       

division ,a of ,public ,law #aaa-e 7#db 
,u4,s4,c4 #agiba7e777 containing        
information described in subsection 7a71
 for purposes of attaining              
interoperability1 improving care        
coordination1 reducing health care      
costs1 and securing or providing patient
 safety4  4  #c4 ,inclusion of opioid   
addiction history in patient records    
7a7 ,development of standards ,not later
 than #a year after the date of         
enactment of this ,act1 the ,secretary  
of ,health and ,human ,services shall   
develop and disseminate standards to    
provide information to hospitals and    
physicians relating to prominently      
displaying the history of opioid        
addiction in the medical records of     
patients 7including electronic health   
records7 if the patients have consented 
to having such information included in  
such records4  7b7 ,requirements ,the   
standards developed under subsection 7a7
 shall take into account the following3 
7#a7 ,the potential for addiction       

relapse or overdose death if opioid     
medications are prescribed to an        
individual recovering from opioid       
addiction4  7#b7 ,the need to display   
the past opioid addiction of a patient  
in a manner similar to other potentially
 lethal medical concerns1 including drug
 allergies and contraindications4  7#c7 
,the need for information about past    
opioid addiction to be prominently      
displayed when a physician or medical   
professional is prescribing medication4 
7#d7 ,the need for a variety of medical 
professionals1 including physicians1    
nurses1 and pharmacists1 to have access 
to information described in this section
 when prescribing or dispensing opioid  
medication to ensure that the medication
 is medically appropriate given the     
history of addiction of the patient4