#aad? ,,congress #b;d ,session ,9 ! ,h\se ( ,repres5tatives1 ,u4 ,s41 ,may #ac1 #bjaf ,,am5dm5ts3 ,t ! bill f ! ,s5ate 7,s4 #ebd7 entitl$ #8#8,an ,act to au?orize ! ,attorney ,g5]al to aw>d grants to address ! national epidemics ( prescription opioid abuse & h]o9 use4''1 d pass ) ! foll[+ ,/rike out all aft] ! enact+ clause & ins]t3 #a4 ,table ( ,cont5ts ,! table ( cont5ts = ?is ,act is z foll[s3 ,sec4 #a4 ,table ( ,cont5ts4 ,title ,i--,pa9 ,managem5t ,be/ ,practices ,int]-,ag5cy ,task ,=ce ,sec4 #aja4 ,developm5t ( be/ practices = ! use ( prescription opioids4 ,title ,,ii--,compreh5sive ,opioid ,abuse ,r$uction ,act ,sec4 #bja4 ,%ort title4 ,sec4 #bjb4 ,compreh5sive ,opioid ,abuse ,grant ,program4 ,sec4 #bjc4 ,audit & acc\ntability ( grantees4 ,sec4 #bjd4 ,vet]ans treatm5t c\rts4 ,sec4 #bje4 ,em]g5cy ,f$]al law en=cem5t assi/ance4 ,sec4 #bjf4 ,inclusion ( s]vices = pregnant wom5 "u family-bas$ sub/ance abuse grants4 ,sec4 #bjg4 ,,gao /udy & report on ,dep>tm5t ( ,ju/ice programs & rese>* relative to sub/ance use & sub/ance use disord]s among adolesc5ts & "y adults4 ,title ,,iii--,jason ,simcakoski ,,promise ,act ,sec4 #cja4 ,%ort title4 ,sec4 #cjb4 ,improvem5t ( opioid safety measures by ,dep>tm5t ( ,vet]ans ,affairs4 ,sec4 #cjc4 ,/r5g!n+ ( jo9t work+ gr\p on pa9 managem5t ( ! ,dep>tm5t ( ,vet]ans ,affairs & ! ,dep>tm5t ( ,def5se4 ,sec4 #cjd4 ,review1 inve/igation1 & report on use ( opioids 9 treatm5t by ,dep>tm5t ( ,vet]ans ,affairs4 ,sec4 #cje4 ,m&atory disclosure ( c]ta9 vet]an in=mation to ,/ate controll$ sub/ance monitor+ programs4 ,sec4 #cjf4 ,modification to limitation on aw>ds & bonuses4 ,title ,,iv--,k+p9 ,designation ,improvem5t ,act ,sec4 #dja4 ,%ort title4 ,sec4 #djb4 ,protection ( classifi$ in=mation 9 ,f$]al c\rt *all5ges relat+ to designations "u ! ,n>cotics ,k+p9 ,designation ,act4 ,title ,v--,good ,sam>itan ,assessm5t ,act ,sec4 #eja4 ,%ort title4 ,sec4 #ejb4 ,f9d+4 ,sec4 #ejc4 ,,gao ,/udy on ,good ,sam>itan laws p]ta9+ to treatm5t ( opioid ov]doses4 ,sec4 #ejd4 ,def9itions4 ,title ,,vi--,,op5 ,act ,sec4 #fja4 ,%ort title4 ,sec4 #fjb4 ,evaluation ( p]=mance ( ,dep>tm5t ( ,ju/ice program4 ,sec4 #fjc4 ,evaluation ( p]=mance ( ,dep>tm5t ( ,heal? & ,human ,s]vices program4 ,sec4 #fjd4 ,def9ition4 ,sec4 #fje4 ,no additional funds au?oriz$4 ,sec4 #fjf4 ,matt]s reg>d+ c]ta9 ,f$]al law en=cem5t assi/ance4 ,title ,,vii--,infant ,plan ( ,safe ,c>e ,improvem5t ,act ,sec4 #gja4 ,%ort title4 ,sec4 #gjb4 ,be/ practices = developm5t ( plans ( safe c>e4 ,sec4 #gjc4 ,/ate plans4 ,sec4 #gjd4 ,data reports4 ,sec4 #gje4 ,monitor+ & ov]sight4 ,sec4 #gjf4 ,rule ( con/ruction4 ,title ,,viii--,,nas ,heal?y ,babies ,act ,sec4 #hja4 ,%ort title4 ,sec4 #hjb4 ,,gao report on neonatal ab/95ce syndrome 7,,nas74 ,sec4 #hjc4 ,exclud+ abuse-det]r5t =mulations ( prescription drugs f ! ,m$icaid additional rebate requirem5t = new =mulations ( prescription drugs4 ,sec4 #hjd4 ,limit+ disclosure ( pr$ictive model+ & o!r analytics te*nologies to id5tify & prev5t wa/e1 fraud1 & abuse4 ,sec4 #hje4 ,m$icaid ,improvem5t ,fund4 ,title ,,ix--,co-,prescrib+ to ,r$uce ,ov]doses ,act ,sec4 #ija4 ,%ort title4 ,sec4 #ijb4 ,opioid ov]dose rev]sal drugs prescrib+ grant program4 ,sec4 #ijc4 ,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 drugs4 ,sec4 #ijd4 ,au?orization ( appropriations4 ,sec4 #ije4 ,cut-,g ,compliance4 ,title ,x--,improv+ ,treatm5t = ,pregnant & ,po/p>tum ,wom5 ,act ,sec4 #ajja4 ,%ort title4 ,sec4 #ajjb4 ,reau?orization ( resid5tial treatm5t programs = pregnant & po/p>tum wom54 ,sec4 #ajjc4 ,pilot program grants = ,/ate sub/ance abuse ag5cies4 ,sec4 #ajjd4 ,cut-,g ,compliance4 ,title ,,xi--,vet]an ,em]g5cy ,m$ical ,te*nician ,support ,act ,sec4 #aaja4 ,%ort title4 ,sec4 #aajb4 ,assi/+ vet]ans ) milit>y em]g5cy m$ical tra9+ to meet requirem5ts = becom+ civilian em]g5cy m$ical te*nicians4 ,title ,,xii--,john ,?omas ,deck] ,act ,sec4 #abja4 ,%ort title4 ,sec4 #abjb4 ,in=mation mat]ials & res\rces to prev5t addiction relat$ to y\? sports injuries4 ,title ,,xiii--,lali's ,law ,sec4 #acja4 ,%ort title4 ,sec4 #acjb4 ,opioid ov]dose rev]sal m$ication access & education grant programs4 ,sec4 #acjc4 ,cut-,g ,compliance4 ,title ,,xiv--,r$uc+ ,unus$ ,m$ications ,act ,sec4 #adja4 ,%ort title4 ,sec4 #adjb4 ,p>tial fills ( s*$ule ,,ii controll$ sub/ances4 ,title ,,xv--,opioid ,review ,mod]nization ,act ,sec4 #aeja4 ,%ort title4 ,sec4 #aejb4 ,,fda opioid action plan4 ,sec4 #aejc4 ,prescrib] education4 ,sec4 #aejd4 ,guidance on evaluat+ ! abuse det]r5ce ( g5]ic solid oral opioid drug products4 ,title ,,xvi--,exam9+ ,opioid ,treatm5t ,infra/ructure ,act ,sec4 #afja4 ,%ort title4 ,sec4 #afjb4 ,/udy on treatm5t infra/ructure4 ,title ,,xvii--,opioid ,use ,disord] ,treatm5t ,expansion & ,mod]nization ,act ,sec4 #agja4 ,%ort title4 ,sec4 #agjb4 ,f9d+4 ,sec4 #agjc4 ,opioid use disord] treatm5t mod]nization4 ,sec4 #agjd4 ,s5se ( ,congress4 ,sec4 #agje4 ,p>tial fills ( s*$ule ,,ii controll$ sub/ances4 ,title ,,xviii--,national ,all ,s*$ules ,prescription ,electronic ,report+ ,reau?orization ,act ,sec4 #ahja4 ,%ort title4 ,sec4 #ahjb4 ,am5dm5t to purpose4 ,sec4 #ahjc4 ,am5dm5ts to controll$ sub/ance monitor+ program4 ,i ,pa9 ,managem5t ,be/ ,practices ,int]-,ag5cy ,task ,=ce #aja4 ,developm5t ( be/ practices = ! use ( prescription opioids 7a7 ,def9itions ,9 ?is section-- 7#a7 ! t]m ,secret>y means ! ,secret>y ( ,heal? & ,human ,s]vices2 & 7#b7 ! t]m task =ce means ! ,pa9 ,managem5t ,be/ ,practices ,int]-,ag5cy ,task ,=ce conv5$ "u subsection 7b74 7b7 ,int]-,ag5cy ,task ,=ce ,n lat] ?an ,decemb] #ad1 #bjah1 ! ,secret>y1 9 coop]ation ) ! ,secret>y ( ,vet]ans ,affairs1 ! ,secret>y ( ,def5se1 & ! ,adm9i/rator ( ! ,drug ,en=cem5t ,adm9i/ration1 %all conv5e a ,pa9 ,managem5t ,be/ ,practices ,int]-,ag5cy ,task ,=ce to review1 modify1 & update1 z appropriate1 be/ practices = pa9 managem5t 7includ+ *ronic & acute pa97 & prescrib+ pa9 m$ication4 7c7 ,memb]%ip ,! task =ce %all be compris$ (-- 7#a7 repres5tatives (-- 7,a7 ! ,dep>tm5t ( ,heal? & ,human ,s]vices2 7,b7 ! ,dep>tm5t ( ,vet]ans ,affairs2 7,c7 ! ,food & ,drug ,adm9i/ration2 7,d7 ! ,dep>tm5t ( ,def5se2 7,e7 ! ,drug ,en=cem5t ,adm9i/ration2 7,f7 ! ,c5t]s = ,disease ,control & ,prev5tion2 7,g7 ! ,heal? ,res\rces & ,s]vices ,adm9i/ration2 7,h7 ! ,indian ,heal? ,s]vice2 7,i7 ! ,national ,academy ( ,m$ic9e2 7,j7 ! ,national ,in/itutes ( ,heal?2 7,k7 ! ,(fice ( ,national ,drug ,control ,policy2 7,l7 ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration2 & 7,m7 ! ,(fice ( ,wom5's ,heal?2 7#b7 ,/ate m$ical bo>ds2 7#c7 subject to subsection 7e71 physicians1 d5ti/s1 & nonphysician prescrib]s2 7#d7 hospitals2 7#e7 subject to subsection 7e71 ph>maci/s & ph>macies2 7#f7 fir/ respond]s2 7#g7 exp]ts 9 ! fields ( pa9 rese>* & addiction rese>*2 7#h7 exp]ts 9 ! fields ( adolesc5t & "y adult addiction rese>*2 7#i7 repres5tatives (-- 7,a7 pa9 managem5t pr(essional organizations2 7,b7 ! m5tal heal? treatm5t community2 7,c7 ! addiction treatm5t & recov]y community2 7,d7 pa9 advocacy gr\ps2 7,e7 vet]an s]vice organizations2 & 7,f7 gr\ps ) exp]tise on ov]dose rev]sal2 7#aj7 a p]son 9 recov]y f addiction to m$ication = *ronic pa92 7#aa7 a p]son 9 recov]y f addiction to m$ication = *ronic pa91 ^: addiction began 9 adolesc5ce or "y adul?ood2 7#ab7 a p]son ) *ronic pa92 7#ac7 an exp]t on active duty milit>y1 arm$ =ces p]sonnel1 & vet]an heal? & prescription opioid addiction2 7#ad7 an exp]t 9 ! field ( m9ority heal?2 & 7#ae7 o!r /akehold]s1 z ! ,secret>y det]m9es appropriate4 7d7 ,condition on p>ticipation on task =ce ,an individual repres5t+ a pr(ession or entity describ$ 9 p>agraph 7#c7 or 7#e7 ( subsection 7c7 may n s]ve z a memb] ( ! task =ce unless su* individual-- 7#a7 is curr5tly lic5s$ 9 a ,/ate 9 :i* su* individual is practic+ 7z def9$ by su* ,/ate7 su* pr(ession 7or1 9 ! case ( an individual repres5t+ an entity1 a ,/ate 9 :i* ! entity is engag$ 9 bus9ess72 & 7#b7 is curr5tly practic+ 7z def9$ by su* ,/ate7 su* pr(ession 7or1 9 ! case ( an individual repres5t+ an entity1 ! entity is 9 op]ation74 7e7 ,duties ,! task =ce %all-- 7#a7 n lat] ?an #ahj days aft] ! date on :i* ! task =ce is conv5$ "u subsection 7b71 review1 modify1 & update1 z appropriate1 be/ practices = pa9 managem5t 7includ+ *ronic & acute pa97 & prescrib+ pa9 m$ication1 tak+ into consid]ation-- 7,a7 exi/+ pa9 managem5t rese>*2 7,b7 rese>* on tr5ds 9 areas & communities 9 :i* ! prescription opioid abuse rate & fatality rate exce$ ! national av]age prescription opioid abuse rate & fatality rate2 7,c7 recomm5dations f relevant conf]5ces & exi/+ relevant evid5ce-bas$ guidel9es2 7,d7 ongo+ ef=ts at ! ,/ate & local levels & by m$ical pr(essional organizations to develop improv$ pa9 managem5t /rategies1 includ+ consid]ation ( diff]5ces )9 & betwe5 classes ( opioids1 ! availability ( opioids ) abuse det]r5t te*nology1 & ph>macological1 nonph>macological1 m$ical device alt]natives to opioids to r$uce opioid mono!rapy 9 appropriate cases & ! coord9ation ( in=mation collect$ f ,/ate prescription drug monitor+ programs = ! purpose ( prev5t+ ! div]sion ( pa9 m$ication2 7,e7 ongo+ ef=ts at ! ,f$]al1 ,/ate1 & local levels to exam9e ! pot5tial b5efits ( electronic prescrib+ ( opioids1 includ+ any public comm5ts collect$ 9 ! c\rse ( ^? ef=ts2 7,f7 ! managem5t ( high-risk populations1 o!r ?an populations :o suff] pa91 :o-- 7i7 may use or be prescrib$ b5zodiazep9es1 alcohol1 & div]t$ opioids2 or 7ii7 receive opioids 9 ! c\rse ( m$ical c>e2 7,g7 ! di/9ct ne$s ( adolesc5ts & "y adults ) respect to pa9 managem5t1 pa9 m$ication1 sub/ance use disord]1 & m$ication-assi/$ treatm5t2 7,h7 ! #bjaf ,guidel9e = ,prescrib+ ,opioids = ,*ronic ,pa9 issu$ by ! ,c5t]s = ,disease ,control & ,prev5tion2 7,i7 ! practice ( co-prescrib+ naloxone = bo? pa9 pati5ts receiv+ *ronic opioid !rapy & pati5ts be+ treat$ = opioid use disord]s2 7,j7 rese>* t has be51 or is be+1 conduct$ or support$ by ! ,f$]al ,gov]nm5t on prev5tion (1 treatm5t =1 & recov]y f sub/ance use by & sub/ance use disord]s among adolesc5ts & "y adults relative to any unique circum/ances 7includ+ social & biological circum/ances7 ( adolesc5ts & "y adults t may make adolesc5t-specific & "y adult-specific treatm5t protocols necess>y1 includ+ any effects t sub/ance use & sub/ance use disord]s may h on bra9 developm5t & ! implications = treatm5t & recov]y2 7,k7 ,f$]al non-rese>* programs & activities t address prev5tion (1 treatm5t =1 & recov]y f sub/ance use by & sub/ance use disord]s among adolesc5ts & "y adults1 includ+ an assessm5t ( ! effectiv5ess ( su* programs & activities 9-- 7i7 prev5t+ sub/ance use by & sub/ance use disord]s among adolesc5ts & "y adults2 7ii7 treat+ su* adolesc5ts & "y adults 9 a way t acc\nts = any unique circum/ances fac$ by adolesc5ts & "y adults2 & 7iii7 support+ long-t]m recov]y among adolesc5ts & "y adults2 & 7,l7 gaps t h be5 id5tifi$ by ,f$]al (ficials & exp]ts 9 ,f$]al ef=ts relat+ to prev5tion (1 treatm5t =1 & recov]y f sub/ance use by & sub/ance use disord]s among adolesc5ts & "y adults1 includ+ gaps 9 rese>*1 data collection1 & measures to evaluate ! effectiv5ess ( ,f$]al ef=ts1 & ! reasons = su* gaps2 7#b7 solicit & take into consid]ation public comm5t on ! practices develop$ "u p>agraph 7#a71 am5d+ su* be/ practices if appropriate2 7#c7 develop a /rategy = dissem9at+ in=mation ab\t ! be/ practices develop$ "u p>agraphs 7#a7 & 7#b7 to prescrib]s1 ph>maci/s1 ,/ate m$ical bo>ds1 educational in/itutions t educate prescrib]s & ph>maci/s1 & o!r p>ties1 z ! ,secret>y det]m9es appropriate2 7#d7 review1 modify1 & update be/ practices = pa9 managem5t & prescrib+ pa9 m$ication1 specifically z x p]ta9s to physician education & consum] education2 & 7#e7 exam9e & id5tify-- 7,a7 ! ext5t ( ! ne$ = ! developm5t ( new ph>macological1 nonph>macological1 & m$ical device alt]natives to opioids2 7,b7 ! curr5t /atus ( rese>* ef=ts to develop su* alt]natives2 & 7,c7 ! ph>macological1 nonph>macological1 & m$ical device alt]natives to opioids t are curr5tly available t c\ld be bett] utiliz$4 7f7 ,consid]ation ( /udy results ,9 review+1 modify+1 & updat+1 be/ practices = pa9 managem5t & prescrib+ pa9 m$ication1 ! task =ce %all take into consid]ation exi/+ private sector1 ,/ate1 & local gov]nm5t ef=ts relat$ to pa9 managem5t & prescrib+ pa9 m$ication4 7g7 ,limitation ,! task =ce %all n h rulemak+ au?ority4 7h7 ,report ,n lat] ?an #bgj days aft] ! date on :i* ! task =ce is conv5$ "u subsection 7b71 ! task =ce %all submit to ,congress a report t includes-- 7#a7 ! /rategy = dissem9at+ be/ practices = pa9 managem5t 7includ+ *ronic & acute pa97 & prescrib+ pa9 m$ication1 z develop$ "u subsection 7e72 7#b7 ! results ( a feasibility /udy on l9k+ ! be/ practices describ$ 9 p>agraph 7#a7 to receiv+ & r5ew+ regi/rations "u section #cjc7;f7 ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hbc7;f772 7#c7 recomm5dations = effectively apply+ ! be/ practices describ$ 9 p>agraph 7#a7 to improve prescrib+ practices at m$ical facilities1 includ+ m$ical facilities ( ! ,vet]ans ,heal? ,adm9i/ration & ,indian ,heal? ,s]vice2 7#d7 ! modifi$ & updat$ be/ practices describ$ 9 subsection 7e77#d72 & 7#e7 ! results ( ! exam9ation & id5tification conduct$ pursuant to subsection 7e77#d71 & recomm5dations reg>d+-- 7,a7 ! developm5t ( new ph>macological1 nonph>macological1 & m$ical device alt]natives to opioids2 & 7,b7 ! improv$ utilization ( ph>macological1 nonph>macological1 & m$ical device alt]natives to opioids t are curr5tly available4 ,,ii ,compreh5sive ,opioid ,abuse ,r$uction ,act #bja4 ,%ort title ,?is title may be cit$ z ! ,compreh5sive ,opioid ,abuse ,r$uction ,act ( #bjaf4 #bjb4 ,compreh5sive ,opioid ,abuse ,grant ,program 7a7 ,9 g5]al ,title ,i ( ! ,omnibus ,crime ,control & ,safe ,/reets ,act ( #aifh 7#db ,u4,s4,c4 #cgaa et seq47 is am5d$ 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 ,,dd or ,,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 title2 7,f7 a focus on p>5ts ^: inc>c]ation c\ld result 9 _! *ildr5 ent]+ ! *ild welf>e sy/em2 & 7,g7 a community-bas$ sub/ance use div]sion program sponsor$ by a law en=cem5t ag5cy4 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*$ules ,,ii1 ,,iii1 & ,,iv controll$ sub/ances ?r\gh a c5traliz$ database adm9i/]$ by an au?oriz$ ,/ate ag5cy1 :i* includes track+ ! disp5sation ( su* sub/ances1 & provid+ = int]op]ability & 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 program1 includ+ prev5tion & recov]y programs4 7#i7 ,develop+1 implem5t+1 or exp&+ a program 7:i* may include demon/ration projects7 to utilize te*nology t provides a secure conta9] = prescription drugs t w\ld prev5t individuals1 p>ticul>ly adolesc5ts1 f ga9+ access to opioid m$ications t are lawfully prescrib$ = o!r individuals4 7#aj7 ,develop+1 implem5t+1 or exp&+ a program to prev5t & address opioid abuse by vet]ans4 7#aa7 ,develop+1 implem5t+1 or exp&+ a prescription drug take-back 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 ,equitable di/ribution ( funds ,9 aw>d+ grants "u ?is "p1 ! ,attorney ,g5]al %all ensure equitable di/ribution ( funds bas$ on ! foll[+3 7#a7 ,! geographic di/ribution ( grants "u ?is "p1 tak+ into consid]ation ! ne$s ( und]s]v$ populations1 includ+ rural & tribal communities4 7#b7 ,! ne$s ( communities to address ! problems relat$ to opioid abuse1 tak+ into consid]ation ! preval5ce ( opioid abuse & ov]dose-relat$ dea? 9 a community4 #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$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cba74 7#f7 ,! t]m crim9al ju/ice ag5cy means a ,/ate1 local1 or tribal-- 7,a7 c\rt2 7,b7 prison2 7,c7 jail2 7,d7 law en=cem5t ag5cy2 or 7,e7 o!r ag5cy t p]=ms ! adm9i/ration ( crim9al ju/ice1 includ+ prosecution1 pretrial s]vices1 & community sup]vision4 7#g7 ,! t]m tribal organization has ! mean+ giv5 t t]m 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act 7#be ,u4,s4,c4 #dej;b74 4 7b7 ,au?orization ( appropriations ,section #ajja7;a7 ( ! ,omnibus ,crime ,control & ,safe ,/reets ,act ( #aifh 7#db ,u4,s4,c4 #cgic7;a77 is am5d$ by ins]t+ aft] p>agraph 7#bf7 ! foll[+3 7#bg7 ,!re are au?oriz$ to be appropriat$ to c>ry out "p ,,ll #ajc1jjj1jjj = ea* ( fiscal ye>s #bjag ?r\gh #bjba4 4 #bjc4 ,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 #bjd4 ,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 #bje4 ,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 #bjf4 ,inclusion ( s]vices = pregnant wom5 "u family-bas$ sub/ance abuse grants ,"p ,,dd ( title ,i ( ! ,omnibus ,crime ,control & ,safe ,/reets ,act 7#db ,u4,s4,c4 #cgigs et seq47 is am5d$-- 7#a7 9 section #biba7b71 by ins]t+ be=e ! p]iod at ! end or pregnant wom52 & 7#b7 9 section #bibg-- 7,a7 9 p>agraph 7#a77;,a71 by ins]t+ pregnant or be=e a p>5t2 & 7,b7 9 p>agraph 7#c71 by ins]t+ or pregnant wom5 aft] inc>c]at$ p>5ts4 #bjg4 ,,gao /udy & report on ,dep>tm5t ( ,ju/ice programs & rese>* relative to sub/ance use & sub/ance use disord]s among adolesc5ts & "y adults 7a7 ,/udy ,! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all conduct a /udy on h[ ! ,dep>tm5t ( ,ju/ice1 ?r\gh grant programs1 is address+ prev5tion (1 treatm5t =1 & recov]y f sub/ance use by & sub/ance use disord]s among adolesc5ts & "y adults4 ,su* /udy %all include an analysis ( ea* ( ! foll[+3 7#a7 ,! rese>* t has be51 & is be+1 conduct$ or support$ pursuant to grant programs op]at$ by ! ,dep>tm5t ( ,ju/ice on prev5tion (1 treatm5t =1 & recov]y f sub/ance use by & sub/ance use disord]s among adolesc5ts & "y adults1 includ+ an assessm5t (-- 7,a7 su* rese>* relative to any unique circum/ances 7includ+ social & biological circum/ances7 ( adolesc5ts & "y adults t may make adolesc5t-specific & "y adult-specific treatm5t protocols necess>y1 includ+ any effects t sub/ance use & sub/ance use disord]s may h on bra9 developm5t & ! implications = treatm5t & recov]y2 & 7,b7 areas ( su* rese>* 9 :i* great] inve/m5t or focus is necess>y relative to o!r areas ( su* rese>*4 7#b7 ,dep>tm5t ( ,ju/ice non-rese>* programs & activities t address prev5tion (1 treatm5t =1 & recov]y f sub/ance use by & sub/ance use disord]s among adolesc5ts & "y adults1 includ+ an assessm5t ( ! effectiv5ess ( su* programs & activities 9 prev5t+ sub/ance use by & sub/ance use disord]s among adolesc5ts & "y adults1 treat+ su* adolesc5ts & "y adults 9 a way t acc\nts = any unique circum/ances fac$ by adolesc5ts & "y adults1 & supports long t]m recov]y among adolesc5ts & "y adults4 7#c7 ,gaps t h be5 id5tifi$ by (ficials ( ! ,dep>tm5t ( ,ju/ice or exp]ts 9 ! ef=ts support$ by grant programs op]at$ by ! ,dep>tm5t ( ,ju/ice relat+ to prev5tion (1 treatm5t =1 & recov]y f sub/ance use by & sub/ance use disord]s among adolesc5ts & "y adults1 includ+ gaps 9 rese>*1 data collection1 & measures to evaluate ! effectiv5ess ( su* ef=ts1 & ! reasons = su* gaps4 7b7 ,report ,n lat] ?an #b ye>s aft] ! date ( enactm5t ( ?is ,act1 ! ,comptroll] ,g5]al %all submit to ! appropriate committees ( ! ,congress a report conta9+ ! results ( ! /udy conduct$ "u subsection 7a71 includ+-- 7#a7 a summ>y ( ! f9d+s ( ! /udy2 & 7#b7 recomm5dations bas$ on ! results ( ! /udy1 includ+ recomm5dations = su* areas ( rese>* & legislative & adm9i/rative action z ! ,comptroll] ,g5]al det]m9es appropriate4 ,,iii ,jason ,simcakoski ,,promise ,act #cja4 ,%ort title ,?is title may be cit$ z ! ,promot+ ,responsible ,opioid ,managem5t & ,incorporat+ ,sci5tific ,exp]tise ,act or ! ,jason ,simcakoski ,,promise ,act4 #cjb4 ,improvem5t ( opioid safety measures by ,dep>tm5t ( ,vet]ans ,affairs 7a7 ,expansion ( opioid safety initiative 7#a7 ,inclusion ( all m$ical facilities ,n lat] ?an #ahj days aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,vet]ans ,affairs %all exp& ! ,opioid ,safety ,initiative ( ! ,dep>tm5t ( ,vet]ans ,affairs to include all m$ical facilities ( ! ,dep>tm5t4 7#b7 ,guidance ,! ,secret>y %all e/abli% guidance t ea* heal? c>e provid] ( ! ,dep>tm5t ( ,vet]ans ,affairs1 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 any subsequ5t tool71 :i* %all include in=mation f ! prescription drug monitor+ program ( ea* p>ticipat+ ,/ate z applicable1 t includes ! mo/ rec5t in=mation to date relat+ to ! pati5t t access$ su* program to assess ! risk = adv]se outcomes ( opioid !rapy = ! pati5t1 includ+ ! concurr5t use ( controll$ sub/ances su* z b5zodiazep9es1 z "p ( ! compreh5sive assessm5t conduct$ by ! heal? c>e provid]4 7#c7 ,enhanc$ /&>ds ,! ,secret>y %all e/abli% 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 ord]1 int]pret & respond to ! results f su* te/s to tailor pa9 !rapy1 safegu>ds1 & risk managem5t /rategies to ea* pati5t4 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+ m$ical devices approv$ or cle>$ by ! ,food & ,drug ,adm9i/ration = ! treatm5t ( pati5ts ) *ronic pa9 & 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 #a 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$2 & 7iii7 a c]tification z to :e!r ! m$ical facility-- 7,i7 fully complies ) ! /epp$-c>e model ( pa9 managem5t & o!r pa9 managem5t policies conta9$ 9 ,directive #bjji-jec ( ! ,vet]ans ,heal? ,adm9i/ration1 or successor directive2 or 7,,ii7 does n fully comply ) su* /epp$-c>e model ( pa9 managem5t & o!r pa9 managem5t policies b is c>ry+ out a corrective plan ( action to ensure su* full compliance4 7d7 ,track+ & monitor+ ( opioid use 7#a7 ,prescription drug monitor+ programs ( /ates ,9 c>ry+ out ! ,opioid ,safety ,initiative & ! ,opioid ,!rapy ,risk ,report tool ( ! ,dep>tm5t1 ! ,secret>y %all-- 7,a7 ensure access by heal? c>e provid]s ( ! ,dep>tm5t to in=mation on controll$ 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 #cjc4 ,/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 7,pa9 ,managem5t ,work+ ,gr\p7 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 ,code2 7#b7 consults ) o!r relevant ,f$]al ag5cies ) 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$4 7c7 ,cl9ical practice guidel9es 7#a7 ,9 g5]al ,n lat] ?an #ahj days aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,vet]ans ,affairs & ! ,secret>y ( ,def5se %all issue an update to ! ,,va_/,,dod ,cl9ical ,practice ,guidel9e = ,managem5t ( ,opioid ,!rapy = ,*ronic ,pa94 7#b7 ,matt]s includ$ ,9 conduct+ ! update "u subsection 7a71 ! ,pa9 ,managem5t ,work+ ,gr\p1 9 coord9ation ) ! ,cl9ical ,practice ,guidel9e ,,va_/,,dod ,managem5t ( ,opioid ,!rapy = ,*ronic ,pa9 ,work+ ,gr\p1 %all exam9e :e!r ! ,cl9ical ,practical ,guidel9e %\ld include ! foll[+3 7,a7 ,enhanc$ guidance ) respect to-- 7i7 ! coadm9i/ration ( an opioid & o!r drugs1 includ+ b5zodiazep9es1 t may result 9 life-limit+ drug int]actions2 7ii7 ! treatm5t ( pati5ts ) curr5t acute psy*iatric in/ability or sub/ance use disord] or pati5ts at risk ( suicide2 & 7iii7 ! use ( opioid !rapy to treat m5tal heal? disord]s o!r ?an opioid use disord]4 7,b7 ,enhanc$ guidance ) respect to ! treatm5t ( pati5ts ) behaviors or comorbidities1 su* z po/-traumatic /ress disord] or o!r 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,c7 ,enhanc$ guidance ) respect to heal? c>e provid]s-- 7i7 conduct+ an effective assessm5t = pati5ts beg9n+ or cont9u+ opioid !rapy1 includ+ und]/&+ & sett+ reali/ic goals ) respect to a*iev+ & ma9ta9+ an expect$ level ( pa9 relief1 improv$ function1 or a cl9ically appropriate comb9ation ( bo?2 & 7ii7 effectively assess+ :e!r opioid !rapy is a*iev+ or ma9ta9+ ! e/abli%$ treatm5t goals ( ! pati5t or :e!r ! pati5t & heal? c>e provid] %\ld discuss adju/+1 augm5t+1 or discont9u+ ! opioid !rapy4 7,d7 ,guidel9es to gov]n ! me?odologies us$ by heal? c>e provid]s ( ! ,dep>tm5t ( ,vet]ans ,affairs & ! ,dep>tm5t ( ,def5se to tap] opioid !rapy :5 adju/+ or discont9u+ ! use ( opioid !rapy4 7,e7 ,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,f7 ,guidel9es ) respect to appropriate case managem5t = pati5ts receiv+ opioid !rapy :o transition f receiv+ c>e dur+ active duty to po/-milit>y heal? c>e networks4 7,g7 ,guidel9es ) respect to provid+ options1 be=e initiat+ opioid !rapy1 = pa9 managem5t !rapies )\t ! use ( opioids & options to augm5t opioid !rapy ) o!r cl9ical & complem5t>y & integrative heal? s]vices to m9imize opioid dep5d5ce4 7,h7 ,guidel9es ) respect to ! provision ( evid5ce-bas$ non-opioid treatm5ts )9 ! ,dep>tm5t ( ,vet]ans ,affairs & ! ,dep>tm5t ( ,def5se1 includ+ m$ical devices & o!r !rapies approv$ or cle>$ by ! ,food & ,drug ,adm9i/ration = ! treatm5t ( *ronic pa9 z an alt]native to or to augm5t opioid !rapy4 #cjd4 ,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 #b 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 #b 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 #a ye> aft] ! date ( ! enactm5t ( ?is ,act1 & n less frequ5tly ?an annually = ! foll[+ #e 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 = ! #a-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$ical facility1 z ! case may be1 ! av]age numb] ( prescriptions ( opioids p] pati5t4 #cje4 ,m&atory disclosure ( c]ta9 vet]an in=mation to ,/ate controll$ sub/ance monitor+ programs ,section #egja7l7 ( title #ch1 ,unit$ ,/ates ,code1 is am5d$ by /rik+ may & ins]t+ %all4 #cjf4 ,modification to limitation on aw>ds & bonuses ,section #gje ( ! ,vet]ans ,access1 ,*oice1 & ,acc\ntability ,act ( #bjad 7,public ,law #aac-adf2 #ch ,u4,s4,c4 #gjc note7 is am5d$ to read z foll[s3 #gje4 ,limitation on aw>ds & bonuses paid to employees ( ,dep>tm5t ( ,vet]ans ,affairs ,! ,secret>y ( ,vet]ans ,affairs %all ensure t ! aggregate am\nt ( aw>ds & bonuses paid by ! ,secret>y 9 a fiscal ye> "u *apt] #de or #ec ( title #e1 ,unit$ ,/ates ,code1 or any o!r aw>ds or bonuses au?oriz$ "u su* title or title #ch1 ,unit$ ,/ates ,code1 does n exce$ ! foll[+ am\nts3 7#a7 ,) respect to ea* ( fiscal ye>s #bjag ?r\gh #bjba1 #bcj1jjj1jjj4 7#b7 ,) respect to ea* ( fiscal ye>s #bjbb ?r\gh #bjbd1 #cfj1jjj1jjj4 4 ,,iv ,k+p9 ,designation ,improvem5t ,act #dja4 ,%ort title ,?is title may be cit$ z ! ,k+p9 ,designation ,improvem5t ,act ( #bjaf4 #djb4 ,protection ( classifi$ in=mation 9 ,f$]al c\rt *all5ges relat+ to designations "u ! ,n>cotics ,k+p9 ,designation ,act ,section #hjd ( ! ,=eign ,n>cotics ,k+p9 ,designation ,act 7#ba ,u4,s4,c4 #aijc7 is am5d$ by add+ at ! end ! foll[+3 7i7 ,protection ( classifi$ in=mation 9 ,f$]al c\rt *all5ges relat+ to designations ,9 any judicial review ( a det]m9ation made "u ?is section1 if ! det]m9ation 0 bas$ on classifi$ in=mation 7z def9$ 9 section #a7;a7 ( ! ,classifi$ ,in=mation ,proc$ures ,act7 su* in=mation may be submitt$ to ! review+ c\rt ex p>te & 9 cam]a4 ,?is subsection does n conf] or imply any "r to judicial review4 4 ,v ,good ,sam>itan ,assessm5t ,act #eja4 ,%ort title ,?is title may be cit$ z ! ,good ,sam>itan ,assessm5t ,act ( #bjaf4 #ejb4 ,f9d+ ,! ,congress f9ds t ! executive bran*1 includ+ ! ,(fice ( ,national ,drug ,control ,policy1 has a policy focus on prev5t+ & address+ prescription drug misuse & h]o9 use1 & has work$ ) ,/ates & municipalities to enact ,good ,sam>itan laws t w\ld protect c>egiv]s1 law en=cem5t p]sonnel1 & fir/ respond]s :o adm9i/] opioid ov]dose rev]sal drugs or devices4 #ejc4 ,,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 #ejd4 ,def9itions ,9 ?is title-- 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 ,,vi ,,op5 ,act #fja4 ,%ort title ,?is title may be cit$ z ! ,opioid ,program ,evaluation ,act or ! ,,op5 ,act4 #fjb4 ,evaluation ( p]=mance ( ,dep>tm5t ( ,ju/ice program 7a7 ,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 subsection 7d7 ( ?is section4 7b7 ,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 7c7 ,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$4 7d7 ,metrics data collection ,! ,attorney ,g5]al %all require grantees "u ! ,compreh5sive ,opioid ,abuse ,grant ,program 7& ^? receiv+ subaw>ds "u section #cjba7;b7 ( "p ,,ll ( ! ,omnibus ,crime ,control & ,safe ,/reets ,act ( #aifh7 to collect & annually report to ! ,dep>tm5t ( ,ju/ice data bas$ ^u ! metrics id5tifi$ "u subsection 7c74 7e7 ,publication ( data & f9d+s 7#a7 ,publication ( outcomes & metrics ,! ,attorney ,g5]al %all1 n lat] ?an #cj days aft] completion ( ! requirem5t "u subsection 7c71 publi% ! outcomes & metrics id5tifi$ "u t subsection4 7#b7 ,publication ( evaluation ,9 ! case ( ! int]im evaluation "u subsection 7b71 & ! f9al evaluation "u subsection 7a71 ! ,national ,academy ( ,sci5ces %all1 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 7f7 ,arrangem5t ) ! ,national ,academy ( ,sci5ces ,= purposes ( subsections 7a71 7b71 & 7c71 ! ,attorney ,g5]al %all ent] into an arrangem5t ) ! ,national ,academy ( ,sci5ces4 #fjc4 ,evaluation ( p]=mance ( ,dep>tm5t ( ,heal? & ,human ,s]vices program 7a7 ,evaluation ( ,dep>tm5t ( ,heal? & ,human ,s]vices programs ,n lat] ?an #e ye>s aft] ! date ( enactm5t ( ?is ,act1 except z o!rwise provid$ 9 ?is section1 ! ,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 subsection 7d7 ( ?is section4 7b7 ,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 7c7 ,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 subsection 7a7 & ! metrics by :i* ! a*ievem5t ( su* outcomes %all be det]m9$4 7d7 ,metrics data collection ,! ,secret>y %all require grantees "u ! programs describ$ 9 subsection 7a7 to collect & annually report to ! ,dep>tm5t ( ,heal? & ,human ,s]vices data bas$ ^u ! metrics id5tifi$ "u subsection 7c74 7e7 ,publication ( data & f9d+s 7#a7 ,publication ( outcomes & metrics ,! ,secret>y %all1 n lat] ?an #cj days aft] completion ( ! requirem5t "u subsection 7c71 publi% ! outcomes & metrics id5tifi$ "u t subsection4 7#b7 ,publication ( evaluation ,9 ! case ( ! int]im evaluation "u subsection 7b71 & ea* f9al evaluation "u subsection 7a71 ! ,national ,academy ( ,sci5ces %all1 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 7f7 ,arrangem5t ) ! ,national ,academy ( ,sci5ces ,= purposes ( subsections 7a71 7b71 & 7c71 ! ,secret>y %all-- 7#a7 ent] into an arrangem5t ) ! ,national ,academy ( ,sci5ces2 or 7#b7 ent] into a contract or coop]ative agreem5t ) an entity t is n an ag5cy ( ! ,f$]al ,gov]nm5t4 7g7 ,exception ,if a program describ$ "u subsection 7a7 is subject to an evaluation sub/antially simil> to ! evaluation "u subsection 7a7 pursuant to ano!r provision ( law1 ! ,secret>y may opt n to conduct an evaluation "u subsection 7a7 ( su* program4 #fjd4 ,def9ition ,9 ?is title1 ! t]m opioid has ! mean+ giv5 ! t]m opiate 9 section #ajb ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hjb74 #fje4 ,no additional funds au?oriz$ ,no additional funds are au?oriz$ to be appropriat$ to c>ry out ?is ,act4 #fjf4 ,matt]s reg>d+ c]ta9 ,f$]al law en=cem5t assi/ance ,section #fji,y ( ! ,ju/ice ,assi/ance ,act ( #aihd 7#db ,u4,s4,c4 #ajeac7 is am5d$-- 7#a7 9 subsection 7a71 by /rik+ ,!re is & ins]t+ ,except z provid$ 9 subsection 7c71 !re is2 & 7#b7 by add+ at ! end ! foll[+3 7c7 ,= fiscal ye> #bjbb1 !re is au?oriz$ to be appropriat$ #af1jjj1jjj1 to provide "u ?is *apt] ,f$]al law en=cem5t assi/ance 9 ! =m ( funds4 4 ,,vii ,infant ,plan ( ,safe ,c>e ,improvem5t ,act #gja4 ,%ort title ,?is title may be cit$ z ! ,infant ,plan ( ,safe ,c>e ,improvem5t ,act4 #gjb4 ,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 ! requirem5ts ( section #ajf7;b77#b77;,b77iii7 & be/ practices relat+ to ! developm5t ( plans ( safe c>e z describ$ 9 su* section = infants born & id5tifi$ z be+ affect$ by illegal sub/ance abuse or )drawal symptoms1 or a ,fetal ,alcohol ,spectrum ,disord]2 4 #gjc4 ,/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 ! semicolon at ! end ! foll[+3 to ensure ! safety & well-be+ ( su* infant foll[+ release f ! c>e ( heal?c>e provid]s1 includ+ ?r\gh-- 7,i7 address+ ! heal? & sub/ance use disord] treatm5t ne$s ( ! infant & affect$ family or c>egiv]2 & 7,,ii7 ! developm5t & implem5tation by ! ,/ate ( monitor+ sy/ems reg>d+ ! implem5tation ( su* plans to det]m9e :e!r & 9 :at mann] local entities are provid+1 9 accordance ) ,/ate requirem5ts1 ref]rals to & deliv]y ( appropriate s]vices = ! infant & affect$ family or c>egiv] 4 #gjd4 ,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 7,a7 ,! numb] ( infants id5tifi$ "u subsection 7b77#b77;,b77ii74 7,b7 ,! numb] ( infants = :om a plan ( safe c>e 0 develop$ "u subsection 7b77#b77;,b77iii74 7,c7 ,! numb] ( infants = :om a ref]ral 0 made = appropriate s]vices1 includ+ s]vices = ! affect$ family or c>egiv]1 "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 #gje4 ,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 a review ( 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 a review ( 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 #gjf4 ,rule ( con/ruction ,no?+ 9 ?is ,act1 or ! am5dm5ts made by ?is ,act1 %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 ,,viii ,,nas ,heal?y ,babies ,act #hja4 ,%ort title ,?is title may be cit$ z ! ,nurtur+ ,& ,support+ ,heal?y ,babies ,act or z ! ,,nas ,heal?y ,babies ,act4 #hjb4 ,,gao report on neonatal ab/95ce syndrome 7,,nas7 7a7 ,9 g5]al ,n lat] ?an #a 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 ,labor & ,p5sions ( ! ,s5ate a report on neonatal ab/95ce syndrome 79 ?is section ref]r$ to z ,,nas7 9 ! ,unit$ ,/ates4 7b7 ,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#e7 ,:at is kn[n ab\t be/ practices = treat+ infants ) ,,nas4 7c7 ,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$icaid programs4 #hjc4 ,exclud+ abuse-det]r5t =mulations ( prescription drugs f ! ,m$icaid additional rebate requirem5t = new =mulations ( prescription drugs 7a7 ,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 7b7 ,effective date ,! am5dm5t made by subsection 7a7 %all apply to drugs t are paid = by a ,/ate 9 cal5d> qu>t]s beg9n+ on or aft] ! date ( ! enactm5t ( ?is ,act4 #hjd4 ,limit+ disclosure ( pr$ictive model+ & o!r analytics te*nologies to id5tify & prev5t wa/e1 fraud1 & abuse 7a7 ,9 g5]al ,title ,,xi ( ! ,social ,security ,act is am5d$ 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$icaid program "u title ,,xix or ! ,/ate *ild heal? plan 7or a waiv] ( ! plan7 "u ! ,*ildr5's ,heal? ,insurance ,program "u title ,,xxi1 includ+ by enabl+ an entity op]at+ "u a contract ) a ,/ate to assi/ ! ,/ate to id5tify or prev5t wa/e1 fraud1 & abuse ) respect to su* programs4 7,b7 ,in=mation security ,a ,/ate ag5cy %all h 9 effect data security & control policies t ! ,secret>y f9ds adequate to ensure ! security ( cov]$ 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$4 4 7b7 ,con=m+ am5dm5ts 7#a7 ,m$icaid ,/ate plan requirem5t ,section #aijb7;a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;a7a77 is am5d$-- 7,a7 9 p>agraph 7#hj71 by /rik+ & at ! end2 7,b7 9 p>agraph 7#ha71 by /rik+ ! p]iod at ! end & ins]t+ 2 &2 & 7,c7 by ins]t+ aft] p>agraph 7#ha7 ! foll[+ new p>agraph3 7#hb7 provide t ! ,/ate ag5cy responsible = adm9i/]+ ! ,/ate plan "u ?is title provides assurances to ! ,secret>y t ! ,/ate ag5cy is 9 compliance ) subp>agraphs 7,a71 7,b71 & 7,c7 ( section #aabh,k7b77#b74 4 7#b7 ,/ate *ild heal? plan requirem5t ,section #bajb7;a77#g7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acig;bb7a77#g77 is am5d$-- 7,a7 9 subp>agraph 7,a71 by /rik+ 1 & at ! end & ins]t+ a semicolon2 7,b7 9 subp>agraph 7,b71 by /rik+ ! p]iod at ! end & ins]t+ 2 &2 & 7,c7 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 #hje4 ,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 ,,ix ,co-,prescrib+ to ,r$uce ,ov]doses ,act #ija4 ,%ort title ,?is title may be cit$ z ! ,co-,prescrib+ to ,r$uce ,ov]doses ,act ( #bjaf4 #ijb4 ,opioid ov]dose rev]sal drugs prescrib+ grant program 7a7 ,e/abli%m5t 7#a7 ,9 g5]al ,n lat] ?an #f mon?s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices may e/abli%1 9 accordance ) ?is section1 a #e-ye> opioid ov]dose rev]sal drugs prescrib+ grant program 79 ?is ,act ref]r$ 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 #aciex7aa771 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 section & section #c1 ! 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 #ijc4 ,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 7a7 ,9 g5]al ,n lat] ?an #ahj days aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices 79 ?is section 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 7b7 ,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 subsection 7a74 7c7 ,elevat$ risk ( ov]dose def9$ ,9 ?is section1 ! 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$-release & long-act+ opioid analgesics1 & pati5ts ) a respiratory disease or o!r co-morbidities4 #ijd4 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is title #e1jjj1jjj = ! p]iod ( fiscal ye>s #bjag ?r\gh #bjba4 #ije4 ,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> #bjah74 ,x ,improv+ ,treatm5t = ,pregnant & ,po/p>tum ,wom5 ,act #ajja4 ,%ort title ,?is title may be cit$ z ! ,improv+ ,treatm5t = ,pregnant & ,po/p>tum ,wom5 ,act ( #bjaf4 #ajjb4 ,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$-- 7#a7 9 subsection 7p71 9 ! fir/ s5t5ce1 by ins]t+ 7o!r ?an subsection 7r77 aft] section2 & 7#b7 9 subsection 7r71 by /rik+ su* sums & all t foll[s ?r\gh #bjjc & ins]t+ #af1ijj1jjj = ea* ( fiscal ye>s #bjag ?r\gh #bjba4 #ajjc4 ,pilot program grants = ,/ate sub/ance abuse ag5cies 7a7 ,9 g5]al ,section #ejh ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#a7 is am5d$-- 7#a7 by r$esignat+ subsection 7r71 z am5d$ by section #b1 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 7b7 ,fund+ ,subsection 7s7 ( section #ejh ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#a71 z am5d$ by section #ajjb & r$esignat$ by subsection 7a71 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$+ s5t5ce1 no funds %all be made available to c>ry out subsection 7r7 = a fiscal ye> unless ! am\nt made available to c>ry out ?is section = su* fiscal ye> is m ?an ! am\nt made available to c>ry out ?is section = fiscal ye> #bjaf44 #ajjd4 ,cut-,g ,compliance ,subsection 7f7 ( section #cai;,d ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;d-#d7 is am5d$ by /rik+ ?r\gh #bjah & ins]t+ ?r\gh #bjaf1 #acc1cjj1jjj = fiscal ye> #bjag1 & #ach1cjj1jjj = fiscal ye> #bjah4 ,,xi ,vet]an ,em]g5cy ,m$ical ,te*nician ,support ,act #aaja4 ,%ort title ,?is title may be cit$ z ! ,vet]an ,em]g5cy ,m$ical ,te*nician ,support ,act ( #bjaf4 #aajb4 ,assi/+ vet]ans ) milit>y em]g5cy m$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 ,,xii ,john ,?omas ,deck] ,act #abja4 ,%ort title ,?is title may be cit$ z ! ,john ,?omas ,deck] ,act ( #bjaf4 #abjb4 ,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 ,,xiii ,lali's ,law #acja4 ,%ort title ,?is title may be cit$ z ,lali's ,law4 #acjb4 ,opioid ov]dose rev]sal m$ication access & education grant programs 7a7 ,te*nical cl>ification ,effective z if includ$ 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 ,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 "o 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 #acjc4 ,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 ,,xiv ,r$uc+ ,unus$ ,m$ications ,act #adja4 ,%ort title ,?is title may be cit$ z ! ,r$uc+ ,unus$ ,m$ications ,act ( #bjaf4 #adjb4 ,p>tial fills ( s*$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 ) ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hja et seq471 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$]al ,regulations 7z 9 effect on ! date ( enactm5t ( ! ,r$uc+ ,unus$ ,m$ications ,act74 7#b7 ,rema9+ portions 7,a7 ,9 g5]al ,except z provid$ 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$4 ,,xv ,opioid ,review ,mod]nization ,act #aeja4 ,%ort title ,?is title may be cit$ z ! ,opioid ,review ,mod]nization ,act ( #bjaf4 #aejb4 ,,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$iatric population4 7c7 ,sunset ,! requirem5ts ( subsections 7a7 & 7b7 %all cease to be effective on ,octob] #a1 #bjbb4 4 #aejc4 ,prescrib] education ,n lat] ?an #a ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices1 act+ ?r\gh ! ,commission] ( ,food & ,drugs1 z "p ( ! ,food & ,drug ,adm9i/ration's evaluation ( ! ,ext5d$-,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$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cee-a71 includ+ recomm5dations on-- 7#a7 :i* prescrib]s %\ld p>ticipate 9 su* programs2 & 7#b7 h[ (t5 p>ticipation 9 su* programs is necess>y4 #aejd4 ,guidance on evaluat+ ! abuse det]r5ce ( g5]ic solid oral opioid drug products ,n lat] ?an #b ye>s aft] ! end ( ! p]iod = public comm5t on ! draft guidance entitl$ ,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$]al ,regi/] a f9al v]sion ( su* guidance4 ,,xvi ,exam9+ ,opioid ,treatm5t ,infra/ructure ,act #afja4 ,%ort title ,?is title may be cit$ z ! ,exam9+ ,opioid ,treatm5t ,infra/ructure ,act ( #bjaf4 #afjb4 ,/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 ,,xvii ,opioid ,use ,disord] ,treatm5t ,expansion & ,mod]nization ,act #agja4 ,%ort title ,?is title may be cit$ z ! ,opioid ,use ,disord] ,treatm5t ,expansion & ,mod]nization ,act4 #agjb4 ,f9d+ ,! ,congress f9ds t opioid use disord] has become a public heal? epidemic t mu/ be address$ by increas+ aw>5ess & access to all treatm5t options = opioid use disord]1 ov]dose rev]sal1 & relapse prev5tion4 #agjc4 ,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 subclause 7,,ii71 ! 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 ,! ,secret>y may by regulation *ange su* total numb]4 7,,iv7 ,! ,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 7iv7 ,if ! ,secret>y by regulation increases ! total numb] ( pati5ts :i* a qualify+ practition] is p]mitt$ to treat pursuant to clause 7iii77,,ii71 ! ,secret>y %all require su* a practition] to obta9 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 7v7 ,! 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 #h 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 dur+ ! p]iod beg9n+ on ! date ( ! enactm5t ( ! ,opioid ,use ,disord] ,treatm5t ,expansion & ,mod]nization ,act & end+ on ! date t is #c ye>s aft] su* date ( enactm5t1 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 "o 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$ications = ! treatm5t ( opioid use disord] 9 collaboration ) or "u ! sup]vision ( a physician4 ,! ,secret>y may review & update ! requirem5ts = be+ a qualify+ o!r practition] "u ?is clause4 2 & 7#d7 9 subp>agraph 7,h7-- 7,a7 9 clause 7i71 by ins]t+ aft] subclause 7,,ii7 ! foll[+3 7,,iii7 ,su* o!r elem5ts ( ! requirem5ts "u ?is p>agraph z ! ,secret>y det]m9es necess>y = purposes ( implem5t+ su* requirem5ts4 2 & 7,b7 by am5d+ clause 7ii7 to read z foll[s3 7ii7 ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ! ,opioid ,use ,disord] ,treatm5t ,expansion & ,mod]nization ,act1 ! ,secret>y %all update ! treatm5t improvem5t protocol conta9+ be/ practice guidel9es = ! treatm5t ( opioid-dep5d5t pati5ts 9 (fice-bas$ 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 #agjd4 ,s5se ( ,congress ,x is ! ,s5se ( ,congress t1 ) respect to ! total numb] ( pati5ts t a qualify+ physician 7z def9$ 9 subp>agraph 7,g77iii7 ( section #cjc7;g77#b7 ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hbc7;g77#b77 c treat at any "o "t pursuant to su* section1 ! ,secret>y ( ,heal? & ,human ,s]vices %\ld consid] rais+ su* total numb] to #bej pati5ts foll[+ a ?ird notification to ! ,secret>y ( ! ne$ & int5t ( ! physician to treat up to #bej pati5ts t is submitt$ to ! ,secret>y n soon] ?an #a ye> aft] ! date on :i* ! physician submitt$ to ! ,secret>y a second notification to treat up to #ajj pati5ts4 #agje4 ,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 ) ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hja et seq471 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$]al ,regulations 7z 9 effect on ! date ( enactm5t ( ! ,r$uc+ ,unus$ ,m$ications ,act ( #bjaf74 7#b7 ,rema9+ portions 7,a7 ,9 g5]al ,except z provid$ 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$4 ,,xviii ,national ,all ,s*$ules ,prescription ,electronic ,report+ ,reau?orization ,act #ahja4 ,%ort title ,?is title may be cit$ z ! ,national ,all ,s*$ules ,prescription ,electronic ,report+ ,reau?orization ,act ( #bjae4 #ahjb4 ,am5dm5t to purpose ,p>agraph 7#a7 ( section #b ( ! ,national ,all ,s*$ules ,prescription ,electronic ,report+ ,act ( #bjje 7,public ,law #aji-fj7 is am5d$ to read z foll[s3 7#a7 fo/] ! e/abli%m5t ( ,/ate-adm9i/]$ controll$ sub/ance monitor+ sy/ems 9 ord] to ensure t-- 7,a7 heal? c>e provid]s h access to ! accurate1 timely prescription hi/ory in=mation t !y may use z a tool = ! e>ly id5tification ( pati5ts at risk = addiction 9 ord] to initiate appropriate m$ical int]v5tions & av]t ! tragic p]sonal1 family1 & community consequ5ces ( untreat$ addiction2 & 7,b7 appropriate law en=cem5t1 regulatory1 & ,/ate pr(essional lic5s+ au?orities h access to prescription hi/ory in=mation = ! purposes ( inve/igat+ drug div]sion & prescrib+ & disp5s+ practices ( errant prescrib]s or ph>maci/s2 & 4 #ahjc4 ,am5dm5ts to controll$ sub/ance monitor+ program ,section #cii,o ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bhj;g-#c7 is am5d$-- 7#a7 9 subsection 7a7-- 7,a7 9 p>agraph 7#a7-- 7i7 9 subp>agraph 7,a71 by /rik+ or2 7ii7 9 subp>agraph 7,b71 by /rik+ ! p]iod at ! end & ins]t+ 2 or2 & 7iii7 by add+ at ! end ! foll[+3 7,c7 to ma9ta9 & op]ate an exi/+ ,/ate-controll$ sub/ance monitor+ program4 2 & 7,b7 9 p>agraph 7#c71 by ins]t+ by ! ,secret>y aft] ,grants aw>d$2 7#b7 by am5d+ subsection 7b7 to read z foll[s3 7b7 ,m9imum requirem5ts ,! ,secret>y %all ma9ta9 &1 z appropriate1 supplem5t or revise 7aft] publi%+ propos$ additions & revisions 9 ! ,f$]al ,regi/] & receiv+ public comm5ts !reon7 m9imum requirem5ts = crit]ia to be us$ by ,/ates = purposes ( clauses 7ii71 7v71 7vi71 & 7vii7 ( subsection 7c77#a77;,a74 2 7#c7 9 subsection 7c7-- 7,a7 9 p>agraph 7#a77;,b7-- 7i7 9 ! matt] prec$+ clause 7i71 by /rik+ 7a77#a77;,b7 & ins]t+ 7a77#a77;,b7 or 7a77#a77;,c72 7ii7 9 clause 7i71 by /rik+ program to be improv$ & ins]t+ program to be improv$ or ma9ta9$2 7iii7 by r$esignat+ clauses 7iii7 & 7iv7 z clauses 7iv7 & 7v71 respectively2 7iv7 by ins]t+ aft] clause 7ii7 ! foll[+3 7iii7 a plan to apply ! late/ advances 9 heal? in=mation te*nology 9 ord] to incorporate prescription drug monitor+ program data directly into ! workfl[ ( prescrib]s & disp5s]s to ensure timely access to pati5ts' controll$ prescription drug hi/ory2 2 7v7 9 clause 7iv71 z r$esignat$1 by ins]t+ be=e ! semicolon at ! end & at lea/ "o heal? in=mation te*nology sy/em su* z an electronic heal? records sy/em1 a heal? in=mation ex*ange1 or an e-prescrib+ sy/em2 & 7vi7 9 clause 7v71 z r$esignat$1 by /rik+ public heal? & ins]t+ public heal? or public safety2 7,b7 9 p>agraph 7#c7-- 7i7 by /rik+ ,if a ,/ate t submits & ins]t+ ! foll[+3 7,a7 ,9 g5]al ,if a ,/ate t submits 2 7ii7 by /rik+ ! p]iod at ! end & ins]t+ & include timel9es = full implem5tation ( su* int]op]ability4 ,! ,/ate %all also describe ! mann] 9 :i* x w a*ieve int]op]ability betwe5 its monitor+ program & heal? in=mation te*nology sy/ems1 z all[able "u ,/ate law1 & include timel9es = implem5tation ( su* int]op]ability42 & 7iii7 by add+ at ! end ! foll[+3 7,b7 ,monitor+ ( ef=ts ,! ,secret>y %all monitor ,/ate ef=ts to a*ieve int]op]ability1 z describ$ 9 subp>agraph 7,a74 2 & 7,c7 9 p>agraph 7#e7-- 7i7 by /rik+ implem5t or improve & ins]t+ e/abli%1 improve1 or ma9ta92 & 7ii7 by add+ at ! end ! foll[+3 ,! ,secret>y %all r$i/ribute any funds t are s return$ among ! rema9+ grantees "u ?is section 9 accordance ) ! =mula describ$ 9 subsection 7a77#b77;,b742 7#d7 9 subsection 7d7-- 7,a7 9 ! matt] prec$+ p>agraph 7#a7-- 7i7 by /rik+ ,9 implem5t+ or improv+ & all t foll[s ?r\gh 7a77#a77;,b7 & ins]t+ ,9 e/abli%+1 improv+1 or ma9ta9+ a controll$ sub/ance monitor+ program "u ?is section1 a ,/ate %all comply1 or ) respect to a ,/ate t applies = a grant "u subp>agraph 7,b7 or 7,c7 ( subsection 7a77#a72 & 7ii7 by /rik+ public heal? & ins]t+ public heal? or public safety2 & 7,b7 by add+ at ! end ! foll[+3 7#e7 ,! ,/ate %all report to ! ,secret>y on-- 7,a7 z appropriate1 int]op]ability ) ! controll$ sub/ance monitor+ programs ( ,f$]al dep>tm5ts & ag5cies2 7,b7 z appropriate1 int]op]ability ) heal? in=mation te*nology sy/ems su* z electronic heal? records sy/ems1 heal? in=mation ex*anges1 & e-prescrib+ sy/ems2 & 7,c7 :e!r or n ! ,/ate provides automatic1 real-"t or daily in=mation ab\t a pati5t :5 a practition] 7or ! designee ( a practition]1 :]e p]mitt$7 reque/s in=mation ab\t su* pati5t4 2 7#e7 9 subsections 7e71 7f77#a71 & 7g71 by /rik+ implem5t+ or improv+ ea* place x appe>s & ins]t+ e/abli%+1 improv+1 or ma9ta9+2 7#f7 9 subsection 7f7-- 7,a7 9 p>agraph 7#a7-- 7i7 9 subp>agraph 7,b71 by /rik+ misuse ( a s*$ule ,,ii1 ,,iii1 or ,,iv sub/ance & ins]t+ misuse ( a controll$ sub/ance includ$ 9 s*$ule ,,ii1 ,,iii1 or ,,iv ( section #bjb7;c7 ( ! ,controll$ ,sub/ance ,act2 & 7ii7 9 subp>agraph 7,d71 by ins]t+ a ,/ate sub/ance abuse ag5cy1 aft] a ,/ate heal? dep>tm5t12 & 7,b7 by add+ at ! end ! foll[+3 7#c7 ,evaluation & report+ ,subject to subsection 7g71 a ,/ate receiv+ a grant "u subsection 7a7 %all provide ! ,secret>y ) aggregate data & o!r in=mation det]m9$ by ! ,secret>y to be necess>y to enable ! ,secret>y-- 7,a7 to evaluate ! success ( ! ,/ate's program 9 a*iev+ its purposes2 or 7,b7 to prep>e & submit ! report to ,congress requir$ by subsection 7l77#b74 7#d7 ,rese>* by o!r entities ,a dep>tm5t1 program1 or adm9i/ration receiv+ nonid5tifiable in=mation "u p>agraph 7#a77;,d7 may make su* in=mation available to o!r entities = rese>* purposes4 2 7#g7 by r$esignat+ subsections 7h7 ?r\gh 7n7 z subsections 7j7 ?r\gh 7p71 respectively2 7#h7 9 subsections 7c77#a77;,a77iv7 & 7d77#d71 by /rik+ subsection 7h7 ea* place x appe>s & ins]t+ subsection 7j72 7#i7 by ins]t+ aft] subsection 7g7 ! foll[+3 7h7 ,education & access to ! monitor+ sy/em ,a ,/ate receiv+ a grant "u subsection 7a7 %all take /eps to-- 7#a7 facilitate prescrib] & disp5s] use ( ! ,/ate's controll$ sub/ance monitor+ sy/em2 7#b7 educate prescrib]s & disp5s]s on ! b5efits ( ! sy/em bo? to !m & society2 & 7#c7 facilitate l9kage to ! ,/ate sub/ance abuse ag5cy & sub/ance abuse disord] s]vices4 7i7 ,consultation ) ,attorney ,g5]al ,9 c>ry+ out ?is section1 ! ,secret>y %all consult ) ! ,attorney ,g5]al ( ! ,unit$ ,/ates & o!r relevant ,f$]al (ficials to-- 7#a7 ensure maximum coord9ation ( controll$ sub/ance monitor+ programs & relat$ activities2 & 7#b7 m9imize duplicative ef=ts & fund+4 2 7#aj7 9 subsection 7l77#b77;,a71 z r$esignat$ by p>agraph 7#g7-- 7,a7 9 clause 7ii71 by ins]t+ 2 e/abli%$ or /r5g!n$ initiatives to ensure l9kages to sub/ance use disord] s]vices2 be=e or affect$ pati5t access2 & 7,b7 9 clause 7iii71 by ins]t+ & betwe5 controll$ sub/ance monitor+ programs & heal? in=mation te*nology sy/ems be=e 1 includ+ an assessm5t2 7#aa7 by /rik+ subsection 7m7 7relat+ to pref]5ce71 z r$esignat$ by p>agraph 7#g72 7#ab7 by r$esignat+ subsections 7n7 ?r\gh 7p71 z r$esignat$ by p>agraph 7#g71 z subsections 7m7 ?r\gh 7o71 respectively2 7#ac7 9 subsection 7m77#a71 z r$esignat$ by p>agraph 7#ab71 by /rik+ e/abli%m5t1 implem5tation1 or improvem5t & ins]t+ e/abli%m5t1 improvem5t1 or ma9t5ance2 7#ad7 9 subsection 7n71 z r$esignat$ by p>agraph 7#ab7-- 7,a7 9 p>agraph 7#e7-- 7i7 by /rik+ means ! ability & ins]t+ ! foll[+3 means-- 7,a7 ! ability 2 7ii7 by /rik+ ! p]iod at ! end & ins]t+ 2 or2 & 7iii7 by add+ at ! end ! foll[+3 7,b7 %>+ ( ,/ate controll$ sub/ance monitor+ program in=mation ) a heal? in=mation te*nology sy/em su* z an electronic heal? records sy/em1 a heal? in=mation ex*ange1 or an e-prescrib+ sy/em4 2 7,b7 9 p>agraph 7#g71 by /rik+ ph>macy & ins]t+ ph>maci/2 & 7,c7 9 p>agraph 7#h71 by /rik+ & ! ,di/rict ( ,columbia & ins]t+ 1 ! ,di/rict ( ,columbia1 & any commonweal? or t]ritory ( ! ,unit$ ,/ates2 & 7#ae7 by am5d+ subsection 7o71 z r$esignat$ by p>agraph 7#ab71 to read z foll[s3 7o7 ,au?orization ( appropriations ,to c>ry out ?is section1 !re is au?oriz$ to be appropriat$ #aj1jjj1jjj = ea* ( fiscal ye>s f #bjaf ?r\gh #bjbj4 4 ,am5d ! title s z to read3 ,an ,act to au?orize ! ,attorney ,g5]al & ,secret>y ( ,heal? & ,human ,s]vices to aw>d grants to address ! national epidemics ( prescription opioid abuse & h]o9 use1 & to provide = ! e/abli%m5t ( an int]-ag5cy task =ce to review1 modify1 & update be/ practices = pa9 managem5t & prescrib+ pa9 m$ication1 & = o!r purposes44 ,cl]k4