#aad? ,,congress #b;d ,session ,s4 #ebd ,,an ,,act ,to au?orize ! ,attorney ,g5]al to aw>d grants to address ! national epidemics ( prescription opioid abuse & h]o9 use4 #a4 ,%ort title2 table ( cont5ts 7a7 ,%ort title ,?is ,act may be cit$ z ! ,compreh5sive ,addiction & ,recov]y ,act ( #bjaf4 7b7 ,table ( cont5ts ,! table ( cont5ts = ?is ,act is z foll[s3 ,sec4 #a4 ,%ort title2 table ( cont5ts4,sec4 #b4 ,f9d+s4,sec4 #c4 ,def9itions4,,title ,i--,prev5tion & education,sec4 #aja4 ,developm5t ( be/ practices = ! prescrib+ ( prescription opioids4,sec4 #ajb4 ,aw>5ess campaigns4,sec4 #ajc4 ,community-bas$ coalition enhancem5t grants to address local drug crises4,,title ,,ii--,law en=cem5t & treatment,sec4 #bja4 ,treatm5t alt]native to inc>c]ation programs4,sec4 #bjb4 ,fir/ respond] tra9+ = ! use ( drugs & devices t rapidly rev]se ! effects ( opioids4,sec4 #bjc4 ,prescription drug take back expansion4,sec4 #bjd4 ,h]o9 & me?amphetam9e task =ces4,,title ,,iii--,treatm5t & recovery,sec4 #cja4 ,evid5ce-bas$ prescription opioid & h]o9 treatm5t & int]v5tions demon/ration4,sec4 #cjb4 ,crim9al ju/ice m$ication assi/$ treatm5t & int]v5tions demon/ration4,sec4 #cjc4 ,national y\? recov]y initiative4,sec4 #cjd4 ,build+ communities ( recov]y4,,title ,,iv--,address+ collat]al consequences,sec4 #dja4 ,correctional education demon/ration grant program4,sec4 #djb4 ,national ,task ,=ce on ,recov]y & ,collat]al ,consequ5ces4,,title ,v--,addiction & treatm5t s]vices = wom51 families1 & veterans,sec4 #eja4 ,improv+ treatm5t = pregnant & po/p>tum wom54,sec4 #ejb4 ,report on grants = family-bas$ sub/ance abuse treatm5t4,sec4 #ejc4 ,vet]ans' treatm5t c\rts4,,title ,,vi--,inc5tiviz+ ,/ate compreh5sive initiatives to address prescription opioid & h]o9 abuse,sec4 #fja4 ,/ate demon/ration grants = compreh5sive opioid abuse response4,,title ,,vii--,miscellaneous,sec4 #gja4 ,,gao report on ,,imd exclusion4,sec4 #gjb4 ,fund+4,sec4 #gjc4 ,con=m+ am5dm5ts4,sec4 #gjd4 ,grant acc\ntability4,sec4 #gje4 ,programs to prev5t prescription drug abuse "u ! ,m$ic>e program4,,title ,,viii--,transnational ,drug ,traffick+ ,act ,sec4 #hja4 ,%ort title4 ,sec4 #hjb4 ,possession1 manufacture or di/ribution = purposes ( unlawful importations4 ,sec4 #hjc4 ,traffick+ 9 c\nt]feit goods or s]vices4 #b4 ,f9d+s ,congress f9ds ! foll[+3 7#a7 ,! abuse ( h]o9 & prescription opioid pa9kill]s is hav+ a deva/at+ effect on public heal? & safety 9 communities across ! ,unit$ ,/ates4 ,accord+ to ! ,c5t]s = ,disease ,control & ,prev5tion1 drug ov]dose dea?s n[ surpass traffic accid5ts 9 ! numb] ( dea?s caus$ by injury 9 ! ,unit$ ,/ates4 ,9 #bjad1 an av]age ( m ?an #abj p 9 ! ,unit$ ,/ates di$ f drug ov]doses e day4 7#b7 ,accord+ to ! ,national ,in/itute on ,drug ,abuse 7commonly kn[n z ,,nida71 ! numb] ( prescriptions = opioids increas$ f approximately #gf1jjj1jjj 9 #aiia to ne>ly #bjg1jjj1jjj 9 #bjac1 & ! ,unit$ ,/ates is ! bigge/ consum] ( opioids globally1 acc\nt+ = almo/ #ajj p]c5t ( ! _w total = hydrocodone & #ha p]c5t = oxycodone4 7#c7 ,opioid pa9 reliev]s are ! mo/ widely misus$ or abus$ controll$ prescription drugs 7commonly ref]r$ to z ,c,p,ds7 & are involv$ 9 mo/ ,,cpd-relat$ ov]dose incid5ts4 ,accord+ to ! ,drug ,abuse ,w>n+ ,network 7commonly kn[n z ,,dawn71 ! e/imat$ numb] ( em]g5cy dep>tm5t visits involv+ nonm$ical use ( prescription opiates or opioids increas$ by #aab p]c5t betwe5 #bjjf & #bjaj1 f #hd1fga to #agi1ghg4 7#d7 ,! use ( h]o9 9 ! ,unit$ ,/ates has also spik$ %>ply 9 rec5t ye>s4 ,accord+ to ! mo/ rec5t ,national ,survey on ,drug ,use & ,heal?1 m ?an #ijj1jjj p 9 ! ,unit$ ,/ates report$ us+ h]o9 9 #bjad1 ne>ly a #ce p]c5t increase f ! previ\s ye>4 ,h]o9 ov]dose dea?s m ?an tripl$ f #bjaj to #bjad4 7#e7 ,! supply ( *eap h]o9 available 9 ! ,unit$ ,/ates has increas$ dramatically z well1 l>gely due to ! activity ( ,mexican drug traffick+ organizations4 ,! ,drug ,en=cem5t ,adm9i/ration 7commonly kn[n z ! ,,dea7 e/imates t h]o9 seizures at ! ,mexican bord] h m ?an d\bl$ s9ce #bjaj1 & h]o9 production 9 ,mexico increas$ #fb p]c5t f #bjac to #bjad4 ,:ile only #h p]c5t ( ,/ate & local law en=cem5t (ficials across ! ,unit$ ,/ates id5tifi$ h]o9 z ! greate/ drug ?reat 9 _! area 9 #bjjh1 t numb] rose to #ch p]c5t 9 #bjae4 7#f7 ,law en=cem5t (ficials & treatm5t exp]ts ?r\gh\t ! c\ntry report t _m p :o h misus$ prescription opioids h turn$ to h]o9 z a *eap] or m easily obta9$ alt]native to prescription opioids4 7#g7 ,accord+ to a report by ! ,national ,association ( ,/ate ,alcohol & ,drug ,abuse ,directors 7commonly ref]r$ to z ,,nasadad71 #cg ,/ates report$ an increase 9 admissions to treatm5t = h]o9 use dur+ ! pa/ #b ye>s1 :ile admissions to treatm5t = prescription opiates increas$ #ejj p]c5t f #bjjj to #bjab4 7#h7 ,rese>* indicates t combat+ ! opioid crisis1 includ+ abuse ( prescription pa9kill]s &1 increas+ly1 h]o91 requires a multiprong$ approa* t involves prev5tion1 education1 monitor+1 law en=cem5t initiatives1 r$uc+ drug div]sion & ! supply ( illicit drugs1 exp&+ deliv]y ( exi/+ treatm5ts 7includ+ m$ication assi/$ treatm5ts71 exp&+ access to ov]dose m$ications & int]v5tions1 & ! developm5t ( new m$ications = pa9 t c augm5t ! exi/+ treatm5t ars5al4 7#i7 ,sub/ance use disord]s are a treatable disease4 ,discov]ies 9 ! sci5ce ( addiction h l$ to advances 9 ! treatm5t ( sub/ance use disord]s t help p /op abus+ drugs & prescription m$ications & resume _! productive lives4 7#aj7 ,accord+ to ! ,national ,survey on ,drug ,use & ,heal?1 approximately #bb1gjj1jjj p 9 ! ,unit$ ,/ates ne$$ sub/ance use disord] treatm5t 9 #bjac1 b only #b1ejj1jjj p receiv$ x4 ,fur!rmore1 curr5t treatm5t s]vices are n adequate to meet dem&4 ,accord+ to a report commission$ by ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration 7commonly kn[n z ,,samhsa71 !re are approximately #cb provid]s = e #a1jjj individuals ne$+ sub/ance use disord] treatm5t4 ,9 "s ,/ates1 ! ratio is mu* l[]4 7#aa7 ,! ov]all co/ ( drug abuse1 f heal? c>e- & crim9al ju/ice-relat$ co/s to lo/ productivity1 is /eep1 total+ m ?an #gjj1jjj1jjj1jjj a ye>1 accord+ to ,,nida4 ,effective sub/ance abuse prev5tion c yield major economic divid5ds4 7#ab7 ,accord+ to ,,nida1 :5 s*ools & communities prop]ly implem5t sci5ce-validat$ sub/ance abuse prev5tion programs1 abuse ( alcohol1 tobacco1 & illicit drugs is r$uc$4 ,su* programs help tea*]s1 p>5ts1 & heal?c>e pr(essionals %ape ! p]ceptions ( y\?s ab\t ! risks ( drug abuse4 7#ac7 ,div]t+ c]ta9 individuals ) sub/ance use disord]s f crim9al ju/ice sy/ems into community-bas$ treatm5t c save billions ( doll>s & prev5t sizeable numb]s ( crimes1 arre/s1 & re-inc>c]ations ov] ! c\rse ( ^? individuals' lives4 7#ad7 ,accord+ to ! ,,dea1 m ?an #b1gjj tons ( expir$1 unwant$ prescription m$ications h be5 collect$ s9ce ! enactm5t ( ! ,secure & ,responsible ,drug ,disposal ,act ( #bjaj 7,public ,law #aaa-bgc2 #abd ,/at4 #bheh74 7#ae7 ,fai?-bas$1 holi/ic1 or drug-free models c provide a critical pa? to successful recov]y = a numb] ( p 9 ! ,unit$ ,/ates4 ,! #bjae memb]%ip survey conduct$ by ,alcoholics ,anonym\s 7commonly kn[n z ,,aa7 f\nd t #gc p]c5t ( ,,aa memb]s 7 sob] long] ?an #a ye> & att5d$ #b4e meet+s p] week4 7#af7 ,rese>* %[s t comb9+ treatm5t m$ications ) behavioral !rapy is an effective way to facilitate success = "s pati5ts4 ,treatm5t approa*es mu/ be tailor$ to address ! drug abuse patt]ns & drug-relat$ m$ical1 psy*iatric1 & social problems ( ea* individual4 ,diff]5t types ( m$ications may be useful at diff]5t /ages ( treatm5t or recov]y to help a pati5t /op us+ drugs1 /ay 9 treatm5t1 & avoid relapse4 ,pati5ts h a range ( options reg>d+ _! pa? to recov]y & _m h also successfully address$ drug abuse ?r\gh ! use ( fai?-bas$1 holi/ic1 or drug-free models4 7#ag7 ,individuals ) m5tal illness1 especially sev]e m5tal illness1 are at consid]ably high] risk = sub/ance abuse ?an ! g5]al population1 & ! pres5ce ( a m5tal illness complicates recov]y f sub/ance abuse4 7#ah7 ,rural communities are especially susceptible to h]o9 & opioid abuse4 ,individuals 9 rural c\nties h high] rates ( drug poison+ dea?s1 includ+ dea?s f opioids4 ,accord+ to ! ,am]ican ,j\rnal ( ,public ,heal?1 ,opioid poison+s 9 nonmetropolitan c\nties h increas$ at a rate great] ?an ?reefold ! increase 9 metropolitan c\nties4 ,accord+ to a ,febru>y #ai1 #bjaf1 report f ! ,ma9e ,rural ,heal? ,rese>* ,c5t]1 ,multiple /udies docum5t a high] preval5ce ( abuse among specific vuln]able rural populations1 p>ticul>ly among y\?1 wom5 :o are pregnant or exp]i5c+ p>tn] viol5ce1 & p]sons ) co-occurr+ disord]s4 #c4 ,def9itions ,9 ?is ,act-- 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]g5cies2 7#b7 ! t]m m$ication assi/$ treatm5t means ! use1 = problems relat+ to h]o9 & o!r opioids1 ( m$ications approv$ by ! ,food & ,drug ,adm9i/ration 9 comb9ation ) c\nsel+ & behavioral !rapies2 7#c7 ! t]m opioid means any drug 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+ liability2 & 7#d7 ! t]m ,/ate means any ,/ate ( ! ,unit$ ,/ates1 ! ,di/rict ( ,columbia1 ! ,commonweal? ( ,pu]to ,rico1 & any t]ritory or possession ( ! ,unit$ ,/ates4 ,i ,prev5tion & education #aja4 ,developm5t ( be/ practices = ! prescrib+ ( 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 ! ,national ,academy ( ,m$ic9e2 7,h7 ! ,national ,in/itutes ( ,heal?2 7,i7 ! ,(fice ( ,national ,drug ,control ,policy2 & 7,j7 ! ,(fice ( ,rural ,heal? ,policy ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices2 7#b7 physicians1 d5ti/s1 & nonphysician prescrib]s2 7#c7 ph>maci/s2 7#d7 exp]ts 9 ! fields ( pa9 rese>* & addiction rese>*2 7#e7 repres5tatives (-- 7,a7 pa9 managem5t pr(essional organizations2 7,b7 ! m5tal heal? treatm5t community2 7,c7 ! addiction treatm5t community2 7,d7 pa9 advocacy gr\ps2 & 7,e7 gr\ps ) exp]tise ar\nd ov]dose rev]sal2 & 7#f7 o!r /akehold]s1 z ! ,secret>y det]m9es appropriate4 7d7 ,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 recomm5dations f relevant conf]5ces & exi/+ relevant evid5ce-bas$ guidel9es2 7,c7 ongo+ ef=ts at ! ,/ate & local levels & by m$ical pr(essional organizations to develop improv$ pa9 managem5t /rategies1 includ+ consid]ation ( alt]natives to opioids to r$uce opioid mono!rapy 9 appropriate cases2 7,d7 ! 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,e7 ! ,propos$ #bjaf ,guidel9e = ,prescrib+ ,opioids = ,*ronic ,pa9 issu$ by ! ,c5t]s = ,disease ,control & ,prev5tion 7#hj ,f$4 ,reg4 #ggcea 7,decemb] #ad1 #bjae77 & any f9al guidel9es issu$ by ! ,c5t]s = ,disease ,control & ,prev5tion2 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 to /akehold]s1 z appropriate4 7e7 ,limitation ,! task =ce %all n h rulemak+ au?ority4 7f7 ,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 review$1 modifi$1 or updat$ "u subsection 7d72 & 7#b7 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/ration4 #ajb4 ,aw>5ess campaigns 7a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices1 9 coord9ation ) ! ,attorney ,g5]al1 %all advance ! education & aw>5ess ( ! public1 provid]s1 pati5ts1 consum]s1 & o!r appropriate entities reg>d+ ! risk ( abuse ( prescription opioid drugs if su* products are n tak5 z prescrib$1 includ+ opioid & me?adone abuse4 ,su* education & aw>5ess campaigns %all include in=mation on ! dang]s ( opioid abuse1 h[ to prev5t opioid abuse includ+ ?r\gh safe disposal ( prescription m$ications & o!r safety precautions1 & detection ( e>ly w>n+ signs ( addiction4 7b7 ,drug-,free ,m$ia ,campaign 7#a7 ,9 g5]al ,! ,(fice ( ,national ,drug ,control ,policy1 9 coord9ation ) ! ,secret>y ( ,heal? & ,human ,s]vices & ! ,attorney ,g5]al1 %all e/abli% a national drug aw>5ess campaign4 7#b7 ,requirem5ts ,! national drug aw>5ess campaign requir$ "u p>agraph 7#a7 %all-- 7,a7 take into acc\nt ! association betwe5 prescription opioid abuse & h]o9 use2 7,b7 emphasize ! simil>ities betwe5 h]o9 & prescription opioids & ! effects ( h]o9 & prescription opioids on ! human body2 & 7,c7 br+ great] public aw>5ess to ! dang]\s effects ( f5tanyl :5 mix$ ) h]o9 or abus$ 9 a simil> mann]4 #ajc4 ,community-bas$ coalition enhancem5t grants to address local drug crises ,"p ,,ii ( title ,i ( ! ,omnibus ,crime ,control & ,safe ,/reets ,act ( #aifh 7#db ,u4,s4,c4 #cgig;cc et seq47 is am5d$ by /rik+ section #biig & ins]t+ ! foll[+3 #biig4 ,community-bas$ coalition enhancem5t grants to address local drug crises 7a7 ,def9itions ,9 ?is section-- 7#a7 ! t]m ,drug-,free ,communities ,act ( #aiig means *apt] #b ( ! ,national ,n>cotics ,lead]%ip ,act ( #aihh 7#ba ,u4,s4,c4 #aeba et seq472 7#b7 ! t]m eligible entity means an organization t-- 7,a7 on or be=e ! date ( submitt+ an application = a grant "u ?is section1 receives or has receiv$ a grant "u ! ,drug-,free ,communities ,act ( #aiig2 & 7,b7 has docum5t$1 us+ local data1 rates ( abuse ( opioids or me?amphetam9es at levels t are-- 7i7 significantly high] ?an ! national av]age z det]m9$ by ! ,secret>y 7includ+ appropriate consid]ation ( ! results ( ! ,monitor+ ! ,future ,survey publi%$ by ! ,national ,in/itute on ,drug ,abuse & ! ,national ,survey on ,drug ,use & ,heal? publi%$ by ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration72 or 7ii7 high] ?an ! national av]age1 z det]m9$ by ! ,secret>y 7includ+ appropriate consid]ation ( ! results ( ! surveys describ$ 9 clause 7i771 ov] a su/a9$ p]iod ( "t2 7#c7 ! t]m local drug crisis means1 ) respect to ! area s]v$ by an eligible entity-- 7,a7 a sudd5 increase 9 ! abuse ( opioids or me?amphetam9es1 z docum5t$ by local data2 7,b7 ! abuse ( prescription m$ications1 specifically opioids or me?amphetam9es1 t is significantly high] ?an ! national av]age1 ov] a su/a9$ p]iod ( "t1 z docum5t$ by local data2 or 7,c7 a sudd5 increase 9 opioid-relat$ dea?s1 z docum5t$ by local data2 7#d7 ! t]m opioid means any drug 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+ liability2 & 7#e7 ! t]m ,secret>y means ! ,secret>y ( ,heal? & ,human ,s]vices4 7b7 ,program au?oriz$ ,! ,secret>y1 9 coord9ation ) ! ,director ( ! ,(fice ( ,national ,drug ,control ,policy1 may make grants to eligible entities to implem5t compreh5sive community-wide /rategies t address local drug crises )9 ! area s]v$ by ! eligible entity4 7c7 ,application 7#a7 ,9 g5]al ,an eligible entity seek+ a grant "u ?is section %all submit an application to ! ,secret>y at su* "t1 9 su* mann]1 & accompani$ by su* in=mation z ! ,secret>y may require4 7#b7 ,crit]ia ,z "p ( an application = a grant "u ?is section1 ! ,secret>y %all require an eligible entity to submit a detail$1 compreh5sive1 multisector plan = address+ ! local drug crisis )9 ! area s]v$ by ! eligible entity4 7d7 ,use ( funds ,an eligible entity %all use a grant receiv$ "u ?is section-- 7#a7 = programs design$ to implem5t compreh5sive community-wide prev5tion /rategies to address ! local drug crisis 9 ! area s]v$ by ! eligible entity1 9 accordance ) ! plan submitt$ "u subsection 7c77#b72 & 7#b7 to obta9 specializ$ tra9+ & te*nical assi/ance f ! organization fund$ "u section #d ( ,public ,law #ajg-hb 7#ba ,u4,s4,c4 #aeba note74 7e7 ,supplem5t n supplant ,an eligible entity %all use ,f$]al funds receiv$ "u ?is section only to supplem5t ! funds t w\ld1 9 ! abs5ce ( ^? ,f$]al funds1 be made available f o!r ,f$]al & non-,f$]al s\rces = ! activities describ$ 9 ?is section1 & n to supplant ^? funds4 7f7 ,evaluation ,a grant "u ?is section %all be subject to ! same evaluation requirem5ts & proc$ures z ! evaluation requirem5ts & proc$ures impos$ on ! recipi5t ( a grant "u ! ,drug-,free ,communities ,act ( #aiig1 & may also include an evaluation ( ! effectiv5ess at r$uc+ abuse ( opioids1 me?adone1 or me?amphetam9es4 7g7 ,limitation on adm9i/rative exp5ses ,n m ?an #h p]c5t ( ! am\nts made available to c>ry out ?is section = a fiscal ye> may be us$ by ! ,secret>y to pay = adm9i/rative exp5ses4 4 ,,ii ,law en=cem5t & treatm5t #bja4 ,treatm5t alt]native to inc>c]ation programs 7a7 ,def9itions ,9 ?is section3 7#a7 ,eligible entity ,! t]m eligible entity means a ,/ate1 unit ( local gov]nm5t1 ,indian tribe1 or nonpr(it organization4 7#b7 ,eligible p>ticipant ,! t]m eligible p>ticipant means an individual :o-- 7,a7 comes into contact ) ! juv5ile ju/ice sy/em or crim9al ju/ice sy/em or is arre/$ or *>g$ ) an (f5se t is n-- 7i7 a crime ( viol5ce1 z def9$ "u applicable ,/ate law or section #caef ( title #ah1 ,unit$ ,/ates ,code2 or 7ii7 a s]i\s drug (f5se1 z def9$ "u section #ibd7;e77#b77;,a7 ( title #ah1 ,unit$ ,/ates ,code2 7,b7 has be5 scre5$ by a qualifi$ m5tal heal? pr(essional & det]m9$ to suff] f a sub/ance use disord]1 or co-occurr+ m5tal illness & sub/ance use disord]1 t !re is a reasonable basis to believe is relat$ to ! commission ( ! (f5se2 & 7,c7 has be51 aft] consid]ation ( any pot5tial risk ( viol5ce to any p]son 9 ! program or ! public if ! individual 7 select$ to p>ticipate 9 ! program1 unanim\sly approv$ = p>ticipation 9 a program fund$ "u ?is section by1 z applicable dep5d+ on ! /age ( ! crim9al ju/ice process-- 7i7 ! relevant law en=cem5t ag5cy2 7ii7 ! prosecut+ attorney2 7iii7 ! def5se attorney2 7iv7 ! pretrial1 probation1 or correctional (fic]2 7v7 ! judge2 & 7vi7 a repres5tative f ! relevant m5tal heal? or sub/ance abuse ag5cy4 7b7 ,program au?oriz$ ,! ,secret>y ( ,heal? & ,human ,s]vices1 9 coord9ation ) ! ,attorney ,g5]al1 may make grants to eligible entities to-- 7#a7 develop1 implem5t1 or exp& a treatm5t alt]native to inc>c]ation program = eligible p>ticipants1 includ+-- 7,a7 pre-book+1 includ+ pre-arre/1 treatm5t alt]native to inc>c]ation programs1 includ+-- 7i7 law en=cem5t tra9+ on sub/ance use disord]s & co-occurr+ m5tal illness & sub/ance use disord]s2 7ii7 receiv+ c5t]s z alt]natives to inc>c]ation ( eligible p>ticipants2 7iii7 specializ$ response units = calls relat$ to sub/ance use disord]s & co-occurr+ m5tal illness & sub/ance use disord]s2 & 7iv7 o!r pre-arre/ or pre-book+ treatm5t alt]native to inc>c]ation models2 & 7,b7 po/-book+ treatm5t alt]native to inc>c]ation programs1 includ+-- 7i7 specializ$ cl9ical case managem5t2 7ii7 pretrial s]vices relat$ to sub/ance use disord]s & co-occurr+ m5tal illness & sub/ance use disord]s2 7iii7 prosecutor & def5d] bas$ programs2 7iv7 specializ$ probation2 7v7 programs utiliz+ ! ,am]ican ,society ( ,addiction ,m$ic9e pati5t placem5t crit]ia2 7vi7 treatm5t & rehabilitation programs & recov]y support s]vices2 & 7vii7 drug c\rts1 ,,dwi c\rts1 & vet]ans treatm5t c\rts2 & 7#b7 facilitate or enhance plann+ & collaboration betwe5 ,/ate crim9al ju/ice sy/ems & ,/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 ! use ( h]o9 & misuse ( prescription drugs among eligible p>ticipants4 7c7 ,application 7#a7 ,9 g5]al ,an eligible entity seek+ a grant "u ?is section %all submit an application to ! ,secret>y ( ,heal? & ,human ,s]vices-- 7,a7 t meets ! crit]ia "u p>agraph 7#b72 & 7,b7 at su* "t1 9 su* mann]1 & accompani$ by su* in=mation z ! ,secret>y ( ,heal? & ,human ,s]vices may require4 7#b7 ,crit]ia ,an eligible entity1 9 submitt+ an application "u p>agraph 7#a71 %all-- 7,a7 provide ext5sive evid5ce ( collaboration ) ,/ate & local gov]nm5t ag5cies ov]see+ heal?1 community corrections1 c\rts1 prosecution1 sub/ance abuse1 m5tal heal?1 victims s]vices1 & employm5t s]vices1 & ) local law en=cem5t ag5cies2 7,b7 demon/rate consultation ) ! ,s+le ,/ate ,au?ority = ,sub/ance ,abuse 7z def9$ 9 section #bja7;e7 ( ! ,second ,*ance ,act ( #bjjg 7#db ,u4,s4,c4 #ageba7;e7772 7,c7 demon/rate consultation ) ! ,s+le ,/ate crim9al ju/ice plann+ ag5cy2 7,d7 demon/rate t evid5ce-bas$ treatm5t practices1 includ+ if applicable ! use ( m$ication assi/$ treatm5t1 w be utiliz$2 & 7,e7 demon/rate t evid5c$-bas$ scre5+ & assessm5t tools w be utiliz$ to place p>ticipants 9 ! treatm5t alt]native to inc>c]ation program4 7d7 ,requirem5ts ,ea* eligible entity aw>d$ a grant = a treatm5t alt]native to inc>c]ation program "u ?is section %all-- 7#a7 det]m9e ! t]ms & conditions ( p>ticipation 9 ! program by eligible p>ticipants1 tak+ into consid]ation ! collat]al consequ5ces ( an arre/1 prosecution1 or crim9al conviction2 7#b7 ensure t ea* sub/ance abuse & m5tal heal? treatm5t compon5t is lic5s$ & qualifi$ by ! relevant jurisdiction2 7#c7 = programs describ$ 9 subsection 7b77#b71 organize an en=cem5t unit compris$ ( appropriately tra9$ law en=cem5t pr(essionals "u ! sup]vision ( ! ,/ate1 tribal1 or local crim9al ju/ice ag5cy involv$1 ! duties ( :i* %all include-- 7,a7 ! v]ification ( addresses & o!r contacts ( ea* eligible p>ticipant :o p>ticipates or desires to p>ticipate 9 ! program2 & 7,b7 if necess>y1 ! location1 appreh5sion1 arre/1 & return to c\rt ( an eligible p>ticipant 9 ! program :o has abscond$ f ! facility ( a treatm5t provid] or has o!rwise violat$ ! t]ms & conditions ( ! program1 consi/5t ) ,f$]al & ,/ate confid5tiality requirem5ts2 7#d7 notify ! relevant crim9al ju/ice entity if any eligible p>ticipant 9 ! program absconds f ! facility ( ! treatm5t provid] or o!rwise violates ! t]ms & conditions ( ! program1 consi/5t ) ,f$]al & ,/ate confid5tiality requirem5ts2 7#e7 submit p]iodic reports on ! progress ( treatm5t or o!r measur$ outcomes f p>ticipation 9 ! program ( ea* eligible p>ticipant 9 ! program to ! relevant ,/ate1 tribal1 or local crim9al ju/ice ag5cy2 7#f7 describe ! evid5ce-bas$ me?odology & outcome measurem5ts t w be us$ to evaluate ! program1 & specifically expla9 h[ su* measurem5ts w provide valid measures ( ! impact ( ! program2 & 7#g7 describe h[ ! program c\ld be broadly replicat$ if demon/rat$ to be effective4 7e7 ,use ( funds ,an eligible entity %all use a grant receiv$ "u ?is section = exp5ses ( a treatm5t alt]native to inc>c]ation program1 includ+-- 7#a7 sal>ies1 p]sonnel co/s1 equipm5t co/s1 & o!r co/s directly relat$ to ! op]ation ( ! program1 includ+ ! en=cem5t unit2 7#b7 paym5ts = treatm5t provid]s t are approv$ by ! relevant ,/ate or tribal jurisdiction & lic5s$1 if necess>y1 to provide ne$$ treatm5t to eligible p>ticipants 9 ! program1 includ+ m$ication assi/$ treatm5t1 aft]c>e sup]vision1 vocational tra9+1 education1 & job placem5t2 7#c7 paym5ts to public & nonpr(it private entities t are approv$ by ! ,/ate or tribal jurisdiction & lic5s$1 if necess>y1 to provide alcohol & drug addiction treatm5t & m5tal heal? treatm5t to eligible p>ticipants 9 ! program2 & 7#d7 sal>ies1 p]sonnel co/s1 & o!r co/s relat$ to /rategic plann+ among ,/ate & local gov]nm5t ag5cies4 7f7 ,supplem5t n supplant ,an eligible entity %all use ,f$]al funds receiv$ "u ?is section only to supplem5t ! funds t w\ld1 9 ! abs5ce ( ^? ,f$]al funds1 be made available f o!r ,f$]al & non-,f$]al s\rces = ! activities describ$ 9 ?is section1 & n to supplant ^? funds4 7g7 ,geographic di/ribution ,! ,secret>y ( ,heal? & ,human ,s]vices %all ensure t1 to ! ext5t practicable1 ! geographical di/ribution ( grants "u ?is section is equitable & includes a grant to an eligible entity 9-- 7#a7 ea* ,/ate2 7#b7 rural1 suburban1 & urban areas2 & 7#c7 tribal jurisdictions4 7h7 ,priority consid]ation ) respect to ,/ates ,9 aw>d+ grants to ,/ates "u ?is section1 ! ,secret>y ( ,heal? & ,human ,s]vices %all give priority to-- 7#a7 a ,/ate t submits a jo9t application f ! sub/ance abuse ag5cies & crim9al ju/ice ag5cies ( ! ,/ate t proposes to use grant funds to facilitate or enhance plann+ & collaboration betwe5 ! ag5cies1 includ+ coord9ation to bett] address ! ne$s ( inc>c]at$ populations2 & 7#b7 a ,/ate t-- 7,a7 provides civil liability protection = fir/ respond]s1 heal? pr(essionals1 & family memb]s :o h receiv$ appropriate tra9+ 9 ! adm9i/ration ( naloxone 9 adm9i/]+ naloxone to c\nt]act opioid ov]doses2 & 7,b7 submits to ! ,secret>y a c]tification by ! attorney g5]al ( ! ,/ate t ! attorney g5]al has-- 7i7 review$ any applicable civil liability protection law to det]m9e ! applicability ( ! law ) respect to fir/ respond]s1 heal? c>e pr(essionals1 family memb]s1 & o!r individuals :o-- 7,i7 h receiv$ appropriate tra9+ 9 ! adm9i/ration ( naloxone2 & 7,,ii7 may adm9i/] naloxone to individuals reasonably believ$ to be suff]+ f opioid ov]dose2 & 7ii7 conclud$ t ! law describ$ 9 subp>agraph 7,a7 provides adequate civil liability protection applicable to su* p]sons4 7i7 ,reports & evaluations 7#a7 ,9 g5]al ,ea* fiscal ye>1 ea* recipi5t ( a grant "u ?is section dur+ t fiscal ye> %all submit to ! ,secret>y ( ,heal? & ,human ,s]vices a report on ! outcomes ( activities c>ri$ out us+ t grant 9 su* =m1 conta9+ su* in=mation1 & on su* dates z ! ,secret>y ( ,heal? & ,human ,s]vices %all specify4 7#b7 ,cont5ts ,a report submitt$ "u p>agraph 7#a7 %all-- 7,a7 describe be/ practices = treatm5t alt]natives2 & 7,b7 id5tify tra9+ requirem5ts = law en=cem5t (fic]s :o p>ticipate 9 treatm5t alt]native to inc>c]ation programs4 7j7 ,fund+ ,dur+ ! #e-ye> p]iod beg9n+ on ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices may c>ry out ?is section us+ n m ?an #e1jjj1jjj ea* fiscal ye> ( am\nts appropriat$ to ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration = ,crim9al ,ju/ice ,activities4 ,no additional funds are au?oriz$ to be appropriat$ to c>ry out ?is section4 #bjb4 ,fir/ respond] tra9+ = ! use ( drugs & devices t rapidly rev]se ! effects ( opioids ,"p ,,ii ( title ,i ( ! ,omnibus ,crime ,control & ,safe ,/reets ,act ( #aifh 7#db ,u4,s4,c4 #cgig;cc et seq471 z am5d$ by section #ajc1 is am5d$ by add+ at ! end ! foll[+3 #biih4 ,fir/ respond] tra9+ = ! use ( drugs & devices t rapidly rev]se ! effects ( opioids 7a7 ,def9ition ,9 ?is section-- 7#a7 ! t]ms drug & device h ! mean+s giv5 ^? t]ms 9 section #bja ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cba72 7#b7 ! t]m eligible entity means a ,/ate1 a unit ( local gov]nm5t1 or an ,indian tribal gov]nm5t2 7#c7 ! t]m fir/ respond] includes a firefight]1 law en=cem5t (fic]1 p>am$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$ical1 haz>d\s mat]ial1 or o!r simil> em]g5cies2 7#d7 ! t]m opioid means any drug hav+ an addiction-=m+ or addiction-su/a9+ liability simil> to morph9e or be+ capable ( conv]sion into a drug hav+ su* addiction-=m+ or addiction-su/a9+ liability2 & 7#e7 ! t]m ,secret>y means ! ,secret>y ( ,heal? & ,human ,s]vices4 7b7 ,program au?oriz$ ,! ,secret>y1 9 coord9ation ) ! ,attorney ,g5]al1 may make grants to eligible entities to all[ appropriately tra9$ fir/ respond]s to adm9i/] an opioid ov]dose rev]sal drug to an individual :o has-- 7#a7 exp]i5c$ a prescription opioid or h]o9 ov]dose2 or 7#b7 be5 det]m9$ to h likely exp]i5c$ a prescription opioid or h]o9 ov]dose4 7c7 ,application 7#a7 ,9 g5]al ,an eligible entity seek+ a grant "u ?is section %all submit an application to ! ,secret>y-- 7,a7 t meets ! crit]ia "u p>agraph 7#b72 & 7,b7 at su* "t1 9 su* mann]1 & accompani$ by su* in=mation z ! ,secret>y may require4 7#b7 ,crit]ia ,an eligible entity1 9 submitt+ an application "u p>agraph 7#a71 %all-- 7,a7 describe ! evid5ce-bas$ me?odology & outcome measurem5ts t w be us$ to evaluate ! program fund$ ) a grant "u ?is section1 & specifically expla9 h[ su* measurem5ts w provide valid measures ( ! impact ( ! program2 7,b7 describe h[ ! program c\ld be broadly replicat$ if demon/rat$ to be effective2 7,c7 id5tify ! gov]nm5tal & community ag5cies t ! program w coord9ate2 & 7,d7 describe h[ law en=cem5t ag5cies w coord9ate ) _! correspond+ ,/ate sub/ance abuse & m5tal heal? ag5cies to id5tify protocols & res\rces t are available to ov]dose victims & families1 includ+ in=mation on treatm5t & recov]y res\rces4 7d7 ,use ( funds ,an eligible entity %all use a grant receiv$ "u ?is section to-- 7#a7 make su* opioid ov]dose rev]sal drugs or devices t are approv$ by ! ,food & ,drug ,adm9i/ration1 su* z naloxone1 available to be c>ri$ & adm9i/]$ by fir/ respond]s2 7#b7 tra9 & provide res\rces = fir/ respond]s on c>ry+ an opioid ov]dose rev]sal drug or device approv$ by ! ,food & ,drug ,adm9i/ration1 su* z naloxone1 & adm9i/]+ ! drug or device to an individual :o has exp]i5c$1 or has be5 det]m9$ to h likely exp]i5c$1 a prescription opioid or h]o9 ov]dose2 & 7#c7 e/abli% processes1 protocols1 & me*anisms = ref]ral to appropriate treatm5t1 :i* may include an outrea* coord9ator or team to connect individuals receiv+ opioid ov]dose rev]sal drugs to foll[-up s]vices4 7e7 ,te*nical assi/ance grants ,! ,secret>y %all make a grant = ! purpose ( provid+ te*nical assi/ance & tra9+ on ! use ( an opioid ov]dose rev]sal drug1 su* z naloxone1 to respond to an individual :o has exp]i5c$1 or has be5 det]m9$ to h likely exp]i5c$1 a prescription opioid or h]o9 ov]dose1 & me*anisms = ref]ral to appropriate treatm5t = an eligible entity receiv+ a grant "u ?is section4 7f7 ,evaluation ,! ,secret>y %all conduct an evaluation ( grants made "u ?is section to det]m9e-- 7#a7 ! numb] ( fir/ respond]s equipp$ ) naloxone1 or ano!r opioid ov]dose rev]sal drug1 = ! prev5tion ( fatal opioid & h]o9 ov]dose2 7#b7 ! numb] ( opioid & h]o9 ov]doses rev]s$ by fir/ respond]s receiv+ tra9+ & supplies ( naloxone1 or ano!r opioid ov]dose rev]sal drug1 ?r\gh a grant receiv$ "u ?is section2 7#c7 ! numb] ( calls = s]vice relat$ to opioid & h]o9 ov]dose2 7#d7 ! ext5t to :i* ov]dose victims & families receive in=mation ab\t treatm5t s]vices & available data describ+ treatm5t admissions2 & 7#e7 ! rese>*1 tra9+1 & naloxone1 or ano!r opioid ov]dose rev]sal drug1 supply ne$s ( fir/ respond] ag5cies1 includ+ ^? ag5cies t are n receiv+ grants "u ?is section4 7g7 ,rural areas ) limit$ access to em]g5cy m$ical s]vices ,9 mak+ grants "u ?is section1 ! ,secret>y %all ensure t n less ?an #be p]c5t ( grant funds are aw>d$ to eligible entities t are n locat$ 9 metropolitan /ati/ical areas1 z def9$ by ! ,(fice ( ,managem5t & ,budget4 4 #bjc4 ,prescription drug take back expansion 7a7 ,def9ition ( cov]$ entity ,9 ?is section1 ! t]m cov]$ entity means-- 7#a7 a ,/ate1 local1 or tribal law en=cem5t ag5cy2 7#b7 a manufactur]1 di/ributor1 or rev]se di/ributor ( prescription m$ications2 7#c7 a retail ph>macy2 7#d7 a regi/]$ n>cotic treatm5t program2 7#e7 a hospital or cl9ic ) an onsite ph>macy2 7#f7 an eligible long-t]m c>e facility2 or 7#g7 any o!r entity au?oriz$ by ! ,drug ,en=cem5t ,adm9i/ration to dispose ( prescription m$ications4 7b7 ,program au?oriz$ ,! ,attorney ,g5]al1 9 coord9ation ) ! ,adm9i/rator ( ! ,drug ,en=cem5t ,adm9i/ration1 ! ,secret>y ( ,heal? & ,human ,s]vices1 & ! ,director ( ! ,(fice ( ,national ,drug ,control ,policy1 %all coord9ate ) cov]$ entities 9 exp&+ or mak+ available disposal sites = unwant$ prescription m$ications4 #bjd4 ,h]o9 & me?amphetam9e task =ces ,"p ,,ii ( title ,i ( ! ,omnibus ,crime ,control & ,safe ,/reets ,act ( #aifh 7#db ,u4,s4,c4 #cgig;cc et seq471 z am5d$ by section #bjb1 is am5d$ by add+ at ! end ! foll[+3 #biii4 ,h]o9 & me?amphetam9e task =ces 7a7 ,def9ition ( opioid ,9 ?is section1 ! t]m opioid means any drug 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 7b7 ,au?ority ,! ,attorney ,g5]al may make grants to ,/ate law en=cem5t ag5cies = inve/igative purposes-- 7#a7 to locate or inve/igate illicit activities ?r\gh /atewide collaboration1 includ+ activities relat$ to-- 7,a7 ! di/ribution ( h]o9 or f5tanyl1 or ! unlawful di/ribution ( prescription opioids2 or 7,b7 unlawful h]o91 f5tanyl1 & prescription opioid traffick]s2 & 7#b7 to locate or inve/igate illicit activities1 includ+ precursor div]sion1 laboratories1 or me?amphetam9e traffick]s4 4 ,,iii ,treatm5t & recov]y #cja4 ,evid5ce-bas$ prescription opioid & h]o9 treatm5t & int]v5tions demon/ration ,"p ,,ii ( title ,i ( ! ,omnibus ,crime ,control & ,safe ,/reets ,act ( #aifh 7#db ,u4,s4,c4 #cgig;cc et seq471 z am5d$ by section #bjd1 is am5d$ by add+ at ! end ! foll[+3 #biii;,a4 ,evid5ce-bas$ prescription opioid & h]o9 treatm5t & int]v5tions demon/ration 7a7 ,def9itions ,9 ?is section-- 7#a7 ! t]ms ,indian tribe & tribal organization h ! mean+ giv5 ^? t]ms 9 section #d ( ! ,indian ,heal? ,c>e ,improvem5t ,act 7#be ,u4,s4,c4 #afjc772 7#b7 ! t]m m$ication assi/$ treatm5t means ! use1 = problems relat+ to h]o9 & o!r opioids1 ( m$ications approv$ by ! ,food & ,drug ,adm9i/ration 9 comb9ation ) c\nsel+ & behavioral !rapies2 7#c7 ! t]m opioid means any drug 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+ liability2 7#d7 ! t]m ,secret>y means ! ,secret>y ( ,heal? & ,human ,s]vices2 & 7#e7 ! t]m ,/ate sub/ance abuse ag5cy means ! ag5cy ( a ,/ate responsible = ! ,/ate prev5tion1 treatm5t1 & recov]y sy/em1 includ+ managem5t ( ! ,sub/ance ,abuse ,prev5tion & ,treatm5t ,block ,grant "u subp>t ,,ii ( "p ,b ( title ,,xix ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx-#ba et seq474 7b7 ,grants 7#a7 ,au?ority to make grants ,! ,secret>y1 act+ ?r\gh ! ,director ( ! ,c5t] = ,sub/ance ,abuse ,treatm5t ( ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration1 & 9 coord9ation ) ! ,attorney ,g5]al & o!r dep>tm5ts or ag5cies1 z appropriate1 may aw>d grants to ,/ate sub/ance abuse ag5cies1 units ( local gov]nm5t1 nonpr(it organizations1 & ,indian tribes or tribal organizations t h a high rate1 or h _h a rapid increase1 9 ! use ( h]o9 or o!r opioids1 9 ord] to p]mit su* entities to exp& activities1 includ+ an expansion 9 ! availability ( m$ication assi/$ treatm5t & o!r cl9ically appropriate s]vices1 ) respect to ! treatm5t ( addiction 9 ! specific geographical areas ( su* entities :]e !re is a high rate or rapid increase 9 ! use ( h]o9 or o!r opioids4 7#b7 ,nature ( activities ,! grant funds aw>d$ "u p>agraph 7#a7 %all be us$ = activities t are bas$ on reliable sci5tific evid5ce ( efficacy 9 ! treatm5t ( problems relat$ to h]o9 or o!r opioids4 7c7 ,geographic di/ribution ,! ,secret>y %all ensure t grants aw>d$ "u subsection 7b7 are di/ribut$ equitably among ! v>i\s regions ( ! ,unit$ ,/ates & among rural1 urban1 & suburban areas t are affect$ by ! use ( h]o9 or o!r opioids4 7d7 ,additional activities ,9 adm9i/]+ grants "u subsection 7b71 ! ,secret>y %all-- 7#a7 evaluate ! activities support$ by grants aw>d$ "u subsection 7b72 7#b7 dissem9ate in=mation1 z appropriate1 d]iv$ f ! evaluation z ! ,secret>y consid]s appropriate2 7#c7 provide ,/ates1 ,indian tribes & tribal organizations1 & provid]s ) te*nical assi/ance 9 connection ) ! provision ( treatm5t ( problems relat$ to h]o9 & o!r opioids2 & 7#d7 fund only ^? applications t specifically support recov]y s]vices z a critical compon5t ( ! grant program4 4 #cjb4 ,crim9al ju/ice m$ication assi/$ treatm5t & int]v5tions demon/ration 7a7 ,def9itions ,9 ?is section-- 7#a7 ! t]m crim9al ju/ice ag5cy means a ,/ate1 local1 or tribal-- 7,a7 c\rt2 7,b7 prison2 7,c7 jail2 or 7,d7 o!r ag5cy t p]=ms ! adm9i/ration ( crim9al ju/ice1 includ+ prosecution1 pretrial s]vices1 & community sup]vision2 7#b7 ! t]m eligible entity means a ,/ate1 unit ( local gov]nm5t1 or ,indian tribe2 & 7#c7 ! t]m ,secret>y means ! ,secret>y ( ,heal? & ,human ,s]vices4 7b7 ,program au?oriz$ ,! ,secret>y1 9 coord9ation ) ! ,attorney ,g5]al1 may make grants to eligible entities to implem5t m$ication assi/$ treatm5t programs ?r\gh crim9al ju/ice ag5cies4 7c7 ,application 7#a7 ,9 g5]al ,an eligible entity seek+ a grant "u ?is section %all submit an application to ! ,secret>y-- 7,a7 t meets ! crit]ia "u p>agraph 7#b72 & 7,b7 at su* "t1 9 su* mann]1 & accompani$ by su* in=mation z ! ,secret>y may require4 7#b7 ,crit]ia ,an eligible entity1 9 submitt+ an application "u p>agraph 7#a71 %all-- 7,a7 c]tify t ea* m$ication assi/$ treatm5t program fund$ ) a grant "u ?is section has be5 develop$ 9 consultation ) ! ,s+le ,/ate ,au?ority = ,sub/ance ,abuse 7z def9$ 9 section #bja7;e7 ( ! ,second ,*ance ,act ( #bjjg 7#db ,u4,s4,c4 #ageba7;e7772 & 7,b7 describe h[ data w be collect$ & analyz$ to det]m9e ! effectiv5ess ( ! program describ$ 9 subp>agraph 7,a74 7d7 ,use ( funds ,an eligible entity %all use a grant receiv$ "u ?is section = exp5ses (-- 7#a7 a m$ication assi/$ treatm5t program1 includ+ ! exp5ses ( prescrib+ m$ications recogniz$ by ! ,food & ,drug ,adm9i/ration = opioid treatm5t 9 conjunction ) psy*ological & behavioral !rapy2 7#b7 tra9+ crim9al ju/ice ag5cy p]sonnel & treatm5t provid]s on m$ication assi/$ treatm5t2 7#c7 cross-tra9+ p]sonnel provid+ behavioral heal? & heal? s]vices1 adm9i/ration ( m$ic9es1 & o!r adm9i/rative exp5ses1 includ+ requir$ reports2 & 7#d7 ! provision ( recov]y coa*es :o are responsible = provid+ m5tor%ip & transition plans to individuals re5t]+ society foll[+ inc>c]ation or alt]natives to inc>c]ation4 7e7 ,priority consid]ation ) respect to ,/ates ,9 aw>d+ grants to ,/ates "u ?is section1 ! ,secret>y %all give priority to a ,/ate t-- 7#a7 provides civil liability protection = fir/ respond]s1 heal? pr(essionals1 & family memb]s :o h receiv$ appropriate tra9+ 9 ! adm9i/ration ( naloxone 9 adm9i/]+ naloxone to c\nt]act opioid ov]doses2 & 7#b7 submits to ! ,secret>y a c]tification by ! attorney g5]al ( ! ,/ate t ! attorney g5]al has-- 7,a7 review$ any applicable civil liability protection law to det]m9e ! applicability ( ! law ) respect to fir/ respond]s1 heal? c>e pr(essionals1 family memb]s1 & o!r individuals :o-- 7i7 h receiv$ appropriate tra9+ 9 ! adm9i/ration ( naloxone2 & 7ii7 may adm9i/] naloxone to individuals reasonably believ$ to be suff]+ f opioid ov]dose2 & 7,b7 conclud$ t ! law describ$ 9 subp>agraph 7,a7 provides adequate civil liability protection applicable to su* p]sons4 7f7 ,te*nical assi/ance ,! ,secret>y1 9 coord9ation ) ! ,director ( ! ,national ,in/itute on ,drug ,abuse & ! ,attorney ,g5]al1 %all provide te*nical assi/ance & tra9+ = an eligible entity receiv+ a grant "u ?is section4 7g7 ,reports 7#a7 ,9 g5]al ,an eligible entity receiv+ a grant "u ?is section %all submit a report to ! ,secret>y on ! outcomes ( ea* grant receiv$ "u ?is section = individuals receiv+ m$ication assi/$ treatm5t1 bas$ on-- 7,a7 ! recidivism ( ! individuals2 7,b7 ! treatm5t outcomes ( ! individuals1 includ+ ma9ta9+ ab/95ce f illegal1 unau?oriz$1 & unprescrib$ or undisp5s$ opioids & h]o92 7,c7 a comp>ison ( ! co/ ( provid+ m$ication assi/$ treatm5t to ! co/ ( inc>c]ation or o!r p>ticipation 9 ! crim9al ju/ice sy/em2 7,d7 ! h\s+ /atus ( ! individuals2 & 7,e7 ! employm5t /atus ( ! individuals4 7#b7 ,cont5ts & tim+ ,ea* report describ$ 9 p>agraph 7#a7 %all be submitt$ annually 9 su* =m1 conta9+ su* in=mation1 & on su* dates z ! ,secret>y %all specify4 7h7 ,fund+ ,dur+ ! #e-ye> p]iod beg9n+ on ! date ( enactm5t ( ?is ,act1 ! ,secret>y may c>ry out ?is section us+ n m ?an #e1jjj1jjj ea* fiscal ye> ( am\nts appropriat$ to ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration = ,crim9al ,ju/ice ,activities4 ,no additional funds are au?oriz$ to be appropriat$ to c>ry out ?is section4 #cjc4 ,national y\? recov]y initiative ,"p ,,ii ( title ,i ( ! ,omnibus ,crime ,control & ,safe ,/reets ,act ( #aifh 7#db ,u4,s4,c4 #cgig;cc et seq471 z am5d$ by section #cja1 is am5d$ by add+ at ! end ! foll[+3 #biii;,b4 ,national y\? recov]y initiative 7a7 ,def9itions ,9 ?is section3 7#a7 ,eligible entity ,! t]m eligible entity means-- 7,a7 a high s*ool t has be5 accr$it$ z a recov]y high s*ool by ! ,association ( ,recov]y ,s*ools2 7,b7 an accr$it$ high s*ool t is seek+ to e/abli% or exp& recov]y support s]vices2 7,c7 an in/itution ( high] education2 7,d7 a recov]y program at a nonpr(it collegiate in/itution2 or 7,e7 a nonpr(it organization4 7#b7 ,in/itution ( high] education ,! t]m in/itution ( high] education has ! mean+ giv5 ! t]m 9 section #aja ( ! ,high] ,education ,act ( #aife 7#bj ,u4,s4,c4 #ajja74 7#c7 ,recov]y program ,! t]m recov]y program-- 7,a7 means a program to help individuals :o are recov]+ f sub/ance use disord]s to initiate1 /abilize1 & ma9ta9 heal?y & productive lives 9 ! community2 & 7,b7 includes pe]-to-pe] support & communal activities to build recov]y skills & supportive social networks4 7b7 ,grants au?oriz$ ,! ,secret>y ( ,heal? & ,human ,s]vices1 9 coord9ation ) ! ,secret>y ( ,education1 may aw>d grants to eligible entities to enable ! entities to-- 7#a7 provide sub/ance use disord] recov]y support s]vices to "y p 9 high s*ool & enroll$ 9 in/itutions ( high] education2 7#b7 help build communities ( support = "y p 9 recov]y ?r\gh a spectrum ( activities su* z c\nsel+ & heal?- & wellness-ori5t$ social activities2 & 7#c7 enc\rage initiatives design$ to help "y p a*ieve & su/a9 recov]y f sub/ance use disord]s4 7c7 ,use ( funds ,grants aw>d$ "u subsection 7b7 may be us$ = activities to develop1 support1 & ma9ta9 y\? recov]y support s]vices1 includ+-- 7#a7 ! developm5t & ma9t5ance ( a d$icat$ physical space = recov]y programs2 7#b7 d$icat$ /aff = ! provision ( recov]y programs2 7#c7 heal?- & wellness-ori5t$ social activities & community engagem5t2 7#d7 e/abli%m5t ( recov]y high s*ools2 7#e7 coord9ation ( recov]y programs )-- 7,a7 sub/ance use disord] treatm5t programs & sy/ems2 7,b7 provid]s ( m5tal heal? s]vices2 7,c7 prim>y c>e provid]s & physicians2 7,d7 ! crim9al ju/ice sy/em1 includ+ ! juv5ile ju/ice sy/em2 7,e7 employ]s2 7,f7 h\s+ s]vices2 7,g7 *ild welf>e s]vices2 7,h7 high s*ools & in/itutions ( high] education2 & 7,i7 o!r programs or s]vices relat$ to ! welf>e ( an individual 9 recov]y f a sub/ance use disord]2 7#f7 ! developm5t ( pe]-to-pe] support programs or s]vices2 & 7#g7 additional activities t help y\?s & "y adults to a*ieve recov]y f sub/ance use disord]s4 4 #cjd4 ,build+ communities ( recov]y ,"p ,,ii ( title ,i ( ! ,omnibus ,crime ,control & ,safe ,/reets ,act ( #aifh 7#db ,u4,s4,c4 #cgig;cc et seq471 z am5d$ by section #cjc1 is am5d$ by add+ at ! end ! foll[+3 #biii;,c4 ,build+ communities ( recov]y 7a7 ,def9ition ,9 ?is section1 ! t]m recov]y community organization means an indep5d5t nonpr(it organization t-- 7#a7 mobilizes res\rces )9 & outside ( ! recov]y community to increase ! preval5ce & quality ( long-t]m recov]y f sub/ance use disord]s2 & 7#b7 is :olly or pr9cipally gov]n$ by p 9 recov]y = sub/ance use disord]s :o reflect ! community s]v$4 7b7 ,grants au?oriz$ ,! ,secret>y ( ,heal? & ,human ,s]vices may aw>d grants to recov]y community organizations to enable su* organizations to develop1 exp&1 & enhance recov]y s]vices4 7c7 ,f$]al %>e ,! ,f$]al %>e ( ! co/s ( a program fund$ by a grant "u ?is section may n exce$ #ej p]c5t4 7d7 ,use ( funds ,grants aw>d$ "u subsection 7b7-- 7#a7 %all be us$ to develop1 exp&1 & enhance community & /atewide recov]y support s]vices2 & 7#b7 may be us$ to-- 7,a7 advocate = individuals 9 recov]y f sub/ance use disord]s2 7,b7 build connections betwe5 recov]y networks1 betwe5 recov]y community organizations1 & ) o!r recov]y support s]vices1 includ+-- 7i7 sub/ance use disord] treatm5t programs & sy/ems2 7ii7 provid]s ( m5tal heal? s]vices2 7iii7 prim>y c>e provid]s & physicians2 7iv7 ! crim9al ju/ice sy/em2 7v7 employ]s2 7vi7 h\s+ s]vices2 7vii7 *ild welf>e ag5cies2 & 7viii7 o!r recov]y support s]vices t facilitate recov]y f sub/ance use disord]s2 7,c7 r$uce ! /igma associat$ ) sub/ance use disord]s2 7,d7 conduct public education & outrea* on issues relat+ to sub/ance use disord]s & recov]y1 includ+-- 7i7 h[ to id5tify ! signs ( addiction2 7ii7 ! res\rces t are available to individuals /ruggl+ ) addiction & families :o h a family memb] /ruggl+ ) or be+ treat$ = addiction1 includ+ programs t m5tor & provide support s]vices to *ildr52 7iii7 ! res\rces t are available to help support individuals 9 recov]y2 & 7iv7 in=mation on ! m$ical consequ5ces ( sub/ance use disord]s1 includ+ neonatal ab/95ce syndrome & pot5tial infection ) human immunodefici5cy virus & viral hepatitis2 & 7,e7 c>ry out o!r activities t /r5g!n ! network ( community support = individuals 9 recov]y4 4 ,,iv ,address+ collat]al consequ5ces #dja4 ,correctional education demon/ration grant program ,"p ,,ii ( title ,i ( ! ,omnibus ,crime ,control & ,safe ,/reets ,act ( #aifh 7#db ,u4,s4,c4 #cgig;cc et seq471 z am5d$ by section #cjd1 is am5d$ by add+ at ! end ! foll[+3 #biii;,d4 ,correctional education demon/ration grant program 7a7 ,def9ition ,9 ?is section1 ! t]m eligible entity means a ,/ate1 unit ( local gov]nm5t1 nonpr(it organization1 or ,indian tribe4 7b7 ,grant program au?oriz$ ,! ,attorney ,g5]al may make grants to eligible entities to design1 implem5t1 & exp& educational programs = (f5d]s 9 prisons1 jails1 & juv5ile facilities1 includ+ to pay =-- 7#a7 basic education1 second>y level academic education1 high s*ool equival5cy exam9ation prep>ation1 c>e] te*nical education1 & ,engli% language le>n] in/ruction at ! basic1 second>y1 or po/-second>y levels1 = adult & juv5ile populations2 7#b7 scre5+ & assessm5t ( inmates to assess education level & ne$s1 occupational int]e/ or aptitude1 risk level1 & o!r ne$s1 & case managem5t s]vices2 7#c7 hir+ & tra9+ ( in/ructors & aides1 reimbursem5t ( non-corrections /aff & exp]ts1 reimbursem5t ( /ip5ds paid to inmate tutors or aides1 & ! co/s ( tra9+ inmate tutors & aides2 7#d7 in/ructional supplies & equipm5t1 includ+ occupational program supplies & equipm5t to ! ext5t t ! supplies & equipm5t are us$ = in/ructional purposes2 7#e7 p>tn]%ips & agreem5ts ) community colleges1 univ]sities1 & c>e] te*nology education program provid]s2 7#f7 c]tification programs provid+ recogniz$ high s*ool equival5cy c]tificates & indu/ry recogniz$ cr$5tials2 & 7#g7 te*nology solutions to-- 7,a7 meet ! in/ructional1 assessm5t1 & in=mation ne$s ( correctional populations2 & 7,b7 facilitate ! cont9u$ p>ticipation ( inc>c]at$ /ud5ts 9 community-bas$ education programs aft] ! /ud5ts are releas$ f inc>c]ation4 7c7 ,application ,an eligible entity seek+ a grant "u ?is section %all submit to ! ,attorney ,g5]al an application 9 su* =m & mann]1 at su* "t1 & accompani$ by su* in=mation z ! ,attorney ,g5]al specifies4 7d7 ,priority consid]ations ,9 aw>d+ grants "u ?is section1 ! ,attorney ,g5]al %all give priority to applicants t-- 7#a7 assess ! level ( risk & ne$ ( inmates1 includ+ by-- 7,a7 assess+ ! ne$ = ,engli% language le>n] in/ruction2 7,b7 conduct+ educational assessm5ts2 & 7,c7 assess+ occupational int]e/s & aptitudes2 7#b7 t>get educational s]vices to assess$ ne$s1 includ+ academic & occupational at ! basic1 second>y1 or po/-second>y level2 7#c7 t>get c>e] & te*nology education programs to-- 7,a7 areas ( id5tifi$ occupational dem&2 & 7,b7 employm5t opportunities 9 ! communities 9 :i* /ud5ts are reasonably expect$ to reside po/-release2 7#d7 include a range ( appropriate educational opportunities at ! basic1 second>y1 & po/-second>y levels2 7#e7 include opportunities = /ud5ts to atta9 indu/ry recogniz$ cr$5tials2 7#f7 include p>tn]%ip or articulation agreem5ts l9k+ in/itutional education programs ) community sit$ programs provid$ by adult education program provid]s & accr$it$ in/itutions ( high] education1 community colleges1 & vocational tra9+ in/itutions2 & 7#g7 explicitly include c>e] pa?ways models (f]+ opportunities = inc>c]at$ /ud5ts to develop academic skills1 9-dem& occupational skills & cr$5tials1 occupational exp]i5ce 9 in/itutional "w programs or "w release programs1 & l9kages ) employ]s 9 ! community1 s t inc>c]at$ /ud5ts h opportunities to emb>k on c>e]s ) /rong prospects = bo? po/-release employm5t & advancem5t 9 a c>e] ladd] ov] "t4 7e7 ,requirem5ts ,an eligible entity seek+ a grant "u ?is section %all-- 7#a7 describe ! evid5ce-bas$ me?odology & outcome measurem5ts t w be us$ to evaluate ea* program fund$ ) a grant "u ?is section1 & specifically expla9 h[ su* measurem5ts w provide valid measures ( ! impact ( ! program2 & 7#b7 describe h[ ea* program describ$ 9 p>agraph 7#a7 c\ld be broadly replicat$ if demon/rat$ to be effective4 7f7 ,control ( ,int]net access ,an entity t receives a grant "u ?is section may re/rict access to ! ,int]net by prison]s1 z appropriate & 9 accordance ) ,f$]al & ,/ate law1 to ensure public safety4 4 #djb4 ,national ,task ,=ce on ,recov]y & ,collat]al ,consequ5ces 7a7 ,def9ition ,9 ?is section1 ! t]m collat]al consequ5ce means a p5alty1 disability1 or disadvantage impos$ on an individual :o is 9 recov]y = a sub/ance use disord] 7includ+ by an adm9i/rative ag5cy1 (ficial1 or civil c\rt 7 z a result ( a ,f$]al or ,/ate conviction = a drug-relat$ (f5se b n z "p ( ! judgm5t ( ! c\rt t imposes ! conviction4 7b7 ,e/abli%m5t 7#a7 ,9 g5]al ,n lat] ?an #cj days aft] ! date ( enactm5t ( ?is ,act1 ! ,attorney ,g5]al %all e/abli% a bip>tisan task =ce to be kn[n z ! ,task ,=ce on ,recov]y & ,collat]al ,consequ5ces 79 ?is section ref]r$ to z ! ,task ,=ce74 7#b7 ,memb]%ip 7,a7 ,total numb] ( memb]s ,! ,task ,=ce %all include #aj memb]s1 :o %all be appo9t$ by ! ,attorney ,g5]al 9 accordance ) subp>agraphs 7,b7 & 7,c74 7,b7 ,memb]s ( ! task =ce ,! ,task ,=ce %all include-- 7i7 memb]s :o h national recognition & significant exp]tise 9 areas su* z heal? c>e1 h\s+1 employm5t1 sub/ance use disord]s1 m5tal heal?1 law en=cem5t1 & law2 7ii7 n few] ?an #b memb]s-- 7,i7 :o h p]sonally exp]i5c$ a sub/ance abuse disord] or addiction & are 9 recov]y2 & 7,,ii7 n few] ?an #a ( :om has b5efitt$ f m$ication assi/$ treatm5t2 & 7iii7 to ! ext5t practicable1 memb]s :o =m]ly s]v$ z elect$ (ficials at ! ,/ate & ,f$]al levels4 7,c7 ,tim+ ,! ,attorney ,g5]al %all appo9t ! memb]s ( ! ,task ,=ce n lat] ?an #fj days aft] ! date on :i* ! ,task ,=ce is e/abli%$ "u p>agraph 7#a74 7#c7 ,*airp]son ,! ,task ,=ce %all select a *airp]son or co-*airp]sons f among ! memb]s ( ! ,task ,=ce4 7c7 ,duties ( ! task =ce 7#a7 ,9 g5]al ,! ,task ,=ce %all-- 7,a7 id5tify collat]al consequ5ces = individuals ) ,f$]al or ,/ate convictions = drug-relat$ (f5ses :o are 9 recov]y = sub/ance use disord]2 & 7,b7 exam9e any policy basis = ! imposition ( collat]al consequ5ces id5tifi$ "u subp>agraph 7,a7 & ! effect ( ! collat]al consequ5ces on individuals 9 recov]y 9 resum+ _! p]sonal & pr(essional activities4 7#b7 ,recomm5dations ,n lat] ?an #ahj days aft] ! date ( ! fir/ meet+ ( ! ,task ,=ce1 ! ,task ,=ce %all develop recomm5dations1 z x consid]s appropriate1 = propos$ legislative & regulatory *anges relat$ to ! collat]al consequ5ces id5tifi$ "u p>agraph 7#a74 7#c7 ,collection ( in=mation ,! ,task ,=ce %all hold he>+s1 require ! te/imony & att5dance ( witnesses1 & secure in=mation f any dep>tm5t or ag5cy ( ! ,unit$ ,/ates 9 p]=m+ ! duties "u p>agraphs 7#a7 & 7#b74 7#d7 ,report 7,a7 ,submission to executive bran* ,n lat] ?an #a ye> aft] ! date ( ! fir/ meet+ ( ! ,task ,=ce1 ! ,task ,=ce %all submit a report detail+ ! f9d+s & recomm5dations ( ! ,task ,=ce to-- 7i7 ! head ( ea* relevant dep>tm5t or ag5cy ( ! ,unit$ ,/ates2 7ii7 ! ,presid5t2 & 7iii7 ! ,vice ,presid5t4 7,b7 ,submission to ,congress ,! individuals :o receive ! report "u subp>agraph 7,a7 %all submit to ,congress su* legislative recomm5dations1 if any1 z ^? individuals consid] appropriate bas$ on ! report4 ,v ,addiction & treatm5t s]vices = wom51 families1 & vet]ans #eja4 ,improv+ treatm5t = pregnant & po/p>tum wom5 7a7 ,9 g5]al ,section #ejh ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#a7 is am5d$-- 7#a7 9 subsection 7a71 by ins]t+ 7ref]r$ to 9 ?is section z ! ,director7 aft] ,director ( ! ,c5t] = ,sub/ance ,abuse ,treatm5t2 & 7#b7 9 subsection 7p71 9 ! fir/ s5t5ce-- 7,a7 by /rik+ ,committee on ,labor & ,human ,res\rces & ins]t+ ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions2 & 7,b7 by ins]t+ 7o!r ?an subsection 7r77 aft] ?is section4 7b7 ,pilot program grants = ,/ate sub/ance abuse ag5cies ,section #ejh ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#a7 is am5d$-- 7#a7 by /rik+ subsection 7r72 & 7#b7 by ins]t+ aft] subsection 7q7 ! foll[+3 7r7 ,pilot program = /ate sub/ance abuse ag5cies 7#a7 ,9 g5]al ,! ,director %all c>ry out a pilot program "u :i* ! ,director makes competitive grants to ,/ate sub/ance abuse ag5cies to-- 7,a7 enhance flexibility 9 ! use ( funds design$ 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 non-resid5tial 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]y t are evid5ce-bas$1 includ+ effective family-bas$ programs = wom5 involv$ ) ! crim9al ju/ice sy/em4 7#b7 ,requirem5ts ,9 c>ry+ out ! pilot program "u ?is subsection1 ! ,director-- 7,a7 %all 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 %all id5tify1 bas$ on su* submitt$ applications1 ,/ate sub/ance abuse ag5cies t are eligible = su* grants2 7,c7 %all 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 not)/&+ subsection 7a77#a71 %all n require t s]vices furni%$ ?r\gh su* a grant be provid$ solely to wom5 t reside 9 facilities2 & 7,e7 %all n require t grant recipi5ts "u ! program make available all s]vices describ$ 9 subsection 7d74 7#c7 ,requir$ s]vices 7,a7 ,9 g5]al ,! ,director %all specify m9imum s]vices requir$ to be made available to eligible wom5 ?r\gh a grant aw>d$ "u ! pilot program "u ?is subsection4 ,su* m9imum s]vices-- 7i7 %all include ! requirem5ts describ$ 9 subsection 7c72 7ii7 may include any ( ! s]vices describ$ 9 subsection 7d72 7iii7 may include o!r s]vices1 z appropriate2 & 7iv7 %all be bas$ on ! recomm5dations submitt$ "u subp>agraph 7,b7 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 a sub/ance use disord]1 & o!r appropriate individuals1 = ! m9imum 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 7,a7 ,9 g5]al ,out ( am\nts made available to ! ,c5t] = ,behavioral ,heal? ,/ati/ics & ,quality1 ! ,director ( ! ,c5t] = ,behavioral ,heal? ,/ati/ics & ,quality1 9 coop]ation ) ! recipi5ts ( grants "u ?is subsection1 %all conduct an evaluation ( ! pilot program "u ?is subsection1 beg9n+ #a ye> aft] ! date on :i* a grant is fir/ aw>d$ "u ?is subsection4 ,! ,director ( ! ,c5t] = ,behavioral ,heal? ,/ati/ics & ,quality1 9 coord9ation ) ! ,director ( ! ,c5t] = ,sub/ance ,abuse ,treatm5t1 n lat] ?an #abj days aft] completion ( su* evaluation1 %all submit to ! relevant ,committees ( ! ,s5ate & ! ,h\se ( ,repres5tatives a report on su* evaluation4 7,b7 ,cont5ts ,! report to ,congress "u subp>agraph 7,a7 %all include1 at a m9imum1 outcomes in=mation f ! pilot program1 includ+ any result+ r$uctions 9 ! use ( alcohol & o!r drugs1 engagem5t 9 treatm5t s]vices1 ret5tion 9 ! appropriate level & duration ( s]vices1 increas$ access to ! use ( drugs approv$ by ! ,food & ,drug ,adm9i/ration = ! treatm5t ( sub/ance use disord]s 9 comb9ation ) c\nsel+1 & o!r appropriate measures4 7#f7 ,def9ition ( ,/ate sub/ance abuse ag5cy ,= 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 program "u "p ,b ( title ,,xix4 7s7 ,fund+ 7#a7 ,9 g5]al ,= ! purpose ( c>ry+ out ?is section1 !re are au?oriz$ to be appropriat$ #ae1ijj1jjj = ea* ( fiscal ye>s #bjaf ?r\gh #bjbj4 7#b7 ,limitation ,( ! am\nts made available "u p>agraph 7#a7 to c>ry out ?is section1 n m ?an #be p]c5t may be us$ ea* fiscal ye> to c>ry out subsection 7r74 4 #ejb4 ,report on grants = family-bas$ sub/ance abuse treatm5t ,section #bibe ( ! ,omnibus ,crime ,control & ,safe ,/reets ,act ( #aifh 7#db ,u4,s4,c4 #cgigs-#d7 is am5d$-- 7#a7 by /rik+ ,an entity & ins]t+ 7a7 ,entity ,reports4--,an entity2 & 7#b7 by add+ at ! end ! foll[+3 7b7 ,attorney g5]al report on family-,bas$ sub/ance abuse treatm5t ,! ,attorney ,g5]al %all submit to ,congress an annual report t describes ! numb] ( grants aw>d$ "u section #biba7a7 & h[ su* grants are us$ by ! recipi5ts = family-bas$ sub/ance abuse treatm5t programs t s]ve z alt]natives to inc>c]ation = cu/odial p>5ts to receive treatm5t & s]vices z a family4 4 #ejc4 ,vet]ans' treatm5t c\rts ,section #biia7;j77#a77;,b77ii7 ( title ,i ( ! ,omnibus ,crime ,control & ,safe ,/reets ,act ( #aifh 7#db ,u4,s4,c4 #cgig;aa7j77#a77;,b77ii771 z am5d$ by ! ,compreh5sive ,ju/ice & ,m5tal ,heal? ,act ( #bjae 7,s4 #iic1 #aad? ,congress71 is am5d$-- 7#a7 by ins]t+ 7,i7 aft] 7ii72 7#b7 9 subclause 7,i71 z s designat$1 by /rik+ ! p]iod & ins]t+ 2 or2 & 7#c7 by add+ at ! end ! foll[+3 7,,ii7 0 dis*>g$ or releas$ f su* s]vice "u di%onorable conditions1 if ! reason = t dis*>ge or release1 if kn[n1 is attributable to a sub/ance use disord]4 4 ,,vi ,inc5tiviz+ ,/ate compreh5sive initiatives to address prescription opioid & h]o9 abuse #fja4 ,/ate demon/ration grants = compreh5sive opioid abuse response 7a7 ,def9itions ,9 ?is section-- 7#a7 ! t]m disp5s] has ! mean+ giv5 ! t]m 9 section #ajb ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hjb72 7#b7 ! t]m prescrib] means a disp5s] :o prescribes a controll$ sub/ance1 or ! ag5t ( su* a disp5s]2 7#c7 ! t]m prescrib] ( a s*$ule ,,ii1 ,,iii1 or ,,iv controll$ sub/ance does n include a prescrib] ( a s*$ule ,,ii1 ,,iii1 or ,,iv controll$ sub/ance t disp5ses ! sub/ance-- 7,a7 = use on ! premises on :i* ! sub/ance is disp5s$2 7,b7 9 a hospital em]g5cy room1 :5 ! sub/ance is 9 %ort supply2 7,c7 = a c]tifi$ opioid treatm5t program2 or 7,d7 9 o!r situations z ! ,attorney ,g5]al may reasonably det]m9e2 & 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 7b7 ,plann+ & implem5tation grants 7#a7 ,9 g5]al ,! ,attorney ,g5]al1 9 coord9ation ) ! ,secret>y ( ,heal? & ,human ,s]vices & 9 consultation ) ! ,director ( ! ,(fice ( ,national ,drug ,control ,policy1 may aw>d grants to ,/ates1 & comb9ations !re(1 to prep>e a compreh5sive plan = & implem5t an integrat$ opioid abuse response initiative4 7#b7 ,purposes ,a ,/ate receiv+ a grant "u ?is section %all e/abli% a compreh5sive response to opioid abuse1 :i* %all include-- 7,a7 prev5tion & education ef=ts ar\nd h]o9 & opioid use1 treatm5t1 & recov]y1 includ+ education ( resid5ts1 m$ical /ud5ts1 & physicians & o!r prescrib]s ( s*$ule ,,ii1 ,,iii1 or ,,iv controll$ sub/ances on relevant prescrib+ guidel9es & ! prescription drug monitor+ program ( ! ,/ate2 7,b7 a compreh5sive prescription drug monitor+ program to track disp5s+ ( s*$ule ,,ii1 ,,iii1 or ,,iv controll$ sub/ances1 :i* %all-- 7i7 provide = data %>+ ) o!r ,/ates by /atute1 regulation1 or int]/ate agreem5t2 & 7ii7 all[ = access to all individuals au?oriz$ by ! ,/ate to write prescriptions = s*$ule ,,ii1 ,,iii1 or ,,iv controll$ sub/ances on ! prescription drug monitor+ program ( ! ,/ate2 7,c7 develop+1 implem5t+1 or exp&+ prescription drug & opioid addiction treatm5t programs by-- 7i7 exp&+ programs = m$ication assi/$ treatm5t ( prescription drug & opioid addiction1 includ+ tra9+ = treatm5t & recov]y support provid]s2 7ii7 develop+1 implem5t+1 or exp&+ programs = behavioral heal? !rapy = individuals :o are 9 treatm5t = prescription drug & opioid addiction2 7iii7 develop+1 implem5t+1 or exp&+ programs to scre5 individuals :o are 9 treatm5t = prescription drug & opioid addiction = hepatitis ,c & ,,hiv1 & provide treatm5t = ^? individuals if cl9ically appropriate2 or 7iv7 develop+1 implem5t+1 or exp&+ programs t provide scre5+1 e>ly int]v5tion1 & ref]ral to treatm5t 7commonly kn[n z ,,sbirt7 to te5ag]s & "y adults 9 prim>y c>e1 middle s*ools1 high s*ools1 univ]sities1 s*ool-bas$ heal? c5t]s1 & o!r community-bas$ heal? c>e sett+s frequ5tly access$ by te5ag]s or "y adults2 & 7,d7 develop+1 implem5t+1 & exp&+ programs to prev5t ov]dose dea? f prescription m$ications & opioids4 7#c7 ,plann+ grant applications 7,a7 ,application 7i7 ,9 g5]al ,a ,/ate seek+ a plann+ grant "u ?is section to prep>e a compreh5sive plan = an integrat$ opioid abuse response initiative %all submit to ! ,attorney ,g5]al an application 9 su* =m1 & conta9+ su* in=mation1 z ! ,attorney ,g5]al may require4 7ii7 ,requirem5ts ,an application = a plann+ grant "u ?is section %all1 at a m9imum1 include-- 7,i7 a budget & a budget ju/ification = ! activities to be c>ri$ out us+ ! grant2 7,,ii7 a description ( ! activities propos$ to be c>ri$ out us+ ! grant1 includ+ a s*$ule = completion ( su* activities2 7,,iii7 outcome measures t w be us$ to measure ! effectiv5ess ( ! programs & initiatives to address opioids2 & 7,,iv7 a description ( ! p]sonnel necess>y to complete su* activities4 7,b7 ,p]iod2 nonr5ewability ,a plann+ grant "u ?is section %all be = a p]iod ( #a ye>4 ,a ,/ate may n receive m ?an #a plann+ grant "u ?is section4 7,c7 ,/rategic plan & program implem5tation plan ,a ,/ate receiv+ a plann+ grant "u ?is section %all develop a /rategic plan & a program implem5tation plan4 7#d7 ,implem5tation grants 7,a7 ,application ,a ,/ate seek+ an implem5tation grant "u ?is section to implem5t a compreh5sive /rategy = address+ opioid abuse %all submit to ! ,attorney ,g5]al an application 9 su* =m1 & conta9+ su* in=mation1 z ! ,attorney ,g5]al may require4 7,b7 ,use ( funds ,a ,/ate t receives an implem5tation grant "u ?is section %all use ! grant = ! co/ ( c>ry+ out an integrat$ opioid abuse response program 9 accordance ) ?is section1 includ+ = te*nical assi/ance1 tra9+1 & adm9i/rative exp5ses4 7,c7 ,requirem5ts ,an integrat$ opioid abuse response program c>ri$ out us+ an implem5tation grant "u ?is section %all-- 7i7 require t ea* prescrib] ( a s*$ule ,,ii1 ,,iii1 or ,,iv controll$ sub/ance 9 ! ,/ate-- 7,i7 regi/]s ) ! prescription drug monitor+ program ( ! ,/ate2 & 7,,ii7 consults ! prescription drug monitor+ program database ( ! ,/ate be=e prescrib+ a s*$ule ,,ii1 ,,iii1 or ,,iv controll$ sub/ance2 7ii7 require t ea* disp5s] ( a s*$ule ,,ii1 ,,iii1 or ,,iv controll$ sub/ance 9 ! ,/ate-- 7,i7 regi/]s ) ! prescription drug monitor+ program ( ! ,/ate2 7,,ii7 consults ! prescription drug monitor+ program database ( ! ,/ate be=e disp5s+ a s*$ule ,,ii1 ,,iii1 or ,,iv controll$ sub/ance2 & 7,,iii7 reports to ! prescription drug monitor+ program ( ! ,/ate1 at a m9imum1 ea* in/ance 9 :i* a s*$ule ,,ii1 ,,iii1 or ,,iv controll$ sub/ance is disp5s$1 ) limit$ exceptions1 z def9$ by ! ,/ate1 :i* %all indicate ! prescrib] by "n & ,national ,provid] ,id5tifi]2 7iii7 require t1 n few] ?an #d times ea* ye>1 ! ,/ate ag5cy or ag5cies t adm9i/] ! prescription drug monitor+ program ( ! ,/ate prep>e & provide to ea* prescrib] ( a s*$ule ,,ii1 ,,iii1 or ,,iv controll$ sub/ance an in=mational report t %[s h[ ! prescrib+ patt]ns ( ! prescrib] comp>e to prescrib+ practices ( ! pe]s ( ! prescrib] & expect$ norms2 7iv7 if in=mational reports provid$ to a prescrib] "u clause 7iii7 indicate t ! prescrib] is repeat$ly fall+ outside ( expect$ norms or /&>d practices = ! prescrib]'s field1 direct ! prescrib] to educational res\rces on appropriate prescrib+ ( controll$ sub/ances2 7v7 ensure t ! prescrib] lic5s+ bo>d ( ! ,/ate receives a report describ+ any prescrib]s t repeat$ly fall outside ( expect$ norms or /&>d practices = ! prescrib]'s field1 z describ$ 9 clause 7iii72 7vi7 require consultation ) ! ,s+le ,/ate ,au?ority = ,sub/ance ,abuse 7z def9$ 9 section #bja7;e7 ( ! ,second ,*ance ,act ( #bjjg 7#db ,u4,s4,c4 #ageba7;e7772 & 7vii7 e/abli% requirem5ts = h[ data w be collect$ & analyz$ to det]m9e ! effectiv5ess ( ! program4 7,d7 ,p]iod ,an implem5tation grant "u ?is section %all be = a p]iod ( #b ye>s4 7#e7 ,priority consid]ations ,9 aw>d+ plann+ & implem5tation grants "u ?is section1 ! ,attorney ,g5]al %all give priority to a ,/ate t-- 7,a7 7i7 provides civil liability protection = fir/ respond]s1 heal? pr(essionals1 & family memb]s :o h receiv$ appropriate tra9+ 9 ! adm9i/ration ( naloxone 9 adm9i/]+ naloxone to c\nt]act opioid ov]doses2 & 7ii7 submits to ! ,attorney ,g5]al a c]tification by ! attorney g5]al ( ! ,/ate t ! attorney g5]al has-- 7,i7 review$ any applicable civil liability protection law to det]m9e ! applicability ( ! law ) respect to fir/ respond]s1 heal? c>e pr(essionals1 family memb]s1 & o!r individuals :o-- 7aa7 h receiv$ appropriate tra9+ 9 ! adm9i/ration ( naloxone2 & 7bb7 may adm9i/] naloxone to individuals reasonably believ$ to be suff]+ f opioid ov]dose2 & 7,,ii7 conclud$ t ! law describ$ 9 subclause 7,i7 provides adequate civil liability protection applicable to su* p]sons2 7,b7 has 9 effect legislation or implem5ts a policy "u :i* ! ,/ate %all n t]m9ate1 b may susp5d1 enrollm5t "u ! ,/ate plan = m$ical assi/ance "u title ,,xix ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq47 = an individual :o is inc>c]at$ = a p]iod ( few] ?an #b ye>s2 7,c7 has a process = enrollm5t 9 s]vices & b5efits necess>y by crim9al ju/ice ag5cies to initiate or cont9ue treatm5t 9 ! community1 "u :i* an individual :o is inc>c]at$ may1 :ile inc>c]at$1 enroll 9 s]vices & b5efits t are necess>y = ! individual to cont9ue treatm5t ^u release f inc>c]ation2 7,d7 ensures ! capability ( data %>+ ) o!r ,/ates1 su* z by mak+ data available to a prescription monitor+ hub2 7,e7 ensures t data record$ 9 ! prescription drug monitor+ program database ( ! ,/ate is available )9 #bd h\rs1 to ! ext5t possible2 & 7,f7 ensures t ! prescription drug monitor+ program ( ! ,/ate notifies prescrib]s & disp5s]s ( s*$ule ,,ii1 ,,iii1 or ,,iv controll$ sub/ances :5 ov]use or misuse ( su* controll$ sub/ances by pati5ts is suspect$4 7c7 ,au?orization ( ,fund+ ,= ea* ( fiscal ye>s #bjaf ?r\gh #bjbj1 ! ,attorney ,g5]al may use1 f any unobligat$ balances made available "u ! head+ ,,g5]al ,,adm9i/ration to ! ,dep>tm5t ( ,ju/ice 9 an appropriation ,act1 su* am\nts z are necess>y to c>ry out ?is section1 n to exce$ #e1jjj1jjj p] fiscal ye>4 ,,vii ,miscellane\s #gja4 ,,gao report on ,,imd exclusion 7a7 ,def9ition ,9 ?is section1 ! t]m ,m$icaid ,in/itutions = ,m5tal ,disease exclusion means ! prohibition on ,f$]al mat*+ paym5ts "u ,m$icaid = pati5ts :o h atta9$ age #bb1 b h n atta9$ age #fe1 9 an in/itution = m5tal diseases "u subp>agraph 7,b7 ( ! matt] foll[+ subsection 7a7 ( section #aije ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7 & subsection 7i7 ( su* section4 7b7 ,report requir$ ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all submit to ,congress a report on ! impact t ! ,m$icaid ,in/itutions = ,m5tal ,disease exclusion has on access to treatm5t = individuals ) a sub/ance use disord]4 7c7 ,elem5ts ,! report requir$ "u subsection 7b7 %all include a review ( :at is kn[n reg>d+-- 7#a7 ,m$icaid b5efici>y access to sub/ance use disord] treatm5ts 9 in/itutions = m5tal disease2 & 7#b7 ! quality ( c>e provid$ to ,m$icaid b5efici>ies treat$ 9 & outside ( in/itutions = m5tal disease = sub/ance use disord]s4 #gjb4 ,fund+ ,"p ,,ii ( title ,i ( ! ,omnibus ,crime ,control & ,safe ,/reets ,act ( #aifh 7#db ,u4,s4,c4 #cgig;cc et seq471 z am5d$ by section #dja1 is am5d$ by add+ at ! end ! foll[+3 #biii;,e4 ,fund+ ,!re are au?oriz$ to be appropriat$ to ! ,attorney ,g5]al & ! ,secret>y ( ,heal? & ,human ,s]vices to c>ry out ?is "p #fb1jjj1jjj = ea* ( fiscal ye>s #bjaf ?r\gh #bjbj4 4 #gjc4 ,con=m+ am5dm5ts ,"p ,,ii ( title ,i ( ! ,omnibus ,crime ,control & ,safe ,/reets ,act ( #aifh 7#db ,u4,s4,c4 #cgig;cc et seq47 is am5d$-- 7#a7 9 ! "p head+1 by /rik+ ,,confront+ ,,use ,,( ,,me?amphetam9e & ins]t+ ,,compreh5sive ,,addiction ,,& ,,recov]y2 & 7#b7 9 section #biif7;a77#a71 by /rik+ ?is "p & ins]t+ ?is section4 #gjd4 ,grant acc\ntability 7a7 ,grants "u "p ,,ii ( title ,i ( ! ,omnibus ,crime ,control & ,safe ,/reets ,act ( #aifh ,"p ,,ii ( title ,i ( ! ,omnibus ,crime ,control & ,safe ,/reets ,act ( #aifh 7#db ,u4,s4,c4 #cgig;cc et seq472 z am5d$ by section #gjb1 is am5d$ by add+ at ! end ! foll[+3 #biii;,f4 ,grant acc\ntability 7a7 ,def9itions ,9 ?is section-- 7#a7 ! t]m applicable committees-- 7,a7 ) respect to ! ,attorney ,g5]al & any o!r (ficial ( ! ,dep>tm5t ( ,ju/ice1 means-- 7i7 ! ,committee on ! ,judici>y ( ! ,s5ate2 & 7ii7 ! ,committee on ! ,judici>y ( ! ,h\se ( ,repres5tatives2 & 7,b7 ) respect to ! ,secret>y ( ,heal? & ,human ,s]vices & any o!r (ficial ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 means-- 7i7 ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate2 & 7ii7 ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives2 7#b7 ! t]m cov]$ ag5cy means-- 7,a7 ! ,dep>tm5t ( ,ju/ice2 & 7,b7 ! ,dep>tm5t ( ,heal? & ,human ,s]vices2 & 7#c7 ! t]m cov]$ (ficial means-- 7,a7 ! ,attorney ,g5]al2 & 7,b7 ! ,secret>y ( ,heal? & ,human ,s]vices4 7b7 ,acc\ntability ,all grants aw>d$ by a cov]$ (ficial "u ?is "p %all be subject to ! foll[+ acc\ntability provisions3 7#a7 ,audit requirem5t 7,a7 ,def9ition ,9 ?is p>agraph1 ! t]m unresolv$ audit f9d+ means a f9d+ 9 ! f9al audit report ( ! ,inspector ,g5]al ( a cov]$ ag5cy t ! audit$ grantee has utiliz$ grant funds = an unau?oriz$ exp5diture or o!rwise unall[able co/ t is n clos$ or resolv$ )9 #ab mon?s aft] ! date on :i* ! f9al audit report is issu$4 7,b7 ,audit ,beg9n+ 9 ! fir/ fiscal ye> beg9n+ aft] ! date ( enactm5t ( ?is section1 & 9 ea* fiscal ye> !reaft]1 ! ,inspector ,g5]al ( a cov]$ ag5cy %all conduct audits ( recipi5ts ( grants aw>d$ by ! applicable cov]$ (ficial "u ?is "p to prev5t wa/e1 fraud1 & abuse ( funds by grantees4 ,! ,inspector ,g5]al %all det]m9e ! appropriate numb] ( grantees to be audit$ ea* ye>4 7,c7 ,m&atory exclusion ,a recipi5t ( grant funds "u ?is "p t is f\nd to h an unresolv$ audit f9d+ %all n be eligible to receive grant funds "u ?is "p dur+ ! fir/ #b fiscal ye>s beg9n+ aft] ! end ( ! #ab-mon? p]iod describ$ 9 subp>agraph 7,a74 7,d7 ,priority ,9 aw>d+ grants "u ?is "p1 a cov]$ (ficial %all give priority to eligible applicants t did n h an unresolv$ audit f9d+ dur+ ! #c fiscal ye>s be=e submitt+ an application = a grant "u ?is "p4 7,e7 ,reimbursem5t ,if an entity is aw>d$ grant funds "u ?is "p dur+ ! #b-;fiscal-ye> p]iod dur+ :i* ! entity is b>r$ f receiv+ grants "u subp>agraph 7,c71 ! cov]$ (ficial t aw>d$ ! grant funds %all-- 7i7 deposit an am\nt equal to ! am\nt ( ! grant funds t 7 improp]ly aw>d$ to ! grantee into ! ,g5]al ,fund ( ! ,treasury2 & 7ii7 seek to rec\p ! co/s ( ! repaym5t to ! fund f ! grant recipi5t t 0 errone\sly aw>d$ grant funds4 7#b7 ,nonpr(it organization requirem5ts 7,a7 ,def9ition ,= purposes ( ?is p>agraph & ! grant programs "u ?is "p1 ! t]m nonpr(it organization means an organization t is describ$ 9 section #eja7;c77#c7 ( ! ,int]nal ,rev5ue ,code ( #aihf & is exempt f taxation "u section #eja7;a7 ( su* ,code4 7,b7 ,prohibition ,a cov]$ (ficial may n aw>d a grant "u ?is "p to a nonpr(it organization t holds money 9 (f%ore acc\nts = ! purpose ( avoid+ pay+ ! tax describ$ 9 section #eaa7;a7 ( ! ,int]nal ,rev5ue ,code ( #aihf4 7,c7 ,disclosure ,ea* nonpr(it organization t is aw>d$ a grant "u ?is "p & uses ! proc$ures prescrib$ 9 regulations to create a rebuttable presumption ( reasonabl5ess = ! comp5sation ( its (fic]s1 directors1 tru/ees1 & key employees1 %all disclose to ! applicable cov]$ (ficial1 9 ! application = ! grant1 ! process = det]m9+ su* comp5sation1 includ+ ! indep5d5t p]sons involv$ 9 review+ & approv+ su* comp5sation1 ! comp>ability data us$1 & contemporane\s sub/antiation ( ! delib]ation & decision4 ,^u reque/1 a cov]$ (ficial %all make ! in=mation disclos$ "u ?is subp>agraph available = public inspection4 7#c7 ,conf]5ce exp5ditures 7,a7 ,limitation ,no am\nts made available to a cov]$ (ficial "u ?is "p may be us$ by ! cov]$ (ficial1 or by any individual or entity aw>d$ discretion>y funds ?r\gh a coop]ative agreem5t "u ?is "p1 to ho/ or support any exp5diture = conf]5ces t uses m ?an #bj1jjj 9 funds made available by ! cov]$ (ficial1 unless ! cov]$ (ficial provides prior writt5 au?orization t ! funds may be exp5d$ to ho/ ! conf]5ce4 7,b7 ,writt5 au?orization ,writt5 au?orization "u subp>agraph 7,a7 %all include a writt5 e/imate ( all co/s associat$ ) ! conf]5ce1 includ+ ! co/ ( all food1 bev]ages1 audio-visual equipm5t1 honor>ia = speak]s1 & ent]ta9m5t4 7,c7 ,report 7i7 ,dep>tm5t ( ,ju/ice ,! ,deputy ,attorney ,g5]al %all submit to ! applicable committees an annual report on all conf]5ce exp5ditures approv$ by ! ,attorney ,g5]al "u ?is p>agraph4 7ii7 ,dep>tm5t ( ,heal? & ,human ,s]vices ,! ,deputy ,secret>y ( ,heal? & ,human ,s]vices %all submit to ! applicable committees an annual report on all conf]5ce exp5ditures approv$ by ! ,secret>y ( ,heal? & ,human ,s]vices "u ?is p>agraph4 7#d7 ,annual c]tification ,beg9n+ 9 ! fir/ fiscal ye> beg9n+ aft] ! date ( enactm5t ( ?is section1 ea* cov]$ (ficial %all submit to ! applicable committees an annual c]tification-- 7,a7 indicat+ :e!r-- 7i7 all audits issu$ by ! ,(fice ( ! ,inspector ,g5]al ( ! applicable ag5cy "u p>agraph 7#a7 h be5 complet$ & review$ by ! appropriate ,assi/ant ,attorney ,g5]al or ,director1 or ! appropriate (ficial ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 z applicable2 7ii7 all m&atory exclusions requir$ "u p>agraph 7#a77;,c7 h be5 issu$2 & 7iii7 all reimbursem5ts requir$ "u p>agraph 7#a77;,e7 h be5 made2 & 7,b7 t includes a li/ ( any grant recipi5ts exclud$ "u p>agraph 7#a7 f ! previ\s ye>4 7c7 ,prev5t+ duplicative grants 7#a7 ,9 g5]al ,be=e a cov]$ (ficial aw>ds a grant to an applicant "u ?is "p1 ! cov]$ (ficial %all comp>e pot5tial grant aw>ds ) o!r grants aw>d$ "u ?is "p by ! cov]$ (ficial to det]m9e if duplicate grant aw>ds are aw>d$ = ! same purpose4 7#b7 ,report ,if a cov]$ (ficial aw>ds duplicate grants to ! same applicant = ! same purpose1 ! cov]$ (ficial %all submit to ! applicable committees a report t includes-- 7,a7 a li/ ( all duplicate grants aw>d$1 includ+ ! total doll> am\nt ( any duplicate grants aw>d$2 & 7,b7 ! reason ! cov]$ (ficial aw>d$ ! duplicate grants4 4 7b7 ,o!r grants 7#a7 ,def9itions ,9 ?is subsection-- 7,a7 ! t]m applicable committees-- 7i7 ) respect to ! ,attorney ,g5]al & any o!r (ficial ( ! ,dep>tm5t ( ,ju/ice1 means-- 7,i7 ! ,committee on ! ,judici>y ( ! ,s5ate2 & 7,,ii7 ! ,committee on ! ,judici>y ( ! ,h\se ( ,repres5tatives2 & 7ii7 ) respect to ! ,secret>y ( ,heal? & ,human ,s]vices & any o!r (ficial ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 means-- 7,i7 ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate2 & 7,,ii7 ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives2 7,b7 ! t]m cov]$ ag5cy means-- 7i7 ! ,dep>tm5t ( ,ju/ice2 & 7ii7 ! ,dep>tm5t ( ,heal? & ,human ,s]vices2 7,c7 ! t]m cov]$ grant means a grant "u section #bja1 #cjb1 or #fja ( ?is ,act or section #ejh ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#a7 7z am5d$ by section #eja ( ?is ,act72 & 7,d7 ! t]m cov]$ (ficial means-- 7i7 ! ,attorney ,g5]al2 & 7ii7 ! ,secret>y ( ,heal? & ,human ,s]vices4 7#b7 ,acc\ntability ,all cov]$ grants aw>d$ by a cov]$ (ficial %all be subject to ! foll[+ acc\ntability provisions3 7,a7 ,audit requirem5t 7i7 ,def9ition ,9 ?is subp>agraph1 ! t]m unresolv$ audit f9d+ means a f9d+ 9 ! f9al audit report ( ! ,inspector ,g5]al ( a cov]$ ag5cy t ! audit$ grantee has utiliz$ grant funds = an unau?oriz$ exp5diture or o!rwise unall[able co/ t is n clos$ or resolv$ )9 #ab mon?s aft] ! date on :i* ! f9al audit report is issu$4 7ii7 ,audit ,beg9n+ 9 ! fir/ fiscal ye> beg9n+ aft] ! date ( enactm5t ( ?is ,act1 & 9 ea* fiscal ye> !reaft]1 ! ,inspector ,g5]al ( a cov]$ ag5cy %all conduct audits ( recipi5ts ( cov]$ grants aw>d$ by ! applicable cov]$ (ficial to prev5t wa/e1 fraud1 & abuse ( funds by grantees4 ,! ,inspector ,g5]al %all det]m9e ! appropriate numb] ( grantees to be audit$ ea* ye>4 7iii7 ,m&atory exclusion ,a recipi5t ( cov]$ grant funds t is f\nd to h an unresolv$ audit f9d+ %all n be eligible to receive cov]$ grant funds dur+ ! fir/ #b fiscal ye>s beg9n+ aft] ! end ( ! #ab-mon? p]iod describ$ 9 clause 7i74 7iv7 ,priority ,9 aw>d+ cov]$ grants1 a cov]$ (ficial %all give priority to eligible applicants t did n h an unresolv$ audit f9d+ dur+ ! #c fiscal ye>s be=e submitt+ an application = a cov]$ grant4 7v7 ,reimbursem5t ,if an entity is aw>d$ cov]$ grant funds dur+ ! #b-;fiscal-ye> p]iod dur+ :i* ! entity is b>r$ f receiv+ grants "u clause 7iii71 ! cov]$ (ficial t aw>d$ ! funds %all-- 7,i7 deposit an am\nt equal to ! am\nt ( ! grant funds t 7 improp]ly aw>d$ to ! grantee into ! ,g5]al ,fund ( ! ,treasury2 & 7,,ii7 seek to rec\p ! co/s ( ! repaym5t to ! fund f ! grant recipi5t t 0 errone\sly aw>d$ grant funds4 7,b7 ,nonpr(it organization requirem5ts 7i7 ,def9ition ,= purposes ( ?is subp>agraph & ! cov]$ grant programs1 ! t]m nonpr(it organization means an organization t is describ$ 9 section #eja7;c77#c7 ( ! ,int]nal ,rev5ue ,code ( #aihf & is exempt f taxation "u section #eja7;a7 ( su* ,code4 7ii7 ,prohibition ,a cov]$ (ficial may n aw>d a cov]$ grant to a nonpr(it organization t holds money 9 (f%ore acc\nts = ! purpose ( avoid+ pay+ ! tax describ$ 9 section #eaa7;a7 ( ! ,int]nal ,rev5ue ,code ( #aihf4 7iii7 ,disclosure ,ea* nonpr(it organization t is aw>d$ a cov]$ grant & uses ! proc$ures prescrib$ 9 regulations to create a rebuttable presumption ( reasonabl5ess = ! comp5sation ( its (fic]s1 directors1 tru/ees1 & key employees1 %all disclose to ! applicable cov]$ (ficial1 9 ! application = ! grant1 ! process = det]m9+ su* comp5sation1 includ+ ! indep5d5t p]sons involv$ 9 review+ & approv+ su* comp5sation1 ! comp>ability data us$1 & contemporane\s sub/antiation ( ! delib]ation & decision4 ,^u reque/1 a cov]$ (ficial %all make ! in=mation disclos$ "u ?is clause available = public inspection4 7,c7 ,conf]5ce exp5ditures 7i7 ,limitation ,no am\nts made available to a cov]$ (ficial "u a cov]$ grant program may be us$ by ! cov]$ (ficial1 or by any individual or entity aw>d$ discretion>y funds ?r\gh a coop]ative agreem5t "u a cov]$ grant program1 to ho/ or support any exp5diture = conf]5ces t uses m ?an #bj1jjj 9 funds made available by ! cov]$ (ficial1 unless ! cov]$ (ficial provides prior writt5 au?orization t ! funds may be exp5d$ to ho/ ! conf]5ce4 7ii7 ,writt5 au?orization ,writt5 au?orization "u clause 7i7 %all include a writt5 e/imate ( all co/s associat$ ) ! conf]5ce1 includ+ ! co/ ( all food1 bev]ages1 audio-visual equipm5t1 honor>ia = speak]s1 & ent]ta9m5t4 7iii7 ,report 7,i7 ,dep>tm5t ( ,ju/ice ,! ,deputy ,attorney ,g5]al %all submit to ! applicable committees an annual report on all conf]5ce exp5ditures approv$ by ! ,attorney ,g5]al "u ?is subp>agraph4 7,,ii7 ,dep>tm5t ( ,heal? & ,human ,s]vices ,! ,deputy ,secret>y ( ,heal? & ,human ,s]vices %all submit to ! applicable committees an annual report on all conf]5ce exp5ditures approv$ by ! ,secret>y ( ,heal? & ,human ,s]vices "u ?is subp>agraph4 7,d7 ,annual c]tification ,beg9n+ 9 ! fir/ fiscal ye> beg9n+ aft] ! date ( enactm5t ( ?is ,act1 ea* cov]$ (ficial %all submit to ! applicable committees an annual c]tification-- 7i7 indicat+ :e!r-- 7,i7 all audits issu$ by ! ,(fice ( ! ,inspector ,g5]al ( ! applicable ag5cy "u subp>agraph 7,a7 h be5 complet$ & review$ by ! appropriate ,assi/ant ,attorney ,g5]al or ,director1 or ! appropriate (ficial ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 z applicable2 7,,ii7 all m&atory exclusions requir$ "u subp>agraph 7,a77iii7 h be5 issu$2 & 7,,iii7 all reimbursem5ts requir$ "u subp>agraph 7,a77v7 h be5 made2 & 7ii7 t includes a li/ ( any grant recipi5ts exclud$ "u subp>agraph 7,a7 f ! previ\s ye>4 7#c7 ,prev5t+ duplicative grants 7,a7 ,9 g5]al ,be=e a cov]$ (ficial aw>ds a cov]$ grant to an applicant1 ! cov]$ (ficial %all comp>e pot5tial grant aw>ds ) o!r cov]$ grants aw>d$ by ! cov]$ (ficial to det]m9e if duplicate grant aw>ds are aw>d$ = ! same purpose4 7,b7 ,report ,if a cov]$ (ficial aw>ds duplicate grants to ! same applicant = ! same purpose1 ! cov]$ (ficial %all submit to ! applicable committees a report t includes-- 7i7 a li/ ( all duplicate grants aw>d$1 includ+ ! total doll> am\nt ( any duplicate grants aw>d$2 & 7ii7 ! reason ! cov]$ (ficial aw>d$ ! duplicate grants4 #gje4 ,programs to prev5t prescription drug abuse "u ! ,m$ic>e program 7a7 ,drug ,managem5t ,program = ,at-,risk ,b5efici>ies 7#a7 ,9 g5]al ,section #ahfj;,d-#d7;c7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#ajd7;c77 is am5d$ by add+ at ! end ! foll[+3 7#e7 ,drug managem5t program = at-risk b5efici>ies 7,a7 ,au?ority to e/abli% ,a ,,pdp sponsor may e/abli% a drug managem5t program = at-risk b5efici>ies "u :i*1 subject to subp>agraph 7,b71 ! ,,pdp sponsor may1 9 ! case ( an at-risk b5efici>y = prescription drug abuse :o is an enrollee 9 a prescription drug plan ( su* ,,pdp sponsor1 limit su* b5efici>y's access to cov]age = frequ5tly abus$ drugs "u su* plan to frequ5tly abus$ drugs t are prescrib$ = su* b5efici>y by a prescrib] 7or prescrib]s7 select$ "u subp>agraph 7,d71 & disp5s$ = su* b5efici>y by a ph>macy 7or ph>macies7 select$ "u su* subp>agraph4 7,b7 ,requirem5t = notices 7i7 ,9 g5]al ,a ,,pdp sponsor may n limit ! access ( an at-risk b5efici>y = prescription drug abuse to cov]age = frequ5tly abus$ drugs "u a prescription drug plan until su* sponsor-- 7,i7 provides to ! b5efici>y an initial notice describ$ 9 clause 7ii7 & a second notice describ$ 9 clause 7iii72 & 7,,ii7 v]ifies ) ! provid]s ( ! b5efici>y t ! b5efici>y is an at-risk b5efici>y = prescription drug abuse1 z describ$ 9 subp>agraph 7,c77iv74 7ii7 ,initial notice ,an initial writt5 notice describ$ 9 ?is clause is a notice t provides to ! b5efici>y-- 7,i7 notice t ! ,,pdp sponsor has id5tifi$ ! b5efici>y z pot5tially be+ an at-risk b5efici>y = prescription drug abuse2 7,,ii7 in=mation1 :5 possible1 describ+ ,/ate & ,f$]al public heal? res\rces t are design$ to address prescription drug abuse to :i* ! b5efici>y may h access1 includ+ sub/ance use disord] treatm5t s]vices1 addiction treatm5t s]vices1 m5tal heal? s]vices1 & o!r c\nsel+ s]vices2 7,,iii7 a reque/ = ! b5efici>y to submit to ! ,,pdp sponsor pref]5ces = :i* prescrib]s & ph>macies ! b5efici>y w\ld pref] ! ,,pdp sponsor to select "u subp>agraph 7,d7 9 ! case t ! b5efici>y is id5tifi$ z an at-risk b5efici>y = prescription drug abuse z describ$ 9 clause 7iii77,i72 7,,iv7 an explanation ( ! mean+ & consequ5ces ( ! id5tification ( ! b5efici>y z pot5tially be+ an at-risk b5efici>y = prescription drug abuse1 includ+ an explanation ( ! drug managem5t program e/abli%$ by ! ,,pdp sponsor pursuant to subp>agraph 7,a72 7,v7 cle> in/ructions t expla9 h[ ! b5efici>y c contact ! ,,pdp sponsor 9 ord] to submit to ! ,,pdp sponsor ! pref]5ces describ$ 9 subclause 7,,iv7 & any o!r communications relat+ to ! drug managem5t program = at-risk b5efici>ies e/abli%$ by ! ,,pdp sponsor2 7,,vi7 contact in=mation = o!r organizations t c provide ! b5efici>y ) in=mation reg>d+ drug managem5t program = at-risk b5efici>ies 7simil> to ! in=mation provid$ by ! ,secret>y 9 o!r /&>diz$ notices to "p ,d eligible individuals enroll$ 9 prescription drug plans "u ?is "p72 & 7,,vii7 notice t ! b5efici>y has a "r to an appeal pursuant to subp>agraph 7,e74 7iii7 ,second notice ,a second writt5 notice describ$ 9 ?is clause is a notice t provides to ! b5efici>y notice-- 7,i7 t ! ,,pdp sponsor has id5tifi$ ! b5efici>y z an at-risk b5efici>y = prescription drug abuse2 7,,ii7 t su* b5efici>y has be5 s5t1 or in=m$ (1 su* id5tification 9 ! initial notice & is n[ subject to ! requirem5ts ( ! drug managem5t program = at-risk b5efici>ies e/abli%$ by su* ,,pdp sponsor = su* plan2 7,,iii7 ( ! prescrib] & ph>macy select$ = su* individual "u subp>agraph 7,d72 7,,iv7 (1 & in=mation ab\t1 ! "r ( ! b5efici>y to a reconsid]ation & an appeal "u subsection 7h7 ( su* id5tification & ! prescrib]s & ph>macies select$2 7,v7 t ! b5efici>y c1 9 ! case t ! b5efici>y has n previ\sly submitt$ to ! ,,pdp sponsor pref]5ces = :i* prescrib]s & ph>macies ! b5efici>y w\ld pref] ! ,,pdp sponsor select "u subp>agraph 7,d71 submit su* pref]5ces to ! ,,pdp sponsor2 & 7,,vi7 t includes cle> in/ructions t expla9 h[ ! b5efici>y c contact ! ,,pdp sponsor 9 ord] to submit to ! ,,pdp sponsor ! pref]5ces describ$ 9 subclause 7,v74 7iv7 ,tim+ ( notices 7,i7 ,9 g5]al ,subject to subclause 7,,ii71 a second writt5 notice describ$ 9 clause 7iii7 %all be provid$ to ! b5efici>y on a date t is n less ?an #cj days aft] an initial notice describ$ 9 clause 7ii7 is provid$ to ! b5efici>y4 7,,ii7 ,exception ,9 ! case t ! ,,pdp sponsor1 9 conjunction ) ! ,secret>y1 det]m9es t conc]ns id5tifi$ ?r\gh rulemak+ by ! ,secret>y reg>d+ ! heal? or safety ( ! b5efici>y or reg>d+ significant drug div]sion activities require ! ,,pdp sponsor to provide a second notice describ$ 9 clause 7iii7 to ! b5efici>y on a date t is e>li] ?an ! date describ$ 9 subclause 7,,ii71 ! ,,pdp sponsor may provide su* second notice on su* e>li] date4 7,,iii7 ,=m ( notice ,! writt5 notices "u clauses 7ii7 & 7iii7 %all be 9 a =mat det]m9$ appropriate by ! ,secret>y1 tak+ into acc\nt b5efici>y pref]5ces4 7,c7 ,at-risk b5efici>y = prescription drug abuse 7i7 ,9 g5]al ,= purposes ( ?is p>agraph1 ! t]m at-risk b5efici>y = prescription drug abuse means a "p ,d eligible individual :o is n an exempt$ individual describ$ 9 clause 7ii7 &-- 7,i7 :o is id5tifi$ ?r\gh crit]ia develop$ by ! ,secret>y 9 consultation ) ,,pdp sponsors & o!r /akehold]s describ$ 9 subsection section 7g77#b77;,a7 ( ! ,compreh5sive ,addiction & ,recov]y ,act ( #bjaf bas$ on cl9ical factors indicat+ misuse or abuse ( prescription drugs describ$ 9 subp>agraph 7,g71 includ+ dosage1 quantity1 duration ( use1 numb] ( & reasonable access to prescrib]s1 & numb] ( & reasonable access to ph>macies us$ to obta9 su* drug2 or 7,,ii7 ) respect to :om ! ,,pdp sponsor ( a prescription drug plan1 ^u enroll+ su* individual 9 su* plan1 receiv$ notice f ! ,secret>y t su* individual 0 id5tifi$ "u ?is p>agraph to be an at-risk b5efici>y = prescription drug abuse "u a prescription drug plan 9 :i* su* individual 0 previ\sly enroll$ & su* id5tification has n be5 t]m9at$ "u subp>agraph 7,f74 7ii7 ,exempt$ individual describ$ ,an exempt$ individual describ$ 9 ?is clause is an individual :o-- 7,i7 receives hospice c>e "u ?is title2 7,,ii7 resides 9 a long-t]m c>e facility1 a facility describ$ 9 section #aije7;d71 or o!r facility "u contract ) a s+le ph>macy2 or 7,,iii7 ! ,secret>y elects to treat z an exempt$ individual = purposes ( clause 7i74 7iii7 ,program size ,! ,secret>y %all e/abli% policies1 includ+ ! crit]ia develop$ "u clause 7i77,i7 & ! exemptions "u clause 7ii77,,iii71 to ensure t ! population ( enrollees 9 a drug managem5t program = at-risk b5efici>ies op]at$ by a prescription drug plan c be effectively manag$ by su* plans4 7iv7 ,cl9ical contact ,) respect to ea* at-risk b5efici>y = prescription drug abuse enroll$ 9 a prescription drug plan (f]$ by a ,,pdp sponsor1 ! ,,pdp sponsor %all contact ! b5efici>y's provid]s :o h prescrib$ frequ5tly abus$ drugs reg>d+ :e!r prescrib$ m$ications are appropriate = su* b5efici>y's m$ical conditions4 7,d7 ,selection ( prescrib]s 7i7 ,9 g5]al ,) respect to ea* at-risk b5efici>y = prescription drug abuse enroll$ 9 a prescription drug plan (f]$ by su* sponsor1 a ,,pdp sponsor %all1 bas$ on ! pref]5ces submitt$ to ! ,,pdp sponsor by ! b5efici>y pursuant to clauses 7ii77,,iii7 & 7iii77,v7 ( subp>agraph 7,b7 if applicable1 select-- 7,i7 "o1 or1 if ! ,,pdp sponsor reasonably det]m9es x necess>y to provide ! b5efici>y ) reasonable access "u clause 7ii71 m ?an "o1 individual :o is au?oriz$ to prescribe frequ5tly abus$ drugs 7ref]r$ to 9 ?is p>agraph z a prescrib]7 :o may write prescriptions = su* drugs = su* b5efici>y2 & 7,,ii7 "o1 or1 if ! ,,pdp sponsor reasonably det]m9es x necess>y to provide ! b5efici>y ) reasonable access "u clause 7ii71 m ?an "o1 ph>macy t may disp5se su* drugs to su* b5efici>y4 7ii7 ,reasonable access ,9 mak+ ! selection "u ?is subp>agraph1 a ,,pdp sponsor %all ensure1 tak+ into acc\nt geographic location1 b5efici>y pref]5ce1 impact on co/-%>+1 & reasonable travel "t1 t ! b5efici>y cont9ues to h reasonable access to drugs describ$ 9 subp>agraph 7,g71 includ+-- 7,i7 = individuals ) multiple resid5ces2 & 7,,ii7 9 ! case ( natural disa/]s & simil> em]g5cy situations4 7iii7 ,b5efici>y pref]5ces 7,i7 ,9 g5]al ,if an at-risk b5efici>y = prescription drug abuse submits pref]5ces = :i* 9-network prescrib]s & ph>macies ! b5efici>y w\ld pref] ! ,,pdp sponsor select 9 response to a notice "u subp>agraph 7,b71 ! ,,pdp sponsor %all-- 7aa7 review su* pref]5ces2 7bb7 select or *ange ! selection ( a prescrib] or ph>macy = ! b5efici>y bas$ on su* pref]5ces2 & 7cc7 in=m ! b5efici>y ( su* selection or *ange ( selection4 7,,ii7 ,exception ,9 ! case t ! ,,pdp sponsor det]m9es t a *ange to ! selection ( a prescrib] or ph>macy "u item 7bb7 by ! ,,pdp sponsor is contribut+ or w\ld contribute to prescription drug abuse or drug div]sion by ! b5efici>y1 ! ,,pdp sponsor may *ange ! selection ( a prescrib] or ph>macy = ! b5efici>y4 ,if ! ,,pdp sponsor *anges ! selection pursuant to ! prec$+ s5t5ce1 ! ,,pdp sponsor %all provide ! b5efici>y )-- 7aa7 at lea/ #cj days writt5 notice ( ! *ange ( selection2 & 7bb7 a rationale = ! *ange4 7,,iii7 ,tim+ ,an at-risk b5efici>y = prescription drug abuse may *oose to express _! prescrib] & ph>macy pref]5ce & communicate su* pref]5ce to _! ,,pdp sponsor at any date :ile enroll$ 9 ! program1 includ+ aft] a second notice "u subp>agraph 7,b77iii7 has be5 provid$4 7iv7 ,confirmation ,be=e select+ a prescrib] or ph>macy "u ?is subp>agraph1 a ,,pdp sponsor mu/ notify ! prescrib] & ph>macy t ! b5efici>y involv$ has be5 id5tifi$ = inclusion 9 ! drug managem5t program = at-risk b5efici>ies & t ! prescrib] & ph>macy has be5 select$ z ! b5efici>y's designat$ prescrib] & ph>macy4 7,e7 ,appeals ,! id5tification ( an individual z an at-risk b5efici>y = prescription drug abuse "u ?is p>agraph1 a cov]age det]m9ation made "u a drug managem5t program = at-risk b5efici>ies1 & ! selection ( a prescrib] or ph>macy "u subp>agraph 7,d7 ) respect to su* individual %all be subject to an exp$it$ reconsid]ation & appeal pursuant to subsection 7h74 7,f7 ,t]m9ation ( id5tification 7i7 ,9 g5]al ,! ,secret>y %all develop /&>ds = ! t]m9ation ( id5tification ( an individual z an at-risk b5efici>y = prescription drug abuse "u ?is p>agraph4 ,"u su* /&>ds su* id5tification %all t]m9ate z ( ! e>li] (-- 7,i7 ! date ! individual demon/rates t ! individual is no long] likely1 9 ! abs5ce ( ! re/rictions "u ?is p>agraph1 to be an at-risk b5efici>y = prescription drug abuse describ$ 9 subp>agraph 7,c77i72 or 7,,ii7 ! end ( su* maximum p]iod ( id5tification z ! ,secret>y may specify4 7ii7 ,rule ( con/ruction ,no?+ 9 clause 7i7 %all be con/ru$ z prev5t+ a plan f id5tify+ an individual z an at-risk b5efici>y = prescription drug abuse "u subp>agraph 7,c77i7 aft] su* t]m9ation on ! basis ( additional in=mation on drug use occurr+ aft] ! date ( notice ( su* t]m9ation4 7,g7 ,frequ5tly abus$ drug ,= purposes ( ?is subsection1 ! t]m frequ5tly abus$ drug means a drug t is det]m9$ by ! ,secret>y to be frequ5tly abus$ or div]t$ & t is-- 7i7 a ,controll$ ,drug ,sub/ance 9 ,s*$ule ,,cii2 or 7ii7 )9 ! same class or category ( drugs z a ,controll$ ,drug ,sub/ance 9 ,s*$ule ,,cii1 z det]m9$ ?r\gh notice & comm5t rulemak+4 7,h7 ,data disclosure 7i7 ,data on decision to impose limitation ,9 ! case ( an at-risk b5efici>y = prescription drug abuse 7or an individual :o is a pot5tially at-risk b5efici>y = prescription drug abuse7 ^: access to cov]age = frequ5tly abus$ drugs "u a prescription drug plan has be5 limit$ by a ,,pdp sponsor "u ?is p>agraph1 ! ,secret>y %all e/abli% rules & proc$ures to require su* ,,pdp sponsor to disclose data1 includ+ necess>y individually id5tifiable heal? in=mation1 ab\t ! decision to impose su* limitations & ! limitations impos$ by ! ,,pdp sponsor "u ?is "p4 7ii7 ,data to r$uce fraud1 abuse1 & wa/e ,! ,secret>y %all e/abli% rules & proc$ures to require ,,pdp sponsors op]at+ a drug managem5t program = at-risk b5efici>ies "u ?is p>agraph to provide ! ,secret>y ) su* data z ! ,secret>y det]m9es appropriate = purposes ( id5tify+ patt]ns ( prescription drug utilization = plan enrollees t are outside normal patt]ns & t may indicate fraudul5t1 m$ically unnecess>y1 or unsafe use4 7,i7 ,%>+ ( in=mation = subsequ5t plan enrollm5ts ,! ,secret>y %all e/abli% proc$ures "u :i* ,,pdp sponsors :o (f] prescription drug plans %all %>e in=mation ) respect to individuals :o are at-risk b5efici>ies = prescription drug abuse 7or individuals :o are pot5tially at-risk b5efici>ies = prescription drug abuse7 & enroll$ 9 a prescription drug plan & :o subsequ5tly dis5roll f su* plan & enroll 9 ano!r prescription drug plan (f]$ by ano!r ,,pdp sponsor4 7,j7 ,privacy issues ,prior to ! implem5tation ( ! rules & proc$ures "u ?is p>agraph1 ! ,secret>y %all cl>ify privacy requirem5ts1 includ+ requirem5ts "u ! regulations promulgat$ pursuant to section #bfd7;c7 ( ! ,heal? ,insurance ,portability & ,acc\ntability ,act ( #aiif 7#db ,u4,s4,c4 #acbj;d-#b note71 relat$ to ! %>+ ( data "u subp>agraphs 7,h7 & 7,i7 by ,,pdp sponsors4 ,su* cl>ification %all provide t ! %>+ ( su* data %all be consid]$ to be protect$ heal? in=mation 9 accordance ) ! requirem5ts ( ! regulations promulgat$ pursuant to su* section #bfd7;c74 7,k7 ,education ,! ,secret>y %all provide education to enrollees 9 prescription drug plans ( ,,pdp sponsors & provid]s reg>d+ ! drug managem5t program = at-risk b5efici>ies describ$ 9 ?is p>agraph1 includ+ education-- 7i7 provid$ ?r\gh ! improp] paym5t outrea* & education program describ$ 9 section #ahgd;,a7h72 & 7ii7 ?r\gh curr5t education ef=ts 7su* z ,/ate heal? insurance assi/ance programs describ$ 9 subsection 7a77#a77;,a7 ( section #aai ( ! ,m$ic>e ,improvem5ts = ,pati5ts & ,provid]s ,act ( #bjjh 7#db ,u4,s4,c4 #acie;b-#c note77 & mat]ials direct$ t[>d su* enrollees4 7,l7 ,,cms compliance review ,! ,secret>y %all ensure t exi/+ plan sponsor compliance reviews & audit processes include ! drug managem5t programs = at-risk b5efici>ies "u ?is p>agraph1 includ+ appeals processes "u su* programs4 4 7#b7 ,in=mation = consum]s ,section #ahfj;,d-#d7;a77#a77;,b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#ajd7;a77#a77;,b77 is am5d$ by add+ at ! end ! foll[+3 7v7 ,! drug managem5t program = at-risk b5efici>ies "u subsection 7c77#e74 4 7#c7 ,dual eligibles ,section #ahfj;,d-#a7;b77#c77;,d7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#aja7;b77#c77;,d77 is am5d$ by ins]t+ 1 subject to su* limits z ! ,secret>y may e/abli% = individuals id5tifi$ pursuant to section #ahfj;,d-#d7;c77#e7 aft] ! ,secret>y4 7b7 ,utilization managem5t programs ,section #ahfj;,d-#d7;c7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#ajd7;c771 z am5d$ by subsection 7a77#a71 is am5d$-- 7#a7 9 p>agraph 7#a71 by ins]t+ aft] subp>agraph 7,d7 ! foll[+ new subp>agraph3 7,e7 ,a utilization managem5t tool to prev5t drug abuse 7z describ$ 9 p>agraph 7#e77;,a774 2 & 7#b7 by add+ at ! end ! foll[+ new p>agraph3 7#f7 ,utilization managem5t tool to prev5t drug abuse 7,a7 ,9 g5]al ,a tool describ$ 9 ?is p>agraph is any ( ! foll[+3 7i7 ,a utilization tool design$ to prev5t ! abuse ( frequ5tly abus$ drugs by individuals & to prev5t ! div]sion ( su* drugs at ph>macies4 7ii7 ,retrospective utilization review to id5tify-- 7,i7 individuals t receive frequ5tly abus$ drugs at a frequ5cy or 9 am\nts t are n cl9ically appropriate2 & 7,,ii7 provid]s ( s]vices or suppli]s t may facilitate ! abuse or div]sion ( frequ5tly abus$ drugs by b5efici>ies4 7iii7 ,consultation ) ! contractor describ$ 9 subp>agraph 7,b7 to v]ify if an individual enroll+ 9 a prescription drug plan (f]$ by a ,,pdp sponsor has be5 previ\sly id5tifi$ by ano!r ,,pdp sponsor z an individual describ$ 9 clause 7ii77,i74 7,b7 ,report+ ,a ,,pdp sponsor (f]+ a prescription drug plan 9 a ,/ate %all submit to ! ,secret>y & ! ,m$ic>e drug integrity contractor ) :i* ! ,secret>y has ent]$ into a contract "u section #ahic ) respect to su* ,/ate a report1 on a mon?ly basis1 conta9+ in=mation on-- 7i7 any provid] ( s]vices or suppli] describ$ 9 subp>agraph 7,a77ii77,,ii7 t is id5tifi$ by su* plan sponsor dur+ ! #cj-;day p]iod be=e su* report is submitt$2 & 7ii7 ! "n & prescription records ( individuals describ$ 9 p>agraph 7#e77;,c74 7,c7 ,,cms compliance review ,! ,secret>y %all ensure t plan sponsor annual compliance reviews & program audits include a c]tification t utilization managem5t tools "u ?is p>agraph are 9 compliance ) ! requirem5ts = su* tools4 4 7c7 ,treatm5t ( c]ta9 compla9ts = purposes ( quality or p]=mance assessm5t ,section #ahfj;,d-#db ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#aeb7 is am5d$ by add+ at ! end ! foll[+ new subsection3 7d7 ,treatm5t ( c]ta9 compla9ts = purposes ( quality or p]=mance assessm5t ,9 conduct+ a quality or p]=mance assessm5t ( a ,,pdp sponsor1 ! ,secret>y %all develop or utilize exi/+ scre5+ me?ods = review+ & consid]+ compla9ts t are receiv$ f enrollees 9 a prescription drug plan (f]$ by su* ,,pdp sponsor & t are compla9ts reg>d+ ! lack ( access by ! individual to prescription drugs due to a drug managem5t program = at-risk b5efici>ies4 4 7d7 ,s5se ( ,congress reg>d+ use ( te*nology tools ,to combat fraud ,x is ! s5se ( ,congress t ,,ma organizations & ,,pdp sponsors %\ld consid] us+ e-prescrib+ & o!r heal? in=mation te*nology tools to support combat+ fraud "u ,,ma-,,pd plans & prescription drug plans "u p>ts ,c & ,d ( ! ,m$ic>e ,program4 7e7 ,,gao /udy & report 7#a7 ,/udy ,! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all conduct a /udy on ! implem5tation ( ! am5dm5ts made by ?is section1 includ+ ! effectiv5ess ( ! at-risk b5efici>ies = prescription drug abuse drug managem5t programs au?oriz$ by section #ahfj;,d-#d7;c77#e7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#aj7;c77#e771 z add$ by subsection 7a77#a74 ,su* /udy %all include an analysis (-- 7,a7 ! imp$im5ts1 if any1 t impair ! ability ( individuals describ$ 9 subp>agraph 7,c7 ( su* section #ahfj;,d-#d7;c77#e7 to access cl9ically appropriate levels ( prescription drugs2 7,b7 ! effectiv5ess ( ! reasonable access protections "u subp>agraph 7,d77ii7 ( su* section #ahfj;,d-#d7;c77#e71 includ+ ! impact on b5efici>y access & heal?2 7,c7 h[ be/ to def9e ! t]m designat$ ph>macy1 includ+ :e!r ! def9ition ( su* t]m %\ld include an entity t is compris$ ( a numb] ( locations t are "u common own]%ip & t electronically %>e a real-"t1 onl9e database & :e!r su* a def9ition w\ld help to protect & improve b5efici>y access2 7,d7 ! types (-- 7i7 individuals :o1 9 ! implem5tation ( su* section1 are det]m9$ to be individuals describ$ 9 su* subp>agraph2 & 7ii7 prescrib]s & ph>macies t are select$ "u subp>agraph 7,d7 ( su* section2 7,e7 ! ext5t ( prescription drug abuse beyond ,controll$ ,drug ,sub/ances 9 ,s*$ule ,,cii 9 p>ts ,c & ,d ( ! ,m$ic>e program2 & 7,f7 o!r areas det]m9$ appropriate by ! ,comptroll] ,g5]al4 7#b7 ,report ,n lat] ?an ,july #a1 #bjai1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all submit to ! appropriate committees ( jurisdiction ( ,congress a report on ! /udy conduct$ "u p>agraph 7#a71 toge!r ) recomm5dations = su* legislation & adm9i/rative action z ! ,comptroll] ,g5]al det]m9es to be appropriate4 7f7 ,report by ,secret>y 7#a7 ,9 g5]al ,n lat] ?an #ab mon?s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all submit to ! appropriate committees ( jurisdiction ( ,congress a report on ways to improve ^u ! appeals process = ,m$ic>e b5efici>ies ) respect to prescription drug cov]age "u "p ,d ( title ,,xviii ( ! ,social ,security ,act4 ,su* report %all include an analysis comp>+ appeals processes "u p>ts ,c & ,d ( su* title ,,xviii4 7#b7 ,fe$back ,9 developm5t ( ! report describ$ 9 p>agraph 7#a71 ! ,secret>y ( ,heal? & ,human ,s]vices %all solicit fe$back on ! curr5t appeals process f /akehold]s1 su* z b5efici>ies1 consum] advocates1 plan sponsors1 ph>macy b5efit manag]s1 ph>maci/s1 provid]s1 indep5d5t review entity evaluators1 & ph>maceutical manufactur]s4 7g7 ,effective date 7#a7 ,9 g5]al ,except z provid$ 9 subsection 7d77#b71 ! am5dm5ts made by ?is section %all apply to prescription drug plans = plan ye>s beg9n+ on or aft] ,janu>y #a1 #bjah4 7#b7 ,/akehold] meet+s prior to effective date 7,a7 ,9 g5]al ,n lat] ?an ,janu>y #a1 #bjag1 ! ,secret>y ( ,heal? & ,human ,s]vices %all conv5e /akehold]s1 includ+ individuals entitl$ to b5efits "u "p ,a ( title ,,xviii ( ! ,social ,security ,act or enroll$ "u "p ,b ( su* title ( su* ,act1 advocacy gr\ps repres5t+ su* individuals1 cl9icians1 plan sponsors1 ph>maci/s1 retail ph>macies1 entities delegat$ by plan sponsors1 & bioph>maceutical manufactur]s = input reg>d+ ! topics describ$ 9 subp>agraph 7,b74 ,! input describ$ 9 ! prec$+ s5t5ce %all be provid$ to ! ,secret>y 9 suffici5t "t 9 ord] = ! ,secret>y to take su* input into acc\nt 9 promulgat+ ! regulations pursuant to subp>agraph 7,c74 7,b7 ,topics describ$ ,! topics describ$ 9 ?is subp>agraph are ! topics (-- 7i7 ! impact on co/-%>+ & ensur+ accessibility to prescription drugs = enrollees 9 prescription drug plans ( ,,pdp sponsors :o are at-risk b5efici>ies = prescription drug abuse 7z def9$ 9 p>agraph 7#e77;,c7 ( section #ahfj;,d-#d7;c7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#aj7;c7772 7ii7 ! use ( an exp$it$ appeals process "u :i* su* an enrollee may appeal an id5tification ( su* enrollee z an at-risk b5efici>y = prescription drug abuse "u su* p>agraph 7simil> to ! processes e/abli%$ "u ! ,m$ic>e ,advantage program "u "p ,c ( title ,,xviii ( ! ,social ,security ,act72 7iii7 ! types ( enrollees t %\ld be treat$ z exempt$ individuals1 z describ$ 9 clause 7ii7 ( su* p>agraph2 7iv7 ! mann] 9 :i* t]ms & def9itions 9 p>agraph 7#e7 ( su* section #ahfj;,d-#d7;c7 %\ld be appli$1 su* z ! use ( cl9ical appropriat5ess 9 det]m9+ :e!r an enrollee is an at-risk b5efici>y = prescription drug abuse z def9$ 9 subp>agraph 7,c7 ( su* p>agraph 7#e72 7v7 ! in=mation to be includ$ 9 ! notices describ$ 9 subp>agraph 7,b7 ( su* section & ! /&>dization ( su* notices2 7vi7 ) respect to a ,,pdp sponsor t e/abli%es a drug managem5t program = at-risk b5efici>ies "u su* p>agraph 7#e71 ! responsibilities ( su* ,,pdp sponsor ) respect to ! implem5tation ( su* program2 7vii7 notices = plan enrollees at ! po9t ( sale t w\ld expla9 :y an at-risk b5efici>y has be5 prohibit$ f receiv+ a prescription at a location outside ( ! designat$ ph>macy2 7viii7 evid5ce-bas$ prescrib+ guidel9es = opiates2 & 7ix7 ! %>+ ( claims data "u p>ts ,a & ,b ) ,,pdp sponsors4 7,c7 ,rulemak+ ,! ,secret>y ( ,heal? & ,human ,s]vices %all1 tak+ into acc\nt ! input ga!r$ pursuant to subp>agraph 7,a7 & aft] provid+ notice & an opportunity to comm5t1 promulgate regulations to c>ry out ! provisions (1 & am5dm5ts made by subsections 7a7 & 7b74 ,,viii ,transnational ,drug ,traffick+ ,act #hja4 ,%ort title ,?is title may be cit$ z ! ,transnational ,drug ,traffick+ ,act ( #bjae4 #hjb4 ,possession1 manufacture or di/ribution = purposes ( unlawful importations ,section #ajji ( ! ,controll$ ,sub/ances ,import & ,export ,act 7#ba ,u4,s4,c4 #iei7 is am5d$-- 7#a7 by r$esignat+ subsections 7b7 & 7c7 z subsections 7c7 & 7d71 respectively2 & 7#b7 9 subsection 7a71 by /rik+ ,x %all & all t foll[s & ins]t+ ! foll[+3 8,x %all be unlawful = any p]son to manufacture or di/ribute a controll$ sub/ance 9 s*$ule ,i or ,,ii or flunitrazepam or a li/$ *emical int5d+1 kn[+1 or hav+ reasonable cause to believe t su* sub/ance or *emical w be unlawfully import$ into ! ,unit$ ,/ates or into wat]s )9 a di/ance ( #ab miles ( ! coa/ ( ! ,unit$ ,/ates4 7b7 ,x %all be unlawful = any p]son to manufacture or di/ribute a li/$ *emical-- 7#a7 int5d+ or kn[+ t ! li/$ *emical w be us$ to manufacture a controll$ sub/ance2 & 7#b7 int5d+1 kn[+1 or hav+ reasonable cause to believe t ! controll$ sub/ance w be unlawfully import$ into ! ,unit$ ,/ates4 4 #hjc4 ,traffick+ 9 c\nt]feit goods or s]vices ,*apt] #aac ( title #ah1 ,unit$ ,/ates ,code1 is am5d$-- 7#a7 9 section #bcah7;b77#b71 by /rik+ section #bcbj7;e7 & ins]t+ section #bcbj7;f72 & 7#b7 9 section #bcbj-- 7,a7 9 subsection 7a71 by /rik+ p>agraph 7#d7 & ins]t+ ! foll[+3 7#d7 traffics 9 a drug & kn[+ly uses a c\nt]feit m>k on or 9 connection ) su* drug1 2 7,b7 9 subsection 7b77#c71 9 ! matt] prec$+ subp>agraph 7,a71 by /rik+ c\nt]feit drug & ins]t+ drug t uses a c\nt]feit m>k on or 9 connection ) ! drug2 & 7,c7 9 subsection 7f71 by /rik+ p>agraph 7#f7 & ins]t+ ! foll[+3 7#f7 ! t]m drug means a drug1 z def9$ 9 section #bja ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cba74 4 ,pass$ ! ,s5ate ,m>* #aj1 #bjaf4,secret>y