,,ii  #aad? ,,congress  #a/ ,session    
,s4 #fcf  ,,9 ,,! ,,s5ate ,,( ,,!       
,,unit$ ,,/ates  ,m>* #c1 #bjae,mr4     
,udall introduc$ ! foll[+ bill2 :i* 0   
read twice & ref]r$ to ! ,committee on  
,heal?1 ,education1 ,labor1 & ,p5sions  
,a ,,bill  ,to r$uce prescription drug  
misuse & abuse4  #a4 ,%ort title ,?is   
,act may be cit$ z ! ,increas+ ! ,safety
 ( ,prescription ,drug ,use ,act (      
#bjae4  ,i ,,hhs ,programs  #aja4       
,am5dm5t to purpose ,p>agraph 7#a7 (    
section #b ( ! ,national ,all ,s*$ules  
,prescription ,electronic ,report+ ,act 
( #bjje 7,public ,law #aji-fj7 is am5d$ 
to read z foll[s3  7#a7 fo/] !          
e/abli%m5t ( ,/ate-adm9i/]$ controll$   
sub/ance monitor+ sy/ems 9 ord] to      
ensure t-- 7,a7 heal? c>e provid]s h    
access to ! accurate1 timely            
prescription hi/ory in=mation t !y may  
use z a tool = ! e>ly id5tification (   
pati5ts at risk = addiction 9 ord] to   
initiate appropriate m$ical int]v5tions 
& av]t ! tragic p]sonal1 family1 &      

community consequ5ces ( untreat$        
addiction2 &  7,b7 appropriate law      
en=cem5t1 regulatory1 & ,/ate           
pr(essional lic5s+ au?orities h access  
to prescription hi/ory in=mation = !    
purposes ( inve/igat+ drug div]sion &   
prescrib+ & disp5s+ practices ( errant  
prescrib]s or ph>maci/s2 &  4  #ajb4    
,prescription drug monitor+ program  7a7
 ,controll$ sub/ance monitor+ program   
,section #cii,o ( ! ,public ,heal?      
,s]vice ,act 7#db ,u4,s4,c4 #bhj;g-#c7  
is am5d$-- 7#a7 9 subsection 7a77#a7--  
7,a7 9 subp>agraph 7,a71 by /rik+ or2   
7,b7 9 subp>agraph 7,b71 by /rik+ !     
p]iod at ! end & ins]t+ 2 or2 &  7,c7 by
 add+ at ! end ! foll[+3  7,c7 to ma9ta9
 & op]ate an exi/+ ,/ate-controll$      
sub/ance monitor+ program4  2  7#b7 by  
am5d+ subsection 7b7 to read z foll[s3  
7b7 ,m9imum requirem5ts ,! ,secret>y    
%all ma9ta9 &1 z appropriate1 supplem5t 
or revise 7aft] publi%+ propos$         
additions & revisions 9 ! ,f$]al ,regi/]
 & receiv+ public comm5ts !reon7 m9imum 

requirem5ts = crit]ia to be us$ by      
,/ates = purposes ( clauses 7ii71 7v71  
7vi71 & 7vii7 ( subsection 7c77#a77;,a74
  2  7#c7 9 subsection 7c7-- 7,a7 9     
p>agraph 7#a77;,b7-- 7i7 9 ! matt]      
prec$+ clause 7i71 by /rik+ 7a77#a77;,b7
 & ins]t+ 7a77#a77;,b7 or 7a77#a77;,c72 
7ii7 9 clause 7i71 by /rik+ program to  
be improv$ & ins]t+ program to be       
improv$ or ma9ta9$2  7iii7 by r$esignat+
 clauses 7iii7 & 7iv7 z clauses 7iv7 &  
7v71 respectively2  7iv7 by ins]t+ aft] 
clause 7ii71 ! foll[+3  7iii7 a plan to 
apply ! late/ advances 9 heal? in=mation
 te*nology 9 ord] to incorporate        
prescription drug monitor+ program data 
directly into ! workfl[ ( prescrib]s &  
disp5s]s to ensure timely access to     
pati5ts' controll$ prescription drug    
hi/ory2  2  7v7 9 clause 7iv7 7z s      
r$esignat$71 by ins]t+ be=e ! semicolon 
! foll[+3 & at lea/ "o heal? in=mation  
te*nology sy/em su* z electronic heal?  
records1 heal? in=mation ex*anges1 &    
e-prescrib+ sy/ems2 &  7vi7 9 clause 7v7

 7z s r$esignat$71 by /rik+ public heal?
 & ins]t+ public heal? or public safety2
  7,b7 9 p>agraph 7#c7-- 7i7 by /rik+   
,if a ,/ate t submits & ins]t+ ! foll[+3
  7,a7 ,9 g5]al ,if a ,/ate t submits  2
  7ii7 by ins]t+ be=e ! p]iod at ! end &
 include timel9es = full implem5tation (
 su* int]op]ability4 ,! ,/ate %all also 
describe ! mann] 9 :i* x w a*ieve       
int]op]ability betwe5 its monitor+      
program & heal? in=mation te*nology     
sy/ems1 z all[able "u ,/ate law1 &      
include timel9es = ! implem5tation ( su*
 int]op]ability2 &  7iii7 by add+ at !  
end ! foll[+3  7,b7 ,monitor+ ( ef=ts ,!
 ,secret>y %all monitor ,/ate ef=ts to  
a*ieve int]op]ability1 z describ$ 9     
subp>agraph 7,a74  2  7,c7 9 p>agraph   
7#e7-- 7i7 by /rik+ implem5t or improve 
& ins]t+ e/abli%1 improve1 or ma9ta92 & 
7ii7 by add+ at ! end ! foll[+3 ,!      
,secret>y %all r$i/ribute any funds t   
are s return$ among ! rema9+ grantees "u
 ?is section 9 accordance ) ! =mula     
describ$ 9 subsection 7a77#b77;,b742    

7#d7 9 subsection 7d7-- 7,a7 9 ! matt]  
prec$+ p>agraph 7#a7-- 7i7 by /rik+ ,9  
implem5t+ or improv+ & all t foll[s     
?r\gh 7a77#a77;,b7 & ins]t+ ,9 e/abli%+1
 improv+1 or ma9ta9+ a controll$        
sub/ance monitor+ program "u ?is        
section1 a ,/ate %all comply1 or )      
respect to a ,/ate t applies = a grant  
"u subp>agraph 7,b7 or 7,c7 ( subsection
 7a77#a72 &  7ii7 by /rik+ public heal? 
& ins]t+ public heal? or public safety2 
&  7,b7 by add+ at ! end ! foll[+3  7#e7
 ,! ,/ate %all report on int]op]ability 
) ! controll$ sub/ance monitor+ program 
( ,f$]al ag5cies1 :]e appropriate1      
int]op]ability ) heal? in=mation        
te*nology sy/ems su* z electronic heal? 
records1 heal? in=mation ex*anges1 &    
e-prescrib+1 :]e appropriate1 & :e!r or 
n ! ,/ate provides automatic1 real-"t or
 daily in=mation ab\t a pati5t :5 a     
practition] 7or ! designee ( a          
practition]1 :]e p]mitt$7 reque/s       
in=mation ab\t su* pati5t4  2  7#e7 9   
subsection 7e71 by add+ at ! end !      

foll[+3  7#e7 ,! ,/ate %all-- 7,a7      
ensure t ! database-- 7i7 is int]op]able
 ) ! controll$ sub/ance monitor+ program
 ( o!r ,/ates & o!r ,f$]al ag5cies &    
across appropriate ,/ate ag5cies1       
includ+ heal? ag5cies1 z det]m9$ by !   
,secret>y2  7ii7 is int]op]able )       
electronic heal? records & e-prescrib+1 
:]e appropriate2 &  7iii7 provides      
automatic1 real-"t or daily in=mation   
ab\t a pati5t :5 a practition] 7or !    
designee ( a practition]1 :]e p]mitt$7  
reque/s in=mation ab\t su* pati5t2  7,b7
 require practition]s to use ,/ate      
database in=mation to help det]m9e :e!r 
to prescribe or r5ew a prescription = a 
controll$ sub/ance2 &  7,c7 require     
disp5s]s1 or _! designees1 :]e p]mitt$1 
to ent] data requir$ by ! ,secret>y1    
includ+ ! "n ( ! pati5t1 ! date1 &      
prescription dose1 into ! database = a  
controll$ sub/ance4  7#f7 ,not)/&+      
section #edc & any o!r provision ( law1 
! data requir$ to be ent]$ "u p>agraph  
7#e77;,c7 %all include in=mation )      

respect to me?adone t is disp5s$ to a   
pati5t1 if applicable4  7#g7 ,! ,/ate   
%all ensure t-- 7,a7 any p]son :o       
receives pati5t in=mation ?r\gh !       
database may disclose & use su*         
in=mation only to c>ry out ! (ficial    
duties ( t p]son ) reg>d to ! pati5t2 & 
7,b7 not)/&+ subsection 7f77#a77;,b71 no
 in=mation kept 9 accordance ) a        
database e/abli%$1 improv$1 or ma9ta9$  
?r\gh a grant "u ?is section may be us$ 
to conduct a crim9al inve/igation or    
sub/antiate any crim9al *>ges aga9/ a   
pati5t or to conduct any inve/igation ( 
a pati5t relat+ to me?adone use ( !     
pati5t4  2  7#f7 9 subsections 7e71     
7f77#a71 & 7g71 by /rik+ implem5t+ or   
improv+ ea* place x appe>s & ins]t+     
e/abli%+1 improv+1 or ma9ta9+2  7#g7 9  
subsection 7f7-- 7,a7 9 p>agraph        
7#a77;,b7 by /rik+ misuse ( a s*$ule    
,,ii1 ,,iii1 or ,,iv sub/ance & ins]t+  
misuse ( a controll$ sub/ance includ$ 9 
s*$ule ,,ii1 ,,iii1 or ,,iv ( section   
#bjb7;c7 ( ! ,controll$ ,sub/ance ,act2 

&  7,b7 by add+ at ! end ! foll[+3  7#c7
 ,evaluation & report+ ,subject to      
subsection 7g71 a ,/ate receiv+ a grant 
"u subsection 7a7 %all provide !        
,secret>y ) aggregate data & o!r        
in=mation det]m9$ by ! ,secret>y to be  
necess>y to enable ! ,secret>y-- 7,a7 to
 evaluate ! success ( ! ,/ate's program 
9 a*iev+ its purposes2 or  7,b7 to      
prep>e & submit ! report to ,congress   
requir$ by subsection 7k77#b74  7#d7    
,rese>* by o!r entities ,a dep>tm5t1    
program1 or adm9i/ration receiv+        
nonid5tifiable in=mation "u p>agraph    
7#a77;,d7 may make su* in=mation        
available to o!r entities = rese>*      
purposes4  2  7#h7 by /rik+ subsection  
7k72  7#i7 by r$esignat+ subsections 7h7
 ?r\gh 7j7 z subsections 7i7 ?r\gh 7k71 
respectively2  7#aj7 9 subsections      
7c77#a77;,a77iv7 & 7d77#d71 by /rik+    
subsection 7h7 ea* place x appe>s &     
ins]t+ subsection 7i72  7#aa7 by ins]t+ 
aft] subsection 7g7 ! foll[+3  7h7      
,education & access to ! monitor+ sy/em 

,a ,/ate receiv+ a grant "u subsection  
7a7 %all take /eps to-- 7#a7 facilitate 
prescrib] & disp5s] use ( ! ,/ate's     
controll$ sub/ance monitor+ sy/em2 &    
7#b7 educate prescrib]s & disp5s] on !  
b5efits ( ! sy/em bo? to !m & society4  
2  7#ab7 9 subsection 7k77#b77;,a71 z   
r$esignat$-- 7,a7 9 clause 7ii71 by     
/rik+ or affect$ & ins]t+ 1 e/abli%$ or 
/r5g!n$ initiatives to ensure l9kages to
 sub/ance use disord] s]vices1 or       
affect$ 2 &  7,b7 9 clause 7iii71 by    
/rik+ includ+ an assessm5t & ins]t+     
betwe5 controll$ sub/ance monitor+      
programs & heal? in=mation te*nology    
sy/ems1 & includ+ an assessm5t 2  7#ac7 
9 subsection 7l77#a71 by /rik+          
e/abli%m5t1 implem5tation1 or improvem5t
 & ins]t+ e/abli%m5t1 improvem5t1 or    
ma9t5ance2  7#ad7 9 subsection 7m77#h71 
by /rik+ & ! ,di/rict ( ,columbia &     
ins]t+ 1 ! ,di/rict ( ,columbia1 & any  
commonweal? or t]ritory ( ! ,unit$      
,/ates2 &  7#ae7 by am5d+ subsection    
7n71 to read z foll[s3  7o7             

,au?orization ( appropriations ,to c>ry 
out ?is section1 !re are au?oriz$ to be 
appropriat$ #g1jjj1jjj = ea* ( fiscal   
ye>s #bjaf ?r\gh #bjbj4  4  7b7         
,confid5tiality ( records ,section      
#edc7;a7 ( ! ,public ,heal? ,s]vice ,act
 7#db ,u4,s4,c4 #bij;dd-#b7;a77 is am5d$
 by ins]t+ or1 ) respect to me?adone1 z 
requir$ "u section #cii,o7e77#f7 be=e ! 
p]iod at ! end4  7c7 ,requirem5ts =     
,f$]al heal? c>e programs ,heal? c>e    
practition]s 7z def9$ 9 p>agraph 7#g7 ( 
section #cii,o7m7 ( ! ,public ,heal?    
,s]vice ,act 7#db ,u4,s4,c4             
#bhj;g-#c7m777 & disp5s]s 7z def9$ 9    
p>agraph 7#d7 ( su* section7 :o         
p>ticipate 9 or are employ$ by a ,f$]al 
heal? c>e program or f$]ally fund$ heal?
 c>e program1 includ+ ! ,indian ,heal?  
,s]vice1 ! ,dep>tm5t ( ,vet]ans         
,affairs1 ! ,dep>tm5t ( ,def5se1 !      
,f$]al ,bureau ( ,prisons1 ! ,m$ic>e    
program "u title ,,xviii ( ! ,social    
,security ,act 7#db ,u4,s4,c4 #acie et  
seq471 a ,/ate ,m$icaid plan "u title   

,,xix ( ! ,social ,security ,act 7#db   
,u4,s4,c4 #acif et seq471 ! ,*ildr5's   
,heal? ,insurance ,program "u title     
,,xxi ( ! ,social ,security ,act 7#db   
,u4,s4,c4 #acig;aa et seq471 & ,f$]ally 
qualifi$ heal? c5t]s1 %all use !        
databases ( ! controll$ sub/ance        
monitor+ programs "u section #cii,o ( ! 
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bhj;g-#c71 if su* databases  
are available to ! practition] or       
disp5s]4  #ajc4 ,pilot project  7a7 ,9  
g5]al ,! ,secret>y ( ,heal? & ,human    
,s]vices 7ref]r$ to 9 ?is section z !   
,secret>y7 %all aw>d grants to "o or m  
,/ates to c>ry out a #a-ye> pilot       
project to develop a /&>diz$ pe] review 
process & me?odology to review &        
evaluate prescrib+ & ph>macy disp5s+    
patt]ns1 ?r\gh a review ( prescription  
drug monitor+ programs 7ref]r$ to 9 ?is 
section z ,,pdmp7 9 ! ,/ates receiv+ su*
 grants4  7b7 ,me?odology ,! recipi5ts (
 a grant "u ?is section %all develop a  
sy/ematic1 /&>diz$ me?odology to id5tify

 & inve/igate que/ionable or            
inappropriate prescrib+ & disp5s+       
patt]ns ( sub/ances on s*$ule ,,ii or   
,,iii "u section #bjb ( ! ,controll$    
,sub/ances ,act 7#ba ,u4,s4,c4 #hab74   
,su* pe] review me?odology & prescrib+ &
 disp5s+ patt]ns %all be %>$ ) !        
appropriate ,/ate heal? pr(ession bo>d4 
7c7 ,requirem5ts ,a ,/ate receiv+ a     
grant "u ?is section-- 7#a7 ) respect to
 controll$ sub/ances = :i* a prescrib]  
is requir$ to h a lic5se issu$ by !     
,drug ,en=cem5t ,adm9i/ration 9 ord] to 
prescribe su* controll$ sub/ances1 %all 
make ! in=mation ) respect to su*       
controll$ sub/ances f ! ,,pdmp available
 to ,/ate regulation & lic5s+ bo>ds2 &  
7#b7 ) respect to any o!r controll$     
sub/ances1 may make ! in=mation )       
respect to su* controll$ sub/ances f !  
,,pdmp available to ,/ate regulation &  
lic5s+ bo>ds4  7d7 ,subgrantees ,a      
quality improvem5t organization ) :i* ! 
,secret>y has ent]$ into a contract "u  
"p ,b ( title ,,xi ( ! ,social ,security

 ,act 7#db ,u4,s4,c4 #acbj;c et seq47   
may s]ve z ! subgrantee "u ?is          
subsection to develop pe] review        
processes z describ$ 9 subsection 7a74  
#ajd4 ,prescription drug & o!r controll$
 sub/ance abuse prev5tion ,"p ,p ( title
 ,,iii ( ! ,public ,heal? ,s]vice ,act  
7#db ,u4,s4,c4 #bhj;g et seq47 is am5d$ 
by add+ at ! end ! foll[+3  #cii,v-#f4  
,prescription drug & o!r controll$      
sub/ance abuse prev5tion  7a7 ,tra9+    
grants  7#a7 ,9 g5]al ,! ,secret>y %all 
aw>d #e-ye> grants to eligible entities 
to facilitate tra9+ 9 ord] to increase !
 capacity ( heal? c>e provid]s to       
conduct pati5t scre5+ & brief           
int]v5tions1 su* z 9 heal? c>e sett+s1  
to prev5t ! abuse ( prescription drugs &
 o!r controll$ sub/ances4 ,! grant      
program "u ?is section may be coord9at$ 
) ! ,scre5+ ,brief ,int]v5tion &        
,ref]ral to ,treatm5t grant program ( ! 
,sub/ance ,abuse & ,m5tal ,heal?        
,s]vices ,adm9i/ration1 or o!r          
appropriate program4  7#b7 ,eligible    

entities ,9 ?is subsection1 ! t]m       
eligible entity includes-- 7,a7 ,/ates2 
7,b7 cont9u+ education entities1 su* z  
heal? pr(ession bo>ds or heal? accr$it+ 
bodies2 &  7,c7 o!r appropriate heal? or
 pr(essional education organizations or 
in/itutions4  7b7 ,f$]al heal? c>e      
work]s ,heal? c>e provid]s :o p>ticipate
 9 or are employ$ by a ,f$]al heal? c>e 
program1 includ+ ! ,indian ,heal?       
,s]vice1 ! ,dep>tm5t ( ,vet]ans         
,affairs1 ! ,dep>tm5t ( ,def5se1 !      
,f$]al ,bureau ( ,prisons1 ! ,m$ic>e    
program "u title ,,xviii ( ! ,social    
,security ,act 7#db ,u4,s4,c4 #acie et  
seq471 a ,/ate ,m$icaid plan "u title   
,,xix ( ! ,social ,security ,act 7#db   
,u4,s4,c4 #acif et seq471 ! ,/ate       
,*ildr5's ,heal? ,insurance ,program "u 
title ,,xxi ( ! ,social ,security ,act  
7#db ,u4,s4,c4 #acig;aa et seq471 &     
,f$]ally qualifi$ heal? c5t]s1 %all     
scre5 pati5ts = abuse ( prescription    
drugs or o!r controll$ sub/ances1       
conduct brief int]v5tions1 & provide    

ref]rals = kn[n or suspect$ abuse (     
prescription drugs or o!r controll$     
sub/ances1 z appropriate4  7c7          
,expansion ( prescrib+ au?ority ,!      
,secret>y1 act+ ?r\gh ! ,adm9i/rator ( !
 ,heal? ,res\rces & ,s]vices            
,adm9i/ration1 %all aw>d grants to      
,/ates = ! purpose ( evaluat+ ! prospect
 ( ! heal? pr(essions bo>d ( su* ,/ates 
review+ & exp&+ prescrib+ au?orities (  
provid]s1 su* z advance practice nurses 
& physician assi/ants1 9 ord] to control
 ! abuse ( prescription drugs or o!r    
controll$ sub/ances ) respect to        
specific drugs & o!r controll$          
sub/ances1 z appropriate4  4  #aje4     
,prescription drug abuse tra9+ & scre5+ 
programs  7a7 ,cont9u+ education grants 
,! ,secret>y ( ,heal? & ,human ,s]vices 
7ref]r$ to 9 ?is section z ! ,secret>y7 
%all aw>d grants to ,/ates to develop   
cont9u+ education crit]ia & review      
processes t all[ ,/ate heal? pr(ession  
bo>ds or ,/ate ag5cies to c]tify        
appropriate education & tra9+ = in=m$ & 

safe prescrib+ ( opioids & o!r drugs on 
s*$ule ,,ii & ,,iii "u section #bjb ( ! 
,controll$ ,sub/ances ,act 7#ba         
,u4,s4,c4 #hab74  7b7 ,regi/ration )    
,,dea ,a practition] :o regi/]s or r5ews
 a regi/ration "u section #cjc7;f7 ( !  
,controll$ ,sub/ances ,act 7#ba         
,u4,s4,c4 #hbc7;f77 %all1 at ! "t (     
regi/]+1 c]tify to ! ,attorney ,g5]al t 
su* practition] has complet$ cont9u+    
m$ical education or nurs+ cont9u+       
education1 z applicable-- 7#a7 9 ! case 
( a practition] regi/]+ = ! fir/ "t1 )  
respect to prescription drug abuse2 &   
7#b7 9 ! case ( a practition] r5ew+ a   
regi/ration1 ) respect to m$ical und]/&+
 ( ! prop] use ( all drugs li/$ 9 !     
s*$ules "u section #bjb ( ! ,controll$  
,sub/ances ,act 7#ba ,u4,s4,c4 #hab74   
7c7 ,scre5+ program ,! ,attorney ,g5]al 
%all require t a practition] regi/]$ "u 
section #cjc7;f7 ( ! ,controll$         
,sub/ances ,act 7#ba ,u4,s4,c4 #hbc7;f77
 conduct pati5t scre5+ = pot5tial drug  
misuse or abuse be=e prescrib+ a drug   

li/$ on s*$ule ,,ii or ,,iii "u section 
#bjb ( ! ,controll$ ,sub/ances ,act 7#ba
 ,u4,s4,c4 #hab71 accord+ to /&>ds      
e/abli%$ by ! applicable ,/ate lic5s+   
body4  #ajf4 ,,fda review ( naloxone ,! 
,secret>y ( ,heal? & ,human ,s]vices1   
act+ ?r\gh ! ,commission] ( ,food &     
,drugs1 %all conduct a review ( naloxone
 to consid] :e!r naloxone %\ld cease to 
be subject to section #ejc7;b77#a7 ( !  
,f$]al ,food1 ,drug1 & ,cosmetic ,act   
7#ba ,u4,s4,c4 #cec7;b77#a77 & be       
available z a beh9d-!-c\nt] drug1 9 ord]
 to increase access ( su* drug to       
community-bas$ organizations & /reet    
outrea* organizations4  #ajg4           
,prescription drug disposal ,! ,secret>y
 ( ,heal? & ,human ,s]vices %all conv5e 
or coord9ate ) an exi/+ entity an       
int]ag5cy work+ gr\p to enc\rage ,/ates 
& local gov]nm5ts to increase           
opportunities = disposal ( opiates1 su* 
z frequ5t take-back programs & fix$     
m$ic9e disposal sites at law en=cem5t   
public build+s1 & to r$uce opportunities

 = abuse ( opiates1 su* z e/abli%+      
opioid disp5s+ limits at hospital       
em]g5cy dep>tm5ts4  #ajh4 ,,gao report  
,! ,comptroll] ,g5]al ( ! ,unit$ ,/ates 
%all review prescription drug abuse     
programs & policies 9 ,f$]al ag5cies &  
be/ practices ) respect to prescription 
drug abuse programs ( ! ,/ates &1 n lat]
 ?an #ah mon?s aft] ! date ( enactm5t ( 
?is ,act1 %all issue a report to        
,congress on its f9d+s & recomm5dations 
on ways to r$uce prescription drug      
abuse4  ,,ii ,,treat ,act  #bja4 ,%ort  
title ,?is title may be cit$ z !        
,recov]y ,enhancem5t = ,addiction       
,treatm5t ,act or ! ,,treat ,act4  #bjb4
 ,expansion ( pati5t limits "u waiv]    
,section #cjc7;g77#b77;,b7 ( !          
,controll$ ,sub/ances ,act 7#ba         
,u4,s4,c4 #hbc7;g77#b77;,b77 is am5d$-- 
7#a7 9 clause 7i71 by /rik+ physician & 
ins]t+ practition]2  7#b7 9 clause      
7iii7-- 7,a7 by /rik+ #cj & ins]t+ #ajj2
 &  7,b7 by /rik+ 1 unless1 n soon] &   
all t foll[s ?r\gh ! end & ins]t+ a     

p]iod2 &  7#c7 by ins]t+ at ! end !     
foll[+ new clause3  7iv7 ,n e>li] ?an #a
 ye> aft] ! date on :i* a qualify+      
practition] obta9$ an initial waiv]     
pursuant to clause 7iii71 ! qualify+    
practition] may submit a second         
notification to ! ,secret>y ( ! ne$ &   
int5t ( ! qualify+ practition] to treat 
an unlimit$ numb] ( pati5ts1 if !       
qualify+ practition]-- 7,i7 7aa7        
satisfies ! requirem5ts ( item 7aa71    
7bb71 7cc71 or 7dd7 ( subp>agraph       
7,g77ii77,i72 &  7bb7 agrees to fully   
p>ticipate 9 ! ,prescription ,drug      
,monitor+ ,program ( ! ,/ate 9 :i* !    
qualify+ practition] is lic5s$1 pursuant
 to applicable ,/ate guidel9es2 or      
7,,ii7 7aa7 satisfies ! requirem5ts (   
item 7ee71 7ff71 or 7gg7 ( subp>agraph  
7,g77ii77,i72  7bb7 agrees to fully     
p>ticipate 9 ! ,prescription ,drug      
,monitor+ ,program ( ! ,/ate 9 :i* !    
qualify+ practition] is lic5s$1 pursuant
 to applicable ,/ate guidel9es2  7cc7   
practices 9 a qualifi$ practice sett+2 &

  7dd7 has complet$ n less ?an #bd h\rs 
( tra9+ 7?r\gh classroom situations1    
sem9>s at pr(essional society meet+s1   
electronic communications1 or o!rwise7 )
 respect to ! treatm5t & managem5t (    
opiate-dep5d5t pati5ts = sub/ance use   
disord]s provid$ by ! ,am]ican ,society 
( ,addiction ,m$ic9e1 ! ,am]ican        
,academy ( ,addiction ,psy*iatry1 !     
,am]ican ,m$ical ,association1 !        
,am]ican ,o/eopa?ic ,association1 !     
,am]ican ,psy*iatric ,association1 or   
any o!r organization t ! ,secret>y      
det]m9es is appropriate = purposes ( ?is
 subclause4  4  #bjc4 ,def9itions       
,section #cjc7;g77#b77;,g7 ( !          
,controll$ ,sub/ances ,act 7#ba         
,u4,s4,c4 #hbc7;g77#b77;,g77 is am5d$-- 
7#a7 by /rik+ clause 7ii7 & ins]t+ !    
foll[+3  7ii7 ,! t]m qualify+           
practition] means ! foll[+3 7,i7 ,a     
physician :o is lic5s$ "u ,/ate law & :o
 meets #a or m ( ! foll[+ conditions3   
7aa7 ,! physician holds a bo>d          
c]tification 9 addiction psy*iatry f !  

,am]ican ,bo>d ( ,m$ical ,specialties4  
7bb7 ,! physician holds an addiction    
c]tification f ! ,am]ican ,society (    
,addiction ,m$ic9e4  7cc7 ,! physician  
holds a bo>d c]tification 9 addiction   
m$ic9e f ! ,am]ican ,o/eopa?ic          
,association4  7dd7 ,! physician holds a
 bo>d c]tification f ! ,am]ican ,bo>d ( 
,addiction ,m$ic9e4  7ee7 ,! physician  
has complet$ n less ?an #h h\rs ( tra9+ 
7?r\gh classroom situations1 sem9> at   
pr(essional society meet+s1 electronic  
communications1 or o!rwise7 ) respect to
 ! treatm5t & managem5t ( opiate-dep5d5t
 pati5ts = sub/ance use disord]s provid$
 by ! ,am]ican ,society ( ,addiction    
,m$ic9e1 ! ,am]ican ,academy (          
,addiction ,psy*iatry1 ! ,am]ican       
,m$ical ,association1 ! ,am]ican        
,o/eopa?ic ,association1 ! ,am]ican     
,psy*iatric ,association1 or any o!r    
organization t ! ,secret>y det]m9es is  
appropriate = purposes ( ?is subclause4 
7ff7 ,! physician has p>ticipat$ z an   
inve/igator 9 #a or m cl9ical trials    

lead+ to ! approval ( a n>cotic drug 9  
s*$ule ,,iii1 ,,iv1 or ,v = ma9t5ance or
 detoxification treatm5t1 z demon/rat$  
by a /atem5t submitt$ to ! ,secret>y by 
?is sponsor ( su* approv$ drug4  7gg7 ,!
 physician has su* o!r tra9+ or exp]i5ce
 z ! ,secret>y det]m9es w demon/rate !  
ability ( ! physician to treat & manage 
opiate-dep5d5t pati5ts4  7,,ii7 ,a nurse
 practition] or physician assi/ant :o is
 lic5s$ "u ,/ate law & meets all ( !    
foll[+ conditions3 7aa7 ,! nurse        
practition] or physician assi/ant is    
lic5s$ "u ,/ate law to prescribe s*$ule 
,,iii1 ,,iv1 or ,v m$ications = pa94    
7bb7 ,! nurse practition] or physician  
assi/ant satisfies #a or m ( ! foll[+3  
7,,aa7 ,has complet$ n few] ?an #bd h\rs
 ( tra9+ 7?r\gh classroom situations1   
sem9> at pr(essional society meet+s1    
electronic communications1 or o!rwise7 )
 respect to ! treatm5t & managem5t (    
opiate-dep5d5t pati5ts = sub/ance use   
disord]s provid$ by ! ,am]ican ,society 
( ,addiction ,m$ic9e1 ! ,am]ican        

,academy ( ,addiction ,psy*iatry1 !     
,am]ican ,m$ical ,association1 !        
,am]ican ,o/eopa?ic ,association1 !     
,am]ican ,psy*iatric ,association1 or   
any o!r organization t ! ,secret>y      
det]m9es is appropriate = purposes ( ?is
 subclause4 7,,bb7 ,has su* o!r tra9+ or
 exp]i5ce z ! ,secret>y det]m9es w      
demon/rate ! ability ( ! nurse          
practition] or physician assi/ant to    
treat & manage opiate-dep5d5t pati5ts4  
7cc7 ,! nurse practition] or physician  
assi/ant practices "u ! sup]vision ( a  
lic5s$ physician :o holds an active     
waiv] to prescribe s*$ule ,,iii1 ,,iv1  
or ,v n>cotic m$ications = opioid       
addiction !rapy1 &-- 7,,aa7 ! sup]vis+  
physician satisfies ! conditions ( item 
7aa71 7bb71 7cc71 or 7dd7 ( subclause   
7,i72 or 7,,bb7 bo? ! sup]vis+ physician
 & ! nurse practition] or physician     
assi/ant practice 9 a qualifi$ practice 
sett+4  7,,iii7 ,a nurse practition] :o 
is lic5s$ "u ,/ate law & meets all ( !  
foll[+ conditions3 7aa7 ,! nurse        

practition] is lic5s$ "u ,/ate law to   
prescribe s*$ule ,,iii1 ,,iv1 or ,v     
m$ications = pa94  7bb7 ,! nurse        
practition] has tra9+ or exp]i5ce t !   
,secret>y det]m9es demon/rates          
specialization 9 ! ability to treat     
opiate-dep5d5t pati5ts1 su* z a         
c]tification 9 addiction specialty      
accr$it$ by ! ,am]ican ,bo>d ( ,nurs+   
,specialties or ! ,national ,commission 
= ,c]tify+ ,ag5cies1 or a c]tification 9
 addiction nurs+ z a ,c]tifi$ ,addiction
 ,regi/]$ ,nurse--,advanc$ ,practice4   
7cc7 ,9 accordance ) ,/ate law1 ! nurse 
practition] prescribes opioid addiction 
!rapy 9 collaboration ) a physician :o  
holds an active waiv] to prescribe      
s*$ule ,,iii1 ,,iv1 or ,v n>cotic       
m$ications = opioid addiction !rapy4    
7dd7 ,! nurse practition] practices 9 a 
qualifi$ practice sett+4  2 &  7#b7 by  
add+ at ! end ! foll[+3  7iii7 ,! t]m   
qualifi$ practice sett+ means #a or m ( 
! foll[+ treatm5t sett+s3 7,i7 ,a       
,national ,committee = ,quality         

,assurance-recogniz$ ,pati5t-,c5t]$     
,m$ical ,home or ,pati5t-,c5t]$         
,specialty ,practice4  7,,ii7 ,a ,c5t]s 
= ,m$icaid  ,m$ic>e ,s]vices-recogniz$  
,acc\ntable ,c>e ,organization4  7,,iii7
 ,a cl9ical facility adm9i/]$ by !      
,dep>tm5t ( ,vet]ans ,affairs1 ,dep>tm5t
 ( ,def5se1 or ,indian ,heal? ,s]vice4  
7,,iv7 ,a ,behavioral ,heal? ,home      
accr$it$ by ! ,jo9t ,commission4  7,v7  
,a ,f$]ally-qualifi$ heal? c5t] 7z def9$
 9 section #aije7l77#b77;,b7 ( ! ,social
 ,security ,act 7#db ,u4,s4,c4          
#acif;d7l77#b77;,b777 or a              
,f$]ally-qualifi$ heal? c5t] look-alike4
  7,,vi7 ,a ,sub/ance ,abuse & ,m5tal   
,heal? ,s]vices-c]tifi$ ,opioid         
,treatm5t ,program4  7,,vii7 ,a cl9ical 
program ( a ,/ate or ,f$]al jail1       
prison1 or o!r facility :]e individuals 
are inc>c]at$4  7,,viii7 ,a cl9ic t     
demon/rates compliance ) ! ,model       
,policy on ,,data #bjjj & ,treatm5t (   
,opioid ,addiction 9 ! ,m$ical ,(fice   
issu$ by ! ,f$]ation ( ,/ate ,m$ical    

,bo>ds4  7,,ix7 ,a treatm5t sett+ t is  
"p ( an ,accr$itation ,c\ncil =         
,graduate ,m$ical ,education1 ,am]ican  
,association ( ,colleges ( ,o/eopa?ic   
,m$ic9e1 or ,am]ican ,o/eopa?ic         
,association-accr$it$ resid5cy or       
fell[%ip tra9+ program4  7,x7 ,any o!r  
practice sett+ approv$ by a ,/ate       
regulatory bo>d or ,/ate ,m$icaid ,plan 
to provide addiction treatm5t s]vices4  
7,,xi7 ,any o!r practice sett+ approv$  
by ! ,secret>y4  4  #bjd4 ,,gao         
,evaluation ,two ye>s aft] ! date on :i*
 ! fir/ notification "u clause 7iv7 (   
section #cjc7;g77#b77;,b7 ( ! ,controll$
 ,sub/ances ,act 7#ba ,u4,s4,c4         
#hbc7;g77#b77;,b771 z add$ by ?is title1
 is receiv$ by ! ,secret>y ( ,heal? &   
,human ,s]vices1 ! ,comptroll] ,g5]al ( 
! ,unit$ ,/ates %all initiate an        
evaluation ( ! effectiv5ess ( ! am5dm5ts
 made by ?is title1 :i* %all include an 
evaluation (-- 7#a7 any *anges 9 !      
availability & use ( m$ication-assi/$   
treatm5t = opioid addiction2  7#b7 !    

quality ( m$ication-assi/$ treatm5t     
programs2  7#c7 ! integration (         
m$ication-assi/$ treatm5t ) r\t9e       
heal?c>e s]vices2  7#d7 div]sion (      
opioid addiction treatm5t m$ication2    
7#e7 *anges 9 ,/ate or local policies & 
legislation relat+ to opioid addiction  
treatm5t2  7#f7 ! use ( nurse           
practition]s & physician assi/ants :o   
prescribe opioid addiction m$ication2   
7#g7 ! use ( ,prescription ,drug        
,monitor+ ,programs by waiv$            
practition]s to maximize safety ( pati5t
 c>e & prev5t div]sion ( opioid         
addiction m$ication2  7#h7 ! f9d+s (    
,drug ,en=cem5t ,ag5cy inspections (    
waiv$ practition]s1 includ+ ! frequ5cy )
 :i* ! ,drug ,en=cem5t ,ag5cy f9ds no   
docum5tation ( access to behavioral     
heal? s]vices2 &  7#i7 ! effectiv5ess ( 
cross-ag5cy collaboration betwe5        
,dep>tm5t ( ,heal? & ,human ,s]vices & !
 ,drug ,en=cem5t ,ag5cy = exp&+         
effective opioid addiction treatm5t4