,,ii #aad? ,,congress #a/ ,session ,s4 #gii ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,m>* #ai1 #bjae ,mr4 ,mc,connell 7= himself & ,mr4 ,casey7 introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ,a ,,bill ,to combat ! rise ( pr5atal opioid abuse & neonatal ab/95ce syndrome4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,protect+ ,our ,infants ,act ( #bjae4 #b4 ,f9d+s ,congress f9ds z foll[s3 7#a7 ,opioid prescription rates h ris5 dramatically ov] ! pa/ sev]al ye>s4 ,accord+ to ! ,c5t]s = ,disease ,control & ,prev5tion1 9 "s ,/ates1 !re are z _m z #if to #adc prescriptions = opioids p] #ajj adults p] ye>4 7#b7 ,9 rec5t ye>s1 !re has be5 a /eady rise 9 ! numb] ( ov]dose dea?s involv+ h]o94 ,accord+ to ! ,c5t]s = ,disease ,control & ,prev5tion1 ! dea? rate = h]o9 ov]dose d\bl$ f #bjaj to #bjab4 7#c7 ,at ! same "t1 !re has be5 an increase 9 cases ( neonatal ab/95ce syndrome 7ref]r$ to 9 ?is section z ,,nas74 ,9 ! ,unit$ ,/ates1 ! incid5ce ( ,,nas has ris5 f #a4bj p] #a1jjj hospital bir?s 9 #bjjj to #c4ci p] #a1jjj hospital bir?s 9 #bjji4 7#d7 ,,nas ref]s to m$ical issues associat$ ) drug )drawal 9 newborns due to exposure to opioids or o!r drugs 9 ut]o4 7#e7 ,! av]age co/ ( treatm5t 9 a hospital = ,,nas increas$ f #ci1djj 9 #bjjj to #ec1djj 9 #bjji4 ,mo/ ( ^! co/s are born by ! ,m$icaid program4 7#f7 ,prev5t+ opioid abuse among pregnant wom5 & wom5 ( *ildbe>+ age is crucial4 7#g7 ,m$ically-appropriate opioid use 9 pregnancy is n uncommon1 & opioids are (t5 ! safe/ & mo/ appropriate treatm5t = mod]ate to sev]e pa9 = pregnant wom54 7#h7 ,address+ ,,nas effectively requires a focus on wom5 ( *ildbe>+ age1 pregnant wom51 & infants f preconception ?r\gh e>ly *ildhood4 7#i7 ,,nas c result f ! use ( prescription drugs z prescrib$ = m$ical reasons1 f ! abuse ( prescription drugs1 or f ! use ( illegal opioids l h]o94 7#aj7 ,= pregnant wom5 :o are abus+ opioids1 x is mo/ appropriate to treat & manage mat]nal sub/ance use 9 a non-punitive mann]4 7#aa7 ,accord+ to a report ( ! ,gov]nm5t ,acc\ntability ,(fice 7ref]r$ to 9 ?is section z ! ,,gao report71 m rese>* is ne$$ to optimize ! id5tification & treatm5t ( babies ) ,,nas & to bett] und]/& long-t]m impacts on *ildr54 7#ab7 ,accord+ to ! ,,gao report1 ! ,dep>tm5t ( ,heal? & ,human ,s]vices does n h a focal po9t to lead plann+ & coord9at+ ef=ts to address pr5atal opioid use & ,,nas across ! dep>tm5t4 7#ac7 ,accord+ to ! ,,gao report1 giv5 ! increas+ use ( h]o9 & abuse ( opioids prescrib$ = pa9 managem5t1 z well z ! increas$ rate ( ,,nas 9 ! ,unit$ ,/ates1 x is important to improve ! effici5cy & effectiv5ess ( plann+ & coord9ation ( ,f$]al ef=ts on pr5atal opioid use & ,,nas4 #c4 ,develop+ recomm5dations = prev5t+ & treat+ pr5atal opioid abuse & neonatal ab/95ce syndrome 7a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices 7ref]r$ to 9 ?is ,act z ! ,secret>y71 act+ ?r\gh ! ,director ( ! ,ag5cy = ,heal?c>e ,rese>* & ,quality 7ref]r$ to 9 ?is section z ! ,director71 %all conduct a /udy & develop recomm5dations = prev5t+ & treat+ pr5atal opioid abuse & neonatal ab/95ce syndrome1 solicit+ input f nongov]nm5tal entities1 includ+ organizations repres5t+ pati5ts1 heal? c>e provid]s1 hospitals1 o!r treatm5t facilities1 & o!r entities1 z appropriate4 7b7 ,report ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,director %all publi% on ! ,int]net ,web site ( ! ,ag5cy = ,heal?c>e ,rese>* & ,quality a report on ! /udy & recomm5dations "u subsection 7a74 ,su* report %all address ea* ( ! issues describ$ 9 p>agraphs 7#a7 ?r\gh 7#c7 ( subsection 7c74 7c7 ,cont5ts ,! /udy describ$ 9 subsection 7a7 & ! report "u subsection 7b7 %all include-- 7#a7 a compreh5sive assessm5t ( exi/+ rese>* ) respect to ! prev5tion1 id5tification1 treatm5t1 & long-t]m outcomes ( neonatal ab/95ce syndrome1 includ+ ! id5tification & treatm5t ( pregnant wom5 or wom5 :o may become pregnant :o use opioids or o!r drugs2 7#b7 an evaluation (-- 7,a7 ! causes ( & risk factors = opioid use disord]s among wom5 ( reproductive age1 includ+ pregnant wom52 7,b7 ! b>ri]s to id5tify+ & treat+ opioid use disord]s among wom5 ( reproductive age1 includ+ pregnant & po/p>tum wom5 & wom5 ) "y *ildr52 7,c7 curr5t practices 9 ! heal? c>e sy/em to respond to & treat pregnant wom5 ) opioid use disord]s & infants born ) neonatal ab/95ce syndrome2 7,d7 m$ically indicat$ use ( opioids dur+ pregnancy2 7,e7 access to treatm5t = opioid use disord]s 9 pregnant & po/p>tum wom52 & 7,f7 access to treatm5t = infants ) neonatal ab/95ce syndrome2 & 7#c7 recomm5dations on-- 7,a7 prev5t+1 id5tify+1 & treat+ neonatal ab/95ce syndrome 9 infants2 7,b7 treat+ pregnant wom5 :o are dep5d5t on opioids2 & 7,c7 prev5t+ opioid dep5d5ce among wom5 ( reproductive age1 includ+ pregnant wom51 :o may be at risk ( develop+ opioid dep5d5ce4 #d4 ,improv+ prev5tion & treatm5t = pr5atal opioid abuse & neonatal ab/95ce syndrome 7a7 ,review ( programs ,! ,secret>y %all lead a review ( plann+ & coord9ation )9 ! ,dep>tm5t ( ,heal? & ,human ,s]vices relat$ to pr5atal opioid use & neonatal ab/95ce syndrome4 7b7 ,/rategy to close gaps 9 rese>* & programm+ ,9 c>ry+ out subsection 7a71 ! ,secret>y %all develop a /rategy to address rese>* & program gaps1 includ+ su* gaps id5tifi$ 9 f9d+s made by reports ( ! ,gov]nm5t ,acc\ntability ,(fice4 ,su* /rategy %all address-- 7#a7 gaps 9 rese>*1 includ+ ) respect to-- 7,a7 ! mo/ appropriate treatm5t ( pregnant wom5 ) opioid use disord]s2 7,b7 ! mo/ appropriate treatm5t & managem5t ( infants ) neonatal ab/95ce syndrome2 & 7,c7 ! long-t]m effects ( pr5atal opioid exposure on *ildr52 & 7#b7 gaps 9 programs1 includ+-- 7,a7 ! availability ( treatm5t programs = pregnant & po/p>tum wom5 & = newborns ) neonatal ab/95ce syndrome2 & 7,b7 guidance & coord9ation 9 ,f$]al ef=ts to address pr5atal opioid use or neonatal ab/95ce syndrome4 7c7 ,report ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y %all submit to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate & ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives a report on ! f9d+s ( ! review describ$ 9 subsection 7a7 & ! /rategy develop$ "u subsection 7b74 #e4 ,improv+ data on & public heal? response to neonatal ab/95ce syndrome 7a7 ,data & surveillance ,! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion %all1 z appropriate-- 7#a7 provide te*nical assi/ance to ,/ates to improve ! availability & quality ( data collection & surveillance activities reg>d+ neonatal ab/95ce syndrome1 includ+-- 7,a7 ! incid5ce & preval5ce ( neonatal ab/95ce syndrome2 7,b7 ! id5tification ( causes = neonatal ab/95ce syndrome1 includ+ new & em]g+ tr5ds2 & 7,c7 ! demographics & o!r relevant in=mation associat$ ) neonatal ab/95ce syndrome2 7#b7 collect available surveillance data describ$ 9 p>agraph 7#a7 f ,/ates1 z applicable2 & 7#c7 make surveillance data collect$ pursuant to p>agraph 7#b7 publically available on an appropriate ,int]net ,web site4 7b7 ,public heal? response ,! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion %all enc\rage increas$ utilization ( effective public heal? measures to r$uce neonatal ab/95ce syndrome4