,i  #aaeth ,,congress  #ast ,session    
,h4 ,r4 #cede  ,,in ,,the ,,house ,,of  
,,representatives  ,july #bh1 #bjag,mr4 
,murphy of ,pennsylvania 7for himself1  
,mr4 ,meehan1 ,mr4 ,blumenauer1 ,mr4    
,carter of ,georgia1 ,mr4 ,renacci1 and 
,mr4 ,mullin7 introduced the following  
bill2 which was referred to the         
,committee on ,energy and ,commerce  ,a 
,,bill  ,to amend the ,public ,health   
,service ,act to protect the            
confidentiality of substance use        
disorder patient records4  #a4 ,short   
title ,this ,act may be cited as the    
,overdose ,prevention and ,patient      
,safety ,act4  #b4 ,confidentiality of  
records ,section #edc of the ,public    
,health ,service ,act 7#db ,u4,s4,c4    
#bij;dd-#b7 is amended--  7#a7 in       
subsection 7b7-- 7,a7 in paragraph 7#a71
 by striking ,the content and inserting 
,subject to paragraph 7#c71 the content2
  7,b7 in paragraph 7#b71 by striking   
,whether and inserting ,subject to      
paragraph 7#c71 whether2 and  7,c7 by   

adding at the end the following3  7#c7  
,exception  7,a7 ,in general ,in the    
case of a use or disclosure of the      
content of a record referred to in      
subsection 7a7 for purposes of          
treatment1 payment1 or health care      
operations1 paragraphs 7#a7 and 7#b71 as
 applicable1 and regulations issued     
under subsection 7g71 including any such
 regulations pertaining to redisclosure 
limitations1 shall not apply1 and the   
provisions of section #afd4ejf of title 
#de1 ,code of ,federal ,regulations1 or 
any successor regulation1 shall apply   
with respect to such use or disclosure  
of such content by an entity in the same
 manner and to the same extent as such  
provisions apply with respect to the use
 or disclosure of protected health      
information by a covered entity4  7,b7  
,definitions ,for purposes of this      
paragraph1 the terms treatment1 payment1
 health care operations1 and protected  
health information have the meaning     
given such terms in section #afd4eja of 

title #de1 ,code of ,federal            
,regulations1 or any successor          
regulation1 and the term covered entity 
has the meaning given such term in      
section #afj4ajc of title #de1 ,code of 
,federal ,regulations1 or any successor 
regulation4  2 and  7#b7 by amending    
subsection 7c7 to read as follows3  7c7 
,use of records in criminal proceedings 
7#a7 ,in general ,except as authorized  
by a court order granted under          
subsection 7b77#b77;,c71 no record      
referred to in subsection 7a7 may be    
used to initiate or substantiate any    
criminal charges against a patient or to
 conduct any investigation of a patient4
  7#b7 ,additional protections ,in the  
case of a use or disclosure of a record 
referred to in subsection 7a7 for       
purposes of treatment1 payment1 or      
health care operations as provided for  
under subsection 7b71 no further        
disclosure or redisclosure of such      
record is allowed to initiate or        
substantiate any criminal charges       

against a patient or to conduct any     
investigation of a patient except as    
authorized by a court order granted     
under subsection 7b77#b77;,c7 of this   
section4  7#c7 ,exclusionary effect and 
dismissal ,any record referred to in    
subsection 7a7 that has been used or    
disclosed to initiate or substantiate   
any criminal charges against a patient  
or to conduct any investigation of a    
patient in violation of paragraph 7#a7  
or 7#b71 shall be excluded from evidence
 in any proposed or actual proceedings  
relating to such criminal charges or    
investigation and absent good cause     
shown shall result in the automatic     
dismissal of any proceedings for which  
the content of the record was offered4  
4