,i  #aaeth ,,congress  #ast ,session    
,h4 ,r4 #cifd  ,,in ,,the ,,house ,,of  
,,representatives  ,october #e1         
#bjag,mr4 ,roe of ,tennessee 7for       
himself1 ,ms4 ,kuster of ,new           
,hampshire1 ,mr4 ,mac,arthur1 ,mrs4     
,radewagen1 and ,miss ,gonzlez-,coln of 
,puerto ,rico7 introduced the following 
bill2 which was referred to the         
,committee on ,energy and ,commerce1 and
 in addition to the ,committee on the   
,judiciary1 for a period to be          
subsequently determined by the ,speaker1
 in each case for consideration of such 
provisions as fall within the           
jurisdiction of the committee concerned 
,a ,,bill  ,to amend the ,controlled    
,substances ,act to establish additional
 registration requirements for          
prescribers of opioids1 and for other   
purposes4  #a4 ,short title ,this ,act  
may be cited as the ,opioid ,addiction  
,prevention ,act of #bjag4  #b4         
,registration requirements for          
prescribers ,section #cjc of the        

,controlled ,substances ,act 7#ba       
,u4,s4,c4 #hbc7 is amended by adding at 
the end the following3  7k7  7#a7 ,the  
,attorney ,general shall not register1  
or renew the registration of1 a         
practitioner under subsection 7f7 who is
 licensed under ,state law to prescribe 
controlled substances in schedule ,,ii1 
,,iii1 or ,,iv1 unless the practitioner 
submits to the ,attorney ,general1 for  
each such registration or renewal       
request1 a certification that the       
practitioner1 during the applicable     
registration period1 will not prescribe1
 for the initial treatment of acute     
pain1 any schedule ,,ii1 ,,iii1 or ,,iv 
opioid1 other than an opioid            
prescription described in paragraph     
7#c7--  7,a7 without firstly or         
concomitantly prescribing one or more   
non-opioid analgesics1 if there are no  
contraindications to such analgesics2   
7,b7 without clearly stating on the     
prescription the diagnosis for which the
 opioid is prescribed2  7,c7 unless the 

prescribed opioid dose is the lowest    
effective dose2  7,d7 an extended       
release or long acting formulation of   
the opioid2 and  7,e7 in an amount in   
excess of the lesser of--  7i7 a        
#aj-;day supply 7for which no refill is 
available72 or  7ii7 an opioid          
prescription limit established under    
,state law4  7#b7 ,in this subsection1  
the term acute pain-- 7,a7 means pain   
with abrupt onset and caused by a       
discrete injury1 surgical procedure1 or 
other illness of limited duration2 and  
7,b7 does not include-- 7i7 chronic     
pain2  7ii7 pain being treated as part  
of cancer care2  7iii7 hospice or other 
end-of-life care2 or  7iv7 pain being   
treated as part of palliative care4     
7#c7 ,an opioid prescription described  
in this paragraph is a prescription--   
7,a7 for a schedule ,,ii1 ,,iii1 or ,,iv
 opioid drug approved by the ,food and  
,drug ,administration for an indication 
for the treatment of addiction2 and     
7,b7 that is for the treatment of       

addiction4  4