,i  #aae? ,,congress  #a/ ,session  ,h4 
,r4 #ddhb  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,novemb] #bi1         
#bjag,mr4 ,mead[s 7= himself & ,mr4     
,r5acci7 introduc$ ! foll[+ bill2 :i* 0 
ref]r$ to ! ,committee on ,en]gy &      
,comm]ce1 & 9 addition to ! ,committee  
on ! ,judici>y1 = a p]iod to be         
subsequ5tly det]m9$ by ! ,speak]1 9 ea* 
case = consid]ation ( su* provisions z  
fall )9 ! jurisdiction ( ! committee    
conc]n$  ,a ,,bill  ,to det] opioid     
abuse & addiction1 to e/abli% additional
 regi/ration requirem5ts = prescrib]s ( 
opioids1 to enc\rage ! developm5t (     
abuse-det]r5t =mulations1 to require a  
/udy & report on policy *anges t may h  
contribut$ to ! opioid epidemic1 & = o!r
 purposes4  #a4 ,%ort title ,?is ,act   
may be cit$ z ! ,opioid ,abuse          
,det]r5ce1 ,rese>*1 & ,recov]y ,act (   
#bjag4  #b4 ,regi/ration requirem5ts =  
prescrib]s ,section #cjc ( ! ,controll$ 
,sub/ances ,act 7#ba ,u4,s4,c4 #hbc7 is 
am5d$ by add+ at ! end ! foll[+3  7k7   

7#a7 ,! ,attorney ,g5]al %all n regi/]1 
or r5ew ! regi/ration (1 a practition]  
"u subsection 7f7 :o is lic5s$ "u ,/ate 
law to prescribe controll$ sub/ances 9  
s*$ule ,,ii or ,,iii1 unless !          
practition] submits to ! ,attorney      
,g5]al1 = ea* su* regi/ration or r5ewal 
reque/1 a c]tification t ! practition]1 
dur+ ! applicable regi/ration p]iod1    
except z provid$ 9 p>agraph 7#b71 w n   
prescribe any s*$ule ,,ii or ,,iii      
opioid = ! initial treatm5t ( acute pa9 
9 an am\nt 9 excess ( ! less] (--  7,a7 
a #g-;day supply 7= :i* no refill is    
available72 or  7,b7 an opioid          
prescription limit e/abli%$ "u ! law ( !
 ,/ate :]e ! prescrib+ occurs4  7#b7 ,! 
c]tification requir$ by p>agraph 7#a7   
%all n prohibit a practition] f-- 7,a7  
prescrib+1 = ! treatm5t ( an opioid use 
disord]1 a s*$ule ,,ii or ,,iii opioid t
 is approv$ by ! ,food & ,drug          
,adm9i/ration = su* treatm5t2  7,b7     
prescrib+1 = imm$iate1 po/-op]ative pa9 
relief1 a s*$ule ,,ii or ,,iii opioid2  

or  7,c7 prescrib+ a s*$ule ,,ii or     
,,iii opioid 9 an am\nt 9 excess ( a    
#g-;day supply if ! practition]--  7i7  
provides a specific reason = exce$+ !   
#g-;day limit t is 9 accordance ) a cle>
 m$ical /&>d ( c>e ^: implem5tation     
necess>ily exce$s su* limit2  7ii7      
docum5ts su* reason & m$ical /&>d ( c>e 
9 ! pati5t's m$ical record2 &  7iii7    
consults ! applicable ,/ate's electronic
 heal? record sy/em or prescription drug
 monitor+ program4  7#c7 ,9 ?is         
subsection1 ! t]m acute pa9-- 7,a7 means
 pa9 ) abrupt onset & caus$ by an injury
 or o!r process t is diagno/ically      
det]m9$ to h m9imal risk ( escalat+ 9   
int5sity2 &  7,b7 does n include-- 7i7  
*ronic pa92  7ii7 pa9 be+ treat$ z "p ( 
canc] c>e2  7iii7 hospice or o!r        
end-(-life c>e2 or  7iv7 pa9 be+ treat$ 
z "p ( palliative c>e4  4  #c4 ,enc\rag+
 developm5t ( abuse-det]r5t =mulations  
,! ,commission] ( ,food & ,drugs %all   
cont9ue to "w ) /akehold]s to enc\rage !
 developm5t ( opioid =mulations )       

abuse-det]r5t prop]ties4  #d4 ,,gao /udy
 & report on policy *anges t may h      
contribut$ to ! opioid epidemic ,n lat] 
?an #b ye>s aft] ! date ( enactm5t ( ?is
 ,act1 ! ,comptroll] ,g5]al ( ! ,unit$  
,/ates %all complete a /udy & submit a  
report to ,congress on heal? c>e policy 
*anges t may h contribut$ to ! increase 
9 opioid ov]doses & dea?s dur+ ! #aj    
ye>s prec$+ ! date ( enactm5t ( ?is     
,act4 ,su* /udy %all include--  7#a7 a  
review ( heal? c>e-relat$ legislative1  
adm9i/rative1 & judicial decisions by   
(fic]s & employees ( ! ,f$]al ,gov]nm5t 
t h affect$ access to pa9 managem5t     
/rategies ) an emphasis on              
ph>maceuticals2  7#b7 an analysis ( :at 
is kn[n ab\t ! co/s & b5efits1 :e!r     
f9ancial or non-f9ancial1 ( rev]s+ or   
revis+ su* decisions individually or 9  
comb9ation1 includ+ :e!r ! rev]sals or  
revisions w\ld be expect$ to a*ieve a   
r$uction 9 abuse (1 addiction to1       
ov]dose on1 & dea? f opioids2  7#c7 an  
analysis ( ! diff]5ces among ,/ate-bas$ 

prescription drug monitor+ programs1    
includ+ an analysis ( :at is kn[n ab\t !
 effects ( su* diff]5ces on monitor+ =  
abuse (1 addiction to1 ov]dose on1 &    
dea? f opioids2  7#d7 an analysis ( :at 
is kn[n ab\t positive & negative impacts
 t prescrib+ limitations1 bo? ,/ate &   
,f$]al1 h on pati5t m$ical outcomes1    
includ+ = *ronic pa9 pati5ts2 &  7#e7 an
 analysis ( :at is kn[n ab\t ! co/s to  
pay]s ( us+ abuse-det]r5t =mulations (  
opioid pa9 m$ications1 comp>$ to opioid 
pa9 m$ications )\t abuse-det]r5t        
features4  #e4 ,/udy on feasibility (   
replac+ /atutory limits ) cl9ical       
guidel9es on opioid prescrib+ ,!        
,commission] ( ,food & ,drugs %all--    
7#a7 conduct a /udy on ! feasibility (--
  7,a7 replac+ ! prescrib+ limits 9     
section #cjc7k77#a7 ( ! ,controll$      
,sub/ances ,act1 z add$ by section #b ( 
?is ,act1 ) evid5ce-bas$ cl9ical        
guidel9es to in=m opioid selection1     
dosage1 duration1 foll[ up1 &           
discont9uation1 includ+ guidel9es on !  

fir/ opioid prescription = pati5ts = an 
acute pa9 diagnosis to ensure t no      
great] quantity ?an ne$$ is prescrib$ = 
! expect$ duration ( pa9 sev]e en\gh to 
require opioids2 &  7,b7 ! incorporation
 into r\t9e m$ical visits ( evid5ce-bas$
 scre5+ tools = ! misuse ( opioids & o!r
 controll$ sub/ances2 &  7#b7 n lat] ?an
 ! date t is #b ye>s aft] ! date (      
enactm5t ( ?is ,act1 submit to !        
,congress1 & po/ on ! public website ( !
 ,food & ,drug ,adm9i/ration1 a report  
on ! results ( su* /udy4