#aaeth ,,congress #b;d ,session ,h4 ,r4 #eagf ,,an ,,act ,to require the ,secretary of ,health and ,human ,services to provide coordinated care to patients who have experienced a non-fatal overdose after emergency room discharge1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,preventing ,overdoses ,while in ,emergency ,rooms ,act of #bjah4 #b4 ,program to support emergency room discharge and care coordination for drug overdose patients 7a7 ,in general ,the ,secretary of ,health and ,human ,services shall establish a program 7in this ,act referred to as the ,program7 to develop protocols for discharging patients who have presented with a drug overdose and enhance the integration and coordination of care and treatment options for individuals with substance use disorder after discharge4 7b7 ,grant establishment and participation 7#a7 ,in general ,in carrying out the ,program1 the ,secretary shall award grants on a competitive basis to not more than #bj eligible entities described in paragraph 7#b74 7#b7 ,eligibility 7,a7 ,in general ,to be eligible for a grant under this subsection1 an entity shall be-- 7i7 a health care site described in subparagraph 7,b72 or 7ii7 a health care site coordinator described in subparagraph 7,c74 7,b7 ,health care sites ,to be eligible for a grant under this section1 a health care site shall-- 7i7 submit an application to the ,secretary at such time1 in such manner1 and containing such information as specified by the ,secretary2 7ii7 have an emergency department2 7iii7 7,i7 have a licensed health care professional onsite who has a waiver under section #cjc7;g7 of the ,controlled ,substances ,act 7#ba ,u4,s4,c4 #hbc7;g77 to dispense or prescribe covered drugs2 or 7,,ii7 have a demonstrable plan to hire a sufficient number of full-time licensed health care professionals who have waivers described in subclause 7,i7 to administer such treatment onsite2 7iv7 have in place an agreement with a sufficient number and range of entities certified under applicable ,state and ,federal law1 such as pursuant to registration or a waiver under section #cjc7;g7 of the ,controlled ,substances ,act 7#ba ,u4,s4,c4 #hbc7;g77 or certification as described in section #h4b of title #db of the ,code of ,federal ,regulations1 to provide treatment for substance use disorder such that the entity or the resulting network of entities with an agreement with the hospital cumulatively are capable of providing all evidence-based services for the treatment of substance use disorder1 as medically appropriate for the individual involved1 including-- 7,i7 medication-assisted treatment2 7,,ii7 withdrawal and detoxification services that include patient evaluation1 stabilization1 and readiness for and entry into treatment2 and 7,,iii7 counseling2 7v7 deploy onsite peer recovery specialists to help connect patients with treatment and recovery support services2 and 7vi7 include the provision of overdose reversal medication in discharge protocols for opioid overdose patients4 7,c7 ,health care site coordinators ,to be eligible for a grant under this section1 a health care site coordinator shall-- 7i7 be an organization described in section #eja7;c77#c7 of the ,internal ,revenue ,code of #aihf 7and exempt from tax under section #eja7;a7 of such ,code7 or a ,state1 local1 or ,tribal government2 7ii7 submit an application to the ,secretary at such time1 in such manner1 and containing such information as specified by the ,secretary2 and 7iii7 have an agreement with multiple eligible health care sites described in subparagraph 7,b74 7#c7 ,preference ,in awarding grants under this section1 the ,secretary may give preference to eligible entities described in paragraph 7#b7 that meet either or both of the following criteria3 7,a7 ,the eligible health care site is1 or the eligible health care site coordinator has an agreement described in paragraph 7#b77;,c77iii7 with a site that is1 a critical access hospital 7as defined in section #ahfa7mm77#a7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciex7mm77#a7771 a low-volume hospital 7as defined in section #ahhf7;d77#ab77;,c77i7 of such ,act 7#db ,u4,s4,c4 #acieww7d77#ab77;,c77i7771 or a sole community hospital 7as defined in section #ahhf7;d77#e77;,d77iii7 of such ,act 7#db ,u4,s4,c4 #acieww7d77#e77;,d77iii7774 7,b7 ,the eligible health care site or the eligible health care site coordinator is located in a geographic area with a drug overdose rate that is higher than the national rate1 or in a geographic area with a rate of emergency department visits for overdoses that is higher than the national rate1 as determined by the ,secretary based on the most recent data from the ,centers for ,disease ,control and ,prevention4 7#d7 ,medication-assisted treatment defined ,for purposes of this section1 the term medication-assisted treatment means the use of a drug approved under section #eje of the ,federal ,food1 ,drug1 and ,cosmetic ,act 7#ba ,u4,s4,c4 #cee7 or a biological product licensed under section #cea of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bfb71 in combination with behavioral health services1 to provide an individualized approach to the treatment of substance use disorders1 including opioid use disorders4 7c7 ,period of grant ,a grant awarded to an eligible entity under this section shall be for a period of at least #b years4 7d7 ,grant uses 7#a7 ,required uses ,a grant awarded under this section to an eligible entity shall be used for both of the following purposes3 7,a7 ,to establish policies and procedures that address the provision of overdose reversal medication1 prescription and dispensing of medication-assisted treatment to an emergency department patient who has had a non-fatal overdose or who is at risk of a drug overdose1 and the subsequent referral to evidence-based treatment upon discharge for patients who have experienced a non-fatal drug overdose or who are at risk of a drug overdose4 7,b7 ,to develop best practices for treating non-fatal drug overdoses1 including with respect to care coordination and integrated care models for long term treatment and recovery options for individuals who have experienced a non-fatal drug overdose4 7#b7 ,additional permissible uses ,a grant awarded under this section to an eligible entity may be used for any of the following purposes3 7,a7 ,to hire emergency department peer recovery specialists2 counselors2 therapists2 social workers2 or other licensed medical professionals specializing in the treatment of substance use disorder4 7,b7 ,to establish integrated models of care for individuals who have experienced a non-fatal drug overdose which may include patient assessment1 follow up1 and transportation to treatment facilities4 7,c7 ,to provide for options for increasing the availability and access of medication-assisted treatment and other evidence-based treatment for individuals with substance use disorders4 7,d7 ,to offer consultation with and referral to other supportive services that help in treatment and recovery4 7e7 ,reporting requirements 7#a7 ,reports by grantees ,each eligible entity awarded a grant under this section shall submit to the ,secretary an annual report for each year for which the entity has received such grant that includes information on-- 7,a7 the number of individuals treated at the site 7or1 in the case of an eligible health care site coordinator1 at sites covered by the agreement referred to in subsection 7b77#b77;,c77iii77 for non-fatal overdoses in the emergency department2 7,b7 the number of individuals administered each medication-assisted treatment at such site or sites in the emergency department2 7,c7 the number of individuals referred by such site or sites to other treatment facilities after a non-fatal overdose1 the types of such other facilities1 and the number of such individuals admitted to such other facilities pursuant to such referrals2 7,d7 the frequency and number of patient readmissions for non-fatal overdoses and substance use disorder2 7,e7 for what the grant funding was used2 and 7,f7 the effectiveness of1 and any other relevant additional data regarding1 having an onsite health care professional to administer and begin medication-assisted treatment for substance use disorders4 7#b7 ,report by ,secretary ,not less than #a year after the conclusion of the ,program1 the ,secretary shall submit to ,congress a report that includes-- 7,a7 findings of the ,program2 7,b7 overall patient outcomes under the ,program1 such as with respect to hospital readmission2 7,c7 what percentage of patients treated by a site funded through a grant under this section were readmitted to a hospital for non-fatal or fatal overdose2 7,d7 an evaluation determining the effectiveness of having a practitioner onsite to administer and begin medication-assisted treatment for substance use disorder2 and 7,e7 a compilation of voluntary guidelines and best practices from the reports submitted under paragraph 7#a74 7f7 ,authorization of appropriations ,there is authorized to be appropriated to carry out this ,act #ej1jjj1jjj for the period of fiscal years #bjai through #bjbc4 ,passed the ,house of ,representatives ,june #ab1 #bjah4;,clerk4