#aae? ,,congress #b;d ,session ,h4 ,r4 #eagf ,,an ,,act ,to require ! ,secret>y ( ,heal? & ,human ,s]vices to provide coord9at$ c>e to pati5ts :o h exp]i5c$ a non-fatal ov]dose aft] em]g5cy room dis*>ge1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,prev5t+ ,ov]doses ,:ile 9 ,em]g5cy ,rooms ,act ( #bjah4 #b4 ,program to support em]g5cy room dis*>ge & c>e coord9ation = drug ov]dose pati5ts 7a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices %all e/abli% a program 79 ?is ,act ref]r$ to z ! ,program7 to develop protocols = dis*>g+ pati5ts :o h pres5t$ ) a drug ov]dose & enhance ! integration & coord9ation ( c>e & treatm5t options = individuals ) sub/ance use disord] aft] dis*>ge4 7b7 ,grant e/abli%m5t & p>ticipation 7#a7 ,9 g5]al ,9 c>ry+ out ! ,program1 ! ,secret>y %all aw>d grants on a competitive basis to n m ?an #bj eligible entities describ$ 9 p>agraph 7#b74 7#b7 ,eligibility 7,a7 ,9 g5]al ,to be eligible = a grant "u ?is subsection1 an entity %all be-- 7i7 a heal? c>e site describ$ 9 subp>agraph 7,b72 or 7ii7 a heal? c>e site coord9ator describ$ 9 subp>agraph 7,c74 7,b7 ,heal? c>e sites ,to be eligible = a grant "u ?is section1 a heal? c>e site %all-- 7i7 submit an application to ! ,secret>y at su* "t1 9 su* mann]1 & conta9+ su* in=mation z specifi$ by ! ,secret>y2 7ii7 h an em]g5cy dep>tm5t2 7iii7 7,i7 h a lic5s$ heal? c>e pr(essional onsite :o has a waiv] "u section #cjc7;g7 ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hbc7;g77 to disp5se or prescribe cov]$ drugs2 or 7,,ii7 h a demon/rable plan to hire a suffici5t numb] ( full-"t lic5s$ heal? c>e pr(essionals :o h waiv]s describ$ 9 subclause 7,i7 to adm9i/] su* treatm5t onsite2 7iv7 h 9 place an agreem5t ) a suffici5t numb] & range ( entities c]tifi$ "u applicable ,/ate & ,f$]al law1 su* z pursuant to regi/ration or a waiv] "u section #cjc7;g7 ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hbc7;g77 or c]tification z describ$ 9 section #h4b ( title #db ( ! ,code ( ,f$]al ,regulations1 to provide treatm5t = sub/ance use disord] su* t ! entity or ! result+ network ( entities ) an agreem5t ) ! hospital cumulatively are capable ( provid+ all evid5ce-bas$ s]vices = ! treatm5t ( sub/ance use disord]1 z m$ically appropriate = ! individual involv$1 includ+-- 7,i7 m$ication-assi/$ treatm5t2 7,,ii7 )drawal & detoxification s]vices t include pati5t evaluation1 /abilization1 & read9ess = & entry into treatm5t2 & 7,,iii7 c\nsel+2 7v7 deploy onsite pe] recov]y speciali/s to help connect pati5ts ) treatm5t & recov]y support s]vices2 & 7vi7 include ! provision ( ov]dose rev]sal m$ication 9 dis*>ge protocols = opioid ov]dose pati5ts4 7,c7 ,heal? c>e site coord9ators ,to be eligible = a grant "u ?is section1 a heal? c>e site coord9ator %all-- 7i7 be an organization describ$ 9 section #eja7;c77#c7 ( ! ,int]nal ,rev5ue ,code ( #aihf 7& exempt f tax "u section #eja7;a7 ( su* ,code7 or a ,/ate1 local1 or ,tribal gov]nm5t2 7ii7 submit an application to ! ,secret>y at su* "t1 9 su* mann]1 & conta9+ su* in=mation z specifi$ by ! ,secret>y2 & 7iii7 h an agreem5t ) multiple eligible heal? c>e sites describ$ 9 subp>agraph 7,b74 7#c7 ,pref]5ce ,9 aw>d+ grants "u ?is section1 ! ,secret>y may give pref]5ce to eligible entities describ$ 9 p>agraph 7#b7 t meet ei!r or bo? ( ! foll[+ crit]ia3 7,a7 ,! eligible heal? c>e site is1 or ! eligible heal? c>e site coord9ator has an agreem5t describ$ 9 p>agraph 7#b77;,c77iii7 ) a site t is1 a critical access hospital 7z def9$ 9 section #ahfa7mm77#a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex7mm77#a7771 a l[-volume hospital 7z def9$ 9 section #ahhf7;d77#ab77;,c77i7 ( su* ,act 7#db ,u4,s4,c4 #acieww7d77#ab77;,c77i7771 or a sole community hospital 7z def9$ 9 section #ahhf7;d77#e77;,d77iii7 ( su* ,act 7#db ,u4,s4,c4 #acieww7d77#e77;,d77iii7774 7,b7 ,! eligible heal? c>e site or ! eligible heal? c>e site coord9ator is locat$ 9 a geographic area ) a drug ov]dose rate t is high] ?an ! national rate1 or 9 a geographic area ) a rate ( em]g5cy dep>tm5t visits = ov]doses t is high] ?an ! national rate1 z det]m9$ by ! ,secret>y bas$ on ! mo/ rec5t data f ! ,c5t]s = ,disease ,control & ,prev5tion4 7#d7 ,m$ication-assi/$ treatm5t def9$ ,= purposes ( ?is section1 ! t]m m$ication-assi/$ treatm5t means ! use ( a drug approv$ "u section #eje ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cee7 or a biological product lic5s$ "u section #cea ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bfb71 9 comb9ation ) behavioral heal? s]vices1 to provide an individualiz$ approa* to ! treatm5t ( sub/ance use disord]s1 includ+ opioid use disord]s4 7c7 ,p]iod ( grant ,a grant aw>d$ to an eligible entity "u ?is section %all be = a p]iod ( at lea/ #b ye>s4 7d7 ,grant uses 7#a7 ,requir$ uses ,a grant aw>d$ "u ?is section to an eligible entity %all be us$ = bo? ( ! foll[+ purposes3 7,a7 ,to e/abli% policies & proc$ures t address ! provision ( ov]dose rev]sal m$ication1 prescription & disp5s+ ( m$ication-assi/$ treatm5t to an em]g5cy dep>tm5t pati5t :o has _h a non-fatal ov]dose or :o is at risk ( a drug ov]dose1 & ! subsequ5t ref]ral to evid5ce-bas$ treatm5t ^u dis*>ge = pati5ts :o h exp]i5c$ a non-fatal drug ov]dose or :o are at risk ( a drug ov]dose4 7,b7 ,to develop be/ practices = treat+ non-fatal drug ov]doses1 includ+ ) respect to c>e coord9ation & integrat$ c>e models = long t]m treatm5t & recov]y options = individuals :o h exp]i5c$ a non-fatal drug ov]dose4 7#b7 ,additional p]missible uses ,a grant aw>d$ "u ?is section to an eligible entity may be us$ = any ( ! foll[+ purposes3 7,a7 ,to hire em]g5cy dep>tm5t pe] recov]y speciali/s2 c\nselors2 !rapi/s2 social work]s2 or o!r lic5s$ m$ical pr(essionals specializ+ 9 ! treatm5t ( sub/ance use disord]4 7,b7 ,to e/abli% integrat$ models ( c>e = individuals :o h exp]i5c$ a non-fatal drug ov]dose :i* may include pati5t assessm5t1 foll[ up1 & transportation to treatm5t facilities4 7,c7 ,to provide = options = increas+ ! availability & access ( m$ication-assi/$ treatm5t & o!r evid5ce-bas$ treatm5t = individuals ) sub/ance use disord]s4 7,d7 ,to (f] consultation ) & ref]ral to o!r supportive s]vices t help 9 treatm5t & recov]y4 7e7 ,report+ requirem5ts 7#a7 ,reports by grantees ,ea* eligible entity aw>d$ a grant "u ?is section %all submit to ! ,secret>y an annual report = ea* ye> = :i* ! entity has receiv$ su* grant t includes in=mation on-- 7,a7 ! numb] ( individuals treat$ at ! site 7or1 9 ! case ( an eligible heal? c>e site coord9ator1 at sites cov]$ by ! agreem5t ref]r$ to 9 subsection 7b77#b77;,c77iii77 = non-fatal ov]doses 9 ! em]g5cy dep>tm5t2 7,b7 ! numb] ( individuals adm9i/]$ ea* m$ication-assi/$ treatm5t at su* site or sites 9 ! em]g5cy dep>tm5t2 7,c7 ! numb] ( individuals ref]r$ by su* site or sites to o!r treatm5t facilities aft] a non-fatal ov]dose1 ! types ( su* o!r facilities1 & ! numb] ( su* individuals admitt$ to su* o!r facilities pursuant to su* ref]rals2 7,d7 ! frequ5cy & numb] ( pati5t readmissions = non-fatal ov]doses & sub/ance use disord]2 7,e7 = :at ! grant fund+ 0 us$2 & 7,f7 ! effectiv5ess (1 & any o!r relevant additional data reg>d+1 hav+ an onsite heal? c>e pr(essional to adm9i/] & beg9 m$ication-assi/$ treatm5t = sub/ance use disord]s4 7#b7 ,report by ,secret>y ,n less ?an #a ye> aft] ! conclusion ( ! ,program1 ! ,secret>y %all submit to ,congress a report t includes-- 7,a7 f9d+s ( ! ,program2 7,b7 ov]all pati5t outcomes "u ! ,program1 su* z ) respect to hospital readmission2 7,c7 :at p]c5tage ( pati5ts treat$ by a site fund$ ?r\gh a grant "u ?is section 7 readmitt$ to a hospital = non-fatal or fatal ov]dose2 7,d7 an evaluation det]m9+ ! effectiv5ess ( hav+ a practition] onsite to adm9i/] & beg9 m$ication-assi/$ treatm5t = sub/ance use disord]2 & 7,e7 a compilation ( volunt>y guidel9es & be/ practices f ! reports submitt$ "u p>agraph 7#a74 7f7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is ,act #ej1jjj1jjj = ! p]iod ( fiscal ye>s #bjai ?r\gh #bjbc4 ,pass$ ! ,h\se ( ,repres5tatives ,june #ab1 #bjah4;,cl]k4