,i  #aae? ,,congress  #b;d ,session  ,h4
 ,r4 #eagf  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,m>* #f1 #bjah,mr4    
,mc,kinley 7= himself & ,mr4 ,mi*ael ,f4
 ,doyle ( ,p5nsylvania7 introduc$ !     
foll[+ bill2 :i* 0 ref]r$ to !          
,committee on ,en]gy & ,comm]ce  ,a     
,,bill  ,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 heal? c>e sites describ$ 9     
p>agraph 7#b74  7#b7 ,eligible heal? c>e
 sites ,to be eligible = a grant "u ?is 
section1 a heal? c>e site %all-- 7,a7   
submit an application to ! ,secret>y at 
su* "t1 9 su* mann]1 & conta9+ su*      
in=mation z specifi$ by ! ,secret>y2    
7,b7 h an em]g5cy dep>tm5t2  7,c7 7i7 h 
a lic5s$ heal? c>e pr(essional on site  
:o has a waiv] "u section #cjc7;g7 ( !  
,controll$ ,sub/ances ,act 7#ba         
,u4,s4,c4 #hbc7;g77 to adm9i/]          
m$ication-assi/$ treatm5t2 or  7ii7 h a 
demon/rable plan to hire a full-"t      
lic5s$ heal? c>e pr(essional :o has a   
waiv] describ$ 9 clause 7i7 to adm9i/]  
su* treatm5t on site2  7,d7 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$]al ,regulations1 to      
provide treatm5t = sub/ance use disord] 
su* t1 9 comb9ation1 ! result+ network (
 entities ) an agreem5t ) ! hospital    
cumulatively are capable ( provid+      
s]vices = all evid5ce-bas$ s]vices = !  
treatm5t ( sub/ance use disord]1 z      
m$ically appropriate = ! individual     
involv$1 includ+--  7i7 m$ication-assi/$
 treatm5t2  7ii7 )drawal &              
detoxification s]vices t include pati5t 
evaluation1 /abilization1 & read9ess = &
 entry into treatm5t2 &  7iii7 c\nsel+2 
7,e7 deploy on-site pe] recov]y         
speciali/s to help connect pati5ts )    
treatm5t & recov]y support programs2 &  
7,f7 include ! provision ( ov]dose      
rev]sal m$ication 9 dis*>ge protocols = 
opioid ov]dose pati5ts4  7#c7 ,pref]5ce 
,9 aw>d+ grants "u ?is section1 !       
,secret>y %all give pref]5ce to eligible
 heal? c>e sites t meet ei!r or bo? ( ! 
foll[+ crit]ia3  7,a7 ,! site is 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 ,!    
site is locat$ 9 a geographic area ) an 
ov]dose rate high] ?an ! national       
av]age1 bas$ on ! mo/ rec5t data ( !    
,c5t]s = ,disease ,control & ,prev5tion4
  7#d7 ,m$ication-assi/$ treatm5t def9$ 
,= purposes ( ?is section1 ! t]m        
m$ication-assi/$ treatm5t means ! use ( 
m$ication approv$ by ! ,food & ,drug    
,adm9i/ration 9 comb9ation ) behavioral 
heal? s]vices to provide an             
individualiz$ approa* to ! treatm5t (   
sub/ance use disord]s1 includ+ opioid   
use disord]4  7c7 ,p]iod ( grant ,a     
grant aw>d$ to an eligible heal? c>e    

site "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 heal? c>e site   
%all be us$ = bo? ( ! foll[+ purposes3  
7,a7 ,to e/abli% policies & proc$ures t 
address ! provision ( ov]dose rev]sal   
m$ication1 ! adm9i/ration (             
m$ication-assi/$ treatm5t to a non-fatal
 ov]dose pati5t 9 ! em]g5cy dep>tm5t1 & 
! subsequ5t ref]ral to evid5ce-bas$     
treatm5t ^u dis*>ge = pati5ts :o h      
exp]i5c$ a non-fatal 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     
heal? c>e site 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    
7e7 ,report+ requirem5ts  7#a7 ,reports 
by grantees ,ea* eligible heal? c>e site
 aw>d$ a grant "u ?is section %all      
submit to ! ,secret>y an annual report =
 ea* ye> = :i* ! site has receiv$ su*   
grant t includes in=mation on--  7,a7 ! 
numb] ( individuals treat$ at ! site =  
non-fatal ov]doses 9 ! em]g5cy dep>tm5t2
  7,b7 ! numb] ( individuals adm9i/]$   
m$ication-assi/$ treatm5t at ! site 9 ! 
em]g5cy dep>tm5t2  7,c7 ! numb] (       
individuals ref]r$ by ! site 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 abuse 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 "o 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     
receiv+ a grant "u ?is section 7        
readmitt$ to a hospital = non-fatal or  
fatal ov]dose2 &  7,d7 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