#aae? ,,congress  #b;d ,session  ,h4 ,r4
 #eaig  ,,an ,,act  ,to direct !        
,secret>y ( ,heal? & ,human ,s]vices to 
conduct a demon/ration program to te/   
alt]native pa9 managem5t protocols to   
limit ! use ( opioids 9 em]g5cy         
dep>tm5ts4  #a4 ,%ort title ,?is ,act   
may be cit$ z ! ,alt]natives to ,opioids
 9 ! ,em]g5cy ,dep>tm5t ,act or ! ,,alto
 ,act4  #b4 ,em]g5cy dep>tm5t           
alt]natives to opioids demon/ration     
program  7a7 ,demon/ration program      
grants ,! ,secret>y ( ,heal? & ,human   
,s]vices 79 ?is section ref]r$ to z !   
,secret>y7 %all c>ry out a demon/ration 
program "u :i* ! ,secret>y %all aw>d    
grants to hospitals & em]g5cy dep>tm5ts1
 includ+ free/&+ em]g5cy dep>tm5ts1 to  
develop1 implem5t1 enhance1 or /udy     
alt]native pa9 managem5t protocols &    
treatm5ts t limit ! use & prescription (
 opioids 9 em]g5cy dep>tm5ts4  7b7      
,eligibility ,to be eligible to receive 
a grant "u subsection 7a71 a hospital or
 em]g5cy dep>tm5t %all submit an        

application to ! ,secret>y at su* "t1 9 
su* mann]1 & conta9+ su* in=mation z !  
,secret>y may require4  7c7 ,geographic 
div]sity ,9 aw>d+ grants "u ?is section1
 ! ,secret>y %all seek to ensure        
geographical div]sity among grant       
recipi5ts4  7d7 ,use ( funds ,grants "u 
subsection 7a7 %all be us$ to-- 7#a7    
t>get common pa9ful conditions1 su* z   
r5al colic1 sciatica1 heada*es1         
musculoskeletal pa91 & extremity        
fractures2  7#b7 tra9 provid]s & o!r    
hospital p]sonnel on protocols & ! use (
 treatm5ts t limit ! use & prescription 
( opioids 9 ! em]g5cy dep>tm5t2 &  7#c7 
provide alt]natives to opioids to       
pati5ts ) pa9ful conditions1 n includ+  
pati5ts :o pres5t ) pa9 relat$ to canc]1
 end-(-life symptom palliation1 or      
complex multisy/em trauma4  7e7         
,consultation ,! ,secret>y %all implem5t
 a process = recipi5ts ( grants "u      
subsection 7a7 to consult 79 a mann] t  
all[s = %>+ ( evid5ce-bas$ be/          
practices7 ) ea* o!r & ) p]sons hav+    

robu/ k1 includ+ em]g5cy dep>tm5ts &    
physicians t h successfully deploy$     
alt]native pa9 managem5t protocols1 su* 
z non-drug approa*es /udi$ ?r\gh !      
,national ,c5t] = ,complim5t>y &        
,integrative ,heal? includ+ acupuncture 
t limit ! use ( opioids4 ,! ,secret>y   
%all (f] to ea* recipi5t ( a grant "u   
subsection 7a7 te*nical support z       
necess>y4  7f7 ,report to ! ,secret>y   
,ea* recipi5t ( a grant "u ?is section  
%all submit to ! ,secret>y 7dur+ ! p]iod
 ( su* grant7 annual reports on !       
progress ( ! program fund$ ?r\gh !      
grant4 ,^! reports %all include1 9      
accordance ) ,/ate & ,f$]al /atutes &   
regulations reg>d+ disclosure ( pati5t  
in=mation--  7#a7 a description ( &     
specific in=mation ab\t ! alt]native pa9
 managem5t protocols employ$2  7#b7 data
 on ! alt]native pa9 managem5t protocols
 & treatm5ts employ$1 includ+--  7,a7   
dur+ a basel9e p]iod be=e ! program     
began1 z def9$ by ! ,secret>y2  7,b7 at 
v>i\s /ages ( ! program1 z det]m9$ by ! 

,secret>y2 &  7,c7 ! conditions = :i* ! 
alt]native pa9 managem5t protocols &    
treatm5ts 7 employ$2  7#c7 ! success (  
ea* specific alt]native pa9 managem5t   
protocol2  7#d7 data on ! opioid        
prescriptions writt51 includ+-- 7,a7    
dur+ a basel9e p]iod be=e ! program     
began1 z def9$ by ! ,secret>y2  7,b7 at 
v>i\s /ages ( ! program1 z det]m9$ by ! 
,secret>y2 &  7,c7 ! conditions = :i* ! 
opioids 7 prescrib$2  7#e7 ! demographic
 *>act]i/ics ( pati5ts :o 7 treat$ ) an 
alt]native pa9 managem5t protocol1      
includ+ age1 sex1 race1 e?nicity1 &     
insurance /atus & type2  7#f7 data on   
pati5ts :o 7 ev5tually prescrib$ opioids
 aft] alt]native pa9 managem5t protocols
 & treatm5ts 7 employ$2 &  7#g7 any o!r 
in=mation ! ,secret>y deems necess>y4   
7g7 ,report to ,congress ,n lat] ?an #a 
ye> aft] completion ( ! demon/ration    
program "u ?is section1 ! ,secret>y %all
 submit a report to ! ,congress on !    
results ( ! demon/ration program &      
include 9 ! report--  7#a7 ! numb] (    

applications receiv$ & ! numb] fund$2   
7#b7 a summ>y ( ! reports describ$ 9    
subsection 7f71 includ+ /&>diz$ data2 & 
7#c7 recomm5dations = broad]            
implem5tation ( pa9 managem5t protocols 
t limit ! use & prescription ( opioids 9
 em]g5cy dep>tm5ts or o!r areas ( !     
heal? c>e deliv]y sy/em4  7h7           
,au?orization ( appropriations ,to c>ry 
out ?is section1 !re is au?oriz$ to be  
appropriat$ #aj1jjj1jjj = ea* ( fiscal  
ye>s #bjai ?r\gh #bjba4  ,pass$ ! ,h\se 
( ,repres5tatives ,june #ab1            
#bjah4;,cl]k4