,i  #aae? ,,congress  #b;d ,session  ,h4
 ,r4 #eeca  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,april #ag1 #bjah,mr4 
,bu*anan 7= himself & ,mrs4 ,murphy (   
,florida7 introduc$ ! foll[+ bill2 :i* 0
 ref]r$ to ! ,committee on ,en]gy &     
,comm]ce1 & 9 addition to ! ,committees 
on ,ways & ,means1 ! ,budget1 ,vet]ans' 
,affairs1 ,ov]sight & ,gov]nm5t ,re=m1 &
 ! ,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 provide = a     
compreh5sive1 multifacet$ approa* to    
prev5t+ & treat+ opioid addiction4  #a4 
,%ort title2 table ( cont5ts  7a7 ,%ort 
title ,?is ,act may be cit$ z ! ,opioid 
,em]g5cy ,response ,act4  7b7 ,table (  
cont5ts ,! table ( cont5ts = ?is ,act is
 z foll[s3  ,sec4 #a4 ,%ort title2 table
 ( cont5ts4 ,sec4 #b4 ,alt]natives to   
opioids prescrib+4 ,sec4 #c4 ,opioids & 
,,/op ,pa9 ,initiative4 ,sec4 #d4       
,vet]an ov]-m$ication prev5tion4 ,sec4  

#e4 ,am5dm5t relat+ to ! acc\nt = !     
,/ate response to ! opioid abuse crisis4
 ,sec4 #f4 ,m5tal heal? access          
improvem5t4 ,sec4 #g4 ,syn!tics         
,traffick+ & ,ov]dose ,prev5tion4 ,sec4 
#h4 ,/op ! ,importation & ,traffick+ (  
,syn!tic ,analogues4  #b4 ,alt]natives  
to opioids prescrib+  7a7 ,e/abli%m5t   
,beg9n+ n lat] ?an "o ye> aft] ! date ( 
! enactm5t ( ?is ,act1 ! ,secret>y (    
,heal? & ,human ,s]vices 79 ?is ,act    
ref]r$ to z ! ,secret>y7 %all c>ry out a
 #e-ye> demon/ration project "u :i*     
paym5t %all be made "u ! hospital       
outpati5t prospective paym5t sy/em "u "p
 ,b ( title ,,xviii ( ! ,social         
,security ,act 7#db ,u4,s4,c4 #acie;j et
 seq47 to p>ticipat+ hospitals = items &
 s]vices furni%$ z alt]natives to opioid
 m$ications to individuals enroll$ "u   
su* "p to treat conditions designat$ "u 
subsection 7c77#a7 = purposes ( evaluat+
 ! b5efits ( us+1 in/ead ( opioid       
m$ications1 su* alt]natives to treat 9  
em]g5cy dep>tm5ts su* symptoms &        

conditions4  7b7 ,em]g5cy dep>tm5ts     
7#a7 ,selection ,! ,secret>y %all select
 f hospitals ) em]g5cy dep>tm5ts        
volunt>ily submitt+ applications "u     
p>agraph 7#d71 n few] ?an #cj hospitals 
) em]g5cy dep>tm5ts1 & n m ?an #ej      
hospitals ) em]g5cy dep>tm5ts1 =        
p>ticipation 9 ! demon/ration project4  
7#b7 ,div]sity ,9 select+ hospitals )   
em]g5cy dep>tm5ts1 ! ,secret>y %all     
ensure su* hospitals & em]g5cy dep>tm5ts
 are div]se 9 geography & size4  7#c7   
,volunt>y p>ticipation ,p>ticipation 9 !
 demon/ration project "u ?is section    
%all be on a volunt>y basis4  7#d7      
,applications  7,a7 ,9 g5]al ,to        
p>ticipate 9 ! demon/ration project1 a  
hospital ) an em]g5cy dep>tm5t %all     
submit to ! ,secret>y an application at 
su* "t1 9 su* mann]1 & conta9+ su*      
in=mation 79 addition to ! writt5       
commitm5t describ$ 9 subp>agraph 7,b77 z
 specifi$ by ! ,secret>y4 ,! ,secret>y  
%all take su* measures z is necess>y to 
make available su* application =m to    

pot5tial p>ticipants no lat] ?an #ahj   
days aft] ! date ( ! enactm5t ( ?is     
,act4  7,b7 ,in=mation requir$ ,ea*     
application submitt$ by a hospital "u   
subp>agraph 7,a7 %all include a b9d+    
writt5 commitm5t to p>ticipate 9 !      
demon/ration project = ! duration ( !   
project sign$ by ! ,*ief ,executive     
,(fic] ( ! hospital1 ! physician m$ical 
director ( ! em]g5cy dep>tm5t ( !       
hospital1 ! nurs+ director ( ! em]g5cy  
dep>tm5t ( ! hospital1 & ! ph>macy      
director ( ! em]g5cy dep>tm5t ( !       
hospital4  7c7 ,elem5ts ( demon/ration  
project ,"u ! demon/ration project1 !   
foll[+ %all apply3 7#a7 ,! ,secret>y    
%all designate no few] ?an five         
conditions or sets ( symptoms t w be    
monitor$ dur+ ! demon/ration project4   
7#b7 ,! p]=mance dur+ ea* ye> ( !       
demon/ration project1 ) respect to su*  
conditions designat$ "u p>agraph 7#a71 (
 all em]g5cy dep>tm5ts ( hospitals      
p>ticipat+ 9 ! demon/ration project w be
 measur$ aga9/ ! p]=mance ( su* em]g5cy 

dep>tm5ts dur+ a base ye>1 :i* %all     
repres5t ! mo/ rec5t set ( full ye> data
 available be=e ! fir/ date ( !         
demon/ration project4  7#c7 ,! ,secret>y
 %all provide hospitals p>ticipat+ 9 !  
demon/ration project ) a description (  
cle>ly def9$ treatm5ts t are consid]$   
alt]natives to opioids to be appli$ =   
purposes ( subsection 7a74  7d7         
,inc5tive paym5t ,"u ! demon/ration     
project1 ! ,secret>y %all create a      
paym5t /ructure "u :i* hospitals        
p>ticipat+ 9 ! demon/ration project t   
increase ! use ( alt]natives to opioids 
& decrease ! use ( opioids may receive a
 %>$ sav+s bonus 9 addition to :at w\ld 
o!rwise be made = items & s]vices       
furni%$ "u subsection 7a74 ,! am\nt (   
su* %>$ sav+s %all be bas$ on ! diff]5ce
 betwe5 readmission rates = individuals 
treat$ ) an alt]native to opioids at !  
em]g5cy dep>tm5t ( ! p>ticipat+ hospital
 & ! av]age rate ( readmissions =       
individuals treat$ ) opioids & dis*>g$ f
 a repres5tative gr\p ( em]g5cy         

dep>tm5ts ( hospitals n p>ticipat+ 9 !  
demon/ration project 9 ! same region z !
 p>ticipat+ hospital ov] a p]iod ( five 
ye>s4  7e7 ,cl>ification ,no?+ "u ?is   
section %all prev5t a heal? c>e provid] 
f prescrib+ an opioid if an opioid is a 
m$ically necess>y treatm5t4  7f7        
,reports to ,congress  7#a7 ,initial    
report ,n lat] ?an #ahj days aft] ! date
 ( ! enactm5t ( ?is ,act1 ! ,secret>y   
%all submit to ,congress a report t     
includes--  7,a7 ! application =m       
describ$ 9 subsection 7b77#d77;,a7 t is 
to be made available to pot5tial        
p>ticipants2 &  7,b7 a progress report )
 respect to designat+ ! conditions "u   
subsection 7c77#a7 & e/abli%+ !         
description ( cle>ly def9$ treatm5ts    
describ$ 9 subsection 7c77#c74  7#b7    
,p]iodic demon/ration reports ,beg9n+   
aft] ! fir/ ye> ( ! demon/ration project
 & annually !reaft] = ea* ye> ( !       
demon/ration project & n lat] ?an "o ye>
 aft] ! completion ( ! demon/ration1 !  
,secret>y %all submit to ,congress a    

report t includes ! foll[+ data = ea*   
hospital p>ticipat+ "u ! demon/ration   
project3  7,a7 ,) respect to ea*        
condition or set ( symptom designat$ "u 
subsection 7c77#a71 ! numb] (           
individuals treat$4  7,b7 ,) respect to 
ea* su* condition1 ! numb] ( individuals
 treat$ only ) an alt]native to opioids4
  7,c7 ,) respect to ea* su* condition1 
! numb] ( individuals treat$ fir/ ) an  
alt]native to opioids1 foll[$ by an     
opioid 9 ! same visit4  7,d7 ,) respect 
to ea* su* condition1 ! numb] (         
individuals treat$ only ) an opioid4    
7,e7 ,) respect to ea* individual       
describ$ 9 subp>agraph 7,a7 treat$ = su*
 a condition or set ( symptoms1 :e!r or 
n ! individual involv$ return$ to !     
em]g5cy dep>tm5t ( ! hospital or an     
em]g5cy dep>tm5t ( a diff]5t hospital = 
! same condition or symptoms4  7,f7 ,!  
diff]5ce 9 co/ betwe5 treat+ an         
individual ) an alt]native to opioid    
v]sus an opioid4  7,g7 ,any additional  
in=mation ! ,secret>y det]m9es necess>y4

  #c4 ,opioids & ,,/op ,pa9 ,initiative 
7a7 ,e/abli%m5t ,!re is e/abli%$ an     
,opioids & ,,/op ,pa9 ,initiative1 to be
 adm9i/]$ by ! ,director ( ! ,national  
,in/itutes ( ,heal?1 9 coord9ation ) o!r
 ag5cies1 z appropriate1 :i* %all       
include ef=ts to support rese>* on !    
foll[+3  7#a7 ,section #ajh ( !         
,compreh5sive ,addiction & ,recov]y ,act
 ( #bjaf 7#db ,u4,s4,c4 #bhdq-#a71 kn[n 
z ! ,,/op ,pa9 ,act1 :i* directs !      
,national ,in/itutes ( ,heal? to        
int5sify & coord9ate fundam5tal1        
translational1 & cl9ical rese>* )       
respect to--  7,a7 ! und]/&+ ( pa92     
7,b7 ! discov]y & developm5t ( !rapies =
 *ronic pa92 &  7,c7 ! developm5t (     
alt]natives to opioids = effective pa9  
treatm5ts4  7#b7 ,develop+ improv$      
options & evid5ce = m$ication-assi/$    
treatm5t4  7#c7 ,develop+ improv$       
options & evid5ce = opioid ov]dose      
rev]sal treatm5ts4  7#d7 ,! ,f$]al ,pa9 
,rese>* ,/rategy1 includ+ rese>* t      
focuses on--  7,a7 novel drugs1         

non-addictive1 & non-ph>macological     
treatm5ts = pa92  7,b7 scre5+ tools &   
outcome measure = assessm5ts across !   
cont9uum ( pa92  7,c7 national          
regi/ries1 datasets1 & rese>* networks2 
7,d7 effective models ( c>e deliv]y =   
pa9 managem5t2 &  7,e7 precision m$ic9e 
me?odology to prev5t & treat pa94  7#e7 
,! compon5ts ( ! ,dep>tm5t ( ,heal? &   
,human ,s]vices five-po9t /rategy to    
address ! opioid crisis t /ates3        
,provid+ support = cutt+ edge rese>* on 
pa9 & addiction4  7#f7 ,! pa9 !rapy     
scre5+ program e/abli%$ "u subsection   
7c74  7#g7 ,o!r elem5ts t ! ,secret>y ( 
,heal? & ,human ,s]vices may designate1 
9 consultation ) ! ,director ( !        
,national ,in/itutes ( ,heal?4  7b7     
,fund+ = ! ,opioids & ,,/op ,pa9        
,initiative  7#a7 ,9 g5]al ,!re is      
au?oriz$ to be appropriat$1 & !re is    
appropriat$1 #ejj1jjj1jjj1 to be us$    
dur+ ! #e-;fiscal-ye> p]iod beg9n+ 9 !  
fiscal ye> 9 :i* su* funds are          
appropriat$1 to ! ,national ,in/itutes (

 ,heal? ,innovation ,acc\nt to be us$ to
 adm9i/] ! ,opioids & ,,/op ,pa9        
,initiative e/abli%$ "u subsection 7a74 
7#b7 ,em]g5cy sp5d+  7,a7 ,9 g5]al      
,am\nts appropriat$ "u p>agraph 7#a7 are
 designat$ z an em]g5cy requirem5t      
pursuant to section #d7;g7 ( ! ,/atutory
 ,pay-,z-,y-,g ,act ( #bjaj 7#b         
,u4,s4,c4 #icc7;g774  7,b7 ,designation 
9 ! s5ate ,9 ! ,s5ate1 am\nts           
appropriat$ "u subsection 7a7 are       
designat$ z an em]g5cy requirem5t       
pursuant to section #djc7;a7 ( ,s4 ,con4
 ,res4 #ac 7#aaa? ,congress71 !         
concurr5t resolution on ! budget =      
fiscal ye> #bjaj4  7c7 ,pa9 ,!rapy      
,scre5+ ,program  7#a7 ,9 g5]al ,!      
,secret>y ( ,heal? & ,human ,s]vices    
7ref]r$ to 9 ?is section z ! ,secret>y7 
%all c>ry out ?r\gh ! ,national         
,in/itutes ( ,heal? a program to be kn[n
 z ! ,pa9 ,!rapy ,scre5+ ,program t     
focuses on ! developm5t ( pa9           
!rapeutics4  7#b7 ,grants ,! ,secret>y  
%all aw>d grants "u ! program "u        

p>agraph 7#a7 to eligible public &      
private nonpr(it entities to support !  
developm5t ( new pre-cl9ical models =   
pa9 disord]s1 & ! application ( ^!      
models 9 drug1 device1 or o!r !rapy     
scre5+4  7#c7 ,model ,! program "u ?is  
section %all be model$ aft] ! ,epilepsy 
,!rapy ,scre5+ ,program c>ri$ out by !  
,national ,in/itute ( ,neurological     
,disord]s & ,/roke4  7#d7 ,fees ,!      
,secret>y ( ,heal? & ,human ,s]vices may
 assess reasonable fees on private      
ph>maceutical or m$ical device indu/ry  
entities t utilize ! program "u ?is     
section to scre5 propriet>y molecul>    
comp\nds & devices4 ,su* fees %all be   
paid to ! ,f\ndation = ! ,national      
,in/itutes ( ,heal? & transf]r$ to !    
,,nih ,innovation ,acc\nt to be us$ = ! 
,opioids & ,,/op ,pa9 ,initiative       
e/abli%$ "u subsection 7a74  7#e7 ,fund+
 ,! ,director ( ! ,national ,in/itutes (
 ,heal? %all det]m9e ! am\nt1 &         
allocate1 funds f ! am\nt appropriat$ "u
 subsection 7b71 to c>ry out ?is        

section4  7d7 ,fund+ provisions  7#a7   
,supplem5t n supplant ,am\nts           
appropriat$ 9 ?is section 7includ+ !    
am5dm5ts made by ?is section7 %all be   
us$ to supplem5t1 n supplant1 curr5t    
fund+ = pa9 & opioid rese>* at !        
,national ,in/itutes ( ,heal?4  7#b7    
,acceptance ( donations ,not)/&+ section
 #acdb ( title #ca1 ,unit$ ,/ates ,code1
 ! ,secret>y ( ,heal? & ,human ,s]vices 
may accept donations 7includ+ f !       
ph>maceutical & m$ical device indu/ries7
 to be us$ to assi/ 9 c>ry+ out programs
 & activities "u ?is section 7& !       
am5dm5ts made by ?is section74 ,su*     
donations %all be paid to ! ,f\ndation =
 ! ,national ,in/itutes ( ,heal? &      
transf]r$ to ! ,,nih ,innovation ,acc\nt
 to be us$ = ! ,opioids & ,,/op ,pa9    
,initiative e/abli%$ "u subsection 7a74 
7#c7 ,inclusion ( contribution am\nts 9 
basic rese>* = purposes ( rese>* cr$it  
7,a7 ,9 g5]al ,p>agraph 7#f7 ( section  
#da7;e7 ( ! ,int]nal ,rev5ue ,code (    
#aihf is am5d$ by add+ at ! end ! foll[+

 new subp>agraph3  7,e7 ,opioids & ,,/op
 ,pa9 ,initiative ,! ,national          
,in/itutes ( ,heal?1 if ! paym5t is made
 9 support ( ! ,opioids & ,,/op ,pa9    
,initiative1 z e/abli%$ by ! ,opioids & 
,,/op ,pa9 ,initiative ,act4  4  7,b7   
,effective date ,! am5dm5ts made by ?is 
subsection %all apply to taxable ye>s   
beg9n+ aft] ! date ( ! enactm5t ( ?is   
,act4  7e7 ,au?ority ,not)/&+ any o!r   
provision ( ! law1 ! ,director ( !      
,national ,in/itutes ( ,heal? may use   
funds available "u subsection 7b7 to    
ent] into transactions 7o!r ?an         
contracts1 coop]ative agreem5ts1 or     
grants7 to c>ry out rese>* id5tifi$     
pursuant to ! ,opioids & ,,/op ,pa9     
,initiative e/abli%$ "u subsection 7a74 
7f7 ,reports  7#a7 ,annual reports ,n   
lat] ?an ,octob] #a ( ea* ( fiscal ye>s 
#bjai ?r\gh #bjbf1 ! ,director ( !      
,national ,in/itutes ( ,heal? %all      
submit to ! ,committee on ,heal?1       
,education1 ,labor1 & ,p5sions & !      
,committee on ,appropriations ( ! ,s5ate

 & ! ,committee on ,en]gy & ,comm]ce & !
 ,committee on ,appropriations ( ! ,h\se
 ( ,repres5tatives1 a report t          
includes--  7,a7 ! am\nt obligat$ or    
exp5d$ 9 ! fiscal ye> prior to ! fiscal 
ye> 9 :i* ! report is be+ submitt$ = ea*
 program or activity describ$ 9 ?is     
section 7or an am5dm5t made by ?is      
section72  7,b7 a description ( all su* 
programs or activities c>ri$ out us+    
funds provid$ "u ?is section 7or        
am5dm5ts72 &  7,c7 a description ( h[   
su* programs or activities are advanc+  
public heal?1 includ+ ! impact on treat+
 pa9 & address+ opioid misuse 9 ! ,unit$
 ,/ates4  7#b7 ,additional reports ,at !
 reque/ ( ! ,committee on ,heal?1       
,education1 ,labor1 & ,p5sions or !     
,committee on ,appropriations ( !       
,s5ate1 or ! ,committee on ,en]gy &     
,comm]ce or ! ,committee on             
,appropriations ( ! ,h\se (             
,repres5tatives1 ! ,director ( !        
,national ,in/itutes ( ,heal? %all      
provide to ! relevant committee an      

update 9 ! =m ( te/imony & additional   
reports conc]n+ ! allocation ( fund+ "u 
?is section 7or ! am5dm5ts made by ?is  
section7 or ! description ( ! programs &
 activities c>ri$ out ) su* fund+4  #d4 
,vet]an ov]-m$ication prev5tion  7a7    
,review requir$  7#a7 ,9 g5]al ,n lat]  
?an #ij days aft] ! date ( ! enactm5t ( 
?is ,act1 ! ,secret>y ( ,vet]ans        
,affairs %all seek to ent] into an      
agreem5t ) ! ,national ,academies (     
,sci5ces1 ,eng9e]+1 & ,m$ic9e "u :i* !  
,national ,academies %all conduct a     
review ( ! dea?s ( all cov]$ vet]ans :o 
di$ by suicide dur+ ! five-ye> p]iod    
end+ on ! date ( ! enactm5t ( ?is ,act1 
reg>dless ( :e!r in=mation relat+ to su*
 dea?s has be5 report$ by ! ,c5t]s =    
,disease ,control & ,prev5tion4  7#b7   
,elem5ts ,! review requir$ by p>agraph  
7#a7 %all include ! foll[+3 7,a7 ,!     
total numb] ( cov]$ vet]ans :o di$ by   
suicide dur+ ! five-ye> p]iod end+ on ! 
date ( ! enactm5t ( ?is ,act4  7,b7 ,!  
total numb] ( cov]$ vet]ans :o di$ by a 

viol5t dea? dur+ su* five-ye> p]iod4    
7,c7 ,! total numb] ( cov]$ vet]ans :o  
di$ by an accid5tal dea? dur+ su*       
five-ye> p]iod4  7,d7 ,a description (  
ea* cov]$ vet]an describ$ 9 subp>agraphs
 7,a7 ?r\gh 7,c71 includ+ age1 g5d]1    
race1 & e?nicity4  7,e7 ,a compreh5sive 
li/ ( prescrib$ m$ications & legal or   
illegal sub/ances z annotat$ on         
toxicology reports ( cov]$ vet]ans      
describ$ 9 subp>agraphs 7,a7 ?r\gh 7,c71
 specifically li/+ any m$ications t     
c>ri$ a black box w>n+1 7 prescrib$ =   
(f-label use1 7 psy*otropic1 or c>ri$   
w>n+s t includ$ suicidal ideation4  7,f7
 ,a summ>y ( m$ical diagnoses by        
physicians ( ! ,dep>tm5t ( ,vet]ans     
,affairs or physicians provid+ s]vices  
to cov]$ vet]ans ?r\gh programs ( !     
,dep>tm5t t l$ to ! prescrib+ (         
m$ications ref]r$ to 9 subp>agraph 7,e7 
9 cases ( po/-traumatic /ress disord]1  
traumatic bra9 injury1 milit>y sexual   
trauma1 & o!r anxiety & depressive      
disord]s4  7,g7 ,! numb] ( in/ances 9   

:i* a cov]$ vet]an describ$ 9           
subp>agraph 7,a71 7,b71 or 7,c7 0       
concurr5tly on multiple m$ications      
prescrib$ by physicians ( ! ,dep>tm5t or
 physicians provid+ s]vices to vet]ans  
?r\gh programs ( ! ,dep>tm5t to treat   
po/-traumatic /ress disord]1 traumatic  
bra9 injury1 milit>y sexual trauma1 o!r 
anxiety & depressive disord]s1 or       
in/ances ( comorbidity4  7,h7 ,! numb] (
 cov]$ vet]ans describ$ 9 subp>agraphs  
7,a7 ?r\gh 7,c7 :o 7 n tak+ any         
m$ication prescrib$ by a physician ( !  
,dep>tm5t or a physician provid+ s]vices
 to vet]ans ?r\gh a program ( !         
,dep>tm5t4  7,i7 ,) respect to !        
treatm5t ( po/-traumatic /ress disord]1 
traumatic bra9 injury1 milit>y sexual   
trauma1 or o!r anxiety & depressive     
disord]s1 ! p]c5tage ( cov]$ vet]ans    
describ$ 9 subp>agraphs 7,a7 ?r\gh 7,c7 
:o receiv$ a non-m$ication fir/-l9e     
treatm5t comp>$ to ! p]c5tage ( su*     
vet]ans :o receiv$ m$ication only4  7,j7
 ,) respect to ! treatm5t ( cov]$       

vet]ans describ$ 9 subp>agraphs 7,a7    
?r\gh 7,c7 = po/-traumatic /ress        
disord]1 traumatic bra9 injury1 milit>y 
sexual trauma1 or o!r anxiety &         
depressive disord]s1 ! numb] ( in/ances 
9 :i* a non-m$ication fir/-l9e treatm5t 
7su* z cognitive behavioral !rapy7 0    
attempt$ & det]m9$ to be ineffective =  
su* a vet]an1 :i* subsequ5tly l$ to !   
prescrib+ ( a m$ication ref]r$ to 9     
subp>agraph 7,e74  7,k7 ,a description &
 example ( h[ ! ,dep>tm5t det]m9es &    
cont9ually updates ! cl9ical practice   
guidel9es gov]n+ ! prescrib+ (          
m$ications4  7,l7 ,an analysis ( ! use  
by ! ,dep>tm5t1 includ+ protocols or    
practices at m$ical facilities ( !      
,dep>tm5t1 ( sy/ematically measur+ pa9  
scores dur+ cl9ical enc\nt]s "u ! ,pa9 z
 ! #e? ,vital ,sign ,toolkit ( !        
,dep>tm5t & an evaluation ( !           
relation%ip betwe5 ! use ( su*          
measurem5ts & ! numb] ( vet]ans         
concurr5tly on multiple m$ications      
prescrib$ by physicians ( ! ,dep>tm5t4  

7,m7 ,a description ( ! ef=ts ( !       
,dep>tm5t to ma9ta9 appropriate /aff+   
levels = m5tal heal? pr(essionals1 su* z
 m5tal heal? c\nselors1 m>riage & family
 !rapi/s1 & o!r appropriate c\nselors1  
includ+--  7i7 a description ( any      
imp$im5ts to c>ry out ! education1      
tra9+1 & hir+ ( m5tal heal? c\nselors & 
m>riage & family !rapi/s "u section     
#gcjb7;a7 ( title #ch1 ,unit$ ,/ates    
,code1 & /rategies = address+ ^?        
imp$im5ts2  7ii7 a description ( !      
objectives1 goals1 & tim+ ( ! ,dep>tm5t 
) respect to increas+ ! repres5tation ( 
su* c\nselors & !rapi/s 9 ! behavioral  
heal? work=ce ( ! ,dep>tm5t1 includ+--  
7,i7 a review ( eligibility crit]ia =   
su* c\nselors & !rapi/s & a comp>ison ( 
su* crit]ia to t ( o!r behavioral heal? 
pr(essions 9 ! ,dep>tm5t2 &  7,,ii7 an  
assessm5t ( ! p>ticipation ( su*        
c\nselors & !rapi/s 9 ! m5tal heal?     
pr(essionals tra9ee program ( !         
,dep>tm5t & any imp$im5ts to su*        
p>ticipation2  7iii7 an assessm5t ( !   

developm5t by ! ,dep>tm5t ( hir+        
guidel9es = m5tal heal? c\nselors1      
m>riage & family !rapi/s1 & o!r         
appropriate c\nselors2  7iv7 a          
description ( h[ ! ,dep>tm5t-- 7,i7     
id5tifies gaps 9 ! supply ( m5tal heal? 
pr(essionals2 &  7,,ii7 det]m9es        
successful /aff+ ratios = m5tal heal?   
pr(essionals ( ! ,dep>tm5t2  7v7 a      
description ( actions tak5 by !         
,secret>y1 9 consultation ) ! ,director 
( ! ,(fice ( ,p]sonnel ,managem5t1 to   
create an occupational s]ies = m5tal    
heal? c\nselors & m>riage & family      
!rapi/s ( ! ,dep>tm5t & a timel9e = !   
creation ( su* an occupational s]ies2 & 
7vi7 a description ( actions tak5 by !  
,secret>y to ensure t ! national1       
regional1 & local pr(essional /&>ds     
bo>ds = m5tal heal? c\nselors & m>riage 
& family !rapi/s are compris$ ( only    
m5tal heal? c\nselors & m>riage & family
 !rapi/s & t ! liaison f ! ,dep>tm5t to 
su* bo>ds is a m5tal heal? c\nselor or  
m>riage & family !rapi/4  7,n7 ,!       

p]c5tage ( cov]$ vet]ans describ$ 9     
subp>agraphs 7,a7 ?r\gh 7,c7 ) combat   
exp]i5ce or trauma relat$ to combat     
exp]i5ce 7includ+ milit>y sexual trauma1
 traumatic bra9 injury1 & po/-traumatic 
/ress74  7,o7 ,an id5tification ( !     
m$ical facilities ( ! ,dep>tm5t ) m>k$ly
 high prescription rates & suicide rates
 = vet]ans receiv+ treatm5t at ^?       
facilities4  7,p7 ,an analysis1 by      
,/ate1 ( programs ( ! ,dep>tm5t t       
collaborate ) ,/ate ,m$icaid ag5cies & !
 ,c5t]s = ,m$ic>e & ,m$icaid ,s]vices1  
includ+ ! foll[+3  7i7 ,an analysis ( ! 
%>+ ( prescription & behavioral heal?   
data = vet]ans4  7ii7 ,an analysis (    
:e!r ,dep>tm5t /aff *eck ) ,/ate        
prescription drug monitor+ programs be=e
 prescrib+ m$ications to vet]ans4  7iii7
 ,a description ( ! proc$ures ( !       
,dep>tm5t = coord9at+ ) prescrib]s      
outside ( ! ,dep>tm5t to ensure t       
vet]ans are n ov]prescrib$4  7iv7 ,a    
description ( actions t ! ,dep>tm5t     
takes :5 a vet]an is det]m9$ to be      

ov]prescrib$4  7,q7 ,an analysis ( !    
collaboration ( m$ical c5t]s ( !        
,dep>tm5t ) m$ical exam9]s' (fices or   
local jurisdictions to det]m9e vet]an   
mortality & cause ( dea?4  7,r7 ,an     
id5tification & det]m9ation ( a be/     
practice model to collect & %>e vet]an  
dea? c]tificate data betwe5 ! ,dep>tm5t 
( ,vet]ans ,affairs1 ! ,dep>tm5t (      
,def5se1 ,/ates1 & tribal entities4     
7,s7 ,a description ( h[ data relat+ to 
dea? c]tificates ( vet]ans is collect$1 
det]m9$1 & report$ by ! ,dep>tm5t (     
,vet]ans ,affairs4  7,t7 ,an assessm5t (
 any patt]ns app>5t to ! ,national      
,academies ( ,sci5ces1 ,eng9e]+1 &      
,m$ic9e bas$ on ! review conduct$ "u    
p>agraph 7#a74  7,u7 ,su* recomm5dations
 = fur!r action t w\ld improve ! safety 
& well-be+ ( vet]ans z ! ,national      
,academies ( ,sci5ces1 ,eng9e]+1 &      
,m$ic9e det]m9e appropriate4  7#c7      
,compilation ( data  7,a7 ,=m (         
compilation ,! ,secret>y ( ,vet]ans     
,affairs %all ensure t data compil$ "u  

p>agraph 7#b7 is compil$ 9 a mann] t    
all[s x to be analyz$ across all data   
fields = purposes ( in=m+ & updat+      
cl9ical practice guidel9es ( ! ,dep>tm5t
 ( ,vet]ans ,affairs4  7,b7 ,compilation
 ( data reg>d+ cov]$ vet]ans ,9 compil+ 
data "u p>agraph 7#b7 reg>d+ cov]$      
vet]ans describ$ 9 subp>agraphs 7,a7    
?r\gh 7,c7 ( su* p>agraph1 data reg>d+  
vet]ans describ$ 9 ea* su* subp>agraph  
%all be compil$ sep>ately & disaggregat$
 by ye>4  7#d7 ,completion ( review &   
report ,! agreem5t ent]$ into "u        
p>agraph 7#a7 %all require t ! ,national
 ,academies ( ,sci5ces1 ,eng9e]+1 &     
,m$ic9e complete ! review "u su*        
p>agraph & submit to ! ,secret>y (      
,vet]ans ,affairs a report conta9+ !    
results ( ! review n lat] ?an #ahj days 
aft] ent]+ into ! agreem5t4  7b7 ,report
 ,n lat] ?an #cj days aft] ! completion 
by ! ,national ,academies ( ,sci5ces1   
,eng9e]+1 & ,m$ic9e ( ! review requir$  
"u subsection 7a71 ! ,secret>y (        
,vet]ans ,affairs %all--  7#a7 submit to

 ! ,committee on ,vet]ans' ,affairs ( ! 
,s5ate & ! ,committee on ,vet]ans'      
,affairs ( ! ,h\se ( ,repres5tatives a  
report on ! results ( ! review2 &  7#b7 
make su* report publicly available4  7c7
 ,def9itions ,9 ?is section3  7#a7 ,!   
t]m black box w>n+ means a w>n+ display$
 on ! label ( a prescription drug t is  
design$ to call att5tion to ! s]i\s or  
life-?reat5+ risk ( ! prescription drug4
  7#b7 ,! t]m cov]$ vet]an means a      
vet]an :o receiv$ hospital c>e or m$ical
 s]vices furni%$ by ! ,dep>tm5t (       
,vet]ans ,affairs dur+ ! five-ye> p]iod 
prec$+ ! dea? ( ! vet]an4  7#c7 ,! t]m  
fir/-l9e treatm5t means a pot5tial      
int]v5tion t has be5 evaluat$ & assign$ 
a high score )9 cl9ical practice        
guidel9es4  7#d7 ,! t]m ,/ate means ea* 
( ! ,/ates1 t]ritories1 & possessions ( 
! ,unit$ ,/ates1 ! ,di/rict ( ,columbia1
 & ! ,commonweal? ( ,pu]to ,rico4  #e4  
,am5dm5t relat+ to ! acc\nt = ! ,/ate   
response to ! opioid abuse crisis       
,section #ajjc ( ! #ba/ ,c5tury ,cures  

,act 7,public ,law #aad-bee2 #db        
,u4,s4,c4 #bij;ee-#c note7 is am5d$ 9   
subsection 7b77#c71 by add+ at ! end !  
foll[+ new subp>agraph3  7,c7           
,appropriations aft] fiscal ye> #bjah   
,!re is au?oriz$ to be appropriat$1 &   
!re is appropriat$1 out ( any monies 9 !
 ,treasury n o!rwise appropriat$1 to !  
,acc\nt ,= ! ,/ate ,response to !       
,opioid ,abuse ,crisis #ejj1jjj1jjj =   
ea* ( fiscal ye>s #bjai ?r\gh #bjbc4  4 
#f4 ,m5tal heal? access improvem5t  7a7 
,cov]age ( ,s]vices  7#a7 ,9 g5]al      
,section #ahfa7s77#b7 ( ! ,social       
,security ,act 7#db ,u4,s4,c4           
#aciex7s77#b77 is am5d$-- 7,a7 9        
subp>agraph 7,,ff71 by /rik+ & aft] !   
semicolon at ! end2  7,b7 9 subp>agraph 
7,,gg71 by ins]t+ & aft] ! semicolon at 
! end2 &  7,c7 by add+ at ! end ! foll[+
 new subp>agraph3  7,,hh7 m>riage &     
family !rapi/ s]vices 7z def9$ 9        
subsection 7jjj77#a77 & m5tal heal?     
c\nselor s]vices 7z def9$ 9 subsection  
7jjj77#c772 4  7#b7 ,def9itions ,section

 #ahfa ( ! ,social ,security ,act 7#db  
,u4,s4,c4 #aciex7 is am5d$ by add+ at ! 
end ! foll[+ new subsection3  7jjj7     
,m>riage & ,family ,!rapi/ ,s]vices2    
,m>riage & ,family ,!rapi/2 ,m5tal      
,heal? ,c\nselor ,s]vices2 ,m5tal ,heal?
 ,c\nselor  7#a7 ,! t]m m>riage & family
 !rapi/ s]vices means s]vices p]=m$ by a
 m>riage & family !rapi/ 7z def9$ 9     
p>agraph 7#b77 = ! diagnosis & treatm5t 
( m5tal illnesses1 :i* ! m>riage &      
family !rapi/ is legally au?oriz$ to    
p]=m "u ,/ate law 7or ! ,/ate regulatory
 me*anism provid$ by ,/ate law7 ( !     
,/ate 9 :i* su* s]vices are p]=m$1 z    
w\ld o!rwise be cov]$ if furni%$ by a   
physician or z an incid5t to a          
physician's pr(essional s]vice1 b only  
if no facility or o!r provid] *>ges or  
is paid any am\nts ) respect to !       
furni%+ ( su* s]vices4  7#b7 ,! t]m     
m>riage & family !rapi/ means an        
individual :o-- 7,a7 possesses a ma/]'s 
or doctoral degree :i* qualifies =      
lic5sure or c]tification z a m>riage &  

family !rapi/ pursuant to ,/ate law2    
7,b7 aft] obta9+ su* degree has p]=m$ at
 lea/ #b ye>s ( cl9ical sup]vis$        
exp]i5ce 9 m>riage & family !rapy2 &    
7,c7 9 ! case ( an individual p]=m+     
s]vices 9 a ,/ate t provides = lic5sure 
or c]tification ( m>riage & family      
!rapi/s1 is lic5s$ or c]tifi$ z a       
m>riage & family !rapi/ 9 su* ,/ate4    
7#c7 ,! t]m m5tal heal? c\nselor s]vices
 means s]vices p]=m$ by a m5tal heal?   
c\nselor 7z def9$ 9 p>agraph 7#d77 = !  
diagnosis & treatm5t ( m5tal illnesses  
:i* ! m5tal heal? c\nselor is legally   
au?oriz$ to p]=m "u ,/ate law 7or !     
,/ate regulatory me*anism provid$ by !  
,/ate law7 ( ! ,/ate 9 :i* su* s]vices  
are p]=m$1 z w\ld o!rwise be cov]$ if   
furni%$ by a physician or z incid5t to a
 physician's pr(essional s]vice1 b only 
if no facility or o!r provid] *>ges or  
is paid any am\nts ) respect to !       
furni%+ ( su* s]vices4  7#d7 ,! t]m     
m5tal heal? c\nselor means an individual
 :o-- 7,a7 possesses a ma/]'s or        

doctor's degree 9 m5tal heal? c\nsel+ or
 a relat$ field2  7,b7 aft] obta9+ su* a
 degree has p]=m$ at lea/ #b ye>s (     
sup]vis$ m5tal heal? c\nselor practice2 
&  7,c7 9 ! case ( an individual p]=m+  
s]vices 9 a ,/ate t provides = lic5sure 
or c]tification ( m5tal heal? c\nselors 
or pr(essional c\nselors1 is lic5s$ or  
c]tifi$ z a m5tal heal? c\nselor or     
pr(essional c\nselor 9 su* ,/ate4  4    
7#c7 ,provision = paym5t "u "p ,b       
,section #ahcb7;a77#b77;,b7 ( ! ,social 
,security ,act 7#db ,u4,s4,c4           
#aciek7a77#b77;,b77 is am5d$ by add+ at 
! end ! foll[+ new clause3  7v7 m>riage 
& family !rapi/ s]vices 7z def9$ 9      
section #ahfa7;jjj77#a77 & m5tal heal?  
c\nselor s]vices 7z def9$ 9 section     
#ahfa7;jjj77#c772  4  7#d7 ,am\nt (     
paym5t ,section #ahcc7;a77#a7 ( !       
,social ,security ,act 7#db ,u4,s4,c4   
#aciel7a77#a77 is am5d$-- 7,a7 by /rik+ 
& 7,,bb7 & ins]t+ 7,,bb72 &  7,b7 by    
ins]t+ be=e ! semicolon at ! end !      
foll[+3 1 & 7,,cc7 ) respect to m>riage 

& family !rapi/ s]vices & m5tal heal?   
c\nselor s]vices "u section             
#ahfa7s77#b77;,,hh71 ! am\nts paid %all 
be #hj p]c5t ( ! less] ( ! actual *>ge =
 ! s]vices or #ge p]c5t ( ! am\nt       
det]m9$ = paym5t ( a psy*ologi/ "u      
subp>agraph 7,l74  7#e7 ,exclusion (    
m>riage & family !rapi/ s]vices & m5tal 
heal? c\nselor s]vices f skill$ nurs+   
facility prospective paym5t sy/em       
,section #ahhh7;e77#b77;,a77ii7 ( !     
,social ,security ,act 7#db ,u4,s4,c4   
#acieyy7e77#b77;,a77ii77 is am5d$ by    
ins]t+ m>riage & family !rapi/ s]vices  
7z def9$ 9 section #ahfa7;jjj77#a771    
m5tal heal? c\nselor s]vices 7z def9$ 9 
section #ahfa7;jjj77#c771 aft] qualifi$ 
psy*ologi/ s]vices14  7#f7 ,inclusion ( 
m>riage & family !rapi/s & m5tal heal?  
c\nselors z practition]s = assignm5t (  
claims ,section #ahdb7;b77#ah77;,c7 ( ! 
,social ,security ,act 7#db ,u4,s4,c4   
#acieu7b77#ah77;,c77 is am5d$ by add+ at
 ! end ! foll[+ new clauses3  7vii7 ,a  
m>riage & family !rapi/ 7z def9$ 9      

section #ahfa7;jjj77#b774  7viii7 ,a    
m5tal heal? c\nselor 7z def9$ 9 section 
#ahfa7;jjj77#d774  4  7b7 ,cov]age (    
c]ta9 m5tal heal? s]vices provid$ 9     
c]ta9 sett+s  7#a7 ,rural heal? cl9ics &
 f$]ally qualifi$ heal? c5t]s ,section  
#ahfa7;aa77#a77;,b7 ( ! ,social         
,security ,act 7#db ,u4,s4,c4           
#aciex7aa77#a77;,b77 is am5d$ by /rik+  
or by a cl9ical social work] 7z def9$ 9 
subsection 7hh77#a77 & ins]t+ 1 by a    
cl9ical social work] 7z def9$ 9         
subsection 7hh77#a771 by a m>riage &    
family !rapi/ 7z def9$ 9 subsection     
7jjj77#b771 or by a m5tal heal? c\nselor
 7z def9$ 9 subsection 7jjj77#d774  7#b7
 ,hospice programs ,section             
#ahfa7;dd77#b77;,b77i77,,iii7 ( !       
,social ,security ,act 7#db ,u4,s4,c4   
#aciex7dd77#b77;,b77i77,,iii77 is am5d$ 
by ins]t+ 1 m>riage & family !rapi/1 or 
m5tal heal? c\nselor aft] social work]4 
7c7 ,au?orization ( m>riage & family    
!rapi/s & m5tal heal? c\nselors ,to     
develop dis*>ge plans = po/-,hospital   

s]vices ,section #ahfa7;ee77#b77;,g7 ( !
 ,social ,security ,act 7#db ,u4,s4,c4  
#aciex7ee77#b77;,g77 is am5d$ by ins]t+ 
1 includ+ a m>riage & family !rapi/ & a 
m5tal heal? c\nselor :o meets           
qualification /&>ds e/abli%$ by !       
,secret>y be=e ! p]iod at ! end4  7d7   
,effective date ,! am5dm5ts made by ?is 
section %all apply ) respect to s]vices 
furni%$ on or aft] ,janu>y #a1 #bjai4   
#g4 ,syn!tics ,traffick+ & ,ov]dose     
,prev5tion  7a7 ,=mal entry             
requirem5ts--po/al s]vice z consignee   
,subp>agraph 7,b7 ( section #dhd7;a77#b7
 ( ! ,t>iff ,act ( #aicj 7#ai ,u4,s4,c4 
#adhd7;a77#b77;,b77 is am5d$ to read z  
foll[s3  7,b7  7i7 ,:5 an entry (       
m]*&ise is made "u ?is section1 !       
requir$ docum5tation or in=mation %all  
be fil$ or electronically transmitt$--  
7,i7 by ! own] or pur*as] ( ! m]*&ise2  
or  7,,ii7 :5 appropriately designat$ by
 ! own]1 pur*as]1 or consignee ( !      
m]*&ise1 by a p]son hold+ a valid lic5se
 "u section #fda4  7ii7 ,! ,po/ma/]     

,g5]al %all be deem$ ! consignee =      
m]*&ise1 z def9$ by section #dih7;c71   
import$ ?r\gh ! mail1 & ! ,po/ma/]      
,g5]al %all1 at ! ,po/ma/] ,g5]al's sole
 exp5se1 designate a p]son hold+ a valid
 lic5se "u section #fda to file !       
requir$ docum5tation or in=mation or    
ensure t ! own] or pur*as] ( ! m]*&ise  
or a p]son hold+ a valid lic5se "u      
section #fda t is designat$ by ! own] or
 pur*as] files ! requir$ docum5tation or
 in=mation4  7iii7 ,:5 a consignee      
decl>es on entry t he or %e is ! own] or
 pur*as] ( m]*&ise1 ,u4,s4 ,cu/oms &    
,bord] ,protection may1 )\t liability1  
accept ! decl>ation4  7iv7 ,= ! purposes
 ( ?is ,act1 ! import] ( record mu/ be  
"o ( ! p>ties :o is eligible to file !  
docum5tation or in=mation requir$ by ?is
 section4  4  7b7 ,in=mal entries       
,section #dih ( ! ,t>iff ,act ( #aicj   
7#ai ,u4,s4,c4 #adih7 is am5d$ by add+  
at ! end ! foll[+3  7c7 ,application to 
po/al %ipm5ts  7#a7 ,def9itions ,9 ?is  
subsection3 7,a7 ,docum5t ,! t]m docum5t

 means a piece ( writt51 drawn1 pr9t$1  
or digital in=mation1 exclud+ objects ( 
m]*&ise1 t--  7i7 is convey$ 9 an       
envelope t is less ?an or equal to #afe 
millimet]s 9 wid?1 #bde millimet]s 9    
l5g?1 & #e millimet]s 9 dep?2 &  7ii7   
weighs #ajj grams or less :5 convey$4   
7,b7 ,m]*&ise ,! t]m m]*&ise has ! same 
mean+ z t t]m is def9$ 9 section #dja b 
does n include a docum5t4  7#b7         
,requirem5t ,not)/&+ any o!r provision (
 law1 = m]*&ise meet+ ! requirem5ts (   
subsection 7a71 ! ,po/ma/] ,g5]al %all  
comply ) ! entry requirem5ts ( section  
#dhd4  7#c7 ,regulations ,any regulation
 issu$ pursuant to ?is subsection %all  
apply id5tical entry proc$ures = m]*&ise
 import$ ?r\gh ! mail z are appli$ =    
m]*&ise import$ via a private c>ri]4  4 
7c7 ,de m9imis %ipm5ts ,section #cba ( !
 ,t>iff ,act ( #aicj 7#ai ,u4,s4,c4     
#acba7 is am5d$ by add+ at ! end !      
foll[+3  7c7  7#a7 ,= import$ articles t
 qualify = ! adm9i/rative exemption "u  
subsection 7a77#b7 & t arrive at        

int]national mail facilities 9 ! ,unit$ 
,/ates1 ! ,po/ma/] ,g5]al %all be deem$ 
! consignee = su* articles t are        
consid]$ m]*&ise1 z ! t]m is def9$ 9    
section #dih7;c74  7#b7 ,9 addition to !
 p>ties t are au?oriz$ to comply ) !    
entry requirem5ts ( sections #dih &     
#dhd1 ! ,po/ma/] ,g5]al1 z a consignee1 
may1 us+ reasonable c>e1 ent] su*       
m]*&ise t qualifies = ! adm9i/rative    
exemption "u subsection 7a77#b74  4  7d7
 ,cu/oms fees  7#a7 ,9 g5]al ,p>agraph  
7#f7 ( section #acjca7;a7 ( !           
,consolidat$ ,omnibus ,budget           
,reconciliation ,act ( #aihe 7#ai       
,u4,s4,c4 #eh;c7a77#f77 is am5d$ to read
 z foll[s3  7#f7  7,a7 ,= ! arrival (   
%ipm5ts ( m]*&ise 7z ! t]m is def9$ 9   
section #dih7;c7 ( ! ,trade ,act (      
#aicj7 or any o!r item t is valu$ at    
#b1jjj or less 7or su* high] am\nt z !  
,secret>y ( ! ,treasury may set by      
regulation pursuant to section #dih ( ! 
,t>iff ,act ( #aicj 7#ai ,u4,s4,c4      
#adih7 & subject to adju/m5t "u         

subsection 7l77 arriv+ at an            
int]national mail facility3  7i7 #a p]  
individual airway bill or bill ( lad+   
7subject to adju/m5t "u subsection 7l772
 or  7ii7 if su* m]*&ise is =mally      
ent]$1 ! fee provid$ = 9 p>agraph 7#i71 
if applicable4  7,b7 ,not)/&+ section   
#dea ( ! ,t>iff ,act ( #aicj 7#ai       
,u4,s4,c4 #adea71 ! paym5t requir$ by   
subp>agraph 7,a7 %all be ! only paym5t  
requir$ = reimbursem5t ( ,u4,s4 ,cu/oms 
& ,bord] ,protection 9 connection ) !   
process+ ( an individual airway bill or 
bill ( lad+ 9 accordance ) su*          
subp>agraph & = provid+ s]vices at      
int]national mail facilities1 except t  
,u4,s4 ,cu/oms & ,bord] ,protection may 
require su* facilities to cov] exp5ses (
 ! ag5cy = adequate (fice space1        
equipm5t1 furni%+s1 supplies1 &         
security4  7,c7 ,! paym5t requir$ by    
subp>agraphs 7,a7 & 7,b7 %all be paid on
 a qu>t]ly basis by ! ,po/ma/] ,g5]al 9 
accordance ) regulations prescrib$ by ! 
,secret>y ( ! ,treasury4 ,! paym5ts %all

 be allocat$ z foll[s3  7i7 #ej p]c5t ( 
! am\nt ( paym5ts receiv$ 9 ?is p>agraph
 %all1 9 accordance ) section #ebd ( !  
,t>iff ,act ( #aicj 7#ai ,u4,s4,c4      
#aebd71 be deposit$ 9 ! ,cu/oms ,us]    
,fee ,acc\nt & %all be us$ to directly  
reimburse ea* appropriation = ! am\nt   
paid out ( t appropriation = ! co/s     
incurr$ 9 provid+ s]vices to            
int]national mail facilities4 ,am\nts   
deposit$ 9 accordance ) ! prec$+ s5t5ce 
%all be available until exp5d$ = !      
provision ( cu/oms s]vices to           
int]national mail facilities4  7ii7     
,not)/&+ section #ebd ( ! ,t>iff ,act ( 
#aicj 7#ai ,u4,s4,c4 #aebd71 #ej p]c5t (
 ! am\nt ( paym5ts receiv$ "u ?is       
p>agraph %all be paid to ! ,secret>y ( !
 ,treasury1 :i* is 9 lieu ( ! paym5t (  
fees "u p>agraph 7#aj74  4  7#b7        
,te*nical am5dm5ts ,p>agraph 7#aj7 (    
section #acjca7;a7 ( ! ,consolidat$     
,omnibus ,budget ,reconciliation ,act ( 
#aihe 7#ai ,u4,s4,c4 #eh;c7a77#aj77 is  
am5d$--  7,a7 by /rik+ or 9 subp>agraph 

7,b72  7,b7 by /rik+ ! p]iod at ! end ( 
subp>agraph 7,c77iii7 & ins]t+ a comma &
 or2  7,c7 by ins]t+ aft] subp>agraph   
7,c77iii7 ! foll[+3  7,d7 an            
int]national mail facility4  2 &  7,d7 9
 ! undesignat$ mat]ial at ! end by /rik+
 ! p]iod & ins]t+ or ref]r$ to 9        
subp>agraph 7,d7 see p>agraph 7#f744    
7e7 ,m&atory advanc$ electronic         
in=mation = po/al %ipm5ts ,subp>agraph  
7,k7 ( section #cdc7;a77#c7 ( ! ,trade  
,act ( #bjjb 7,public ,law #ajg-baj2 #ai
 ,u4,s4,c4 #bjga note7 is am5d$ to read 
z foll[s3  7,k7 ,! ,secret>y %all       
require ! ,po/ma/] ,g5]al to transmit or
 to ensure ! transmission ( ! in=mation 
requir$ 9 p>agraphs 7#a7 & 7#b7 to      
,u4,s4 ,cu/oms & ,bord] ,protection =   
all %ipm5ts by ! ,unit$ ,/ates ,po/al   
,s]vice :i* includes %ipm5ts t ! ,unit$ 
,/ates ,po/al ,s]vice receives f =eign  
po/al op]ators 7%ipm5ts f =eign po/al   
op]ators may be transport$ by private   
c>ri]s74 ,all regulations issu$ pursuant
 to ?is provision are requir$ to impose 

! same in=mation requirem5ts on ! ,unit$
 ,/ates ,po/al ,s]vice & private c>ri]s4
  4  7f7 ,manife/ p5alties appli$ to !  
,unit$ ,/ates ,po/al ,s]vice  7#a7      
,p5alties = violations ( ! arrival1     
report+1 entry1 & cle>ance requirem5ts  
,section #dcf ( ! ,t>iff ,act ( #aicj   
7#ai ,u4,s4,c4 #adcf7 is am5d$ by add+  
at ! end ! foll[+ new subsection3  7e7  
,civil p5alties aris+ f violations =    
po/al %ipm5ts ,) respect to civil       
p5alties provid$ = 9 subsections 7b7 &  
7d71 ! ,po/ma/] ,g5]al %all be liable = 
! p5alty if ! violation 0 caus$ by a    
=eign po/al op]ator or ! ,unit$ ,/ates  
,po/al ,s]vice4  4  7#b7 ,p5alties =    
falsity or lack ( manife/ ,section #ehd 
( ! ,t>iff ,act ( #aicj 7#ai ,u4,s4,c4  
#aehd7 is am5d$ by add+ at ! end !      
foll[+ new subsection3  7c7 ,p]son      
directly or indirectly responsible %all 
include ! ,po/ma/] ,g5]al ,= purposes ( 
subsection 7a71 ! ,po/ma/] ,g5]al may be
 ! p]son directly or indirectly         
responsible = a discrepancy if !        

discrepancy is ! result (--  7#a7 an    
omission by a =eign po/al op]ator or !  
,unit$ ,/ates ,po/al ,s]vice2 or  7#b7  
false in=mation reg>d+ ! %ipm5t t 0     
provid$ to ! c>ri] by a =eign po/al     
op]ator or ! ,unit$ ,/ates ,po/al       
,s]vice4  4  7g7 ,limitation on         
int]national po/al arrangem5ts  7#a7    
,exi/+ agreem5ts  7,a7 ,9 g5]al ,9 !    
ev5t t any provision 9 ?is section is   
f\nd to be 9 violation ( obligations ( !
 ,unit$ ,/ates "u ! ,univ]sal ,po/al    
,union1 ! ,secret>y ( ,/ate %all        
negotiate to am5d ! relevant provisions 
( ! agreem5t s t ! ,unit$ ,/ates is no  
long] 9 violation ( ! agreem5t4  7,b7   
,con/ruction ,no?+ 9 ?is subsection may 
be con/ru$ to require or p]mit any delay
 9 ! implem5tation ( ?is section4  7#b7 
,future agreem5ts ,! ,secret>y ( ,/ate  
may n conclude any int]national po/al   
arrangem5t pursuant to ! au?ority set   
out 9 section #djg ( title #ci1 ,unit$  
,/ates ,code1 t is inconsi/5t ) ?is     
section or any am5dm5t made by ?is      

section4  7h7 ,application ( o!r cu/oms 
laws  7#a7 ,9 g5]al ,u4,s4 ,cu/oms &    
,bord] ,protection %all ensure t all    
m]*&ise1 z t t]m is def9$ 9 subsection  
7c7 ( section #dih ( ! ,t>iff ,act (    
#aicj 7#ai ,u4,s4,c4 #adih71 import$ to 
! ,unit$ ,/ates ?r\gh ! mail %all be    
subject to ! same import proc$ures1     
legal re/rictions1 & c]tifications z    
m]*&ise import$ by private c>ri]s4  7#b7
 ,regulations ,! ,secret>y ( ! ,treasury
 %all issue regulations pursuant to ?is 
section to ensure t m]*&ise import$     
?r\gh ! mail is 9 accordance ) ,f$]al   
law4  7i7 ,co/ rec\pm5t ,! ,po/ma/]     
,g5]al %all ensure t all co/s associat$ 
) comply+ ) ?is section1 z well z all   
p5alties assess$ aga9/ ! ,po/ma/]       
,g5]al1 are *>g$ directly to =eign      
%ipp]s1 =eign po/al op]ators1 or ,unit$ 
,/ates ultimate consignees4  7j7        
,effective date2 regulations  7#a7      
,effective date ,?is section %all become
 effective ^u ! date ( ! enactm5t ( ?is 
,act4  7#b7 ,regulations ,n lat] ?an #a 

ye> aft] ! date ( ! enactm5t ( ?is ,act1
 ! ,secret>y %all prescribe all         
regulations requir$ "u ?is section4  #h4
 ,/op ! ,importation & ,traffick+ (     
,syn!tic ,analogues  7a7 ,e/abli%m5t (  
,s*$ule ,a ,section #bjb ( ! ,controll$ 
,sub/ances ,act 7#ba ,u4,s4,c4 #hab7 is 
am5d$-- 7#a7 9 subsection 7a71 by /rik+ 
five s*$ules ( controll$ sub/ances1 to  
be kn[n z s*$ules ,i1 ,,ii1 ,,iii1 ,,iv1
 & ,v & ins]t+ six s*$ules ( controll$  
sub/ances1 to be kn[n z s*$ules ,i1     
,,ii1 ,,iii1 ,,iv1 ,v1 & ,a2  7#b7 9    
subsection 7b71 by add+ at ! end !      
foll[+3  7#f7 ,s*$ule ,a  7,a7 ,9 g5]al 
,! drug or sub/ance--  7i7 has-- 7,i7 a 
*emical /ructure t is sub/antially      
simil> to ! *emical /ructure ( a        
controll$ sub/ance 9 s*$ule ,i1 ,,ii1   
,,iii1 ,,iv1 or ,v2 &  7,,ii7 an actual 
or pr$ict$ /imulant1 depressant1 or     
halluc9og5ic effect on ! c5tral n]v\s   
sy/em t is sub/antially simil> to or    
great] ?an ! /imulant1 depressant1 or   
halluc9og5ic effect on ! c5tral n]v\s   

sy/em ( a controll$ sub/ance 9 s*$ule   
,i1 ,,ii1 ,,iii1 ,,iv1 or ,v2 &  7ii7 is
 n-- 7,i7 li/$ or o!rwise includ$ 9 any 
o!r s*$ule 9 ?is section or by          
regulation ( ! ,attorney ,g5]al2 &      
7,,ii7 ) respect to a p>ticul> p]son1   
subject to an exemption t is 9 effect = 
inve/igational use1 = t p]son1 "u       
section #eje ( ! ,f$]al ,food1 ,drug1 & 
,cosmetic ,act 7#ba ,u4,s4,c4 #cee7 to !
 ext5t conduct ) respect to su* sub/ance
 is pursuant to su* exemption4  7,b7    
,pr$ict$ /imulant1 depressant1 or       
halluc9og5ic effect ,= purpose ( ?is    
p>agraph1 a pr$ict$ /imulant1           
depressant1 or halluc9og5ic effect on ! 
c5tral n]v\s sy/em may be bas$ on--  7i7
 ! *emical /ructure1 /ructure activity  
relation%ips1 b9d+ receptor assays1 or  
o!r relevant sci5tific in=mation ab\t ! 
sub/ance2  7ii7  7,i7 ! curr5t or       
relative pot5tial = abuse ( ! sub/ance2 
&  7,,ii7 ! cl&e/9e importation1        
manufacture1 or di/ribution1 or div]sion
 f legitimate *annels1 ( ! sub/ance2 or 

7iii7 ! capacity ( ! sub/ance to cause a
 /ate ( dep5d5ce1 includ+ physical or   
psy*ological dep5d5ce t is simil> to or 
great] ?an t ( a controll$ sub/ance 9   
s*$ule ,i1 ,,ii1 ,,iii1 ,,iv1 or ,v4  2 
&  7#c7 9 subsection 7c7-- 7,a7 9 !     
matt] prec$+ s*$ule ,i1 by /rik+ ,,iv1 &
 ,v & ins]t+ ,,iv1 ,v1 & ,a2 &  7,b7 by 
add+ at ! end ! foll[+3  ,s*$ule ,a 7a7 
,unless specifically except$ or unless  
li/$ 9 ano!r s*$ule1 any ( ! foll[+     
sub/ances1 z s*$ul$ 9 accordance )      
section #bja7k77#e73  7#a7              
#d-;fluoroisobutyryl f5tanyl4  7#b7     
,val]yl f5tanyl4  7#c7 #d-me?oxybutyryl 
f5tanyl4  7#d7 #d-me?ylph5e?yl acetyl   
f5tanyl4  7#e7 #c-;furanyl f5tanyl4     
7#f7 ,or?o-fluor(5tanyl4  7#g7          
,tetrahydr(uranyl f5tanyl4  7#h7        
,ocf5tanil4  7#i7 #d-;fluorobutyryl     
f5tanyl4  7#aj7 ,me?oxyacetyl f5tanyl4  
7#aa7 ,meta-fluor(5tanyl4  7#ab7        
,isobutyryl f5tanyl4  7#ac7 ,acryl      
f5tanyl4  4  7b7 ,tempor>y & p]man5t    
s*$ul+ ( s*$ule ,a sub/ances ,section   

#bja ( ! ,controll$ ,sub/ances ,act 7#ba
 ,u4,s4,c4 #haa7 is am5d$ by add+ at !  
end ! foll[+3  7k7 ,tempor>y & p]man5t  
s*$ul+ ( s*$ule ,a sub/ances  7#a7 ,!   
,attorney ,g5]al may issue a tempor>y   
ord] add+ a drug or sub/ance to s*$ule  
,a if ! ,attorney ,g5]al f9ds t--  7,a7 
! drug or o!r sub/ance satisfies !      
crit]ia = be+ consid]$ a s*$ule ,a      
sub/ance2 &  7,b7 add+ su* drug or      
sub/ance to s*$ule ,a w assi/ 9 prev5t+ 
abuse or misuse ( ! drug or o!r         
sub/ance4  7#b7 ,a tempor>y s*$ul+ ord] 
issu$ "u p>agraph 7#a7 %all n take      
effect until #cj days aft] ! date ( !   
publication by ! ,attorney ,g5]al ( a   
notice 9 ! ,f$]al ,regi/] ( ! int5tion  
to issue su* ord] & ! gr\nds ^u :i* su* 
ord] is to be issu$4 ,! tempor>y s*$ul+ 
ord] %all expire n lat] ?an #e ye>s aft]
 ! date x becomes effective1 except t ! 
,attorney ,g5]al may1 dur+ ! p5d5cy (   
proce$+s "u p>agraph 7#e71 ext5d !      
tempor>y s*$ul+ ord] = up to #ahj days4 
7#c7 ,a tempor>y s*$ul+ ord] issu$ "u   

p>agraph 7#a7 %all be vacat$ ^u !       
issuance ( a p]man5t ord] issu$ "u      
p>agraph 7#e7 ) reg>d to ! same         
sub/ance1 or ^u ! subsequ5t issuance (  
any s*$ul+ ord] "u ?is section4  7#d7 ,a
 tempor>y s*$ul+ ord] issu$ "u p>agraph 
7#a7 %all n be subject to judicial      
review4  7#e7 ,! ,attorney ,g5]al may1  
by rule1 issue a p]man5t ord] add+ a    
drug or o!r sub/ance to s*$ule ,a if su*
 drug or sub/ance satisfies ! crit]ia = 
be+ consid]$ a s*$ule ,a sub/ance4 ,su* 
rulemak+ may be comm5c$ simultane\sly ) 
! issuance ( ! tempor>y s*$ul+ ord]     
issu$ "u p>agraph 7#a7 ) reg>d to ! same
 sub/ance4  7#f7 ,be=e initiat+ proce$+s
 "u p>agraph 7#a7 or 7#e71 ! ,attorney  
,g5]al %all transmit notice ( an ord]   
propos$ to be issu$ to ! ,secret>y (    
,heal? & ,human ,s]vices4 ,9 issu+ an   
ord] "u p>agraph 7#a7 or 7#e71 !        
,attorney ,g5]al %all take into         
consid]ation any comm5ts submitt$ by !  
,secret>y ( ,heal? & ,human ,s]vices 9  
response to a notice transmitt$ pursuant

 to ?is p>agraph4  7#g7 ,on ! date ( !  
publication ( a notice 9 ! ,f$]al       
,regi/] pursuant to p>agraph 7#b71 !    
,attorney ,g5]al %all transmit ! same   
notice to ,congress4 ,! tempor>y s*$ul+ 
ord] %all take effect accord+ to        
p>agraph 7#b71 except t ! tempor>y      
s*$ul+ ord] may be disapprov$ by ,act ( 
,congress )9 #ahj days f ! date (       
publication ( ! notice 9 ! ,f$]al       
,regi/]4  4  7c7 ,p5alties  7#a7        
,controll$ ,sub/ances ,act ,! ,controll$
 ,sub/ances ,act 7#ba ,u4,s4,c4 #hja et 
seq47 is am5d$-- 7,a7 9 section         
#dja7;b77#a7 7#ba ,u4,s4,c4             
#hda7;b77#a771 by add+ at ! end !       
foll[+3  7,f7  7i7 ,9 ! case ( any      
controll$ sub/ance 9 s*$ule ,a1 su*     
p]son %all be s5t5c$ to a t]m (         
imprisonm5t ( n m ?an #aj ye>s & if dea?
 or s]i\s bodily injury results f ! use 
( su* sub/ance %all be s5t5c$ to a t]m (
 imprisonm5t ( n m ?an #ae ye>s1 a f9e n
 to exce$ ! great] ( t au?oriz$ 9       
accordance ) ! provisions ( title #ah1  

,unit$ ,/ates ,code1 or #ejj1jjj if !   
def5dant is an individual or #b1ejj1jjj 
if ! def5dant is o!r ?an an individual1 
or bo?4  7ii7 ,if any p]son commits su* 
a violation aft] a prior conviction = a 
felony drug (f5se has become f9al1 su*  
p]son %all be s5t5c$ to a t]m (         
imprisonm5t ( n m ?an #bj ye>s & if dea?
 or s]i\s bodily injury results f ! use 
( su* sub/ance %all be s5t5c$ to a t]m (
 imprisonm5t ( n m ?an #cj ye>s1 a f9e n
 to exce$ ! great] ( twice t au?oriz$ 9 
accordance ) ! provisions ( title #ah1  
,unit$ ,/ates ,code1 or #a1jjj1jjj if ! 
def5dant is an individual or #e1jjj1jjj 
if ! def5dant is o!r ?an an individual1 
or bo?4  7iii7 ,any s5t5ce impos+ a t]m 
( imprisonm5t "u ?is subp>agraph %all1 9
 ! abs5ce ( su* a prior conviction1     
impose a t]m ( sup]vis$ release ( n less
 ?an #b ye>s 9 addition to su* t]m (    
imprisonm5t & %all1 if !re 0 su* a prior
 conviction1 impose a t]m ( sup]vis$    
release ( n less ?an #d ye>s 9 addition 
to su* t]m ( imprisonm5t4  2  7,b7 9    

section #djc7;a7 7#ba ,u4,s4,c4         
#hdc7;a77-- 7i7 9 p>agraph 7#h71 by     
/rik+ or at ! end2  7ii7 9 p>agraph     
7#i71 by /rik+ ! p]iod at ! end & ins]t+
 2 or2 &  7iii7 by ins]t+ aft] p>agraph 
7#i7 ! foll[+3  7#aj7 to export a       
sub/ance 9 violation ( ! controll$      
sub/ance laws ( ! c\ntry to :i* !       
sub/ance is export$4  2 &  7,c7 9       
section #djd 7#ba ,u4,s4,c4 #hdd71 by   
ins]t+ aft] subsection 7a7 ! foll[+3    
7b7 ,a p]son %all n be subject to a     
crim9al or civil p5alty "u ?is title or 
"u any o!r ,f$]al law solely =          
possession ( a s*$ule ,a controll$      
sub/ance4  4  7#b7 ,controll$ ,sub/ances
 ,import & ,export ,act ,section        
#ajaj7;b7 ( ! ,controll$ ,sub/ances     
,import & ,export ,act 7#ba ,u4,s4,c4   
#ifj7;b77 is am5d$ by add+ at ! end !   
foll[+3  7#h7 ,9 ! case ( a violation "u
 subsection 7a7 involv+ a controll$     
sub/ance 9 s*$ule ,a1 ! p]son committ+  
su* violation %all be s5t5c$ to a t]m ( 
imprisonm5t ( n m ?an #bj ye>s & if dea?

 or s]i\s bodily injury results f ! use 
( su* sub/ance %all be s5t5c$ to a t]m (
 imprisonm5t ( n m ?an life1 a f9e n to 
exce$ ! great] ( t au?oriz$ 9 accordance
 ) ! provisions ( title #ah1 ,unit$     
,/ates ,code1 or #a1jjj1jjj if !        
def5dant is an individual or #e1jjj1jjj 
if ! def5dant is o!r ?an an individual1 
or bo?4 ,if any p]son commits su* a     
violation aft] a prior conviction = a   
felony drug (f5se has become f9al1 su*  
p]son %all be s5t5c$ to a t]m (         
imprisonm5t ( n m ?an #cj ye>s & if dea?
 or s]i\s bodily injury results f ! use 
( su* sub/ance %all be s5t5c$ to n m ?an
 life imprisonm5t1 a f9e n to exce$ !   
great] ( twice t au?oriz$ 9 accordance )
 ! provisions ( title #ah1 ,unit$ ,/ates
 ,code1 or #b1jjj1jjj if ! def5dant is  
an individual or #aj1jjj1jjj if !       
def5dant is o!r ?an an individual1 or   
bo?4 ,not)/&+ section #cehc ( title #ah1
 ,unit$ ,/ates ,code1 any s5t5ce impos+ 
a t]m ( imprisonm5t "u ?is p>agraph     
%all1 9 ! abs5ce ( su* a prior          

conviction1 impose a t]m ( sup]vis$     
release ( n less ?an #c ye>s 9 addition 
to su* t]m ( imprisonm5t & %all1 if !re 
0 su* a prior conviction1 impose a t]m (
 sup]vis$ release ( n less ?an #f ye>s 9
 addition to su* t]m ( imprisonm5t4     
,not)/&+ ! prior s5t5ce1 & not)/&+ any  
o!r provision ( law1 ! c\rt %all n place
 on probation or susp5d ! s5t5ce ( any  
p]son s5t5c$ "u ! provisions ( ?is      
p>agraph :i* provide = a m&atory t]m (  
imprisonm5t if dea? or s]i\s bodily     
injury results4  4  7d7 ,false label+ ( 
s*$ule ,a controll$ sub/ances  7#a7 ,9  
g5]al ,section #cje ( ! ,controll$      
,sub/ances ,act 7#ba ,u4,s4,c4 #hbe7 is 
am5d$ by add+ at ! end ! foll[+3  7f7   
,false label+ ( s*$ule ,a controll$     
sub/ances  7#a7 ,x %all be unlawful to  
import1 export1 manufacture1 di/ribute1 
disp5se1 or possess ) int5t to          
manufacture1 di/ribute1 or disp5se1 a   
s*$ule ,a sub/ance or product conta9+ a 
s*$ule ,a sub/ance1 unless ! sub/ance or
 product be>s a label cle>ly id5tify+ a 

s*$ule ,a sub/ance or product conta9+ a 
s*$ule ,a sub/ance by ! nom5clature us$ 
by ! ,int]national ,union ( ,pure &     
,appli$ ,*emi/ry 7,,iupac74  7#b7  7,a7 
,a product describ$ 9 subp>agraph 7,b7  
is exempt f ! ,int]national ,union (    
,pure & ,appli$ ,*emi/ry nom5clature    
requirem5t ( ?is subsection if su*      
product is label$ 9 ! mann] requir$ "u !
 ,f$]al ,food1 ,drug1 & ,cosmetic ,act4 
7,b7 ,a product is describ$ 9 ?is       
subp>agraph if ! product-- 7i7 is !     
subject ( an approv$ application z      
describ$ 9 section #eje7;b7 or 7j7 ( !  
,f$]al ,food1 ,drug1 & ,cosmetic ,act2  
or  7ii7 is exempt f ! provisions (     
section #eje ( su* ,act relat+ to new   
drugs because-- 7,i7 x is int5d$ solely 
= inve/igational use z describ$ 9       
section #eje7;i7 ( su* ,act2 &  7,,ii7  
su* product is be+ us$ exclusively =    
purposes ( a cl9ical trial t is !       
subject ( an effective inve/igational   
new drug application4  4  7#b7 ,p5alties
 ,section #djb ( ! ,controll$ ,sub/ances

 ,act 7#ba ,u4,s4,c4 #hdb7 is am5d$--   
7,a7 9 subsection 7a77#af71 by ins]t+ or
 subsection 7f7 aft] subsection 7e72 &  
7,b7 9 subsection 7c77#a77;,d71 by      
ins]t+ or a s*$ule ,a sub/ance aft]     
anabolic /]oid4  7e7 ,regi/ration       
requirem5ts = h&l]s ( s*$ule ,a         
sub/ances  7#a7 ,controll$ ,sub/ances   
,act ,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 regi/] an 
applicant to manufacture s*$ule ,a      
sub/ances if-- 7,a7 ! applicant         
demon/rates t ! s*$ule ,a sub/ances w be
 us$ = rese>*1 analytical1 or indu/rial 
purposes approv$ by ! ,attorney ,g5]al2 
&  7,b7 ! ,attorney ,g5]al det]m9es t   
su* regi/ration is consi/5t ) ! public  
int]e/ & ) ! ,unit$ ,/ates obligations  
"u int]national treaties1 conv5tions1 or
 protocols 9 effect on ! date ( enactm5t
 ( ?is subsection4  7#b7 ,9 det]m9+ !   
public int]e/ "u p>agraph 7#a77;,b71 !  
,attorney ,g5]al %all consid]-- 7,a7    

ma9t5ance ( effective controls aga9/    
div]sion ( p>ticul> controll$ sub/ances 
& any controll$ sub/ance 9 s*$ule ,a    
comp\nd$ !refrom into o!r ?an legitimate
 m$ical1 sci5tific1 rese>*1 or indu/rial
 *annels1 by limit+ ! importation & bulk
 manufacture ( su* controll$ sub/ances  
to a numb] ( e/abli%m5ts :i* c produce  
an adequate & un9t]rupt$ supply ( ^!    
sub/ances "u adequately competitive     
conditions = legitimate m$ical1         
sci5tific1 rese>*1 & indu/rial purposes2
  7,b7 compliance ) applicable ,/ate &  
local law2  7,c7 promotion ( te*nical   
advances 9 ! art ( manufactur+ sub/ances
 describ$ 9 subp>agraph 7,a7 & !        
developm5t ( new sub/ances2  7,d7 prior 
conviction record ( applicant "u ,f$]al 
& ,/ate laws relat+ to ! manufacture1   
di/ribution1 or disp5s+ ( sub/ances     
describ$ 9 p>agraph 7,a72  7,e7 pa/     
exp]i5ce 9 ! manufacture ( controll$    
sub/ances1 & ! exi/5ce 9 ! e/abli%m5t ( 
effective control aga9/ div]sion2 &     
7,f7 su* o!r factors z may be relevant  

to & consi/5t ) ! public heal? & safety4
  7#c7 ,if an applicant is regi/]$ to   
manufacture controll$ sub/ances 9 s*$ule
 ,i or ,,ii "u subsection 7a71 !        
applicant %all n be requir$ to apply = a
 sep>ate regi/ration "u ?is subsection4 
7l7  7#a7 ,! ,attorney ,g5]al %all      
regi/] an applicant to di/ribute s*$ule 
,a sub/ances-- 7,a7 if ! applicant      
demon/rates t ! s*$ule ,a sub/ances w be
 us$ = rese>*1 analytical1 or indu/rial 
purposes approv$ by ! ,attorney ,g5]al2 
&  7,b7 unless ! ,attorney ,g5]al       
det]m9es t ! issuance ( su* regi/ration 
is inconsi/5t ) ! public int]e/4  7#b7  
,9 det]m9+ ! public int]e/ "u p>agraph  
7#a77;,b71 ! ,attorney ,g5]al %all      
consid]-- 7,a7 ma9t5ance ( effective    
control aga9/ div]sion ( p>ticul>       
controll$ sub/ances into o!r ?an        
legitimate m$ical1 sci5tific1 &         
indu/rial *annels2  7,b7 compliance )   
applicable ,/ate & local law2  7,c7     
prior conviction record ( applicant "u  
,f$]al or ,/ate laws relat+ to !        

manufacture1 di/ribution1 or disp5s+ (  
sub/ances describ$ 9 subp>agraph 7,a72  
7,d7 pa/ exp]i5ce 9 ! di/ribution (     
controll$ sub/ances2 &  7,e7 su* o!r    
factors z may be relevant to & consi/5t 
) ! public heal? & safety4  7#c7 ,if an 
applicant is regi/]$ to di/ribute a     
controll$ sub/ance 9 s*$ule ,i or ,,ii  
"u subsection 7b71 ! applicant %all n be
 requir$ to apply = a sep>ate           
regi/ration "u ?is subsection4  7m7     
7#a7 ,n lat] ?an #ij days aft] ! date on
 :i* a sub/ance is plac$ 9 s*$ule ,a1   
any practition] :o 0 engag$ 9 rese>* on 
! sub/ance be=e ! placem5t ( ! sub/ance 
9 s*$ule ,a & any manufactur] or        
di/ributor :o 0 h&l+ ! sub/ance be=e !  
placem5t ( ! sub/ance 9 s*$ule ,a %all  
regi/] ) ! ,attorney ,g5]al4  7#b7  7,a7
 ,n lat] ?an #fj days aft] ! date on :i*
 ! ,attorney ,g5]al receives an         
application = regi/ration to conduct    
rese>* on a s*$ule ,a sub/ance1 !       
,attorney ,g5]al %all--  7i7 grant1 or  
initiate proce$+s "u section #cjd7;c7 to

 d5y1 ! application2 or  7ii7 reque/    
supplem5tal in=mation f ! applicant4    
7,b7 ,n lat] ?an #cj days aft] ! date on
 :i* ! ,attorney ,g5]al receives        
supplem5tal in=mation reque/$ "u        
subp>agraph 7,a77ii7 9 connection ) an  
application describ$ 9 subp>agraph 7,a71
 ! ,attorney ,g5]al %all grant or d5y ! 
application4  7n7  7#a7 ,! ,attorney    
,g5]al %all regi/] a sci5tific          
inve/igator or a qualifi$ rese>*        
in/itution to conduct rese>* ) controll$
 sub/ances 9 s*$ule ,a 9 accordance )   
?is subsection4 ,9 evaluat+ applications
 = su* regi/ration1 ! ,attorney ,g5]al  
%all apply ! crit]ia set =? 9 subsection
 7f7 ( ?is section t apply to           
practition]s seek+ a regi/ration to     
conduct rese>* ) a s*$ule ,i controll$  
sub/ance1 except t ! applicant %all n be
 requir$ to submit a rese>* protocol4   
7#b7 ,if ! applicant is n curr5tly      
regi/]$ "u subsection 7f7 to conduct    
rese>* ) a s*$ule ,i controll$ sub/ance1
 ! ,attorney ,g5]al %all ref] !         

application to ! ,secret>y1 :o %all     
det]m9e :e!r ! applicant w be engag$ 9  
bona fide rese>* & is qualifi$ to       
conduct su* rese>*4  7#c7 ,if !         
applicant is curr5tly regi/]$ "u        
subsection 7f7 to conduct rese>* ) a    
s*$ule ,i controll$ sub/ance1 !         
applicant w be consid]$ qualifi$ to     
conduct rese>* ) controll$ sub/ances 9  
s*$ule ,a & ! ,attorney ,g5]al %all     
modify ! applicant's regi/ration to     
include s*$ule ,a controll$ sub/ances 9 
accordance ) ?is p>agraph4 ,! applicant 
%all notify ! ,attorney ,g5]al ( 8 int5t
 to conduct rese>* ) a controll$        
sub/ance 9 s*$ule ,a4 ,^u receiv+ su*   
notification1 ! ,attorney ,g5]al %all   
modify ! practition]'s exi/+ regi/ration
 to au?orize rese>* ) s*$ule ,a         
controll$ sub/ances1 unless ! ,attorney 
,g5]al det]m9es t ! regi/ration         
modification w\ld be inconsi/5t ) !     
public int]e/ bas$ on ! crit]ia (       
subsection 7f74  7#d7 ,regi/rations     
issu$ "u ?is subsection to a qualifi$   

rese>* in/itution w apply to all ag5ts &
 employees ( t in/itution act+ )9 !     
scope ( _! pr(essional practice4  7#e7  
,at lea/ ?irty days prior to conduct+   
any rese>* ) a controll$ sub/ance 9     
s*$ule ,a1 ! regi/rant %all provide !   
,attorney ,g5]al ) writt5 notification (
 ! foll[+3  7,a7 ,! "n ( & drug code =  
ea* sub/ance4  7,b7 ,! "n ( ea*         
individual ) access to ea* sub/ance4    
7,c7 ,! am\nt ( ea* sub/ance4  7,d7 ,o!r
 simil> in=mation ! ,attorney ,g5]al may
 require4  7#f7 ,! quantity ( a s*$ule  
,a controll$ sub/ance possess$ by a     
p]son regi/]$ "u ?is subsection %all be 
appropriate = ! rese>* be+ conduct$1    
subject to ! additional limitations set 
=? 9 ?is p>agraph4 ,to r$uce ! risk (   
div]sion1 ! ,attorney ,g5]al may e/abli%
 limitations on ! quantity ( s*$ule ,a  
controll$ sub/ances t may be manufactur$
 or possess$ = purposes ( rese>* "u ?is 
subsection & %all publi% su* limitations
 on ! website ( ! ,drug ,en=cem5t       
,adm9i/ration4 ,a p]son regi/]$ "u ?is  

subsection may1 bas$ on legitimate      
rese>* ne$s1 apply to ! ,attorney ,g5]al
 to manufacture or possess an am\nt     
great] ?an t s specifi$ by ! ,attorney  
,g5]al4 ,! ,attorney ,g5]al %all specify
 ! mann] 9 :i* su* applications %all be 
submitt$4 ,! ,attorney ,g5]al %all act  
on an application fil$ "u ?is           
subp>agraph )9 #cj days ( receipt ( su* 
application4 ,if ! ,attorney ,g5]al     
fails to act )9 #cj days1 ! regi/rant   
%all be all[$ to manufacture & possess  
up to ! am\nt reque/$4 ,! ,attorney     
,g5]al %all h ! au?ority to rev]se !    
increase = cause4  7#g7 ,! ,attorney    
,g5]al %all by regulation specify !     
mann] 9 :i* applications = regi/ration  
"u ?is subsection %all be submitt$4     
7#h7 ,regi/rants au?oriz$ "u ?is        
subsection may manufacture & possess    
s*$ule ,a controll$ sub/ances up to !   
approv$ am\nts only = use 9 _! own      
rese>* sett+ or in/itution4 ,manufactur+
 = use 9 any o!r sett+ or in/itution    
%all require a manufactur]'s regi/ration

 "u section #cjc7;a74  4  7#b7          
,controll$ ,sub/ances ,import & ,export 
,act ,section #ajjh ( ! ,controll$      
,sub/ances ,import & ,export ,act 7#ba  
,u4,s4,c4 #ieh7 is am5d$ by add+ at !   
end ! foll[+3  7j7  7#a7 ,! ,attorney   
,g5]al %all regi/] an applicant to      
import or export a s*$ule ,a sub/ance   
if-- 7,a7 ! applicant demon/rates t !   
s*$ule ,a sub/ances w be us$ = rese>*1  
analytical1 or indu/rial purposes       
approv$ by ! ,attorney ,g5]al2 &  7,b7 !
 ,attorney ,g5]al det]m9es t su*        
regi/ration is consi/5t ) ! public      
int]e/ & ) ! ,unit$ ,/ates obligations  
"u int]national treaties1 conv5tions1 or
 protocols 9 effect on ! date ( enactm5t
 ( ?is subsection4  7#b7 ,9 det]m9+ !   
public int]e/ "u p>agraph 7#a77;,b71 !  
,attorney ,g5]al %all consid] ! factors 
describ$ 9 subp>agraphs 7,a7 ?r\gh 7,f7 
( section #cjc7k77#b74  7#c7 ,if an     
applicant is regi/]$ to import or export
 a controll$ sub/ance 9 s*$ule ,i or    
,,ii "u subsection 7a71 ! applicant %all

 n be requir$ to apply = a sep>ate      
regi/ration "u ?is subsection4  4  7f7  
,additional con=m+ am5dm5ts  7#a7       
,controll$ ,sub/ances ,act ,! ,controll$
 ,sub/ances ,act 7#ba ,u4,s4,c4 #hja et 
seq47 is am5d$-- 7,a7 9 section #cjc7;c7
 7#ba ,u4,s4,c4 #hbc7;c77--  7i7 by     
/rik+ subsections 7a7 & 7b7 & ins]t+    
subsection 7a71 7b71 7k71 or 7l72 &     
7ii7 by /rik+ s*$ule ,i or ,,ii & ins]t+
 s*$ule ,i1 ,,ii1 or ,a2  7,b7 9 section
 #cjf 7#ba ,u4,s4,c4 #hbf7-- 7i7 9      
subsection 7a71 9 ! fir/ s5t5ce1 by     
/rik+ s*$ules ,i & ,,ii & ins]t+ s*$ules
 ,i1 ,,ii1 & ,a2  7ii7 9 subsection 7b71
 9 ! second s5t5ce1 by /rik+ s*$ule ,i  
or ,,ii & ins]t+ s*$ule ,i1 ,,ii1 or ,a2
  7iii7 9 subsection 7c71 9 ! fir/      
s5t5ce1 by /rik+ s*$ules ,i & ,,ii &    
ins]t+ s*$ules ,i1 ,,ii1 & ,a2  7iv7 9  
subsection 7d71 9 ! fir/ s5t5ce1 by     
/rik+ s*$ule ,i or ,,ii & ins]t+ s*$ule 
,i1 ,,ii1 or ,a2  7v7 9 subsection 7e71 
9 ! fir/ s5t5ce1 by /rik+ s*$ule ,i or  
,,ii & ins]t+ s*$ule ,i1 ,,ii1 or ,a2 & 

7vi7 9 subsection 7f71 9 ! fir/ s5t5ce1 
by /rik+ s*$ules ,i & ,,ii & ins]t+     
s*$ules ,i1 ,,ii1 & ,a2  7,c7 9 section 
#cjh7;a7 7#ba ,u4,s4,c4 #hbh7;a771 by   
/rik+ s*$ule ,i or ,,ii & ins]t+ s*$ule 
,i1 ,,ii1 or ,a2  7,d7 9 section        
#djb7;b7 7#ba ,u4,s4,c4 #hdb7;b771 9 !  
matt] prec$+ p>agraph 7#a71 by /rik+    
s*$ule ,i or ,,ii & ins]t+ s*$ule ,i1   
,,ii1 or ,a2  7,e7 9 section            
#djc7;a77#a7 7#ba ,u4,s4,c4             
#hdc7;a77#a771 by /rik+ s*$ule ,i or    
,,ii & ins]t+ s*$ule ,i1 ,,ii1 or ,a2 & 
7,f7 9 section #eaa7;f7 7#ba ,u4,s4,c4  
#hha7;f771 by /rik+ s*$ule ,i or ,,ii   
ea* place x appe>s & ins]t+ s*$ule ,i1  
,,ii1 or ,a4  7#b7 ,controll$ ,sub/ances
 ,import ,export ,act ,! ,controll$     
,sub/ances ,import & ,export ,act 7#ba  
,u4,s4,c4 #iea et seq47 is am5d$--  7,a7
 9 section #ajjb7;a7 7#ba ,u4,s4,c4     
#ieb7;a77-- 7i7 9 ! matt] prec$+        
p>agraph 7#a71 by /rik+ s*$ule ,i or    
,,ii & ins]t+ s*$ule ,i1 ,,ii1 or ,a2 & 
7ii7 9 p>agraph 7#b71 by /rik+ s*$ule ,i

 or ,,ii & ins]t+ s*$ule ,i1 ,,ii1 or   
,a2  7,b7 9 section #ajjc 7#ba ,u4,s4,c4
 #iec7--  7i7 9 subsection 7c71 9 !     
matt] prec$+ p>agraph 7#a71 by /rik+    
s*$ule ,i or ,,ii & ins]t+ s*$ule ,i1   
,,ii1 or ,a2 &  7ii7 9 subsection 7d71  
by /rik+ s*$ule ,i or ,,ii & ins]t+     
s*$ule ,i1 ,,ii1 or ,a2  7,c7 9 section 
#ajjd7a7 7#ba ,u4,s4,c4 #ied7a771 by    
/rik+ s*$ule ,i & ins]t+ s*$ule ,i or   
,a2  7,d7 9 section #ajje 7#ba ,u4,s4,c4
 #iee71 by /rik+ s*$ule ,i or ,,ii &    
ins]t+ s*$ule ,i1 ,,ii1 or ,a2 &  7,e7 9
 section #ajji7;a7 7#ba ,u4,s4,c4       
#iei7;a771 by /rik+ s*$ule ,i or ,,ii & 
ins]t+ s*$ule ,i1 ,,ii1 or ,a4  7g7     
,controll$ sub/ance analogues ,section  
#ajb ( ! ,controll$ ,sub/ances ,act 7#ba
 ,u4,s4,c4 #hjb7 is am5d$--  7#a7 9     
p>agraph 7#f71 by /rik+ or ,v & ins]t+  
,v1 or ,a2  7#b7 9 p>agraph 7#ad7--     
7,a7 by /rik+ s*$ule ,i7c7 & & ins]t+   
s*$ule ,i7c71 s*$ule ,a1 &2 &  7,b7 by  
/rik+ s*$ule ,i7c71 & ins]t+ s*$ule     
,i7c7 & s*$ule ,a12 &  7#c7 9 p>agraph  

7#cb77;,a71 by /rik+ 7#cb77;,a7 & all t 
foll[s ?r\gh clause 7iii7 & ins]t+ !    
foll[+3  7#cb7 7,a7 ,except z provid$ 9 
subp>agraph 7,c71 ! t]m controll$       
sub/ance analogue means a sub/ance ^:   
*emical /ructure is sub/antially simil> 
to ! *emical /ructure ( a controll$     
sub/ance 9 s*$ule ,i or ,,ii--  7i7 :i* 
has a /imulant1 depressant1 or          
halluc9og5ic effect on ! c5tral n]v\s   
sy/em t is sub/antially simil> to or    
great] ?an ! /imulant1 depressant1 or   
halluc9og5ic effect on ! c5tral n]v\s   
sy/em ( a controll$ sub/ance 9 s*$ule ,i
 or ,,ii2 or  7ii7 ) respect to a       
p>ticul> p]son1 :i* su* p]son repres5ts 
or int5ds to h a /imulant1 depressant1  
or halluc9og5ic effect on ! c5tral n]v\s
 sy/em t is sub/antially simil> to or   
great] ?an ! /imulant1 depressant1 or   
halluc9og5ic effect on ! c5tral n]v\s   
sy/em ( a controll$ sub/ance 9 s*$ule ,i
 or ,,ii4  4  7h7 ,am5dm5t to ! s5t5c+  
guidel9es ,section #b;,d#a4a ( ! ,f$]al 
,s5t5c+ ,guidel9es is am5d$1 9          

,application ,note #f 7,analogues &     
,controll$ ,sub/ances ,n ,ref]5c$ 9 ?is 
,guidel9e7 ( ! ,comm5t>y1 by /rik+ ,9   
det]m9+ ! mo/ closely relat$ controll$  
sub/ance1 ! c\rt %all1 to ! ext5t       
practicable1 consid] ! foll[+3 & ins]t+ 
! foll[+3  ,9 det]m9+ ! mo/ closely     
relat$ controll$ sub/ance & ! applicable
 guidel9e or drug equival5ce1 ! c\rt    
%all-- 7,a7 if ,attorney ,g5]al has     
provid$ guidance on ! appropriate s5t5c+
 equival5cy or ratio to a controll$     
sub/ance t is ref]5c$ 9 ! guidel9es     
?r\gh publication 9 ! ,f$]al ,regi/]    
7:e!r su* guidance is includ$ 9 or      
sep>ate f any notice ( propos$ tempor>y 
or p]man5t s*$ul+ ( su* sub/ance "u     
section #bja ( ! ,controll$ ,sub/ances  
,act 7#ba ,u4,s4,c4 #haa771 apply any   
su* s5t5c+ equival5cy or ratio2 &  7,b7 
9 ! abs5ce ( guidance ) respect to a    
sub/ance or gr\p ( sub/ances z describ$ 
9 p>agraph 7,a71 use equival5cies = !   
foll[+ /ructural classes ( sub/ances z  
if !y 7 includ$ on ! ,drug ,equival5cy  

,tables3 ,drug ,class,marihuana         
,equival5cy ( #a gm ( subject           
substance,synthetic ,opioids#a gm  #aj  
kg,synthetic ,cannab9oids#a gm  #afg    
gm,synthetic ,ca?9ones#a gm  #chj       
gm,tryptamine#a gm  #hj                 
gm,phenethylamines#a gm  #b4e           
kg,piperazines#a gm  #b kg,benzofurans#a
 gm  #ejj gm,arylcyclohexylamines       
7,,pcp-l sub/ances7#a gm  #a            
kg,methylphenidate analogs#a gm  #ajj   
gm,benzodiazepines#a unit 7z def9$ 9    
,note 7,f7 to ! ,drug ,quantity ,table 9
 #b;,d#a4a7  #j4jfbe gm  ,9 ! case ( a  
sub/ance = :i* p>agraphs 7,a7 & 7,b7    
above are n applicable1 ! c\rt %all     
det]m9e an equival5cy or ratio by       
consid]+ ! foll[+ factors1 to ! ext5t   
practicable3 4  7i7 ,rules ( con/ruction
 ,no?+ 9 ?is section1 or ! am5dm5ts made
 by ?is section1 may be con/ru$ to      
limit-- 7#a7 ! prosecution ( (f5ses     
involv+ controll$ sub/ance analogues "u 
! ,controll$ ,sub/ances ,act 7#ba       
,u4,s4,c4 #hja et seq472 or  7#b7 !     

au?ority ( ! ,attorney ,g5]al to        
tempor>ily or p]man5tly s*$ule1         
res*$ule1 or decontrol controll$        
sub/ances "u provisions ( section #bja (
 ! ,controll$ ,sub/ances ,act 7#ba      
,u4,s4,c4 #haa7 t are 9 effect on ! day 
be=e ! date ( enactm5t ( ?is ,act4  7j7 
,/udy by ,comptroll] ,g5]al ,n lat] ?an 
#b ye>s aft] ! date ( enactm5t ( ?is    
,act1 ! ,comptroll] ,g5]al ( ! ,unit$   
,/ates %all complete a /udy & submit a  
report to ! ,committees on ! ,judici>y (
 ! ,h\se ( ,repres5tatives & ( ! ,s5ate 
reg>d+ ! co/s associat$ ) ! am5dm5ts    
made by subsection 7c71 includ+--  7#a7 
! annual am\nts exp5d$ by ,f$]al ag5cies
 9 c>ry+ out ! am5dm5ts2  7#b7 ! co/s   
associat$ ) arre/s1 trials1 convictions1
 imprisonm5t1 or imposition ( o!r       
sanctions 9 accordance ) ! am5dm5ts2 &  
7#c7 ! impact 7includ+ ! fiscal impact7 
( ! am5dm5ts on exi/+ correctional      
facilities & ! likelihood t ^? am5dm5ts 
w create a ne$ = additional capacity =  
h\s+ prison]s4