,,ib  ,union ,calendar ,no4 #efd  #aaeth
 ,,congress  #b;d ,session  ,h4 ,r4     
#egif  ,report ,no4 #aae-gbi1 ,part ,i  
,,in ,,the ,,house ,,of                 
,,representatives  ,may #ae1 #bjah ,mr4 
,fitzpatrick 7for himself1 ,mr4 ,curbelo
 of ,florida1 and ,mr4 ,thompson of     
,california7 introduced the following   
bill2 which was referred to the         
,committee on ,energy and ,commerce1 and
 in addition to the ,committee on ,ways 
and ,means1 for a period to be          
subsequently determined by the ,speaker1
 in each case for consideration of such 
provisions as fall within the           
jurisdiction of the committee concerned 
,june #ab1 #bjah;,additional sponsors3  
,mrs4 ,blackburn1 ,mr4 ,walden1 and ,mr4
 ,engel  ,june #ab1 #bjah ,reported from
 the ,committee on ,energy and ,commerce
  ,june #ab1 #bjah,the ,committee on    
,ways and ,means discharged2 committed  
to the ,committee of the ,whole ,house  
on the ,state of the ,union and ordered 
to be printed  ,a ,,bill  ,to require   

the ,secretary of ,health and ,human    
,services to provide grants for eligible
 entities to provide technical          
assistance to outlier prescribers of    
opioids4  #a4 ,short title ,this ,act   
may be cited as the ,responsible        
,education ,achieves ,care and ,healthy 
,outcomes for ,users' ,treatment ,act of
 #bjah or the ,,reach ,,out ,act of     
#bjah4  #b4 ,grants to provide technical
 assistance to outlier prescribers of   
opioids  7a7 ,grants authorized ,the    
,secretary of ,health and ,human        
,services 7in this section referred to  
as the ,secretary7 shall1 through the   
,centers for ,medicare  ,medicaid       
,services1 award grants1 contracts1 or  
cooperative agreements to eligible      
entities for the purposes described in  
subsection 7b74  7b7 ,use of funds      
,grants1 contracts1 and cooperative     
agreements awarded under subsection 7a7 
shall be used to support eligible       
entities through technical assistance-- 
7#a7 to educate and provide outreach to 

outlier prescribers of opioids about    
best practices for prescribing opioids2 
7#b7 to educate and provide outreach to 
outlier prescribers of opioids about    
non-opioid pain management therapies2   
and  7#c7 to reduce the amount of opioid
 prescriptions prescribed by outlier    
prescribers of opioids4  7c7            
,application ,each eligible entity      
seeking to receive a grant1 contract1 or
 cooperative agreement under subsection 
7a7 shall submit to the ,secretary an   
application1 at such time1 in such      
manner1 and containing such information 
as the ,secretary may require4  7d7     
,geographic distribution ,in awarding   
grants1 contracts1 and cooperative      
agreements under this section1 the      
,secretary shall prioritize establishing
 technical assistance resources in each 
,state4  7e7 ,definitions ,in this      
section3 7#a7 ,eligible entity ,the term
 eligible entity means--  7,a7 an       
organization-- 7i7 that has demonstrated
 experience providing technical         

assistance to health care professionals 
on a ,state or regional basis2 and  7ii7
 that has at least-- 7,i7 one individual
 who is a representative of consumers on
 its governing body2 and  7,,ii7 one    
individual who is a representative of   
health care providers on its governing  
body2 or  7,b7 an entity that is a      
quality improvement entity with a       
contract under part ,b of title ,,xi of 
the ,social ,security ,act 7#db         
,u4,s4,c4 #acbj;c et seq474  7#b7       
,outlier prescriber of opioids ,the term
 outlier prescriber of opioids means a  
prescriber1 identified by the ,secretary
 of ,health and ,human ,services        
7through use of prescriber information  
provided by prescriber ,national        
,provider ,identifiers included pursuant
 to section #ahfj;,d-#d7;c77#d77;,a7 of 
the ,social ,security ,act 7#db         
,u4,s4,c4 #aciew-#ajd7;c77#d77;,a77 on  
claims for covered part ,d drugs for    
part ,d eligible individuals enrolled in
 prescription drug plans under part ,d  

of title ,,xviii of such ,act 7#db      
,u4,s4,c4 #aciew-#aja et seq47 and      
,,ma-,,pd plans under part ,c of such   
title 7#db ,u4,s4,c4 #aciew-#ba et      
seq477 as prescribing1 as compared to   
other prescribers in the specialty of   
the prescriber and geographic area1     
amounts of opioids in excess of a       
threshold 7and other criteria7 specified
 by the ,secretary1 after consultation  
with stakeholders4  7#c7 ,prescribers   
,the term prescriber means any health   
care professional1 including a nurse    
practitioner or physician assistant1 who
 is licensed to prescribe opioids by the
 ,state or territory in which such      
professional practices4  7f7 ,funding   
,for purposes of implementing this      
section1 the ,secretary of ,health and  
,human ,services shall provide for the  
transfer from the ,federal              
,supplementary ,medical ,insurance      
,trust ,fund established under section  
#ahda of the ,social ,security ,act 7#db
 ,u4,s4,c4 #aciet7 to the ,centers for  

,medicare  ,medicaid ,services ,program 
,management ,account of #ajj1jjj1jjj for
 fiscal year #bjai4 ,amounts transferred
 under this subparagraph shall remain   
available until expended4  ,june #ab1   
#bjah ,reported from the ,committee on  
,energy and ,commerce,june #ab1         
#bjah,the ,committee on ,ways and ,means
 discharged2 committed to the ,committee
 of the ,whole ,house on the ,state of  
the ,union and ordered to be printed