#aae? ,,congress  #b;d ,session  ,h4 ,r4
 #ehab  ,,an ,,act  ,to am5d ! ,public  
,heal? ,s]vice ,act to au?orize !       
,director ( ! ,c5t]s = ,disease ,control
 & ,prev5tion to c>ry out c]ta9         
activities to prev5t controll$ sub/ances
 ov]doses1 & = o!r purposes4  #a4 ,%ort 
title ,?is ,act may be cit$ z ! ,creat+ 
,opportunities t ,necessitate ,new &    
,enhanc$ ,connections ,t ,improve       
,opioid ,navigation ,/rategies ,act (   
#bjah or ! ,,connections ,act4  #b4     
,prev5t+ ov]doses ( controll$ sub/ances 
,"p ,p ( title ,,iii ( ! ,public ,heal? 
,s]vice ,act 7#db ,u4,s4,c4 #bhj;g et   
seq47 is am5d$ by add+ at ! end ! foll[+
 new section3  #cii,v-#g4 ,prev5t+      
ov]doses ( controll$ sub/ances  7a7     
,evid5ce-,bas$ prev5tion grants  7#a7 ,9
 g5]al ,! ,director ( ! ,c5t]s =        
,disease ,control & ,prev5tion may--    
7,a7 to ! ext5t practicable1 c>ry out   
any evid5ce-bas$ prev5tion activity     
describ$ 9 p>agraph 7#b72  7,b7 provide 
tra9+ & te*nical assi/ance to ,/ates1   

localities1 & ,indian tribes = purposes 
( c>ry+ out any su* activity2 &  7,c7   
aw>d grants to ,/ates1 localities1 &    
,indian tribes = purposes ( c>ry+ out   
any su* activity4  7#b7 ,evid5ce-bas$   
prev5tion activities ,an evid5ce-bas$   
prev5tion activity describ$ 9 ?is       
p>agraph is any ( ! foll[+ activities3  
7,a7 ,) respect to a ,/ate1 improv+ !   
effici5cy & use ( ! ,/ate prescription  
drug monitor+ program by--  7i7 enc\rag+
 all au?oriz$ us]s 7z specifi$ by !     
,/ate7 to regi/] ) & use ! program &    
mak+ ! program easi] to use2  7ii7      
enabl+ su* us]s to access any updates to
 in=mation collect$ by ! program 9 z    
close to real-"t z possible2  7iii7     
provid+ = a me*anism = ! program to     
automatically flag any pot5tial misuse  
or abuse ( controll$ sub/ances & any    
detection ( inappropriate prescrib+     
practices relat+ to su* sub/ances2  7iv7
 enhanc+ int]op]ability betwe5 ! program
 & any electronic heal? records sy/em1  
includ+ by integrat+ ! use ( electronic 

heal? records into ! program = purposes 
( improv+ cl9ical decisionmak+2  7v7    
cont9ually updat+ program capabilities  
to respond to te*nological innovation = 
purposes ( appropriately address+ a     
controll$ sub/ance ov]dose epidemic z   
su* epidemic may occur & evolve2  7vi7  
facilitat+ data %>+ betwe5 ! program & !
 prescription drug monitor+ programs (  
neighbor+ ,/ates2 &  7vii7 meet+ !      
purpose ( ! program e/abli%$ "u section 
#cii,o1 z describ$ 9 section #cii,o7a74 
7,b7 ,a*iev+ community or heal? sy/em   
int]v5tions ?r\gh activities su* z--    
7i7 e/abli%+ or improv+ controll$       
sub/ances prescrib+ int]v5tions =       
insur]s & heal? sy/ems2  7ii7 enhanc+ ! 
use ( evid5ce-bas$ controll$ sub/ances  
prescrib+ guidel9es across sectors &    
heal? c>e sett+s2 &  7iii7 implem5t+    
/rategies to align ! prescription (     
controll$ sub/ances ) ! guidel9es       
describ$ 9 clause 7ii74  7,c7 ,evaluat+ 
int]v5tions to bett] und]/& :at works to
 prev5t ov]doses1 includ+ ^? involv+    

prescription & illicit controll$        
sub/ances4  7,d7 ,implem5t+ projects to 
advance an innovative prev5tion approa* 
) respect to new & em]g+ public heal?   
crises & opportunities to address su*   
crises1 su* z enhanc+ public education &
 aw>5ess on ! risks associat$ ) opioids4
  7b7 ,enhanc$ surveillance ( controll$ 
sub/ance ov]dose grants  7#a7 ,9 g5]al  
,! ,director ( ! ,c5t]s = ,disease      
,control & ,prev5tion may--  7,a7 to !  
ext5t practicable1 c>ry out any         
controll$ sub/ance ov]dose surveillance 
activity describ$ 9 p>agraph 7#b72  7,b7
 provide tra9+ & te*nical assi/ance to  
,/ates = purposes ( c>ry+ out any su*   
activity2  7,c7 aw>d grants to ,/ates = 
purposes ( c>ry+ out any su* activity2 &
  7,d7 coord9ate ) ! ,assi/ant ,secret>y
 = ,m5tal ,heal? & ,sub/ance ,use to    
collect data pursuant to section        
#eje7;d77#a77;,a7 7relat+ to ! numb] (  
individuals admitt$ to ! em]g5cy rooms (
 hospitals z a result ( ! abuse (       
alcohol or o!r drugs74  7#b7 ,controll$ 

sub/ance ov]dose surveillance activities
 ,a controll$ sub/ance ov]dose          
surveillance activity describ$ 9 ?is    
p>agraph is any ( ! foll[+ activities3  
7,a7 ,enhanc+ ! timel9ess ( report+ data
 to ! public1 includ+ data on fatal &   
nonfatal ov]doses ( controll$ sub/ances4
  7,b7 ,enhanc+ compreh5siv5ess ( data  
on controll$ sub/ances ov]doses by      
collect+ in=mation on su* ov]doses f    
appropriate s\rces su* z toxicology     
reports1 autopsy reports1 dea? sc5e     
inve/igations1 & o!r risk factors4  7,c7
 ,us+ data to help id5tify risk factors 
associat$ ) controll$ sub/ances         
ov]doses4  7,d7 ,) respect to a ,/ate1  
support+ entities involv$ 9 provid+     
in=mation to in=m ef=ts )9 ! ,/ate1 su* 
z by coron]s & m$ical exam9]s1 to       
improve accurate te/+ & report+ ( causes
 & contribut+ factors to controll$      
sub/ances ov]doses4  7,e7 ,work+ to     
enable in=mation %>+ reg>d+ controll$   
sub/ances ov]doses among data s\rces4   
7c7 ,def9itions ,9 ?is section3 7#a7    

,controll$ sub/ance ,! t]m controll$    
sub/ance has ! mean+ giv5 t t]m 9       
section #ajb ( ! ,controll$ ,sub/ances  
,act4  7#b7 ,indian tribe ,! t]m ,indian
 tribe has ! mean+ giv5 t t]m 9 section 
#d ( ! ,indian ,self-,det]m9ation &     
,education ,assi/ance ,act4  7d7        
,au?orization ( appropriations ,=       
purposes ( c>ry+ out ?is section &      
section #cii,o1 !re is au?oriz$ to be   
appropriat$ #dhf1jjj1jjj = ea* ( fiscal 
ye>s #bjai ?r\gh #bjbc4  4  #c4         
,prescription drug monitor+ program     
,section #cii,o ( ! ,public ,heal?      
,s]vice ,act 7#db ,u4,s4,c4 #bhj;g-#c7  
is am5d$ to read z foll[s3  #cii,o4     
,prescription drug monitor+ program  7a7
 ,program  7#a7 ,9 g5]al ,ea* fiscal    
ye>1 ! ,secret>y1 9 consultation ) !    
,director ( ,national ,drug ,control    
,policy1 act+ ?r\gh ! ,director ( !     
,c5t]s = ,disease ,control & ,prev5tion1
 ! ,assi/ant ,secret>y = ,m5tal ,heal? &
 ,sub/ance ,use1 & ! ,national          
,coord9ator = ,heal? ,in=mation         

,te*nology1 %all support ,/ates = !     
purpose ( improv+ ! effici5cy & use (   
,p,d,m,ps1 includ+--  7,a7 e/abli%m5t & 
implem5tation ( a ,,pdmp2  7,b7         
ma9t5ance ( a ,,pdmp2  7,c7 improvem5ts 
to a ,,pdmp by-- 7i7 enhanc+ functional 
compon5ts to "w t[>d--  7,i7 univ]sal   
use ( ,p,d,m,ps among provid]s & _!     
delegates1 to ! ext5t t ,/ate laws all[1
 )9 a ,/ate2  7,,ii7 m timely inclusion 
( data )9 a ,,pdmp2  7,,iii7 active     
managem5t ( ! ,,pdmp1 9 "p by s5d+      
proactive or unsolicit$ reports to      
provid]s to in=m prescrib+2 &  7,,iv7   
ensur+ ! highe/ level ( ease 9 use &    
access ( ,p,d,m,ps by provid]s & _!     
delegates1 to ! ext5t t ,/ate laws all[2
  7ii7 improv+ ! intra/ate              
int]op]ability ( ,p,d,m,ps by-- 7,i7    
mak+ ,p,d,m,ps m actionable by integrat+
 ,p,d,m,ps )9 electronic heal? records &
 heal? in=mation te*nology              
infra/ructure2 &  7,,ii7 l9k+ ,,pdmp    
data to o!r data sy/ems )9 ! ,/ate1     
includ+-- 7aa7 ! data ( ph>macy b5efit  

manag]s1 m$ical exam9]s & coron]s1 & !  
,/ate's ,m$icaid program2  7bb7 work]'s 
comp5sation data2 &  7cc7 prescrib+ data
 ( provid]s ( ! ,dep>tm5t ( ,vet]ans    
,affairs & ! ,indian ,heal? ,s]vice )9 !
 ,/ate2  7iii7 improv+ ! int]/ate       
int]op]ability ( ,p,d,m,ps ?r\gh-- 7,i7 
%>+ ( disp5s+ data 9 ne>-real "t across 
,/ate l9es2 &  7,,ii7 integration (     
automat$ qu]ies = multi/ate ,,pdmp data 
& analytics into cl9ical workfl[ to     
improve ! use ( su* data & analytics by 
practition]s & disp5s]s2 or  7iv7       
improv+ ! ability to include treatm5t   
availability res\rces & ref]ral         
capabilities )9 ! ,,pdmp4  7#b7 ,/ate   
legislation ,z a condition on ! receipt 
( support "u ?is section1 ! ,secret>y   
%all require a ,/ate to demon/rate t !  
,/ate has enact$ legislation or         
regulations-- 7,a7 to provide = !       
implem5tation ( ! ,,pdmp2 &  7,b7 to    
p]mit ! imposition ( appropriate        
p5alties = ! unau?oriz$ use & disclosure
 ( in=mation ma9ta9$ by ! ,,pdmp4  7b7  

,,pdmp /rategies ,! ,secret>y %all      
enc\rage a ,/ate1 9 e/abli%+1 improv+1  
or ma9ta9+ a ,,pdmp1 to implem5t        
/rategies t improve--  7#a7 ! report+ ( 
disp5s+ 9 ! ,/ate ( a controll$ sub/ance
 to an ultimate us] s ! report+ occurs n
 lat] ?an #bd h\rs aft] ! disp5s+ ev5t2 
7#b7 ! consultation ( ! ,,pdmp by ea*   
prescrib+ practition]1 or _! designee1 9
 ! ,/ate be=e initiat+ treatm5t ) a     
controll$ sub/ance1 or any sub/ance z   
requir$ by ! ,/ate to be report$ to !   
,,pdmp1 & ov] ! c\rse ( ongo+ treatm5t =
 ea* prescrib+ ev5t2  7#c7 !            
consultation ( ! ,,pdmp be=e disp5s+ a  
controll$ sub/ance1 or any sub/ance z   
requir$ by ! ,/ate to be report$ to !   
,,pdmp2  7#d7 ! proactive notification  
to a practition] :5 patt]ns indicative (
 controll$ sub/ance misuse by a pati5t1 
includ+ opioid misuse1 are detect$2     
7#e7 ! availability ( data 9 ! ,,pdmp to
 o!r ,/ates1 z all[able "u ,/ate law2 & 
7#f7 ! availability ( nonid5tifiable    
in=mation to ! ,c5t]s = ,disease        

,control & ,prev5tion = surveillance1   
epidemiology1 /ati/ical rese>*1 or      
educational purposes4  7c7 ,drug misuse 
& abuse ,9 consultation ) practition]s1 
disp5s]s1 & o!r relevant & int]e/$      
/akehold]s1 a ,/ate receiv+ support "u  
?is section-- 7#a7 %all e/abli% a       
program to notify practition]s &        
disp5s]s ( in=mation t w help to id5tify
 & prev5t ! unlawful div]sion or misuse 
( controll$ sub/ances2 &  7#b7 may1 to !
 ext5t p]mitt$ "u ,/ate law1 notify !   
appropriate au?orities responsible =    
c>ry+ out drug div]sion inve/igations if
 ! ,/ate det]m9es t in=mation 9 ! ,,pdmp
 ma9ta9$ by ! ,/ate indicates an        
unlawful div]sion or abuse ( a controll$
 sub/ance4  7d7 ,evaluation & report+ ,z
 a condition on receipt ( support "u ?is
 section1 ! ,/ate %all report on        
int]op]ability ) ,p,d,m,ps ( o!r ,/ates 
& ,f$]al ag5cies1 :]e appropriate1      
intra/ate int]op]ability ) heal?        
in=mation te*nology sy/ems su* z        
electronic heal? records1 heal?         

in=mation ex*anges1 & e-prescrib+1 :]e  
appropriate1 & :e!r or n ! ,/ate        
provides automatic1 up-to-date1 or daily
 in=mation ab\t a pati5t :5 a           
practition] 7or ! designee ( a          
practition]1 :]e p]mitt$7 reque/s       
in=mation ab\t su* pati5t4  7e7         
,evaluation & report+ ,a ,/ate receiv+  
support "u ?is section %all provide !   
,secret>y ) aggregate nonid5tifiable    
in=mation1 z p]mitt$ by ,/ate law1 to   
enable ! ,secret>y-- 7#a7 to evaluate ! 
success ( ! ,/ate's program 9 a*iev+ !  
purpose describ$ 9 subsection 7a72 or   
7#b7 to prep>e & submit to ! ,congress !
 report requir$ by subsection 7i77#b74  
7f7 ,education & access to ! monitor+   
sy/em ,a ,/ate receiv+ support "u ?is   
section %all take /eps to--  7#a7       
facilitate prescrib]s & disp5s]s1 & _!  
delegates1 z p]mitt$ by ,/ate law1 to   
use ! ,,pdmp1 to ! ext5t practicable2 & 
7#b7 educate prescrib]s & disp5s]s1 & _!
 delegates on ! b5efits ( ! use (       
,p,d,m,ps4  7g7 ,electronic =mat ,!     

,secret>y may issue guidel9es specify+ a
 uni=m electronic =mat = ! report+1 %>+1
 & disclosure ( in=mation pursuant to   
,p,d,m,ps4  7h7 ,rules ( con/ruction    
7#a7 ,functions o!rwise au?oriz$ by law 
,no?+ 9 ?is section %all be con/ru$ to  
re/rict ! ability ( any au?ority1       
includ+ any local1 ,/ate1 or ,f$]al law 
en=cem5t1 n>cotics control1 lic5sure1   
discipl9>y1 or program au?ority1 to p]=m
 functions o!rwise au?oriz$ by law4     
7#b7 ,additional privacy protections    
,no?+ 9 ?is section %all be con/ru$ z   
preempt+ any ,/ate f impos+ any         
additional privacy protections4  7#c7   
,f$]al privacy requirem5ts ,no?+ 9 ?is  
section %all be con/ru$ to sup]s$e any  
,f$]al privacy or confid5tiality        
requirem5t1 includ+ ! regulations       
promulgat$ "u section #bfd7;c7 ( !      
,heal? ,insurance ,portability &        
,acc\ntability ,act ( #aiif 7,public    
,law #ajd-aia2 #aaj ,/at4 #bjcc7 &      
section #edc ( ?is ,act4  7#d7 ,no      
,f$]al private cause ( action ,no?+ 9   

?is section %all be con/ru$ to create a 
,f$]al private cause ( action4  7i7     
,progress report ,n lat] ?an #c ye>s    
aft] ! date ( enactm5t ( ! ,,connections
 ,act1 ! ,secret>y %all--  7#a7 complete
 a /udy t-- 7,a7 det]m9es ! progress (  
,/ates 9 e/abli%+ & implem5t+ ,p,d,m,ps 
consi/5t ) ?is section2  7,b7 provides  
an analysis ( ! ext5t to :i* ! op]ation 
( ,p,d,m,ps has-- 7i7 r$uc$             
inappropriate use1 abuse1 div]sion (1 & 
ov]dose )1 controll$ sub/ances2  7ii7   
e/abli%$ or /r5g!n$ initiatives to      
ensure l9kages to sub/ance use disord]  
treatm5t s]vices2 or  7iii7 affect$     
pati5t access to appropriate c>e 9      
,/ates op]at+ ,p,d,m,ps2  7,c7 det]m9e !
 progress ( ,/ates 9 a*iev+ int]/ate    
int]op]ability & intra/ate              
int]op]ability ( ,p,d,m,ps1 includ+ an  
assessm5t ( te*nical1 legal1 & f9ancial 
b>ri]s to su* progress & recomm5dations 
= address+ ^! b>ri]s2  7,d7 det]m9es !  
progress ( ,/ates 9 implem5t+ ne>       
real-"t electronic ,p,d,m,ps2  7,e7     

provides an analysis ( ! privacy        
protections 9 place = ! in=mation       
report$ to ! ,,pdmp 9 ea* ,/ate receiv+ 
support "u ?is section & any            
recomm5dations ( ! ,secret>y =          
additional ,f$]al or ,/ate requirem5ts =
 protection ( ?is in=mation2  7,f7      
det]m9es ! progress ( ,/ates 9 implem5t+
 te*nological alt]natives to c5traliz$  
data /orage1 su* z pe]-to-pe] file %>+  
or data po9t] sy/ems1 9 ,p,d,m,ps & !   
pot5tial = su* alt]natives to enhance ! 
privacy & security ( individually       
id5tifiable data2 &  7,g7 evaluates !   
p5alties t ,/ates h enact$ = !          
unau?oriz$ use & disclosure ( in=mation 
ma9ta9$ 9 ,p,d,m,ps1 & ! crit]ia us$ by 
! ,secret>y to det]m9e :e!r su* p5alties
 qualify z appropriate = purposes (     
subsection 7a77#b72 &  7#b7 submit a    
report to ! ,congress on ! results ( !  
/udy4  7j7 ,advisory c\ncil  7#a7       
,e/abli%m5t ,a ,/ate may e/abli% an     
advisory c\ncil to assi/ 9 ! e/abli%m5t1
 improvem5t1 or ma9t5ance ( a ,,pdmp    

consi/5t ) ?is section4  7#b7           
,limitation ,a ,/ate may n use ,f$]al   
funds = ! op]ations ( an advisory c\ncil
 to assi/ 9 ! e/abli%m5t1 improvem5t1 or
 ma9t5ance ( a ,,pdmp4  7#c7 ,s5se (    
,congress ,x is ! s5se ( ! ,congress t1 
9 e/abli%+ an advisory c\ncil to assi/ 9
 ! e/abli%m5t1 improvem5t1 or ma9t5ance 
( a ,,pdmp1 a ,/ate %\ld consult )      
appropriate pr(essional bo>ds & o!r     
int]e/$ p>ties4  7k7 ,def9itions ,=     
purposes ( ?is section3  7#a7 ,! t]m    
controll$ sub/ance means a controll$    
sub/ance 7z def9$ 9 section #ajb ( !    
,controll$ ,sub/ances ,act7 9 s*$ule    
,,ii1 ,,iii1 or ,,iv ( section #bjb (   
su* ,act4  7#b7 ,! t]m disp5se means to 
deliv] a controll$ sub/ance to an       
ultimate us] by1 or pursuant to ! lawful
 ord] (1 a practition]1 irrespective (  
:e!r ! disp5s] uses ! int]net or o!r    
means to effect su* deliv]y4  7#c7 ,!   
t]m disp5s] means a physician1 ph>maci/1
 or o!r p]son t disp5ses a controll$    
sub/ance to an ultimate us]4  7#d7 ,!   

t]m int]/ate int]op]ability ) respect to
 a ,,pdmp means ! ability ( ! ,,pdmp to 
electronically %>e report$ in=mation )  
ano!r ,/ate if ! in=mation conc]ns ei!r 
! disp5s+ ( a controll$ sub/ance to an  
ultimate us] :o resides 9 su* o!r ,/ate1
 or ! disp5s+ ( a controll$ sub/ance    
prescrib$ by a practition] ^: pr9cipal  
place ( bus9ess is locat$ 9 su* o!r     
,/ate4  7#e7 ,! t]m intra/ate           
int]op]ability ) respect to a ,,pdmp    
means ! integration ( ,,pdmp data )9    
electronic heal? records & heal?        
in=mation te*nology infra/ructure or    
l9k+ ( a ,,pdmp to o!r data sy/ems )9 ! 
,/ate1 includ+ ! ,/ate's ,m$icaid       
program1 work]s' comp5sation programs1 &
 m$ical exam9]s or coron]s4  7#f7 ,! t]m
 nonid5tifiable in=mation means         
in=mation t does n id5tify a            
practition]1 disp5s]1 or an ultimate us]
 & ) respect to :i* !re is no reasonable
 basis to believe t ! in=mation c be us$
 to id5tify a practition]1 disp5s]1 or  
an ultimate us]4  7#g7 ,! t]m ,,pdmp    

means a prescription drug monitor+      
program t is ,/ate-controll$4  7#h7 ,!  
t]m practition] means a physician1      
d5ti/1 vet]9>ian1 sci5tific inve/igator1
 ph>macy1 hospital1 or o!r p]son lic5s$1
 regi/]$1 or o!rwise p]mitt$1 by !      
,unit$ ,/ates or ! jurisdiction 9 :i* ! 
individual practices or does rese>*1 to 
di/ribute1 disp5se1 conduct rese>* )    
respect to1 adm9i/]1 or use 9 tea*+ or  
*emical analysis1 a controll$ sub/ance 9
 ! c\rse ( pr(essional practice or      
rese>*4  7#i7 ,! t]m ,/ate means ea* ( !
 #ej ,/ates1 ! ,di/rict ( ,columbia1 &  
any commonweal? or t]ritory ( ! ,unit$  
,/ates4  7#aj7 ,! t]m ultimate us] means
 a p]son :o has obta9$ f a disp5s]1 & :o
 possesses1 a controll$ sub/ance = !    
p]son's own use1 = ! use ( a memb] ( !  
p]son's h\sehold1 or = ! use ( an animal
 own$ by ! p]son or by a memb] ( !      
p]son's h\sehold4  7#aa7 ,! t]m cl9ical 
workfl[ means ! integration ( automat$  
qu]ies = prescription drug monitor+     
programs data & analytics into heal?    

in=mation te*nologies su* z electronic  
heal? record sy/ems1 heal? in=mation    
ex*anges1 &_/or ph>macy disp5s+ s(tw>e  
sy/ems1 ?us /reaml9+ provid] access     
?r\gh automat$ qu]ies4  4  ,pass$ !     
,h\se ( ,repres5tatives ,june #ab1      
#bjah4;,cl]k4