#aae? ,,congress #b;d ,session ,9 ! ,h\se ( ,repres5tatives1 ,u4 ,s41 ,septemb] #bh1 #bjah ,,h\se ,,am5dm5t ,,to ,,s5ate ,,am5dm5t3 ,t ! ,h\se agree to ! am5dm5t ( ! ,s5ate to ! bill 7,h4,r4 #f7 entitl$ ,an ,act to provide = opioid use disord] prev5tion1 recov]y1 & treatm5t1 & = o!r purposes41 ) ! foll[+ ,9 lieu ( ! matt] propos$ to be ins]t$ by ! ,s5ate am5dm5t1 ins]t ! foll[+ #a4 ,%ort title2 table ( cont5ts 7a7 ,%ort title ,?is ,act may be cit$ z ! ,sub/ance ,use-,disord] ,prev5tion t ,promotes ,opioid ,recov]y & ,treatm5t = ,pati5ts & ,communities ,act or ! ,,support = ,pati5ts & ,communities ,act4 7b7 ,table ( cont5ts ,! table ( cont5ts ( ?is ,act is z foll[s3 ,sec4 #a4 ,%ort title2 table ( cont5ts4 ,title ,i--,m$icaid ,provisions to ,address ! ,opioid ,crisis ,sec4 #ajja4 ,at-risk y\? ,m$icaid protection4 ,sec4 #ajjb4 ,heal? insurance = =m] fo/] y\?4 ,sec4 #ajjc4 ,demon/ration project to increase sub/ance use provid] capacity "u ! ,m$icaid program4 ,sec4 #ajjd4 ,m$icaid drug review & utilization4 ,sec4 #ajje4 ,guidance to improve c>e = infants ) neonatal ab/95ce syndrome & _! mo!rs2 ,,gao /udy on gaps 9 ,m$icaid cov]age = pregnant & po/p>tum wom5 ) sub/ance use disord]4 ,sec4 #ajjf4 ,m$icaid heal? homes = sub/ance-use-disord] ,m$icaid enrollees4 ,sec4 #ajjg4 ,c>+ recov]y = infants & babies4 ,sec4 #ajjh4 ,pe] support enhancem5t & evaluation review4 ,sec4 #ajji4 ,m$icaid sub/ance use disord] treatm5t via teleheal?4 ,sec4 #ajaj4 ,enhanc+ pati5t access to non-opioid treatm5t options4 ,sec4 #ajaa4 ,assess+ b>ri]s to opioid use disord] treatm5t4 ,sec4 #ajab4 ,help = moms & babies4 ,sec4 #ajac4 ,secur+ flexibility to treat sub/ance use disord]s4 ,sec4 #ajad4 ,,macpac /udy & report on ,,mat utilization controls "u ,/ate ,m$icaid programs4 ,sec4 #ajae4 ,opioid addiction treatm5t programs enhancem5t4 ,sec4 #ajaf4 ,bett] data %>+ to combat ! opioid crisis4 ,sec4 #ajag4 ,report on innovative ,/ate initiatives & /rategies to provide h\s+-relat$ s]vices & supports to individuals /ruggl+ ) sub/ance use disord]s "u ,m$icaid4 ,sec4 #ajah4 ,te*nical assi/ance & support = innovative ,/ate /rategies to provide h\s+-relat$ supports "u ,m$icaid4 ,title ,,ii--,m$ic>e ,provisions to ,address ! ,opioid ,crisis ,sec4 #bjja4 ,exp&+ ! use ( teleheal? s]vices = ! treatm5t ( opioid use disord] & o!r sub/ance use disord]s4 ,sec4 #bjjb4 ,compreh5sive scre5+s = s5iors4 ,sec4 #bjjc4 ,e prescription convey$ securely4 ,sec4 #bjjd4 ,requir+ prescription drug plan sponsors "u ,m$ic>e to e/abli% drug managem5t programs = at-risk b5efici>ies4 ,sec4 #bjje4 ,m$ic>e cov]age ( c]ta9 s]vices furni%$ by opioid treatm5t programs4 ,sec4 #bjjf4 ,enc\rag+ appropriate prescrib+ "u ,m$ic>e = victims ( opioid ov]dose4 ,sec4 #bjjg4 ,automatic escalation to ext]nal review "u a ,m$ic>e "p ,d drug managem5t program = at-risk b5efici>ies4 ,sec4 #bjjh4 ,susp5sion ( paym5ts by ,m$ic>e prescription drug plans & ,,ma-,,pd plans p5d+ inve/igations ( cr$ible allegations ( fraud by ph>macies4 ,title ,,iii--,,fda & ,controll$ ,sub/ance ,provisions ,subtitle ,a--,,fda provisions ,*apt] #a--;,9 g5]al ,sec4 #cjja4 ,cl>ify+ ,,fda regulation ( non-addictive pa9 products4 ,sec4 #cjjb4 ,evid5ce-bas$ opioid analgesic prescrib+ guidel9es & report4 ,*apt] #b--,/op ,c\nt]feit ,drugs by ,regulat+ & ,enhanc+ ,en=cem5t ,n[ ,sec4 #cjaa4 ,%ort title4 ,sec4 #cjab4 ,notification1 nondi/ribution1 & recall ( controll$ sub/ances4 ,sec4 #cjac4 ,s+le s\rce patt]n ( import$ illegal drugs4 ,sec4 #cjad4 ,/r5g!n+ ,,fda & ,,cbp coord9ation & capacity4 ,*apt] #c--,/op ,illicit ,drug ,importation ,sec4 #cjba4 ,%ort title4 ,sec4 #cjbb4 ,re/rict+ entrance ( illicit drugs4 ,*apt] #d--,secur+ ,opioids & ,unus$ ,n>cotics ) ,delib]ate ,disposal & ,packag+ ,sec4 #cjca4 ,%ort title4 ,sec4 #cjcb4 ,safety-enhanc+ packag+ & disposal features4 ,*apt] #e--,po/approval /udy requirem5ts ,sec4 #cjda4 ,cl>ify+ ,,fda po/m>ket au?orities4 ,subtitle ,b--,controll$ sub/ance provisions ,*apt] #a--,m flexibility ) respect to m$ication-,assi/$ treatm5t = opioid use disord]s ,sec4 #cbja4 ,all[+ = m flexibility ) respect to m$ication-assi/$ treatm5t = opioid use disord]s4 ,sec4 #cbjb4 ,m$ication-assi/$ treatm5t = recov]y f sub/ance use disord]4 ,sec4 #cbjc4 ,grants to enhance access to sub/ance use disord] treatm5t4 ,sec4 #cbjd4 ,deliv]y ( a controll$ sub/ance by a ph>macy to be adm9i/]$ by injection or implantation4 ,*apt] #b--;,emp[]+ ,ph>maci/s 9 ! ,fight ,aga9/ ,opioid ,abuse ,sec4 #cbaa4 ,%ort title4 ,sec4 #cbab4 ,programs & mat]ials = tra9+ on c]ta9 circum/ances "u :i* a ph>maci/ may decl9e to fill a prescription4 ,*apt] #c--,safe ,disposal ( ,unus$ ,m$ication ,sec4 #cbba4 ,%ort title4 ,sec4 #cbbb4 ,disposal ( controll$ sub/ances ( a hospice pati5t by employees ( a qualifi$ hospice program4 ,sec4 #cbbc4 ,,gao /udy & report on hospice safe drug managem5t4 ,*apt] #d--,special ,regi/ration = ,telem$ic9e ,cl>ification ,sec4 #cbca4 ,%ort title4 ,sec4 #cbcb4 ,regulations relat+ to a special regi/ration = telem$ic9e4 ,*apt] #e--,syn!tic ,abuse & ,label+ ( ,toxic ,sub/ances ,sec4 #cbda4 ,controll$ sub/ance analogues4 ,*apt] #f--;,access to ,increas$ ,drug ,disposal ,sec4 #cbea4 ,%ort title4 ,sec4 #cbeb4 ,def9itions4 ,sec4 #cbec4 ,au?ority to make grants4 ,sec4 #cbed4 ,application4 ,sec4 #cbee4 ,use ( grant funds4 ,sec4 #cbef4 ,eligibility = grant4 ,sec4 #cbeg4 ,duration ( grants4 ,sec4 #cbeh4 ,acc\ntability & ov]sight4 ,sec4 #cbei4 ,duration ( program4 ,sec4 #cbfj4 ,au?orization ( appropriations4 ,*apt] #g--,us+ ,data ,to ,prev5t ,opioid ,div]sion ,sec4 #cbga4 ,%ort title4 ,sec4 #cbgb4 ,purpose4 ,sec4 #cbgc4 ,am5dm5ts4 ,sec4 #cbgd4 ,report4 ,*apt] #h--,opioid ,quota ,re=m ,sec4 #cbha4 ,%ort title4 ,sec4 #cbhb4 ,/r5g!n+ consid]ations = ,,dea opioid quotas4 ,*apt] #i--,prev5t+ ,drug ,div]sion ,sec4 #cbia4 ,%ort title4 ,sec4 #cbib4 ,improvem5ts to prev5t drug div]sion4 ,title ,,iv--,(fsets ,sec4 #djja4 ,promot+ value 9 ,m$icaid manag$ c>e4 ,sec4 #djjb4 ,requir+ report+ by gr\p heal? plans ( prescription drug cov]age in=mation = purposes ( id5tify+ prim>y pay] situations "u ! ,m$ic>e program4 ,sec4 #djjc4 ,additional religi\s exemption f heal? cov]age responsibility requirem5t4 ,sec4 #djjd4 ,mod]niz+ ! report+ ( biological & biosimil> products4 ,title ,v--,o!r ,m$icaid ,provisions ,subtitle ,a--,m&atory report+ ) respect to adult behavioral heal? measures ,sec4 #ejja4 ,m&atory report+ ) respect to adult behavioral heal? measures4 ,subtitle ,b--,m$icaid ,,imd ,additional ,info ,sec4 #ejaa4 ,%ort title4 ,sec4 #ejab4 ,,macpac exploratory /udy & report on in/itutions = m5tal diseases requirem5ts & practices "u ,m$icaid4 ,subtitle ,c--,,*ip ,m5tal ,heal? & ,sub/ance ,use ,disord] ,p>ity ,sec4 #ejba4 ,%ort title4 ,sec4 #ejbb4 ,ensur+ access to m5tal heal? & sub/ance use disord] s]vices = *ildr5 & pregnant wom5 "u ! ,*ildr5's ,heal? ,insurance ,program4 ,subtitle ,d--,m$icaid ,re5try ,sec4 #ejca4 ,%ort title4 ,sec4 #ejcb4 ,promot+ ,/ate innovations to ease transitions integration to ! community = c]ta9 individuals4 ,subtitle ,e--,m$icaid ,p>tn]%ip ,sec4 #ejda4 ,%ort title4 ,sec4 #ejdb4 ,m$icaid provid]s are requir$ to note exp]i5ces 9 record sy/ems to help 9-ne$ pati5ts4 ,subtitle ,f--,,imd ,,c>e ,act ,sec4 #ejea4 ,%ort title4 ,sec4 #ejeb4 ,/ate option to provide ,m$icaid cov]age = c]ta9 individuals ) sub/ance use disord]s :o are pati5ts 9 c]ta9 in/itutions = m5tal diseases4 ,subtitle ,g--,m$icaid ,improvem5t ,fund ,sec4 #ejfa4 ,m$icaid ,improvem5t ,fund4 ,title ,,vi--,o!r ,m$ic>e ,provisions ,subtitle ,a--,te/+ ( inc5tive paym5ts = behavioral heal? provid]s = adoption & use ( c]tifi$ electronic heal? record te*nology ,sec4 #fjja4 ,te/+ ( inc5tive paym5ts = behavioral heal? provid]s = adoption & use ( c]tifi$ electronic heal? record te*nology4 ,subtitle ,b--,abuse ,det]r5t ,access ,sec4 #fjaa4 ,%ort title4 ,sec4 #fjab4 ,/udy on abuse-det]r5t opioid =mulations access b>ri]s "u ,m$ic>e4 ,subtitle ,c--,m$ic>e ,opioid ,safety ,education ,sec4 #fjba4 ,m$ic>e opioid safety education4 ,subtitle ,d--,opioid ,addiction ,action ,plan ,sec4 #fjca4 ,%ort title4 ,sec4 #fjcb4 ,action plan on recomm5dations = *anges "u ,m$ic>e & ,m$icaid to prev5t opioids addictions & enhance access to m$ication-assi/$ treatm5t4 ,subtitle ,e--,advanc+ ,high ,quality ,treatm5t = ,opioid ,use ,disord]s 9 ,m$ic>e ,sec4 #fjda4 ,%ort title4 ,sec4 #fjdb4 ,opioid use disord] treatm5t demon/ration program4 ,subtitle ,f--,responsible ,education ,a*ieves ,c>e & ,heal?y ,outcomes = ,us]s' ,treatm5t ,sec4 #fjea4 ,%ort title4 ,sec4 #fjeb4 ,grants to provide te*nical assi/ance to outli] prescrib]s ( opioids4 ,subtitle ,g--,prev5t+ ,addiction = ,susceptible ,s5iors ,sec4 #fjfa4 ,%ort title4 ,sec4 #fjfb4 ,electronic prior au?orization = cov]$ "p ,d drugs4 ,sec4 #fjfc4 ,program integrity transp>5cy measures "u ,m$ic>e p>ts ,c & ,d4 ,sec4 #fjfd4 ,exp&+ eligibility = m$ication !rapy managem5t programs "u "p ,d4 ,sec4 #fjfe4 ,commit to opioid m$ical prescrib] acc\ntability & safety = s5iors4 ,sec4 #fjff4 ,no additional funds au?oriz$4 ,subtitle ,h--,exp&+ ,ov]sight ( ,opioid ,prescrib+ & ,paym5t ,sec4 #fjga4 ,%ort title4 ,sec4 #fjgb4 ,m$ic>e ,paym5t ,advisory ,commission report on opioid paym5t1 adv]se inc5tives1 & data "u ! ,m$ic>e program4 ,sec4 #fjgc4 ,no additional funds au?oriz$4 ,subtitle ,i--,dr4 ,todd ,graham ,pa9 ,managem5t1 ,treatm5t1 & ,recov]y ,sec4 #fjha4 ,%ort title4 ,sec4 #fjhb4 ,review & adju/m5t ( paym5ts "u ! ,m$ic>e outpati5t prospective paym5t sy/em to avoid f9ancial inc5tives to use opioids in/ead ( non-opioid alt]native treatm5ts4 ,sec4 #fjhc4 ,exp&+ access "u ! ,m$ic>e program to addiction treatm5t 9 ,f$]ally qualifi$ heal? c5t]s & rural heal? cl9ics4 ,sec4 #fjhd4 ,/udy+ ! availability ( supplem5tal b5efits design$ to treat or prev5t sub/ance use disord]s "u ,m$ic>e ,advantage plans4 ,sec4 #fjhe4 ,cl9ical psy*ologi/ s]vices models "u ! ,c5t] = ,m$ic>e & ,m$icaid ,innovation2 ,,gao /udy & report4 ,sec4 #fjhf4 ,dr4 ,todd ,graham pa9 managem5t /udy4 ,subtitle ,j--,combat+ ,opioid ,abuse = ,c>e 9 ,hospitals ,sec4 #fjia4 ,%ort title4 ,sec4 #fjib4 ,develop+ guidance on pa9 managem5t & opioid use disord] prev5tion = hospitals receiv+ paym5t "u "p ,a ( ! ,m$ic>e program4 ,sec4 #fjic4 ,requir+ ! review ( quality measures relat+ to opioids & opioid use disord] treatm5ts furni%$ "u ! m$ic>e program & o!r f$]al heal? c>e programs4 ,sec4 #fjid4 ,te*nical exp]t panel on r$uc+ surgical sett+ opioid use2 ,data collection on p]iop]ative opioid use4 ,sec4 #fjie4 ,requir+ ! po/+ & p]iodic update ( opioid prescrib+ guidance = ,m$ic>e b5efici>ies4 ,subtitle ,k--,provid+ ,reliable ,options = ,pati5ts & ,educational ,res\rces ,sec4 #faja4 ,%ort title4 ,sec4 #fajb4 ,requir+ ,m$ic>e ,advantage plans & "p ,d prescription drug plans to include in=mation on risks associat$ ) opioids & cov]age ( nonph>macological !rapies & nonopioid m$ications or devices us$ to treat pa94 ,sec4 #fajc4 ,requir+ ,m$ic>e ,advantage plans & prescription drug plans to provide in=mation on ! safe disposal ( prescription drugs4 ,sec4 #fajd4 ,revis+ measures us$ "u ! ,hospital ,consum] ,assessm5t ( ,heal?c>e ,provid]s & ,sy/ems survey relat+ to pa9 managem5t4 ,subtitle ,l--,fight+ ! ,opioid ,epidemic ,) ,sun%9e ,sec4 #faaa4 ,fight+ ! opioid epidemic ) sun%9e4 ,title ,,vii--,public ,heal? ,provisions ,subtitle ,a--,aw>5ess & tra9+ ,sec4 #gjja4 ,report on effects on public heal? ( syn!tic drug use4 ,sec4 #gjjb4 ,fir/ respond] tra9+4 ,subtitle ,b--,pilot program = public heal? laboratories ,to detect f5tanyl & o!r syn!tic opioids ,sec4 #gjaa4 ,pilot program = public heal? laboratories to detect f5tanyl & o!r syn!tic opioids4 ,subtitle ,c--,index+ ,n>cotics1 ,f5tanyl1 & ,opioids ,sec4 #gjba4 ,e/abli%m5t ( sub/ance use disord] in=mation da%bo>d4 ,sec4 #gjbb4 ,int]dep>tm5tal ,sub/ance ,use ,disord]s ,coord9at+ ,committee4 ,sec4 #gjbc4 ,national mile/ones to measure success 9 curtail+ ! opioid crisis4 ,sec4 #gjbd4 ,/udy on prescrib+ limits4 ,subtitle ,d--,ensur+ ,access to ,quality ,sob] ,liv+ ,sec4 #gjca4 ,national recov]y h\s+ be/ practices4 ,subtitle ,e--,advanc+ ,cutt+ ,edge ,rese>* ,sec4 #gjda4 ,unique rese>* initiatives4 ,sec4 #gjdb4 ,pa9 rese>*4 ,subtitle ,f--,jessie's ,law ,sec4 #gjea4 ,inclusion ( opioid addiction hi/ory 9 pati5t records4 ,sec4 #gjeb4 ,communication ) families dur+ em]g5cies4 ,sec4 #gjec4 ,developm5t & dissem9ation ( model tra9+ programs = sub/ance use disord] pati5t records4 ,subtitle ,g--,protect+ ,pregnant ,wom5 & ,infants ,sec4 #gjfa4 ,report on address+ mat]nal & infant heal? 9 ! opioid crisis4 ,sec4 #gjfb4 ,protect+ moms & infants4 ,sec4 #gjfc4 ,e>ly int]v5tions = pregnant wom5 & infants4 ,sec4 #gjfd4 ,pr5atal & po/natal heal?4 ,sec4 #gjfe4 ,plans ( safe c>e4 ,subtitle ,h--,sub/ance ,use ,disord] ,treatm5t ,work=ce ,sec4 #gjga4 ,loan repaym5t program = sub/ance use disord] treatm5t work=ce4 ,sec4 #gjgb4 ,cl>ification reg>d+ s]vice 9 s*ools & o!r community-bas$ sett+s4 ,sec4 #gjgc4 ,programs = heal? c>e work=ce4 ,subtitle ,i--,prev5t+ ,ov]doses ,:ile 9 ,em]g5cy ,rooms ,sec4 #gjha4 ,program to support coord9ation & cont9uation ( c>e = drug ov]dose pati5ts4 ,subtitle ,j--,alt]natives to ,opioids 9 ! ,em]g5cy ,dep>tm5t ,sec4 #gjia4 ,em]g5cy dep>tm5t alt]natives to opioids demon/ration program4 ,subtitle ,k--,treatm5t1 ,education1 & ,community ,help ,to ,combat ,addiction ,sec4 #gaja4 ,e/abli%m5t ( regional c5t]s ( excell5ce 9 sub/ance use disord] education4 ,sec4 #gajb4 ,y\? prev5tion & recov]y4 ,subtitle ,l--,in=mation f ,national ,m5tal ,heal? & ,sub/ance ,use ,policy ,laboratory ,sec4 #gaaa4 ,in=mation f ,national ,m5tal ,heal? & ,sub/ance ,use ,policy ,laboratory4 ,subtitle ,m--,compreh5sive ,opioid ,recov]y ,c5t]s ,sec4 #gaba4 ,compreh5sive opioid recov]y c5t]s4 ,subtitle ,n--,trauma-,in=m$ ,c>e ,sec4 #gaca4 ,,cdc surveillance & data collection = *ild1 y\?1 & adult trauma4 ,sec4 #gacb4 ,task =ce to develop be/ practices = trauma-in=m$ id5tification1 ref]ral1 & support4 ,sec4 #gacc4 ,national ,*ild ,traumatic ,/ress ,initiative4 ,sec4 #gacd4 ,grants to improve trauma support s]vices & m5tal heal? c>e = *ildr5 & y\? 9 educational sett+s4 ,sec4 #gace4 ,recogniz+ e>ly *ildhood trauma relat$ to sub/ance abuse4 ,subtitle ,o--,elim9at+ ,opioid ,relat$ ,infecti\s ,diseases ,sec4 #gada4 ,reau?orization & expansion ( program ( surveillance & education reg>d+ infections associat$ ) illicit drug use & o!r risk factors4 ,subtitle ,p--,pe] ,support ,communities ( ,recov]y ,sec4 #gaea4 ,build+ communities ( recov]y4 ,sec4 #gaeb4 ,pe] support te*nical assi/ance c5t]4 ,subtitle ,q--,creat+ ,opportunities t ,necessitate ,new & ,enhanc$ ,connections ,t ,improve ,opioid ,navigation ,/rategies ,sec4 #gafa4 ,prev5t+ ov]doses ( controll$ sub/ances4 ,sec4 #gafb4 ,prescription drug monitor+ program4 ,subtitle ,r--,review ( sub/ance use disord] treatm5t provid]s receiv+ ,f$]al fund+ ,sec4 #gaga4 ,review ( sub/ance use disord] treatm5t provid]s receiv+ ,f$]al fund+4 ,subtitle ,s--,o!r heal? provisions ,sec4 #gaha4 ,/ate response to ! opioid abuse crisis4 ,sec4 #gahb4 ,report on inve/igations reg>d+ p>ity 9 m5tal heal? & sub/ance use disord] b5efits4 ,sec4 #gahc4 ,,c>e] ,act4 ,title ,,viii--,miscellane\s ,subtitle ,a--,syn!tics ,traffick+ & ,ov]dose ,prev5tion ,sec4 #hjja4 ,%ort title4 ,sec4 #hjjb4 ,cu/oms fees4 ,sec4 #hjjc4 ,m&atory advance electronic in=mation = po/al %ipm5ts4 ,sec4 #hjjd4 ,int]national po/al agreem5ts4 ,sec4 #hjje4 ,co/ rec\pm5t4 ,sec4 #hjjf4 ,developm5t ( te*nology to detect illicit n>cotics4 ,sec4 #hjjg4 ,civil p5alties = po/al %ipm5ts4 ,sec4 #hjjh4 ,report on violations ( arrival1 report+1 entry1 & cle>ance requirem5ts & falsity or lack ( manife/4 ,sec4 #hjji4 ,effective date2 regulations4 ,subtitle ,b--,opioid ,addiction ,recov]y ,fraud ,prev5tion ,sec4 #hjba4 ,%ort title4 ,sec4 #hjbb4 ,def9itions4 ,sec4 #hjbc4 ,unfair or deceptive acts or practices ) respect to sub/ance use disord] treatm5t s]vice & products4 ,subtitle ,c--,address+ economic & work=ce impacts ( ! opioid crisis ,sec4 #hjda4 ,address+ economic & work=ce impacts ( ! opioid crisis4 ,subtitle ,d--,pe] support c\nsel+ program = wom5 vet]ans ,sec4 #hjea4 ,pe] support c\nsel+ program = wom5 vet]ans4 ,subtitle ,e--,treat+ ,b>ri]s to ,prosp]ity ,sec4 #hjfa4 ,%ort title4 ,sec4 #hjfb4 ,drug abuse mitigation initiative4 ,subtitle ,f--,pilot program to help individuals 9 recov]y f a sub/ance use disord] become /ably h\s$ ,sec4 #hjga4 ,pilot program to help individuals 9 recov]y f a sub/ance use disord] become /ably h\s$4 ,subtitle ,g--,human ,s]vices ,sec4 #hjha4 ,support+ family-focus$ resid5tial treatm5t4 ,sec4 #hjhb4 ,improv+ recov]y & reunify+ families4 ,sec4 #hjhc4 ,build+ capacity = family-focus$ resid5tial treatm5t4 ,subtitle ,h--,reau?oriz+ & ,ext5d+ ,grants = ,recov]y f ,opioid ,use ,programs ,sec4 #hjia4 ,%ort title4 ,sec4 #hjib4 ,reau?orization ( ! compreh5sive opioid abuse grant program4 ,subtitle ,i--,fight+ ,opioid ,abuse 9 ,transportation ,sec4 #haja4 ,%ort title4 ,sec4 #hajb4 ,alcohol & controll$ sub/ance te/+ ( me*anical employees4 ,sec4 #hajc4 ,dep>tm5t ( ,transportation public drug & alcohol te/+ database4 ,sec4 #hajd4 ,,gao report on ,dep>tm5t ( ,transportation's collection & use ( drug & alcohol te/+ data4 ,sec4 #haje4 ,transportation ,workplace ,drug & ,alcohol ,te/+ ,program2 addition ( f5tanyl & o!r sub/ances4 ,sec4 #hajf4 ,/atus reports on hair te/+ guidel9es4 ,sec4 #hajg4 ,m&atory ,guidel9es = ,f$]al ,workplace ,drug ,te/+ ,programs us+ ,oral ,fluid4 ,sec4 #hajh4 ,electronic recordkeep+4 ,sec4 #haji4 ,/atus reports on ,comm]cial ,driv]'s ,lic5se ,drug & ,alcohol ,cle>+h\se4 ,subtitle ,j--,elim9at+ ,kickbacks 9 ,recov]y ,sec4 #haba4 ,%ort title4 ,sec4 #habb4 ,crim9al p5alties4 ,subtitle ,k--,sub/ance ,abuse ,prev5tion ,sec4 #hbja4 ,%ort title4 ,sec4 #hbjb4 ,reau?orization ( ! ,(fice ( ,national ,drug ,control ,policy4 ,sec4 #hbjc4 ,reau?orization ( ! ,drug-,free ,communities ,program4 ,sec4 #hbjd4 ,reau?orization ( ! ,national ,community ,anti-,drug ,coalition ,in/itute4 ,sec4 #hbje4 ,reau?orization ( ! ,high-,int5sity ,drug ,traffick+ ,area ,program4 ,sec4 #hbjf4 ,reau?orization ( drug c\rt program4 ,sec4 #hbjg4 ,drug c\rt tra9+ & te*nical assi/ance4 ,sec4 #hbjh4 ,drug ov]dose response /rategy4 ,sec4 #hbji4 ,protect+ law en=cem5t (fic]s f accid5tal exposure4 ,sec4 #hbaj4 ,,cops ,anti-,me? ,program4 ,sec4 #hbaa4 ,,cops anti-h]o9 task =ce program4 ,sec4 #hbab4 ,compreh5sive ,addiction & ,recov]y ,act education & aw>5ess4 ,sec4 #hbac4 ,reimbursem5t ( sub/ance use disord] treatm5t pr(essionals4 ,sec4 #hbad4 ,sobriety ,treatm5t & ,recov]y ,teams 7,,/>t74 ,sec4 #hbae4 ,provid] education4 ,sec4 #hbaf4 ,def9itions4 ,sec4 #hbag4 ,am5dm5ts to adm9i/ration ( ! ,(fice4 ,sec4 #hbah4 ,em]g+ ?reats committee1 plan1 & m$ia campaign4 ,sec4 #hbai4 ,drug int]diction4 ,sec4 #hbbj4 ,,gao ,audit4 ,sec4 #hbba4 ,national ,drug ,control ,/rategy4 ,sec4 #hbbb4 ,te*nical & con=m+ am5dm5ts to ! ,(fice ( ,national ,drug ,control ,policy ,reau?orization ,act ( #aiih4 ,subtitle ,l--,budget>y effects ,sec4 #hbca4 ,budget>y effect4 ,i ,m$icaid ,provisions to ,address ! ,opioid ,crisis #ajja4 ,at-risk y\? ,m$icaid protection 7a7 ,9 g5]al ,section #aijb ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;a7 is am5d$-- 7#a7 9 subsection 7a7-- 7,a7 by /rik+ & at ! end ( p>agraph 7#hb72 7,b7 by /rik+ ! p]iod at ! end ( p>agraph 7#hc7 & ins]t+ 2 &2 & 7,c7 by ins]t+ aft] p>agraph 7#hc7 ! foll[+ new p>agraph3 7#hd7 provide t-- 7,a7 ! ,/ate %all n t]m9ate eligibility = m$ical assi/ance "u ! ,/ate plan = an individual :o is an eligible juv5ile 7z def9$ 9 subsection 7nn77#b77 because ! juv5ile is an inmate ( a public in/itution 7z def9$ 9 subsection 7nn77#c771 b may susp5d cov]age dur+ ! p]iod ! juv5ile is su* an inmate2 7,b7 9 ! case ( an individual :o is an eligible juv5ile describ$ 9 p>agraph 7#b77;,a7 ( subsection 7nn71 ! ,/ate %all1 prior to ! individual's release f su* a public in/itution1 conduct a r$et]m9ation ( eligibility = su* individual ) respect to su* m$ical assi/ance 7)\t requir+ a new application f ! individual7 &1 if ! ,/ate det]m9es pursuant to su* r$et]m9ation t ! individual cont9ues to meet ! eligibility requirem5ts = su* m$ical assi/ance1 ! ,/ate %all re/ore cov]age = su* m$ical assi/ance to su* an individual ^u ! individual's release f su* public in/itution2 & 7,c7 9 ! case ( an individual :o is an eligible juv5ile describ$ 9 p>agraph 7#b77;,b7 ( subsection 7nn71 ! ,/ate %all process any application = m$ical assi/ance submitt$ by1 or on behalf (1 su* individual su* t ! ,/ate makes a det]m9ation ( eligibility = su* individual ) respect to su* m$ical assi/ance ^u release ( su* individual f su* public in/itution4 2 & 7#b7 by add+ at ! end ! foll[+ new subsection3 7nn7 ,juv5ile2 eligible juv5ile2 public in/itution ,= purposes ( subsection 7a77#hd7 & ?is subsection3 7#a7 ,juv5ile ,! t]m juv5ile means an individual :o is-- 7,a7 "u #ba ye>s ( age2 or 7,b7 describ$ 9 subsection 7a77#aj77;,a77i77,,ix74 7#b7 ,eligible juv5ile ,! t]m eligible juv5ile means a juv5ile :o is an inmate ( a public in/itution & :o-- 7,a7 0 det]m9$ eligible = m$ical assi/ance "u ! ,/ate plan imm$iately be=e becom+ an inmate ( su* a public in/itution2 or 7,b7 is det]m9$ eligible = su* m$ical assi/ance :ile an inmate ( a public in/itution4 7#c7 ,inmate ( a public in/itution ,! t]m inmate ( a public in/itution has ! mean+ giv5 su* t]m = purposes ( apply+ ! subdivision 7,a7 foll[+ p>agraph 7#cj7 ( section #aije7;a71 tak+ into acc\nt ! exception 9 su* subdivision = a pati5t ( a m$ical in/itution4 4 7b7 ,no *ange 9 exclusion f m$ical assi/ance = inmates ( public in/itutions ,no?+ 9 ?is section %all be con/ru$ z *ang+ ! exclusion f m$ical assi/ance "u ! subdivision 7,a7 foll[+ p>agraph 7#cj7 ( section #aije7;a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7a771 z r$esignat$ by section #ajjf7;b77#b77;,b7 ( ?is ,act1 includ+ any applicable re/rictions on a ,/ate submitt+ claims = ,f$]al f9ancial p>ticipation "u title ,,xix ( su* ,act = su* assi/ance4 7c7 ,no *ange 9 cont9uity ( eligibility be=e adjudication or s5t5c+ ,no?+ 9 ?is section %all be con/ru$ to m&ate1 enc\rage1 or sugge/ t a ,/ate susp5d or t]m9ate cov]age = individuals be=e !y h be5 adjudicat$ or s5t5c$4 7d7 ,effective date 7#a7 ,9 g5]al ,except z provid$ 9 p>agraph 7#b71 ! am5dm5ts made by subsection 7a7 %all apply to eligibility ( juv5iles :o become inmates ( public in/itutions on or aft] ! date t is #a ye> aft] ! date ( ! enactm5t ( ?is ,act4 7#b7 ,rule = *anges requir+ /ate legislation ,9 ! case ( a ,/ate plan = m$ical assi/ance "u title ,,xix ( ! ,social ,security ,act :i* ! ,secret>y ( ,heal? & ,human ,s]vices det]m9es requires ,/ate legislation 7o!r ?an legislation appropriat+ funds7 9 ord] = ! plan to meet ! additional requirem5ts impos$ by ! am5dm5ts made by subsection 7a71 ! ,/ate plan %all n be reg>d$ z fail+ to comply ) ! requirem5ts ( su* title solely on ! basis ( its failure to meet ^! additional requirem5ts be=e ! fir/ day ( ! fir/ cal5d> qu>t] beg9n+ aft] ! close ( ! fir/ regul> session ( ! ,/ate legislature t beg9s aft] ! date ( ! enactm5t ( ?is ,act4 ,= purposes ( ! previ\s s5t5ce1 9 ! case ( a ,/ate t has a #b-ye> legislative session1 ea* ye> ( su* session %all be deem$ to be a sep>ate regul> session ( ! ,/ate legislature4 #ajjb4 ,heal? insurance = =m] fo/] y\? 7a7 ,cov]age cont9uity = =m] fo/] c>e *ildr5 up to age #bf 7#a7 ,9 g5]al ,section #aijb7;a77#aj77;,a77i77,,ix7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;a7a77#aj77;,a77i77,,ix77 is am5d$-- 7,a7 9 item 7bb71 by /rik+ are n describ$ 9 or enroll$ "u & ins]t+ are n describ$ 9 & are n enroll$ "u2 7,b7 9 item 7cc71 by /rik+ responsibility ( ! ,/ate & ins]t+ responsibility ( a ,/ate2 & 7,c7 9 item 7dd71 by /rik+ ! ,/ate plan "u ?is title or "u a waiv] ( ! & ins]t+ a ,/ate plan "u ?is title or "u a waiv] ( su* a4 7#b7 ,effective date ,! am5dm5ts made by ?is subsection %all take effect ) respect to fo/] y\? :o atta9 #ah ye>s ( age on or aft] ,janu>y #a1 #bjbc4 7b7 ,guidance ,n lat] ?an #a ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all issue guidance to ,/ates1 ) respect to ! ,/ate ,m$icaid programs ( su* ,/ates-- 7#a7 on be/ practices =-- 7,a7 remov+ b>ri]s & ensur+ /reaml9$1 timely access to ,m$icaid cov]age = =m] fo/] y\? up to age #bf2 & 7,b7 conduct+ outrea* & rais+ aw>5ess among su* y\? reg>d+ ,m$icaid cov]age options = su* y\?2 & 7#b7 :i* %all include examples ( ,/ates t h successfully ext5d$ ,m$icaid cov]age to =m] fo/] y\? up to age #bf4 #ajjc4 ,demon/ration project to increase sub/ance use provid] capacity "u ! ,m$icaid program ,section #aijc ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;b7 is am5d$ by add+ at ! end ! foll[+ new subsection3 7aa7 ,demon/ration project ,to increase sub/ance use provid] capacity 7#a7 ,9 g5]al ,n lat] ?an ! date t is #ahj days aft] ! date ( ! enactm5t ( ?is subsection1 ! ,secret>y %all1 9 consultation1 z appropriate1 ) ! ,director ( ! ,ag5cy = ,heal?c>e ,rese>* & ,quality & ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use1 conduct a #ed-mon? demon/ration project = ! purpose describ$ 9 p>agraph 7#b7 "u :i* ! ,secret>y %all-- 7,a7 = ! fir/ #ah-mon? p]iod ( su* project1 aw>d plann+ grants describ$ 9 p>agraph 7#c72 & 7,b7 = ! rema9+ #cf-mon? p]iod ( su* project1 provide to ea* ,/ate select$ "u p>agraph 7#d7 paym5ts 9 accordance ) p>agraph 7#e74 7#b7 ,purpose ,! purpose describ$ 9 ?is p>agraph is = ea* ,/ate select$ "u p>agraph 7#d7 to increase ! treatm5t capacity ( provid]s p>ticipat+ "u ! ,/ate plan 7or a waiv] ( su* plan7 to provide sub/ance use disord] treatm5t or recov]y s]vices "u su* plan 7or waiv]7 ?r\gh ! foll[+ activities3 7,a7 ,= ! purpose describ$ 9 p>agraph 7#c77;,c77i71 activities t support an ongo+ assessm5t ( ! behavioral heal? treatm5t ne$s ( ! ,/ate1 tak+ into acc\nt ! matt]s describ$ 9 subclauses 7,i7 ?r\gh 7,,iv7 ( su* p>agraph4 7,b7 ,activities t1 tak+ into acc\nt ! results ( ! assessm5t describ$ 9 subp>agraph 7,a71 support ! recruitm5t1 tra9+1 & provision ( te*nical assi/ance = provid]s p>ticipat+ "u ! ,/ate plan 7or a waiv] ( su* plan7 t (f] sub/ance use disord] treatm5t or recov]y s]vices4 7,c7 ,improv$ reimbursem5t = & expansion (1 ?r\gh ! provision ( education1 tra9+1 & te*nical assi/ance1 ! numb] or treatm5t capacity ( provid]s p>ticipat+ "u ! ,/ate plan 7or waiv]7 t-- 7i7 are au?oriz$ to disp5se drugs approv$ by ! ,food & ,drug ,adm9i/ration = individuals ) a sub/ance use disord] :o ne$ )drawal managem5t or ma9t5ance treatm5t = su* disord]2 7ii7 h 9 effect a regi/ration or waiv] "u section #cjc7;g7 ( ! ,controll$ ,sub/ances ,act = purposes ( disp5s+ n>cotic drugs to individuals = ma9t5ance treatm5t or detoxification treatm5t & are 9 compliance ) any regulation promulgat$ by ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use = purposes ( c>ry+ out ! requirem5ts ( su* section #cjc7;g72 & 7iii7 are qualifi$ "u applicable ,/ate law to provide sub/ance use disord] treatm5t or recov]y s]vices4 7,d7 ,improv$ reimbursem5t = & expansion (1 ?r\gh ! provision ( education1 tra9+1 & te*nical assi/ance1 ! numb] or treatm5t capacity ( provid]s p>ticipat+ "u ! ,/ate plan 7or waiv]7 t h ! qualifications to address ! treatm5t or recov]y ne$s (-- 7i7 individuals enroll$ "u ! ,/ate plan 7or a waiv] ( su* plan7 :o h neonatal ab/95ce syndrome1 9 accordance ) guidel9es issu$ by ! ,am]ican ,academy ( ,p$iatrics & ,am]ican ,college ( ,ob/etricians & ,gynecologi/s relat+ to mat]nal c>e & infant c>e ) respect to neonatal ab/95ce syndrome2 7ii7 pregnant wom51 po/p>tum wom51 & infants1 p>ticul>ly ! concurr5t treatm5t1 z appropriate1 & compreh5sive case managem5t ( pregnant wom51 po/p>tum wom5 & infants1 enroll$ "u ! ,/ate plan 7or a waiv] ( su* plan72 7iii7 adolesc5ts & "y adults betwe5 ! ages ( #ab & #ba enroll$ "u ! ,/ate plan 7or a waiv] ( su* plan72 or 7iv7 ,am]ican ,indian & ,alaska ,native individuals enroll$ "u ! ,/ate plan 7or a waiv] ( su* plan74 7#c7 ,plann+ grants 7,a7 ,9 g5]al ,! ,secret>y %all1 ) respect to ! fir/ #ah-mon? p]iod ( ! demon/ration project conduct$ "u p>agraph 7#a71 aw>d plann+ grants to at lea/ #aj ,/ates select$ 9 accordance ) subp>agraph 7,b7 = purposes ( prep>+ an application describ$ 9 p>agraph 7#d77;,c7 & c>ry+ out ! activities describ$ 9 subp>agraph 7,c74 7,b7 ,selection ,9 select+ ,/ates = purposes ( ?is p>agraph1 ! ,secret>y %all-- 7i7 select ,/ates t h a ,/ate plan 7or waiv] ( ! ,/ate plan7 approv$ "u ?is title2 7ii7 select ,/ates 9 a mann] t ensures geographic div]sity2 & 7iii7 give pref]5ce to ,/ates ) a preval5ce ( sub/ance use disord]s 79 p>ticul> opioid use disord]s7 t is comp>able to or high] ?an ! national av]age preval5ce1 z measur$ by aggregate p] capita drug ov]doses1 or any o!r measure t ! ,secret>y deems appropriate4 7,c7 ,activities describ$ ,activities describ$ 9 ?is subp>agraph are1 ) respect to a ,/ate1 ea* ( ! foll[+3 7i7 ,activities t support ! developm5t ( an initial assessm5t ( ! behavioral heal? treatm5t ne$s ( ! ,/ate to det]m9e ! ext5t to :i* provid]s are ne$$ 7includ+ ! types ( su* provid]s & geographic area ( ne$7 to improve ! network ( provid]s t treat sub/ance use disord]s "u ! ,/ate plan 7or waiv]71 includ+ ! foll[+3 7,i7 ,an e/imate ( ! numb] ( individuals enroll$ "u ! ,/ate plan 7or a waiv] ( su* plan7 :o h a sub/ance use disord]4 7,,ii7 ,in=mation on ! capacity ( provid]s to provide sub/ance use disord] treatm5t or recov]y s]vices to individuals enroll$ "u ! ,/ate plan 7or waiv]71 includ+ in=mation on provid]s :o provide su* s]vices & _! p>ticipation "u ! ,/ate plan 7or waiv]74 7,,iii7 ,in=mation on ! gap 9 sub/ance use disord] treatm5t or recov]y s]vices "u ! ,/ate plan 7or waiv]7 bas$ on ! in=mation describ$ 9 subclauses 7,i7 & 7,,ii74 7,,iv7 ,projections reg>d+ ! ext5t to :i* ! ,/ate p>ticipat+ "u ! demon/ration project w\ld increase ! numb] ( provid]s (f]+ sub/ance use disord] treatm5t or recov]y s]vices "u ! ,/ate plan 7or waiv]7 dur+ ! p]iod ( ! demon/ration project4 7ii7 ,activities t1 tak+ into acc\nt ! results ( ! assessm5t describ$ 9 clause 7i71 support ! developm5t ( ,/ate infra/ructure to1 ) respect to ! provision ( sub/ance use disord] treatm5t or recov]y s]vices "u ! ,/ate plan 7or a waiv] ( su* plan71 recruit prospective provid]s & provide tra9+ & te*nical assi/ance to su* provid]s4 7,d7 ,fund+ ,= purposes ( subp>agraph 7,a71 !re is appropriat$1 out ( any funds 9 ! ,treasury n o!rwise appropriat$1 #ej1jjj1jjj1 to rema9 available until exp5d$4 7#d7 ,po/-plann+ ,/ates 7,a7 ,9 g5]al ,! ,secret>y %all1 ) respect to ! rema9+ #cf-mon? p]iod ( ! demon/ration project conduct$ "u p>agraph 7#a71 select n m ?an #e ,/ates 9 accordance ) subp>agraph 7,b7 = purposes ( c>ry+ out ! activities describ$ 9 p>agraph 7#b7 & receiv+ paym5ts 9 accordance ) p>agraph 7#e74 7,b7 ,selection ,9 select+ ,/ates = purposes ( ?is p>agraph1 ! ,secret>y %all-- 7i7 select ,/ates t receiv$ a plann+ grant "u p>agraph 7#c72 7ii7 select ,/ates t submit to ! ,secret>y an application 9 accordance ) ! requirem5ts 9 subp>agraph 7,c71 tak+ into consid]ation ! quality ( ea* su* application2 7iii7 select ,/ates 9 a mann] t ensures geographic div]sity2 & 7iv7 give pref]5ce to ,/ates ) a preval5ce ( sub/ance use disord]s 79 p>ticul> opioid use disord]s7 t is comp>able to or high] ?an ! national av]age preval5ce1 z measur$ by aggregate p] capita drug ov]doses1 or any o!r measure t ! ,secret>y deems appropriate4 7,c7 ,applications 7i7 ,9 g5]al ,a ,/ate seek+ to be select$ = purposes ( ?is p>agraph %all submit to ! ,secret>y1 at su* "t & 9 su* =m & mann] z ! ,secret>y requires1 an application t includes su* in=mation1 provisions1 & assurances1 z ! ,secret>y may require1 9 addition to ! foll[+3 7,i7 ,a propos$ process = c>ry+ out ! ongo+ assessm5t describ$ 9 p>agraph 7#b77;,a71 tak+ into acc\nt ! results ( ! initial assessm5t describ$ 9 p>agraph 7#c77;,c77i74 7,,ii7 ,a review ( reimbursem5t me?odologies & o!r policies relat$ to sub/ance use disord] treatm5t or recov]y s]vices "u ! ,/ate plan 7or waiv]7 t may create b>ri]s to increas+ ! numb] ( provid]s deliv]+ su* s]vices4 7,,iii7 ,! developm5t ( a plan1 tak+ into acc\nt activities c>ri$ out "u p>agraph 7#c77;,c77ii71 t w result 9 long-t]m & su/a9able provid] networks "u ! ,/ate plan 7or waiv]7 t w (f] a cont9uum ( c>e = sub/ance use disord]s4 ,su* plan %all include ! foll[+3 7aa7 ,specific activities to increase ! numb] ( provid]s 7includ+ provid]s t specialize 9 provid+ sub/ance use disord] treatm5t or recov]y s]vices1 hospitals1 heal? c>e sy/ems1 ,f$]ally qualifi$ heal? c5t]s1 &1 z applicable1 c]tifi$ community behavioral heal? cl9ics7 t (f] sub/ance use disord] treatm5t1 recov]y1 or support s]vices1 includ+ %ort-t]m detoxification s]vices1 outpati5t sub/ance use disord] s]vices1 & evid5ce-bas$ pe] recov]y s]vices4 7bb7 ,/rategies t w inc5tivize provid]s describ$ 9 subp>agraphs 7,c7 & 7,d7 ( p>agraph 7#b7 to obta9 ! necess>y tra9+1 education1 & support to deliv] sub/ance use disord] treatm5t or recov]y s]vices 9 ! ,/ate4 7cc7 ,mile/ones & timel9ess = implem5t+ activities set =? 9 ! plan4 7dd7 ,specific measurable t>gets = increas+ ! sub/ance use disord] treatm5t & recov]y provid] network "u ! ,/ate plan 7or a waiv] ( su* plan74 7,,iv7 ,a propos$ process = report+ ! in=mation requir$ "u p>agraph 7#f77;,a71 includ+ in=mation to assess ! effectiv5ess ( ! ef=ts ( ! ,/ate to exp& ! capacity ( provid]s to deliv] sub/ance use disord] treatm5t or recov]y s]vices dur+ ! p]iod ( ! demon/ration project "u ?is subsection4 7,v7 ,! expect$ f9ancial impact ( ! demon/ration project "u ?is subsection on ! ,/ate4 7,,vi7 ,a description ( all fund+ s\rces available to ! ,/ate to provide sub/ance use disord] treatm5t or recov]y s]vices 9 ! ,/ate4 7,,vii7 ,a prelim9>y plan = h[ ! ,/ate w su/a9 any increase 9 ! capacity ( provid]s to deliv] sub/ance use disord] treatm5t or recov]y s]vices result+ f ! demon/ration project "u ?is subsection aft] ! t]m9ation ( su* demon/ration project4 7,,viii7 ,a description ( h[ ! ,/ate w coord9ate ! goals ( ! demon/ration project ) any waiv] grant$ 7or submitt$ by ! ,/ate & p5d+7 pursuant to section #aaae = ! deliv]y ( sub/ance use s]vices "u ! ,/ate plan1 z applicable4 7ii7 ,consultation ,9 complet+ an application "u clause 7i71 a ,/ate %all consult ) relevant /akehold]s1 includ+ ,m$icaid manag$ c>e plans1 heal? c>e provid]s1 & ,m$icaid b5efici>y advocates1 & include 9 su* application a description ( su* consultation4 7#e7 ,paym5t 7,a7 ,9 g5]al ,= ea* qu>t] occurr+ dur+ ! p]iod = :i* ! demon/ration project is conduct$ 7aft] ! fir/ #ah mon?s ( su* p]iod71 ! ,secret>y %all pay "u ?is subsection1 subject to subp>agraph 7,c71 to ea* ,/ate select$ "u p>agraph 7#d7 an am\nt equal to #hj p]c5t ( s mu* ( ! qualifi$ sums exp5d$ dur+ su* qu>t]4 7,b7 ,qualifi$ sums def9$ ,= purposes ( subp>agraph 7,a71 ! t]m qualifi$ sums means1 ) respect to a ,/ate & a qu>t]1 ! am\nt equal to ! am\nt 7if any7 by :i* ! sums exp5d$ by ! ,/ate dur+ su* qu>t] attributable to sub/ance use disord] treatm5t or recov]y s]vices furni%$ by provid]s p>ticipat+ "u ! ,/ate plan 7or a waiv] ( su* plan7 exce$s #a_/d ( su* sums exp5d$ by ! ,/ate dur+ fiscal ye> #bjah attributable to sub/ance use disord] treatm5t or recov]y s]vices4 7,c7 ,non-duplication ( paym5t ,9 ! case t paym5t is made "u subp>agraph 7,a7 ) respect to exp5ditures = sub/ance use disord] treatm5t or recov]y s]vices furni%$ by provid]s p>ticipat+ "u ! ,/ate plan 7or a waiv] ( su* plan71 paym5t may n also be made "u subsection 7a7 ) respect to exp5ditures = ! same s]vices s furni%$4 7#f7 ,reports 7,a7 ,/ate reports ,a ,/ate receiv+ paym5ts "u p>agraph 7#e7 %all1 = ! p]iod ( ! demon/ration project "u ?is subsection1 submit to ! ,secret>y a qu>t]ly report1 ) respect to exp5ditures = sub/ance use disord] treatm5t or recov]y s]vices = :i* paym5t is made to ! ,/ate "u ?is subsection1 on ! foll[+3 7i7 ,! specific activities ) respect to :i* paym5t "u ?is subsection 0 provid$4 7ii7 ,! numb] ( provid]s t deliv]$ sub/ance use disord] treatm5t or recov]y s]vices 9 ! ,/ate "u ! demon/ration project comp>$ to ! e/imat$ numb] ( provid]s t w\ld h o!rwise deliv]$ su* s]vices 9 ! abs5ce ( su* demon/ration project4 7iii7 ,! numb] ( individuals enroll$ "u ! ,/ate plan 7or a waiv] ( su* plan7 :o receiv$ sub/ance use disord] treatm5t or recov]y s]vices "u ! demon/ration project comp>$ to ! e/imat$ numb] ( su* individuals :o w\ld h o!rwise receiv$ su* s]vices 9 ! abs5ce ( su* demon/ration project4 7iv7 ,o!r matt]s z det]m9$ by ! ,secret>y4 7,b7 ,,cms reports 7i7 ,initial report ,n lat] ?an ,octob] #a1 #bjbj1 ! ,adm9i/rator ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices %all1 9 consultation ) ! ,director ( ! ,ag5cy = ,heal?c>e ,rese>* & ,quality & ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use1 submit to ,congress an initial report on-- 7,i7 ! ,/ates aw>d$ plann+ grants "u p>agraph 7#c72 7,,ii7 ! crit]ia us$ 9 su* selection2 & 7,,iii7 ! activities c>ri$ out by su* ,/ates "u su* plann+ grants4 7ii7 ,int]im report ,n lat] ?an ,octob] #a1 #bjbb1 ! ,adm9i/rator ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices %all1 9 consultation ) ! ,director ( ! ,ag5cy = ,heal?c>e ,rese>* & ,quality & ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use1 submit to ,congress an int]im report-- 7,i7 on activities c>ri$ out "u ! demon/ration project "u ?is subsection2 7,,ii7 on ! ext5t to :i* ,/ates select$ "u p>agraph 7#d7 h a*iev$ ! /at$ goals submitt$ 9 _! applications "u subp>agraph 7,c7 ( su* p>agraph2 7,,iii7 ) a description ( ! /r5g?s & limitations ( su* demon/ration project2 & 7,,iv7 ) a plan = ! su/a9ability ( su* project4 7iii7 ,f9al report ,n lat] ?an ,octob] #a1 #bjbd1 ! ,adm9i/rator ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices %all1 9 consultation ) ! ,director ( ! ,ag5cy = ,heal?c>e ,rese>* & ,quality & ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use1 submit to ,congress a f9al report-- 7,i7 provid+ updates on ! matt]s report$ 9 ! int]im report "u clause 7ii72 7,,ii7 includ+ a description ( any *anges made ) respect to ! demon/ration project "u ?is subsection aft] ! submission ( su* int]im report2 & 7,,iii7 evaluat+ su* demon/ration project4 7,c7 ,,ahrq report ,n lat] ?an #c ye>s aft] ! date ( ! enactm5t ( ?is subsection1 ! ,director ( ! ,ag5cy = ,heal?c>e ,rese>* & ,quality1 9 consultation ) ! ,adm9i/rator ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices1 %all submit to ,congress a summ>y on ! exp]i5ces ( ,/ates aw>d$ plann+ grants "u p>agraph 7#c7 & ,/ates select$ "u p>agraph 7#d74 7#g7 ,data %>+ & be/ practices ,dur+ ! p]iod ( ! demon/ration project "u ?is subsection1 ! ,secret>y %all1 9 collaboration ) ,/ates select$ "u p>agraph 7#d71 facilitate data %>+ & ! developm5t ( be/ practices betwe5 su* ,/ates & ,/ates t 7 n s select$4 7#h7 ,,cms fund+ ,!re is appropriat$1 out ( any funds 9 ! ,treasury n o!rwise appropriat$1 #e1jjj1jjj to ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices = purposes ( implem5t+ ?is subsection4 ,su* am\nt %all rema9 available until exp5d$4 4 #ajjd4 ,m$icaid drug review & utilization 7a7 ,m$icaid drug utilization review 7#a7 ,/ate plan requirem5t ,section #aijb7;a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;a7a771 z am5d$ by section #ajja1 is fur!r am5d$-- 7,a7 9 p>agraph 7#hc71 at ! end1 by /rik+ &2 7,b7 9 p>agraph 7#hd71 at ! end1 by /rik+ ! p]iod & ins]t+ 2 &2 & 7,c7 by ins]t+ aft] p>agraph 7#hd7 ! foll[+ new p>agraph3 7#he7 provide t ! ,/ate is 9 compliance ) ! drug review & utilization requirem5ts "u subsection 7oo77#a74 4 7#b7 ,drug review & utilization requirem5ts ,section #aijb ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;a71 z am5d$ by section #ajja1 is fur!r am5d$ by add+ at ! end ! foll[+ new subsection3 7oo7 ,drug review & utilization requirem5ts 7#a7 ,9 g5]al ,= purposes ( subsection 7a77#he71 ! drug review & utilization requirem5ts "u ?is subsection are1 subject to p>agraph 7#c7 & beg9n+ ,octob] #a1 #bjai1 ! foll[+3 7,a7 ,claims review limitations 7i7 ,9 g5]al ,! ,/ate has 9 place-- 7,i7 safety edits 7z specifi$ by ! ,/ate7 = subsequ5t fills = opioids & a claims review automat$ process 7z design$ & implem5t$ by ! ,/ate7 t indicates :5 an individual enroll$ "u ! ,/ate plan 7or "u a waiv] ( ! ,/ate plan7 is prescrib$ a subsequ5t fill ( opioids 9 excess ( any limitation t may be id5tifi$ by ! ,/ate2 7,,ii7 safety edits 7z specifi$ by ! ,/ate7 on ! maximum daily morph9e equival5t t c be prescrib$ to an individual enroll$ "u ! ,/ate plan 7or "u a waiv] ( ! ,/ate plan7 = treatm5t ( *ronic pa9 & a claims review automat$ process 7z design$ & implem5t$ by ! ,/ate7 t indicates :5 an individual enroll$ "u ! plan 7or waiv]7 is prescrib$ ! morph9e equival5t = su* treatm5t 9 excess ( any limitation t may be id5tifi$ by ! ,/ate2 & 7,,iii7 a claims review automat$ process 7z design$ & implem5t$ by ! ,/ate7 t monitors :5 an individual enroll$ "u ! ,/ate plan 7or "u a waiv] ( ! ,/ate plan7 is concurr5tly prescrib$ opioids &-- 7aa7 b5zodiazep9es2 or 7bb7 antipsy*otics4 7ii7 ,manag$ c>e entities ,! ,/ate requires ea* manag$ c>e entity 7z def9$ 9 section #aicb7;a77#a77;,b77 ) respect to :i* ! ,/ate has a contract "u section #aijc7m7 or "u section #aije7t77#c7 to h 9 place1 subject to p>agraph 7#c71 ) respect to individuals :o are eligible = m$ical assi/ance "u ! ,/ate plan 7or "u a waiv] ( ! ,/ate plan7 & :o are enroll$ ) ! entity1 ! limitations describ$ 9 subclauses 7,i7 & 7,,ii7 ( clause 7i7 & a claims review automat$ process describ$ 9 subclause 7,,iii7 ( su* clause4 7iii7 ,rules ( con/ruction ,no?+ 9 ?is subp>agraph may be con/ru$ z prohibit+ a ,/ate or manag$ c>e entity f design+ & implem5t+ a claims review automat$ process "u ?is subp>agraph t provides = prospective or retrospective reviews ( claims4 ,no?+ 9 ?is subp>agraph %all be und]/ood z prohibit+ ! ex]cise ( cl9ical judgm5t f a provid] enroll$ z a p>ticipat+ provid] 9 a ,/ate plan 7or waiv] ( ! ,/ate plan7 or contract+ ) a manag$ c>e entity reg>d+ ! be/ items & s]vices = an individual enroll$ "u su* ,/ate plan 7or waiv]74 7,b7 ,program to monitor antipsy*otic m$ications by *ildr5 ,! ,/ate has 9 place a program 7z design$ & implem5t$ by ! ,/ate7 to monitor & manage ! appropriate use ( antipsy*otic m$ications by *ildr5 enroll$ "u ! ,/ate plan 7or "u a waiv] ( ! ,/ate plan7 & submits annually to ! ,secret>y su* in=mation z ! ,secret>y may require on activities c>ri$ out "u su* program = individuals n m ?an ! age ( #ah ye>s g5]ally & *ildr5 9 fo/] c>e specifically4 7,c7 ,fraud & abuse id5tification ,! ,/ate has 9 place a process 7z design$ & implem5t$ by ! ,/ate7 t id5tifies pot5tial fraud or abuse ( controll$ sub/ances by individuals enroll$ "u ! ,/ate plan 7or "u a waiv] ( ! ,/ate plan71 heal? c>e provid]s prescrib+ drugs to individuals s enroll$1 & ph>macies disp5s+ drugs to individuals s enroll$4 7,d7 ,reports ,! ,/ate %all include 9 ! annual report submitt$ to ! ,secret>y "u section #aibg7;g77#c77;,d7 in=mation on ! limitations1 requirem5t1 program1 & processes appli$ by ! ,/ate "u subp>agraphs 7,a7 ?r\gh 7,c7 9 accordance ) su* mann] & "t z specifi$ by ! ,secret>y4 7,e7 ,cl>ification ,no?+ %all prev5t a ,/ate f satisfy+ ! requirem5t-- 7i7 describ$ 9 subp>agraph 7,a7 by hav+ safety edits or a claims review automat$ process describ$ 9 su* subp>agraph t 0 9 place be=e ,octob] #a1 #bjai2 7ii7 describ$ 9 subp>agraph 7,b7 by hav+ a program describ$ 9 su* subp>agraph t 0 9 place be=e su* date2 or 7iii7 describ$ 9 subp>agraph 7,c7 by hav+ a process describ$ 9 su* subp>agraph t 0 9 place be=e su* date4 7#b7 ,annual report by ,secret>y ,= ea* fiscal ye> beg9n+ ) fiscal ye> #bjbj1 ! ,secret>y %all submit to ,congress a report on ! mo/ rec5t in=mation submitt$ by ,/ates "u p>agraph 7#a77;,d74 7#c7 ,exceptions 7,a7 ,c]ta9 individuals exempt$ ,! drug review & utilization requirem5ts "u ?is subsection %all n apply ) respect to an individual :o-- 7i7 is receiv+-- 7,i7 hospice or palliative c>e2 or 7,,ii7 treatm5t = canc]2 7ii7 is a resid5t ( a long-t]m c>e facility1 ( a facility describ$ 9 section #aije7;d71 or ( ano!r facility = :i* frequ5tly abus$ drugs are disp5s$ = resid5ts ?r\gh a contract ) a s+le ph>macy2 or 7iii7 ! ,/ate elects to treat z exempt$ f su* requirem5ts4 7,b7 ,exception relat+ to ensur+ access ,9 ord] to ensure reasonable access to heal? c>e1 ! ,secret>y %all waive ! drug review & utilization requirem5ts "u ?is subsection1 ) respect to a ,/ate1 9 ! case ( natural disa/]s & simil> situations1 & 9 ! case ( ! provision ( em]g5cy s]vices 7z def9$ = purposes ( section #ahfj;,d-#d7;c77#e77;,d77ii77,,ii774 4 7#c7 ,manag$ c>e entities ,section #aicb ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acifu-#b7 is am5d$ by add+ at ! end ! foll[+ new subsection3 7i7 ,drug utilization review activities & requirem5ts ,beg9n+ n lat] ?an ,octob] #a1 #bjai1 ea* contract "u a ,/ate plan ) a manag$ c>e entity 7o!r ?an a prim>y c>e case manag]7 "u section #aijc7m7 %all provide t ! entity is 9 compliance ) ! applicable provisions ( section #dch4c7s77#b7 ( title #db1 ,code ( ,f$]al ,regulations1 section #dhc4c7s77#d77 ( su* title1 & section #dhc4c7s77#e7 ( su* title1 z su* provisions 7 9 effect on ,m>* #ca1 #bjah4 4 7b7 ,id5tify+ & address+ inappropriate prescrib+ & bill+ practices "u ,m$icaid 7#a7 ,9 g5]al ,section #aibg7;g7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acifr-#h7;g77 is am5d$-- 7,a7 9 p>agraph 7#a77;,a7-- 7i7 by /rik+ ( section #aijc7;i77#aj77;,b7 & ins]t+ ( section #aijb7;a77#ed72 7ii7 by /rik+ 1 by n lat] ?an ,janu>y #a1 #aiic12 7iii7 by ins]t+ aft] gross ov]use1 ! foll[+3 excessive utilization12 & 7iv7 by /rik+ or inappropriate or m$ically unnecess>y c>e & ins]t+ inappropriate or m$ically unnecess>y c>e1 or prescrib+ or bill+ practices t indicate abuse or excessive utilization2 & 7,b7 9 p>agraph 7#b77;,b7-- 7i7 by ins]t+ aft] gross ov]use1 ! foll[+3 excessive utilization12 & 7ii7 by /rik+ or inappropriate or m$ically unnecess>y c>e & ins]t+ inappropriate or m$ically unnecess>y c>e1 or prescrib+ or bill+ practices t indicate abuse or excessive utilization4 7#b7 ,effective date ,! am5dm5ts made by p>agraph 7#a7 %all take effect ) respect to retrospective drug use reviews conduct$ on or aft] ,octob] #a1 #bjbj4 #ajje4 ,guidance to improve c>e = infants ) neonatal ab/95ce syndrome & _! mo!rs2 ,,gao /udy on gaps 9 ,m$icaid cov]age = pregnant & po/p>tum wom5 ) sub/ance use disord] 7a7 ,guidance ,n lat] ?an #a ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all issue guidance to improve c>e = infants ) neonatal ab/95ce syndrome & _! families4 ,su* guidance %all include-- 7#a7 be/ practices f ,/ates ) respect to innovative or evid5c$-bas$ paym5t models t focus on prev5tion1 scre5+1 treatm5t1 plans ( safe c>e1 & po/dis*>ge s]vices = mo!rs & fa!rs ) sub/ance use disord]s & babies ) neonatal ab/95ce syndrome t improve c>e & cl9ical outcomes2 7#b7 recomm5dations = ,/ates on available f9anc+ options "u ! ,m$icaid program "u title ,,xix ( su* ,act & "u ! ,*ildr5's ,heal? ,insurance ,program "u title ,,xxi ( su* ,act = ,*ildr5's ,heal? ,insurance ,program ,heal? ,s]vices ,initiative funds = p>5ts ) sub/ance use disord]s1 infants ) neonatal ab/95ce syndrome1 & home-visit+ s]vices2 7#c7 guidance & te*nical assi/ance to ,/ate ,m$icaid ag5cies reg>d+ additional flexibilities & inc5tives relat$ to scre5+1 prev5tion1 & po/dis*>ge s]vices1 includ+ p>5t+ supports1 & infant-c>egiv] bond+1 includ+ brea/fe$+ :5 x is appropriate2 & 7#d7 guidance reg>d+ sugge/$ t]m9ology & ,,icd codes to id5tify infants ) neonatal ab/95ce syndrome & neonatal opioid )drawal syndrome1 :i* c\ld include opioid-exposure1 opioid )drawal n requir+ ph>maco!rapy1 & opioid )drawal requir+ ph>maco!rapy4 7b7 ,,gao /udy ,n lat] ?an #a ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all conduct a /udy1 & submit to ,congress a report1 address+ gaps 9 cov]age = pregnant wom5 ) sub/ance use disord] "u ! ,m$icaid program "u title ,,xix ( ! ,social ,security ,act1 & gaps 9 cov]age = po/p>tum wom5 ) sub/ance use disord] :o _h cov]age dur+ _! pregnancy "u ! ,m$icaid program "u su* title4 #ajjf4 ,m$icaid heal? homes = sub/ance-use-disord] ,m$icaid enrollees 7a7 ,ext5sion ( enhanc$ ,,fmap = c]ta9 heal? homes = individuals ) sub/ance use disord]s ,section #aide7;c7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acifw-#d7;c77 is am5d$-- 7#a7 9 p>agraph 7#a71 by ins]t+ subject to p>agraph 7#d71 aft] except t12 & 7#b7 by add+ at ! end ! foll[+ new p>agraph3 7#d7 ,special rule relat+ to sub/ance use disord] heal? homes 7,a7 ,9 g5]al ,9 ! case ( a ,/ate ) an ,,sud-focus$ ,/ate plan am5dm5t approv$ by ! ,secret>y on or aft] ,octob] #a1 #bjah1 ! ,secret>y may1 at ! reque/ ( ! ,/ate1 ext5d ! application ( ! ,f$]al m$ical assi/ance p]c5tage describ$ 9 p>agraph 7#a7 to paym5ts = ! provision ( heal? home s]vices to ,,sud-eligible individuals "u su* ,/ate plan am5dm5t1 9 addition to ! fir/ #h fiscal ye> qu>t]s ! ,/ate plan am5dm5t is 9 effect1 = ! subsequ5t #b fiscal ye> qu>t]s t ! ,/ate plan am5dm5t is 9 effect4 ,no?+ 9 ?is section %all be con/ru$ z prohibit+ a ,/ate ) a ,/ate plan am5dm5t t is approv$ "u ?is section & t is n an ,,sud-focus$ ,/ate plan am5dm5t f additionally hav+ approv$ on or aft] su* date an ,,sud-focus$ ,/ate plan am5dm5t "u ?is section1 includ+ = purposes ( application ( ?is p>agraph4 7,b7 ,report requirem5ts ,9 ! case ( a ,/ate ) an ,,sud-focus$ ,/ate plan am5dm5t = :i* ! application ( ! ,f$]al m$ical assi/ance p]c5tage has be5 ext5d$ "u subp>agraph 7,a71 su* ,/ate %all1 at ! end ( ! p]iod ( su* ,/ate plan am5dm5t1 submit to ! ,secret>y a report on ! foll[+1 ) respect to ,,sud-eligible individuals provid$ heal? home s]vices "u su* ,/ate plan am5dm5t3 7i7 ,! quality ( heal? c>e provid$ to su* individuals1 ) a focus on outcomes relevant to ! recov]y ( ea* su* individual4 7ii7 ,! access ( su* individuals to heal? c>e4 7iii7 ,! total exp5ditures ( su* individuals = heal? c>e4 ,= purposes ( ?is subp>agraph1 ! ,secret>y %all specify all applicable measures = det]m9+ quality1 access1 & exp5ditures4 7,c7 ,be/ practices ,n lat] ?an ,octob] #a1 #bjbj1 ! ,secret>y %all make publicly available on ! int]net website ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices be/ practices = design+ & implem5t+ an ,,sud-focus$ ,/ate plan am5dm5t1 bas$ on ! exp]i5ces ( ,/ates t h ,/ate plan am5dm5ts approv$ "u ?is section t include ,,sud-eligible individuals4 7,d7 ,def9itions ,= purposes ( ?is p>agraph3 7i7 ,,sud-eligible individuals ,! t]m ,,sud-eligible individual means1 ) respect to a ,/ate1 an individual :o satisfies all ( ! foll[+3 7,i7 ,! individual is an eligible individual ) *ronic conditions4 7,,ii7 ,! individual is an individual ) a sub/ance use disord]4 7,,iii7 ,! individual has n previ\sly receiv$ heal? home s]vices "u any o!r ,/ate plan am5dm5t approv$ = ! ,/ate "u ?is section by ! ,secret>y4 7ii7 ,,sud-focus$ ,/ate plan am5dm5t ,! t]m ,,sud-focus$ ,/ate plan am5dm5t means a ,/ate plan am5dm5t "u ?is section t is design$ to provide heal? home s]vices prim>ily to ,,sud-eligible individuals4 4 7b7 ,requirem5t = ,/ate ,m$icaid plans ,to provide cov]age = m$ication-,assi/$ treatm5t 7#a7 ,requirem5t = ,/ate ,m$icaid plans to provide cov]age = m$ication-assi/$ treatm5t ,section #aijb7;a77#aj77;,a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;a7a77#aj77;,a77 is am5d$1 9 ! matt] prec$+ clause 7i71 by /rik+ & 7#bh7 & ins]t+ 7#bh71 & 7#bi74 7#b7 ,inclusion ( m$ication-assi/$ treatm5t z m$ical assi/ance ,section #aije7;a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7a77 is am5d$-- 7,a7 9 p>agraph 7#bh71 by /rik+ & at ! end2 7,b7 by r$esignat+ p>agraph 7#bi7 z p>agraph 7#cj72 & 7,c7 by ins]t+ aft] p>agraph 7#bh7 ! foll[+ new p>agraph3 7#bi7 subject to p>agraph 7#b7 ( subsection 7ee71 = ! p]iod beg9n+ ,octob] #a1 #bjbj1 & end+ ,septemb] #cj1 #bjbe1 m$ication-assi/$ treatm5t 7z def9$ 9 p>agraph 7#a7 ( su* subsection72 & 4 7#c7 ,m$ication-assi/$ treatm5t def9$2 ,waiv]s ,section #aije ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7 is am5d$ by add+ at ! end ! foll[+ new subsection3 7ee7 ,m$ication-,assi/$ treatm5t 7#a7 ,def9ition ,= purposes ( subsection 7a77#bi71 ! t]m m$ication-assi/$ treatm5t-- 7,a7 means all drugs approv$ "u section #eje ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cee71 includ+ me?adone1 & all biological products lic5s$ "u section #cea ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bfb7 to treat opioid use disord]s2 & 7,b7 includes1 ) respect to ! provision ( su* drugs & biological products1 c\nsel+ s]vices & behavioral !rapy4 7#b7 ,exception ,! provisions ( p>agraph 7#bi7 ( subsection 7a7 %all n apply ) respect to a ,/ate = ! p]iod specifi$ 9 su* p>agraph1 if be=e ! beg9n+ ( su* p]iod ! ,/ate c]tifies to ! satisfaction ( ! ,secret>y t implem5t+ su* provisions /atewide = all individuals eligible to enroll 9 ! ,/ate plan 7or waiv] ( ! ,/ate plan7 w\ld n be feasible by reason ( a %ortage ( qualifi$ provid]s ( m$ication-assi/$ treatm5t1 or facilities provid+ su* treatm5t1 t w contract ) ! ,/ate or a manag$ c>e entity ) :i* ! ,/ate has a contract "u section #aijc7m7 or "u section #aije7t77#c74 4 7#d7 ,effective date 7,a7 ,9 g5]al ,subject to subp>agraph 7,b71 ! am5dm5ts made by ?is subsection %all apply ) respect to m$ical assi/ance provid$ on or aft] ,octob] #a1 #bjbj1 & be=e ,octob] #a1 #bjbe4 7,b7 ,exception = ,/ate legislation ,9 ! case ( a ,/ate plan "u title ,,xix ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq47 t ! ,secret>y ( ,heal? & ,human ,s]vices det]m9es requires ,/ate legislation 9 ord] = ! respective plan to meet any requirem5t impos$ by ! am5dm5ts made by ?is subsection1 ! respective plan %all n be reg>d$ z fail+ to comply ) ! requirem5ts ( su* title solely on ! basis ( its failure to meet su* an additional requirem5t be=e ! fir/ day ( ! fir/ cal5d> qu>t] beg9n+ aft] ! close ( ! fir/ regul> session ( ! ,/ate legislature t beg9s aft] ! date ( ! enactm5t ( ?is ,act4 ,= purposes ( ! previ\s s5t5ce1 9 ! case ( a ,/ate t has a #b-ye> legislative session1 ea* ye> ( ! session %all be consid]$ to be a sep>ate regul> session ( ! ,/ate legislature4 #ajjg4 ,c>+ recov]y = infants & babies 7a7 ,/ate plan am5dm5t ,section #aijb7;a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;a7a771 z am5d$ by sections #ajja & #ajjd1 is fur!r am5d$-- 7#a7 9 p>agraph 7#hd77;,c71 by /rik+ & aft] ! semicolon2 7#b7 9 p>agraph 7#he71 by /rik+ ! p]iod at ! end & ins]t+ 2 &2 & 7#c7 by ins]t+ aft] p>agraph 7#he71 ! foll[+ new p>agraph3 7#hf7 provide1 at ! option ( ! ,/ate1 = mak+ m$ical assi/ance available on an inpati5t or outpati5t basis at a resid5tial p$iatric recov]y c5t] 7z def9$ 9 subsection 7pp77 to infants ) neonatal ab/95ce syndrome4 4 7b7 ,resid5tial p$iatric recov]y c5t] def9$ ,section #aijb ( su* ,act 7#db ,u4,s4,c4 #acif;a71 z am5d$ by sections #ajja & #ajjd1 is fur!r am5d$ by add+ at ! end ! foll[+ new subsection3 7pp7 ,resid5tial p$iatric recov]y c5t] def9$ 7#a7 ,9 g5]al ,= purposes ( section #aijb7;a77#hf71 ! t]m resid5tial p$iatric recov]y c5t] means a c5t] or facility t furni%es items & s]vices = :i* m$ical assi/ance is available "u ! ,/ate plan to infants ) ! diagnosis ( neonatal ab/95ce syndrome )\t any o!r significant m$ical risk factors4 7#b7 ,c\nsel+ & s]vices ,a resid5tial p$iatric recov]y c5t] may (f] c\nsel+ & o!r s]vices to mo!rs 7& o!r appropriate family memb]s & c>etak]s7 ( infants receiv+ treatm5t at su* c5t]s if su* s]vices are o!rwise cov]$ "u ! ,/ate plan "u ?is title or "u a waiv] ( su* plan4 ,su* o!r s]vices may include ! foll[+3 7,a7 ,c\nsel+ or ref]rals = s]vices4 7,b7 ,activities to enc\rage c>egiv]-infant bond+4 7,c7 ,tra9+ on c>+ = su* infants4 4 7c7 ,effective date ,! am5dm5ts made by ?is section take effect on ! date ( enactm5t ( ?is ,act & %all apply to m$ical assi/ance furni%$ on or aft] t date1 )\t reg>d to f9al regulations to c>ry out su* am5dm5ts be+ promulgat$ z ( su* date4 #ajjh4 ,pe] support enhancem5t & evaluation review 7a7 ,9 g5]al ,n lat] ?an #b ye>s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all submit to ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives1 ! ,committee on ,f9ance ( ! ,s5ate1 & ! ,committee on ,heal?1 ,education1 ,labor & ,p5sions ( ! ,s5ate a report on ! provision ( pe] support s]vices "u ! ,m$icaid program4 7b7 ,cont5t ( report 7#a7 ,9 g5]al ,! report requir$ "u subsection 7a7 %all include ! foll[+ in=mation3 7,a7 ,in=mation on ,/ate cov]age ( pe] support s]vices "u ,m$icaid1 includ+-- 7i7 ! me*anisms ?r\gh :i* ,/ates may provide su* cov]age1 includ+ ?r\gh exi/+ /atutory au?ority or ?r\gh waiv]s2 7ii7 ! populations to :i* ,/ates h provid$ su* cov]age2 7iii7 ! paym5t models1 includ+ any alt]native paym5t models1 us$ by ,/ates to pay provid]s ( su* s]vices2 & 7iv7 :]e available1 in=mation on ,f$]al & ,/ate sp5d+ "u ,m$icaid = pe] support s]vices4 7,b7 ,in=mation on select$ ,/ate exp]i5ces 9 provid+ m$ical assi/ance = pe] support s]vices "u ,/ate ,m$icaid plans & :e!r ,/ates measure ! effects ( provid+ su* assi/ance ) respect to-- 7i7 improv+ access to behavioral heal? s]vices2 7ii7 improv+ e>ly detection1 & prev5t+ wors5+1 ( behavioral heal? disord]s2 7iii7 r$uc+ *ronic & comorbid conditions2 & 7iv7 r$uc+ ov]all heal? co/s4 7#b7 ,recomm5dations ,! report requir$ "u subsection 7a7 %all include recomm5dations1 includ+ recomm5dations = su* legislative & adm9i/rative actions relat$ to improv+ s]vices1 includ+ pe] support s]vices1 & access to pe] support s]vices "u ,m$icaid z ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates det]m9es appropriate4 #ajji4 ,m$icaid sub/ance use disord] treatm5t via teleheal? 7a7 ,def9itions ,9 ?is section3 7#a7 ,comptroll] ,g5]al ,! t]m ,comptroll] ,g5]al means ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates4 7#b7 ,s*ool-bas$ heal? c5t] ,! t]m s*ool-bas$ heal? c5t] has ! mean+ giv5 t t]m 9 section #baaj7;c77#i7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acig;jj7c77#i774 7#c7 ,secret>y ,! t]m ,secret>y means ! ,secret>y ( ,heal? & ,human ,s]vices4 7#d7 ,und]s]v$ area ,! t]m und]s]v$ area means a heal? pr(essional %ortage area 7z def9$ 9 section #ccb7;a77#a77;,a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bed;e7a77#a77;,a777 & a m$ically und]s]v$ area 7accord+ to a designation "u section #ccj7;b77#c77;,a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bed;b7b77#c77;,a7774 7b7 ,guidance to ,/ates reg>d+ ,f$]al reimbursem5t = furni%+ s]vices & treatm5t = sub/ance use disord]s "u ,m$icaid us+ s]vices deliv]$ via teleheal?1 includ+ 9 s*ool-,bas$ heal? c5t]s ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y1 act+ ?r\gh ! ,adm9i/rator ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices1 %all issue guidance to ,/ates on ! foll[+3 7#a7 ,/ate options = ,f$]al reimbursem5t ( exp5ditures "u ,m$icaid = furni%+ s]vices & treatm5t = sub/ance use disord]s1 includ+ assessm5t1 m$ication-assi/$ treatm5t1 c\nsel+1 m$ication managem5t1 & m$ication adh]5ce ) prescrib$ m$ication regimes1 us+ s]vices deliv]$ via teleheal?4 ,su* guidance %all also include guidance on furni%+ s]vices & treatm5ts t address ! ne$s ( high-risk individuals1 includ+ at lea/ ! foll[+ gr\ps3 7,a7 ,am]ican ,indians & ,alaska ,natives4 7,b7 ,adults "u ! age ( #dj4 7,c7 ,individuals ) a hi/ory ( non-fatal ov]dose4 7,d7 ,individuals ) a co-occurr+ s]i\s m5tal illness & sub/ance use disord]4 7#b7 ,/ate options = ,f$]al reimbursem5t ( exp5ditures "u ,m$icaid = education direct$ to provid]s s]v+ ,m$icaid b5efici>ies ) sub/ance use disord]s us+ ! hub & spoke model1 ?r\gh contracts ) manag$ c>e entities1 ?r\gh adm9i/rative claim+ = disease managem5t activities1 & "u ,deliv]y ,sy/em ,re=m ,inc5tive ,paym5t 7,,dsrip7 programs4 7#c7 ,/ate options = ,f$]al reimbursem5t ( exp5ditures "u ,m$icaid = furni%+ s]vices & treatm5t = sub/ance use disord]s = individuals enroll$ 9 ,m$icaid 9 a s*ool-bas$ heal? c5t] us+ s]vices deliv]$ via teleheal?4 7c7 ,,gao evaluation ( *ildr5's access to s]vices & treatm5t = sub/ance use disord]s "u ,m$icaid 7#a7 ,/udy ,! ,comptroll] ,g5]al %all evaluate *ildr5's access to s]vices & treatm5t = sub/ance use disord]s "u ,m$icaid4 ,! evaluation %all include an analysis ( ,/ate options = improv+ *ildr5's access to su* s]vices & treatm5t & = improv+ outcomes1 includ+ by increas+ ! numb] ( ,m$icaid provid]s :o (f] s]vices or treatm5t = sub/ance use disord]s 9 a s*ool-bas$ heal? c5t] us+ s]vices deliv]$ via teleheal?1 p>ticul>ly 9 rural & und]s]v$ areas4 ,! evaluation %all include an analysis ( ,m$icaid provid] reimbursem5t rates = s]vices & treatm5t = sub/ance use disord]s4 7#b7 ,report ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,comptroll] ,g5]al %all submit to ,congress a report conta9+ ! results ( ! evaluation conduct$ "u p>agraph 7#a71 toge!r ) recomm5dations = su* legislation & adm9i/rative action z ! ,comptroll] ,g5]al det]m9es appropriate4 7d7 ,report on r$uc+ b>ri]s to us+ s]vices deliv]$ via teleheal? & remote pati5t monitor+ = p$iatric populations "u ,m$icaid 7#a7 ,9 g5]al ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y1 act+ ?r\gh ! ,adm9i/rator ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices1 %all issue a report to ! ,committee on ,f9ance ( ! ,s5ate & ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives id5tify+ be/ practices & pot5tial solutions = r$uc+ b>ri]s to us+ s]vices deliv]$ via teleheal? to furni% s]vices & treatm5t = sub/ance use disord]s among p$iatric populations "u ,m$icaid4 ,! report %all include-- 7,a7 analyses ( ! be/ practices1 b>ri]s1 & pot5tial solutions = us+ s]vices deliv]$ via teleheal? to diagnose & provide s]vices & treatm5t = *ildr5 ) sub/ance use disord]s1 includ+ opioid use disord]2 & 7,b7 id5tification & analysis ( ! diff]5ces1 if any1 9 furni%+ s]vices & treatm5t = *ildr5 ) sub/ance use disord]s us+ s]vices deliv]$ via teleheal? & us+ s]vices deliv]$ 9 p]son1 su* z1 & to ! ext5t feasible1 ) respect to-- 7i7 utilization rates2 7ii7 co/s2 7iii7 avoidable inpati5t admissions & readmissions2 7iv7 quality ( c>e2 & 7v7 pati5t1 family1 & provid] satisfaction4 7#b7 ,publication ,! ,secret>y %all publi% ! report requir$ "u p>agraph 7#a7 on a public int]net website ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices4 #ajaj4 ,enhanc+ pati5t access to non-opioid treatm5t options ,n lat] ?an ,janu>y #a1 #bjai1 ! ,secret>y ( ,heal? & ,human ,s]vices1 act+ ?r\gh ! ,adm9i/rator ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices1 %all issue #a or m f9al guidance docum5ts1 or update exi/+ guidance docum5ts1 to ,/ates reg>d+ m&atory & optional items & s]vices t may be provid$ "u a ,/ate plan "u title ,,xix ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq471 or "u a waiv] ( su* a plan1 = non-opioid treatm5t & managem5t ( pa91 includ+1 b n limit$ to1 evid5ce-bas$1 non-opioid ph>macological !rapies & non-ph>macological !rapies4 #ajaa4 ,assess+ b>ri]s to opioid use disord] treatm5t 7a7 ,/udy 7#a7 ,9 g5]al ,! ,comptroll] ,g5]al ( ! ,unit$ ,/ates 79 ?is section ref]r$ to z ! ,comptroll] ,g5]al7 %all conduct a /udy reg>d+ ! b>ri]s to provid+ m$ication us$ 9 ! treatm5t ( sub/ance use disord]s "u ,m$icaid di/ribution models su* z ! buy-&-bill model1 & options = ,/ate ,m$icaid programs to remove or r$uce su* b>ri]s4 ,! /udy %all include analyses ( ea* ( ! foll[+ models ( di/ribution ( sub/ance use disord] treatm5t m$ications1 p>ticul>ly bupr5orph9e1 naltrexone1 & bupr5orph9e-naloxone comb9ations3 7,a7 ,! pur*as+1 /orage1 & adm9i/ration ( sub/ance use disord] treatm5t m$ications by provid]s4 7,b7 ,! disp5s+ ( sub/ance use disord] treatm5t m$ications by ph>maci/s4 7,c7 ,! ord]+1 prescrib+1 & obta9+ sub/ance use disord] treatm5t m$ications on dem& f specialty ph>macies by provid]s4 7#b7 ,requirem5ts ,= ea* model ( di/ribution specifi$ 9 p>agraph 7#a71 ! ,comptroll] ,g5]al %all evaluate h[ ea* model pres5ts b>ri]s or c\ld be us$ by select$ ,/ate ,m$icaid programs to r$uce ! b>ri]s relat$ to ! provision ( sub/ance use disord] treatm5t by exam9+ :at is kn[n ab\t ! effects ( ! model ( di/ribution on-- 7,a7 ,m$icaid b5efici>ies' access to sub/ance use disord] treatm5t m$ications2 7,b7 ! diff]5tial co/ to ! program betwe5 ea* di/ribution model = m$ication-assi/$ treatm5t2 & 7,c7 provid] will+ness to provide or prescribe sub/ance use disord] treatm5t m$ications4 7b7 ,report ,n lat] ?an #ae mon?s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,comptroll] ,g5]al %all submit to ,congress a report conta9+ ! results ( ! /udy conduct$ "u subsection 7a71 toge!r ) recomm5dations = su* legislation & adm9i/rative action z ! ,comptroll] ,g5]al det]m9es appropriate4 #ajab4 ,help = moms & babies 7a7 ,m$icaid ,/ate plan ,section #aije7;a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7a771 z am5d$ by section #ajjf1 is fur!r am5d$ by add+ at ! end ! foll[+ new s5t5ce3 ,9 ! case ( a woman :o is eligible = m$ical assi/ance on ! basis ( be+ pregnant 7includ+ ?r\gh ! end ( ! mon? 9 :i* ! #fj-;day p]iod beg9n+ on ! la/ day ( h] pregnancy ends71 :o is a pati5t 9 an in/itution = m5tal diseases = purposes ( receiv+ treatm5t = a sub/ance use disord]1 & :o 0 enroll$ = m$ical assi/ance "u ! ,/ate plan imm$iately be=e becom+ a pati5t 9 an in/itution = m5tal diseases or :o becomes eligible to enroll = su* m$ical assi/ance :ile su* a pati5t1 ! exclusion f ! def9ition ( m$ical assi/ance set =? 9 ! subdivision 7,b7 foll[+ p>agraph 7#cj7 ( ! fir/ s5t5ce ( ?is subsection %all n be con/ru$ z prohibit+ ,f$]al f9ancial p>ticipation = m$ical assi/ance = items or s]vices t are provid$ to ! woman outside ( ! in/itution44 7b7 ,effective date 7#a7 ,9 g5]al ,except z provid$ 9 p>agraph 7#b71 ! am5dm5t made by subsection 7a7 %all take effect on ! date ( enactm5t ( ?is ,act4 7#b7 ,rule = *anges requir+ /ate legislation ,9 ! case ( a ,/ate plan "u title ,,xix ( ! ,social ,security ,act :i* ! ,secret>y ( ,heal? & ,human ,s]vices det]m9es requires ,/ate legislation 7o!r ?an legislation appropriat+ funds7 9 ord] = ! plan to meet ! additional requirem5ts impos$ by ! am5dm5t made by subsection 7a71 ! ,/ate plan %all n be reg>d$ z fail+ to comply ) ! requirem5ts ( su* title solely on ! basis ( its failure to meet ^! additional requirem5ts be=e ! fir/ day ( ! fir/ cal5d> qu>t] beg9n+ aft] ! close ( ! fir/ regul> session ( ! ,/ate legislature t beg9s aft] ! date ( ! enactm5t ( ?is ,act4 ,= purposes ( ! previ\s s5t5ce1 9 ! case ( a ,/ate t has a #b-ye> legislative session1 ea* ye> ( su* session %all be deem$ to be a sep>ate regul> session ( ! ,/ate legislature4 #ajac4 ,secur+ flexibility to treat sub/ance use disord]s ,section #aijc7m7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;b7m77 is am5d$ by add+ at ! end ! foll[+ new p>agraph3 7#g7 ,paym5t %all be made "u ?is title to a ,/ate = exp5ditures = capitation paym5ts describ$ 9 section #dch4f7;e7 ( title #db1 ,code ( ,f$]al ,regulations 7or any successor regulation74 4 #ajad4 ,,macpac /udy & report on ,,mat utilization controls "u ,/ate ,m$icaid programs 7a7 ,/udy ,! ,m$icaid & ,,*ip ,paym5t & ,access ,commission %all conduct a /udy & analysis ( utilization control policies appli$ to m$ication-assi/$ treatm5t = sub/ance use disord]s "u ,/ate ,m$icaid programs1 includ+ policies & proc$ures appli$ bo? 9 fee-=-s]vice ,m$icaid & 9 risk-bas$ manag$ c>e ,m$icaid1 :i* %all-- 7#a7 include an inv5tory ( su* utilization control policies & relat$ protocols = ensur+ access to m$ically necess>y treatm5t2 7#b7 det]m9e :e!r manag$ c>e utilization control policies & proc$ures = m$ication-assi/$ treatm5t = sub/ance use disord]s are consi/5t ) section #dch4baj7;a77#d77;ii7 ( title #db1 ,code ( ,f$]al ,regulations2 & 7#c7 id5tify policies t-- 7,a7 limit an individual's access to m$ication-assi/$ treatm5t = a sub/ance use disord] by limit+ ! quantity ( m$ication-assi/$ treatm5t prescriptions1 or ! numb] ( refills = su* prescriptions1 available to ! individual z "p ( a prior au?orization process or simil> utilization protocols2 & 7,b7 apply )\t evaluat+ individual in/ances ( fraud1 wa/e1 or abuse4 7b7 ,report ,n lat] ?an #a ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,m$icaid & ,,*ip ,paym5t & ,access ,commission %all make publicly available a report conta9+ ! results ( ! /udy conduct$ "u subsection 7a74 #ajae4 ,opioid addiction treatm5t programs enhancem5t 7a7 ,t-,,msis sub/ance use disord] data book 7#a7 ,9 g5]al ,n lat] ?an ! date t is #ab mon?s aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices 79 ?is section ref]r$ to z ! ,secret>y7 %all publi% on ! public website ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices a report ) compreh5sive data on ! preval5ce ( sub/ance use disord]s 9 ! ,m$icaid b5efici>y population & s]vices provid$ = ! treatm5t ( sub/ance use disord]s "u ,m$icaid4 7#b7 ,cont5t ( report ,! report requir$ "u p>agraph 7#a7 %all include1 at a m9imum1 ! foll[+ data = ea* ,/ate 7includ+1 to ! ext5t available1 = ! ,di/rict ( ,columbia1 ,pu]to ,rico1 ! ,unit$ ,/ates ,virg9 ,isl&s1 ,guam1 ! ,nor!rn ,m>iana ,isl&s1 & ,am]ican ,samoa73 7,a7 ,! numb] & p]c5tage ( individuals enroll$ 9 ! ,/ate ,m$icaid plan or waiv] ( su* plan 9 ea* ( ! major enrollm5t categories 7z def9$ 9 a public lett] f ! ,m$icaid & ,,*ip ,paym5t & ,access ,commission to ! ,secret>y7 :o h be5 diagnos$ ) a sub/ance use disord] & :e!r su* individuals are enroll$ "u ! ,/ate ,m$icaid plan or a waiv] ( su* plan1 includ+ ! specific waiv] au?ority "u :i* !y are enroll$1 to ! ext5t available4 7,b7 ,a li/ ( ! sub/ance use disord] treatm5t s]vices by ea* major type ( s]vice1 su* z c\nsel+1 m$ication-assi/$ treatm5t1 pe] support1 resid5tial treatm5t1 & inpati5t c>e1 = :i* b5efici>ies 9 ea* ,/ate receiv$ at lea/ #a s]vice "u ! ,/ate ,m$icaid plan or a waiv] ( su* plan4 7,c7 ,! numb] & p]c5tage ( individuals ) a sub/ance use disord] diagnosis enroll$ 9 ! ,/ate ,m$icaid plan or waiv] ( su* plan :o receiv$ sub/ance use disord] treatm5t s]vices "u su* plan or waiv] by ea* major type ( s]vice "u subp>agraph 7,b7 )9 ea* major sett+ type1 su* z outpati5t1 inpati5t1 resid5tial1 & o!r home-bas$ & community-bas$ sett+s4 7,d7 ,! numb] ( s]vices provid$ "u ! ,/ate ,m$icaid plan or waiv] ( su* plan p] individual ) a sub/ance use disord] diagnosis enroll$ 9 su* plan or waiv] = ea* major type ( s]vice "u subp>agraph 7,b74 7,e7 ,! numb] & p]c5tage ( individuals enroll$ 9 ! ,/ate ,m$icaid plan or waiv]1 by major enrollm5t category1 :o receiv$ sub/ance use disord] treatm5t ?r\gh-- 7i7 a m$icaid manag$ c>e entity 7z def9$ 9 section #aicb7;a77#a77;,b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acifu-#b7;a77#a77;,b7771 includ+ ! numb] ( su* individuals :o receiv$ su* assi/ance ?r\gh a prepaid inpati5t heal? plan or a prepaid ambulatory heal? plan2 7ii7 a fee-=-s]vice paym5t model2 or 7iii7 an alt]native paym5t model1 to ! ext5t available4 7,f7 ,! numb] & p]c5tage ( individuals ) a sub/ance use disord] :o receive sub/ance use disord] treatm5t s]vices 9 an outpati5t or home-bas$ & community-bas$ sett+ aft] receiv+ treatm5t 9 an inpati5t or resid5tial sett+1 & ! numb] ( s]vices receiv$ by su* individuals 9 ! outpati5t or home-bas$ & community-bas$ sett+4 7#c7 ,annual updates ,! ,secret>y %all issue an updat$ v]sion ( ! report requir$ "u p>agraph 7#a7 n lat] ?an ,janu>y #a ( ea* cal5d> ye> ?r\gh #bjbd4 7#d7 ,use ( ,t-,,msis data ,! report requir$ "u p>agraph 7#a7 & updates requir$ "u p>agraph 7#c7 %all-- 7,a7 use data & def9itions f ! ,trans=m$ ,m$icaid ,/ati/ical ,in=mation ,sy/em 7,t-,,msis7 data set t is no m ?an #ab mon?s old on ! date t ! report or update is publi%$2 & 7,b7 z appropriate1 include a description ) respect to ea* ,/ate ( ! quality & complet5ess ( ! data & caveats describ+ ! limitations ( ! data report$ to ! ,secret>y by ! ,/ate t is suffici5t to communicate ! appropriate uses = ! in=mation4 7b7 ,mak+ ,t-,,msis data on sub/ance use disord]s available to rese>*]s 7#a7 ,9 g5]al ,! ,secret>y %all publi% 9 ! ,f$]al ,regi/] a sy/em ( records notice = ! data specifi$ 9 p>agraph 7#b7 = ! ,trans=m$ ,m$icaid ,/ati/ical ,in=mation ,sy/em1 9 accordance ) section #eeb;a7e77#d7 ( title #e1 ,unit$ ,/ates ,code4 ,! notice %all outl9e policies t protect ! security & privacy ( ! data t1 at a m9imum1 meet ! security & privacy policies ( ,,sorn #ji-gj-jeda = ! ,m$icaid ,/ati/ical ,in=mation ,sy/em4 7#b7 ,requir$ data ,! data cov]$ by ! sy/ems ( records notice requir$ "u p>agraph 7#a7 %all be suffici5t = rese>*]s & ,/ates to analyze ! preval5ce ( sub/ance use disord]s 9 ! ,m$icaid b5efici>y population & ! treatm5t ( sub/ance use disord]s "u ,m$icaid across all ,/ates 7includ+ ! ,di/rict ( ,columbia1 ,pu]to ,rico1 ! ,unit$ ,/ates ,virg9 ,isl&s1 ,guam1 ! ,nor!rn ,m>iana ,isl&s1 & ,am]ican ,samoa71 =ms ( treatm5t1 & treatm5t sett+s4 7#c7 ,initiation ( data-%>+ activities ,n lat] ?an ,janu>y #a1 #bjai1 ! ,secret>y %all initiate ! data-%>+ activities outl9$ 9 ! notice requir$ "u p>agraph 7#a74 #ajaf4 ,bett] data %>+ to combat ! opioid crisis 7a7 ,9 g5]al ,section #aijc7m7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;b7m771 z am5d$ by section #ajac1 is fur!r am5d$ by add+ at ! end ! foll[+ new p>agraph3 7#h7 7,a7 ,! ,/ate ag5cy adm9i/]+ ! ,/ate plan "u ?is title may h reasonable access1 z det]m9$ by ! ,/ate1 to #a or m prescription drug monitor+ program databases adm9i/]$ or access$ by ! ,/ate to ! ext5t ! ,/ate ag5cy is p]mitt$ to access su* databases "u ,/ate law4 7,b7 ,su* ,/ate ag5cy may facilitate reasonable access1 z det]m9$ by ! ,/ate1 to #a or m prescription drug monitor+ program databases adm9i/]$ or access$ by ! ,/ate1 to same ext5t t ! ,/ate ag5cy is p]mitt$ "u ,/ate law to access su* databases1 =-- 7i7 any provid] enroll$ "u ! ,/ate plan to provide s]vices to ,m$icaid b5efici>ies2 & 7ii7 any manag$ c>e entity 7z def9$ "u section #aicb7;a77#a77;,b77 t has a contract ) ! ,/ate "u ?is subsection or "u section #aije7t77#c74 7,c7 ,su* ,/ate ag5cy may %>e in=mation 9 su* databases1 to ! same ext5t t ! ,/ate ag5cy is p]mitt$ "u ,/ate law to %>e in=mation 9 su* databases1 )-- 7i7 any provid] enroll$ "u ! ,/ate plan to provide s]vices to ,m$icaid b5efici>ies2 & 7ii7 any manag$ c>e entity 7z def9$ "u section #aicb7;a77#a77;,b77 t has a contract ) ! ,/ate "u ?is subsection or "u section #aije7t77#c74 4 7b7 ,security & privacy ,all applicable ,/ate & ,f$]al security & privacy protections & laws %all apply to any ,/ate ag5cy1 individual1 or entity access+ #a or m prescription drug monitor+ program databases or obta9+ in=mation 9 su* databases 9 accordance ) section #aijc7m77#h7 ( ! ,social ,security ,act 7z add$ by subsection 7a774 7c7 ,effective date ,! am5dm5t made by subsection 7a7 %all take effect on ! date ( enactm5t ( ?is ,act4 #ajag4 ,report on innovative ,/ate initiatives & /rategies to provide h\s+-relat$ s]vices & supports to individuals /ruggl+ ) sub/ance use disord]s "u ,m$icaid 7a7 ,9 g5]al ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all issue a report to ,congress describ+ innovative ,/ate initiatives & /rategies = provid+ h\s+-relat$ s]vices & supports "u a ,/ate ,m$icaid program to individuals ) sub/ance use disord]s :o are exp]i5c+ or at risk ( exp]i5c+ homelessness4 7b7 ,cont5t ( report ,! report requir$ "u subsection 7a7 %all describe ! foll[+3 7#a7 ,exi/+ me?ods & innovative /rategies develop$ & adopt$ by ,/ate ,m$icaid programs t h a*iev$ positive outcomes 9 increas+ h\s+ /ability among ,m$icaid b5efici>ies ) sub/ance use disord]s :o are exp]i5c+ or at risk ( exp]i5c+ homelessness1 includ+ ,m$icaid b5efici>ies ) sub/ance use disord]s :o are-- 7,a7 receiv+ treatm5t = sub/ance use disord]s 9 inpati5t1 resid5tial1 outpati5t1 or home-bas$ & community-bas$ sett+s2 7,b7 transition+ betwe5 sub/ance use disord] treatm5t sett+s2 or 7,c7 liv+ 9 supportive h\s+ or ano!r model ( af=dable h\s+4 7#b7 ,/rategies employ$ by ,m$icaid manag$ c>e organizations1 prim>y c>e case manag]s1 hospitals1 acc\ntable c>e organizations1 & o!r c>e coord9ation provid]s to deliv] h\s+-relat$ s]vices & supports & to coord9ate s]vices provid$ "u ,/ate ,m$icaid programs across diff]5t treatm5t sett+s4 7#c7 ,innovative /rategies & lessons le>n$ by ,/ates ) ,m$icaid waiv]s approv$ "u section #aaae or #aiae ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acae1 #acifn71 includ+-- 7,a7 *all5ges exp]i5c$ by ,/ates 9 design+1 secur+1 & implem5t+ su* waiv]s or plan am5dm5ts2 7,b7 h[ ,/ates develop$ p>tn]%ips ) o!r organizations su* z behavioral heal? ag5cies1 ,/ate h\s+ ag5cies1 h\s+ provid]s1 heal? c>e s]vices ag5cies & provid]s1 community-bas$ organizations1 & heal? insurance plans to implem5t waiv]s or ,/ate plan am5dm5ts2 & 7,c7 h[ & :e!r ,/ates plan to provide ,m$icaid cov]age = h\s+-relat$ s]vices & supports 9 ! future1 includ+ by cov]+ su* s]vices & supports "u ,/ate ,m$icaid plans or waiv]s4 7#d7 ,exi/+ opportunities = ,/ates to provide h\s+-relat$ s]vices & supports ?r\gh a ,m$icaid waiv] "u sections #aaae or #aiae ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acae1 #acifn7 or ?r\gh a ,/ate ,m$icaid plan am5dm5t1 su* z ! ,assi/ance 9 ,community ,integration ,s]vice pilot program1 :i* promotes supportive h\s+ & o!r h\s+-relat$ supports "u ,m$icaid = individuals ) sub/ance use disord]s & = :i* ,m>yl& has a waiv] approv$ "u su* section #aaae to conduct ! program4 7#e7 ,innovative /rategies & p>tn]%ips develop$ & implem5t$ by ,/ate ,m$icaid programs or o!r entities to id5tify & enroll eligible individuals ) sub/ance use disord]s :o are exp]i5c+ or at risk ( exp]i5c+ homelessness 9 ,/ate ,m$icaid programs4 #ajah4 ,te*nical assi/ance & support = innovative ,/ate /rategies to provide h\s+-relat$ supports "u ,m$icaid 7a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices %all provide te*nical assi/ance & support to ,/ates reg>d+ ! developm5t & expansion ( innovative ,/ate /rategies 7includ+ ?r\gh ,/ate ,m$icaid demon/ration projects7 to provide h\s+-relat$ supports & s]vices & c>e coord9ation s]vices "u ,m$icaid to individuals ) sub/ance use disord]s4 7b7 ,report ,n lat] ?an #ahj days aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y %all issue a report to ,congress detail+ a plan ( action to c>ry out ! requirem5ts ( subsection 7a74 ,,ii ,m$ic>e ,provisions to ,address ! ,opioid ,crisis #bjja4 ,exp&+ ! use ( teleheal? s]vices = ! treatm5t ( opioid use disord] & o!r sub/ance use disord]s 7a7 ,9 g5]al ,section #ahcd7m7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciem7m77 is am5d$-- 7#a7 9 p>agraph 7#b77;,b7-- 7,a7 9 clause 7i71 9 ! matt] prec$+ subclause 7,i71 by /rik+ clause 7ii7 & ins]t+ clause 7ii7 & p>agraph 7#f77;,c72 & 7,b7 9 clause 7ii71 9 ! head+1 by /rik+ = home dialysis !rapy2 7#b7 9 p>agraph 7#d77;,c7-- 7,a7 9 clause 7i71 by /rik+ p>agraph 7#f7 & ins]t+ p>agraphs 7#e71 7#f71 & 7#g72 & 7,b7 9 clause 7ii77,x71 by ins]t+ or teleheal? s]vices describ$ 9 p>agraph 7#g7 be=e ! p]iod at ! end2 & 7#c7 by add+ at ! end ! foll[+ new p>agraph3 7#g7 ,treatm5t ( sub/ance use disord] s]vices furni%$ ?r\gh teleheal? ,! geographic requirem5ts describ$ 9 p>agraph 7#d77;,c77i7 %all n apply ) respect to teleheal? s]vices furni%$ on or aft] ,july #a1 #bjai1 to an eligible teleheal? individual ) a sub/ance use disord] diagnosis = purposes ( treatm5t ( su* disord] or co-occurr+ m5tal heal? disord]1 z det]m9$ by ! ,secret>y1 at an orig9at+ site describ$ 9 p>agraph 7#d77;,c77ii7 7o!r ?an an orig9at+ site describ$ 9 subclause 7,,ix7 ( su* p>agraph74 4 7b7 ,implem5tation ,! ,secret>y ( ,heal? & ,human ,s]vices 79 ?is section ref]r$ to z ! ,secret>y7 may implem5t ! am5dm5ts made by ?is section by int]im f9al rule4 7c7 ,report 7#a7 ,9 g5]al ,n lat] ?an #e ye>s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y %all submit to ,congress a report on ! impact ( ! implem5tation ( ! am5dm5ts made by ?is section ) respect to teleheal? s]vices "u section #ahcd7m7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciem7m77 on-- 7,a7 ! utilization ( heal? c>e items & s]vices "u title ,,xviii ( su* ,act 7#db ,u4,s4,c4 #acie et seq47 relat$ to sub/ance use disord]s1 includ+ em]g5cy dep>tm5t visits2 & 7,b7 heal? outcomes relat$ to sub/ance use disord]s1 su* z opioid ov]dose dea?s4 7#b7 ,fund+ ,= purposes ( c>ry+ out p>agraph 7#a71 9 addition to funds o!rwise available1 ! ,secret>y %all provide = ! transf]1 f ! ,f$]al ,supplem5t>y ,m$ical ,insurance ,tru/ ,fund "u section #ahda1 ( #c1jjj1jjj to ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices ,program ,managem5t ,acc\nt to rema9 available until exp5d$4 #bjjb4 ,compreh5sive scre5+s = s5iors 7a7 ,initial prev5tive physical exam9ation ,section #ahfa7ww7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex7ww77 is am5d$-- 7#a7 9 p>agraph 7#a7-- 7,a7 by /rik+ p>agraph 7#b7 & & ins]t+ p>agraph 7#b712 & 7,b7 by ins]t+ & ! furni%+ ( a review ( any curr5t opioid prescriptions 7z def9$ 9 p>agraph 7#d771 aft] ^u ! agreem5t ) ! individual12 & 7#b7 9 p>agraph 7#b7-- 7,a7 by r$esignat+ subp>agraph 7,n7 z subp>agraph 7,o72 & 7,b7 by ins]t+ aft] subp>agraph 7,m7 ! foll[+ new subp>agraph3 7,n7 ,scre5+ = pot5tial sub/ance use disord]s4 2 & 7#c7 by add+ at ! end ! foll[+ new p>agraph3 7#d7 ,= purposes ( p>agraph 7#a71 ! t]m a review ( any curr5t opioid prescriptions means1 ) respect to an individual det]m9$ to h a curr5t prescription = opioids-- 7,a7 a review ( ! pot5tial risk factors to ! individual = opioid use disord]2 7,b7 an evaluation ( ! individual's sev]ity ( pa9 & curr5t treatm5t plan2 7,c7 ! provision ( in=mation on non-opioid treatm5t options2 & 7,d7 a ref]ral to a speciali/1 z appropriate4 4 7b7 ,annual wellness visit ,section #ahfa7;hhh77#b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex7hhh77#b77 is am5d$-- 7#a7 by r$esignat+ subp>agraph 7,g7 z subp>agraph 7,i72 & 7#b7 by ins]t+ aft] subp>agraph 7,f7 ! foll[+ new subp>agraphs3 7,g7 ,scre5+ = pot5tial sub/ance use disord]s & ref]ral = treatm5t z appropriate4 7,h7 ,! furni%+ ( a review ( any curr5t opioid prescriptions 7z def9$ 9 subsection 7ww77#d774 4 7c7 ,rule ( con/ruction ,no?+ 9 ! am5dm5ts made by subsection 7a7 or 7b7 %all be con/ru$ to prohibit sep>ate paym5t = /ructur$ assessm5t & int]v5tion s]vices = sub/ance abuse furni%$ to an individual on ! same day z an initial prev5tive physical exam9ation or an annual wellness visit4 7d7 ,effective date ,! am5dm5ts made by ?is section %all apply to exam9ations & visits furni%$ on or aft] ,janu>y #a1 #bjbj4 #bjjc4 ,e prescription convey$ securely 7a7 ,9 g5]al ,section #ahfj;,d-#d7;e7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#ajd7;e77 is am5d$ by add+ at ! end ! foll[+3 7#g7 ,requirem5t ( e-prescrib+ = controll$ sub/ances 7,a7 ,9 g5]al ,subject to subp>agraph 7,b71 a prescription = a cov]$ "p ,d drug "u a prescription drug plan 7or "u an ,,ma-,,pd plan7 = a s*$ule ,,ii1 ,,iii1 ,,iv1 or ,v controll$ sub/ance %all be transmitt$ by a heal? c>e practition] electronically 9 accordance ) an electronic prescription drug program t meets ! requirem5ts ( p>agraph 7#b74 7,b7 ,exception = c]ta9 circum/ances ,! ,secret>y %all1 ?r\gh rulemak+1 specify circum/ances & processes by :i* ! ,secret>y may waive ! requirem5t "u subp>agraph 7,a71 ) respect to a cov]$ "p ,d drug1 includ+ 9 ! case (-- 7i7 a prescription issu$ :5 ! practition] & disp5s+ ph>macy are ! same entity2 7ii7 a prescription issu$ t _c be transmitt$ electronically "u ! mo/ rec5tly implem5t$ v]sion ( ! ,national ,c\ncil = ,prescription ,drug ,programs ,,script ,/&>d2 7iii7 a prescription issu$ by a practition] :o receiv$ a waiv] or a r5ewal !re( = a p]iod ( "t z det]m9$ by ! ,secret>y1 n to exce$ "o ye>1 f ! requirem5t to use electronic prescrib+ due to demon/rat$ economic h>d%ip1 te*nological limitations t are n reasonably )9 ! control ( ! practition]1 or o!r exceptional circum/ance demon/rat$ by ! practition]2 7iv7 a prescription issu$ by a practition] "u circum/ances 9 :i*1 not)/&+ ! practition]'s ability to submit a prescription electronically z requir$ by ?is subsection1 su* practition] reasonably det]m9es t x w\ld be impractical = ! individual involv$ to obta9 sub/ances prescrib$ by electronic prescription 9 a timely mann]1 & su* delay w\ld adv]sely impact ! individual's m$ical condition involv$2 7v7 a prescription issu$ by a practition] prescrib+ a drug "u a rese>* protocol2 7vi7 a prescription issu$ by a practition] = a drug = :i* ! ,food & ,drug ,adm9i/ration requires a prescription to conta9 elem5ts t are n able to be includ$ 9 electronic prescrib+1 su* z a drug ) risk evaluation & mitigation /rategies t include elem5ts to assure safe use2 7vii7 a prescription issu$ by a practition]-- 7,i7 = an individual :o receives hospice c>e "u ?is title2 & 7,,ii7 t is n cov]$ "u ! hospice b5efit "u ?is title2 & 7viii7 a prescription issu$ by a practition] = an individual :o is-- 7,i7 a resid5t ( a nurs+ facility 7z def9$ 9 section #aiai7;a772 & 7,,ii7 dually eligible = b5efits "u ?is title & title ,,xix4 7,c7 ,disp5s+ 7i7 ,no?+ 9 ?is p>agraph %all be con/ru$ z requir+ a sponsor ( a prescription drug plan "u ?is "p1 ,,ma organization (f]+ an ,,ma-,,pd plan "u "p ,c1 or a ph>maci/ to v]ify t a practition]1 ) respect to a prescription = a cov]$ "p ,d drug1 has a waiv] 7or is o!rwise exempt7 "u subp>agraph 7,b7 f ! requirem5t "u subp>agraph 7,a74 7ii7 ,no?+ 9 ?is p>agraph %all be con/ru$ z affect+ ! ability ( ! plan to cov] or ! ph>maci/s' ability to cont9ue to disp5se cov]$ "p ,d drugs f o!rwise valid writt51 oral1 or fax prescriptions t are consi/5t ) laws & regulations4 7iii7 ,no?+ 9 ?is p>agraph %all be con/ru$ z affect+ ! ability ( an individual :o is be+ prescrib$ a cov]$ "p ,d drug to designate a p>ticul> ph>macy to disp5se ! cov]$ "p ,d drug to ! ext5t consi/5t ) ! requirem5ts "u subsection 7b77#a7 & "u ?is p>agraph4 7,d7 ,en=cem5t ,! ,secret>y %all1 ?r\gh rulemak+1 h au?ority to en=ce & specify appropriate p5alties = non-compliance ) ! requirem5t "u subp>agraph 7,a74 4 7b7 ,effective date ,! am5dm5t made by subsection 7a7 %all apply to cov]age ( drugs prescrib$ on or aft] ,janu>y #a1 #bjba4 7c7 ,update ( ,biometric ,compon5t ( ,multifactor ,au!ntication ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,attorney ,g5]al %all update ! requirem5ts = ! biometric compon5t ( multifactor au!ntication ) respect to electronic prescriptions ( controll$ sub/ances4 #bjjd4 ,requir+ prescription drug plan sponsors "u ,m$ic>e to e/abli% drug managem5t programs = at-risk b5efici>ies ,section #ahfj;,d-#d7;c7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#ajd7;c77 is am5d$-- 7#a7 9 p>agraph 7#a71 by ins]t+ aft] subp>agraph 7,e7 ! foll[+ new subp>agraph3 7,f7 ,) respect to plan ye>s beg9n+ on or aft] ,janu>y #a1 #bjbb1 a drug managem5t program = at-risk b5efici>ies describ$ 9 p>agraph 7#e74 2 & 7#b7 9 p>agraph 7#e77;,a71 by ins]t+ 7& = plan ye>s beg9n+ on or aft] ,janu>y #a1 #bjbb1 a ,,pdp sponsor %all7 aft] ,a ,,pdp sponsor may4 #bjje4 ,m$ic>e cov]age ( c]ta9 s]vices furni%$ by opioid treatm5t programs 7a7 ,cov]age ,section #ahfa7s77#b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex7s77#b77 is am5d$-- 7#a7 9 subp>agraph 7,,ff71 by /rik+ at ! end &2 7#b7 9 subp>agraph 7,,gg71 by ins]t+ at ! end &2 & 7#c7 by add+ at ! end ! foll[+ new subp>agraph3 7,,hh7 opioid use disord] treatm5t s]vices 7z def9$ 9 subsection 7jjj774 4 7b7 ,opioid use disord] treatm5t s]vices & opioid treatm5t program def9$ ,section #ahfa ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex7 is am5d$ by add+ at ! end ! foll[+ new subsection3 7jjj7 ,opioid use disord] treatm5t s]vices2 opioid treatm5t program 7#a7 ,opioid use disord] treatm5t s]vices ,! t]m opioid use disord] treatm5t s]vices means items & s]vices t are furni%$ by an opioid treatm5t program = ! treatm5t ( opioid use disord]1 includ+-- 7,a7 opioid agoni/ & antagoni/ treatm5t m$ications 7includ+ oral1 inject$1 or implant$ v]sions7 t are approv$ by ! ,food & ,drug ,adm9i/ration "u section #eje ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act = use 9 ! treatm5t ( opioid use disord]2 7,b7 disp5s+ & adm9i/ration ( su* m$ications1 if applicable2 7,c7 sub/ance use c\nsel+ by a pr(essional to ! ext5t au?oriz$ "u ,/ate law to furni% su* s]vices2 7,d7 individual & gr\p !rapy ) a physician or psy*ologi/ 7or o!r m5tal heal? pr(essional to ! ext5t au?oriz$ "u ,/ate law72 7,e7 toxicology te/+1 & 7,f7 o!r items & s]vices t ! ,secret>y det]m9es are appropriate 7b 9 no ev5t to include meals or transportation74 7#b7 ,opioid treatm5t program ,! t]m opioid treatm5t program means an entity t is an opioid treatm5t program 7z def9$ 9 section #h4b ( title #db ( ! ,code ( ,f$]al ,regulations1 or any successor regulation7 t-- 7,a7 is enroll$ "u section #ahff7;j72 7,b7 has 9 effect a c]tification by ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration = su* a program2 7,c7 is accr$it$ by an accr$it+ body approv$ by ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration2 & 7,d7 meets su* additional conditions z ! ,secret>y may f9d necess>y to ensure-- 7i7 ! heal? & safety ( individuals be+ furni%$ s]vices "u su* program2 & 7ii7 ! effective & effici5t furni%+ ( su* s]vices4 4 7c7 ,paym5t 7#a7 ,9 g5]al ,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[+ 1 & 7,,cc7 ) respect to opioid use disord] treatm5t s]vices furni%$ dur+ an episode ( c>e1 ! am\nt paid %all be equal to ! am\nt payable "u section #ahcd7w7 less any copaym5t requir$ z specifi$ by ! ,secret>y4 7#b7 ,paym5t det]m9ation ,section #ahcd ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciem7 is am5d$ by add+ at ! end ! foll[+ new subsection3 7w7 ,opioid use disord] treatm5t s]vices 7#a7 ,9 g5]al ,! ,secret>y %all pay to an opioid treatm5t program 7z def9$ 9 p>agraph 7#b7 ( section #ahfa7;jjj77 an am\nt t is equal to #ajj p]c5t ( a bundl$ paym5t "u ?is "p = opioid use disord] treatm5t s]vices 7z def9$ 9 p>agraph 7#a7 ( su* section7 t are furni%$ by su* program to an individual dur+ an episode ( c>e 7z def9$ by ! ,secret>y7 beg9n+ on or aft] ,janu>y #a1 #bjbj4 ,! ,secret>y %all ensure1 z det]m9$ appropriate by ! ,secret>y1 t no duplicative paym5ts are made "u ?is "p or "p ,d = items & s]vices furni%$ by an opioid treatm5t program4 7#b7 ,consid]ations ,! ,secret>y may implem5t ?is subsection ?r\gh "o or m bundles bas$ on ! type ( m$ication provid$ 7su* z bupr5orph9e1 me?adone1 naltrexone1 or a new innovative drug71 ! frequ5cy ( s]vices1 ! scope ( s]vices furni%$1 *>act]i/ics ( ! individuals furni%$ su* s]vices1 or o!r factors z ! ,secret>y det]m9e appropriate4 ,9 develop+ su* bundles1 ! ,secret>y may consid] paym5t rates paid to opioid treatm5t programs = comp>able s]vices "u ,/ate plans "u title ,,xix or "u ! ,,tric>e program "u *apt] #ee ( title #aj ( ! ,unit$ ,/ates ,code4 7#c7 ,annual updates ,! ,secret>y %all provide an update ea* ye> to ! bundl$ paym5t am\nts "u ?is subsection4 4 7d7 ,includ+ opioid treatm5t programs z ,m$ic>e provid]s ,section #ahff7;e7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie;cc7e77 is am5d$-- 7#a7 9 p>agraph 7#a71 by /rik+ at ! end &2 7#b7 9 p>agraph 7#b71 by /rik+ ! p]iod at ! end & ins]t+ 2 &2 & 7#c7 by add+ at ! end ! foll[+ new p>agraph3 7#c7 opioid treatm5t programs 7z def9$ 9 p>agraph 7#b7 ( section #ahfa7;jjj771 b only ) respect to ! furni%+ ( opioid use disord] treatm5t s]vices 7z def9$ 9 p>agraph 7#a7 ( su* section74 4 #bjjf4 ,enc\rag+ appropriate prescrib+ "u ,m$ic>e = victims ( opioid ov]dose ,section #ahfj;,d-#d7;c77#e77;,c7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#ajd7;c77#e77;,c77 is am5d$-- 7#a7 9 clause 7i71 9 ! matt] prec$+ subclause 7,i71 by /rik+ ,= purposes & ins]t+ ,except z provid$ 9 clause 7v71 = purposes2 & 7#b7 by add+ at ! end ! foll[+ new clause3 7v7 ,treatm5t ( enrollees ) a hi/ory ( opioid-relat$ ov]dose 7,i7 ,9 g5]al ,= plan ye>s beg9n+ n lat] ?an ,janu>y #a1 #bjba1 a "p ,d eligible individual :o is n an exempt$ individual describ$ 9 clause 7ii7 & :o is id5tifi$ "u ?is clause z a "p ,d eligible individual ) a hi/ory ( opioid-relat$ ov]dose 7z def9$ by ! ,secret>y7 %all be includ$ z a pot5tially at-risk b5efici>y = prescription drug abuse "u ! drug managem5t program "u ?is p>agraph4 7,,ii7 ,id5tification & notice ,= purposes ( ?is clause1 ! ,secret>y %all-- 7aa7 id5tify "p ,d eligible individuals ) a hi/ory ( opioid-relat$ ov]dose 7z s def9$72 & 7bb7 notify ! ,,pdp sponsor ( ! prescription drug plan 9 :i* su* an individual is enroll$ ( su* id5tification4 4 #bjjg4 ,automatic escalation to ext]nal review "u a ,m$ic>e "p ,d drug managem5t program = at-risk b5efici>ies 7a7 ,9 g5]al ,section #ahfj;,d-#d7;c77#e7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acieww-#aj7;c77#e77 is am5d$-- 7#a7 9 subp>agraph 7,b71 9 ea* ( clauses 7ii77,,iii7 & 7iii77,,iv71 by /rik+ & ! option ( an automatic escalation to ext]nal review & ins]t+ 1 includ+ notice t if on reconsid]ation a ,,pdp sponsor affirms its d5ial1 9 :ole or 9 "p1 ! case %all be automatically =w>d$ to ! indep5d5t1 outside entity contract$ ) ! ,secret>y = review & resolution2 & 7#b7 9 subp>agraph 7,e71 by /rik+ & ! option & all t foll[s & ins]t+ ! foll[+3 & if on reconsid]ation a ,,pdp sponsor affirms its d5ial1 9 :ole or 9 "p1 ! case %all be automatically =w>d$ to ! indep5d5t1 outside entity contract$ ) ! ,secret>y = review & resolution44 7b7 ,effective date ,! am5dm5ts made by subsection 7a7 %all apply beg9n+ n lat] ,janu>y #a1 #bjba4 #bjjh4 ,susp5sion ( paym5ts by ,m$ic>e prescription drug plans & ,,ma-,,pd plans p5d+ inve/igations ( cr$ible allegations ( fraud by ph>macies 7a7 ,9 g5]al ,section #ahfj;,d-#ab7;b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#aab7;b77 is am5d$ by add+ at ! end ! foll[+ new p>agraph3 7#g7 ,susp5sion ( paym5ts p5d+ inve/igation ( cr$ible allegations ( fraud by ph>macies 7,a7 ,9 g5]al ,section #ahfb7o77#a7 %all apply ) respect to a ,,pdp sponsor ) a contract "u ?is "p1 a ph>macy1 & paym5ts to su* ph>macy "u ?is "p 9 ! same mann] z su* section applies ) respect to ! ,secret>y1 a provid] ( s]vices or suppli]1 & paym5ts to su* provid] ( s]vices or suppli] "u ?is title4 ,a ,,pdp sponsor %all notify ! ,secret>y reg>d+ ! imposition ( any paym5t susp5sion pursuant to ! previ\s s5t5ce1 su* z ?r\gh ! secure int]net website portal 7or o!r successor te*nology7 e/abli%$ "u section #ahei7;i74 7,b7 ,rule ( con/ruction ,no?+ 9 ?is p>agraph %all be con/ru$ z limit+ ! au?ority ( a ,,pdp sponsor to conduct po/paym5t review4 4 7b7 ,application to ,,ma-,,pd plans ,section #aheg7;f77#c7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#bg7;f77#c77 is am5d$ by add+ at ! end ! foll[+ new subp>agraph3 7,d7 ,susp5sion ( paym5ts p5d+ inve/igation ( cr$ible allegations ( fraud by ph>macies ,section #ahfj;,d-#ab7;b77#g74 4 7c7 ,con=m+ am5dm5t ,section #ahfb7o77#c7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciey7o77#c77 is am5d$ by ins]t+ 1 section #ahfj;,d-#ab7;b77#g7 7includ+ z appli$ pursuant to section #aheg7;f77#c77;,d771 aft] ?is subsection4 7d7 ,cl>ification relat+ to cr$ible allegation ( fraud ,section #ahfb7o7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciey7o77 is am5d$ by add+ at ! end ! foll[+ new p>agraph3 7#d7 ,cr$ible allegation ( fraud ,9 c>ry+ out ?is subsection1 section #ahfj;,d-#ab7;b77#g7 7includ+ z appli$ pursuant to section #aheg7;f77#c77;,d771 & section #aijc7;i77#b77;,c71 a fraud hotl9e tip 7z def9$ by ! ,secret>y7 )\t fur!r evid5ce %all n be treat$ z suffici5t evid5ce = a cr$ible allegation ( fraud4 4 7e7 ,effective date ,! am5dm5ts made by ?is section %all apply ) respect to plan ye>s beg9n+ on or aft] ,janu>y #a1 #bjbj4 ,,iii ,,fda & ,controll$ ,sub/ance ,provisions ,a ,,fda provisions #a ,9 g5]al #cjja4 ,cl>ify+ ,,fda regulation ( non-addictive pa9 products 7a7 ,public meet+s ,n lat] ?an "o ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices 7ref]r$ to 9 ?is section z ! ,secret>y71 act+ ?r\gh ! ,commission] ( ,food & ,drugs1 %all hold n less ?an "o public meet+ to address ! *all5ges & b>ri]s ( develop+ non-addictive m$ical products int5d$ to treat acute or *ronic pa9 or addiction1 :i* may include-- 7#a7 ! mann] by :i* ! ,secret>y may incorporate ! risks ( misuse & abuse ( a controll$ sub/ance 7z def9$ 9 section #ajb ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hjb77 into ! risk b5efit assessm5ts "u subsections 7d7 & 7e7 ( section #eje ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cee71 section #eaj7k7 ( su* ,act 7#ba ,u4,s4,c4 #cfj7k771 or section #eae7;c7 ( su* ,act 7#ba ,u4,s4,c4 #cfj;e7c771 z applicable2 7#b7 ! application ( novel cl9ical trial designs 7consi/5t ) section #cjba ( ! #ba/ ,c5tury ,cures ,act 7,public ,law #aad-bee771 use ( real _w evid5ce 7consi/5t ) section #eje;,f ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cee;g771 & use ( pati5t exp]i5ce data 7consi/5t ) section #efi;,c ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cfj;bbb-#h;c77 = ! developm5t ( non-addictive m$ical products int5d$ to treat pa9 or addiction2 7#c7 ! evid5ti>y /&>ds & ! developm5t ( opioid-sp>+ data = inclusion 9 ! label+ ( m$ical products int5d$ to treat acute or *ronic pa92 & 7#d7 ! application ( eligibility crit]ia "u sections #ejf & #eae;,b ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cef1 #cfj;e-#c7 = non-addictive m$ical products int5d$ to treat pa9 or addiction4 7b7 ,guidance ,n less ?an "o ye> aft] ! public meet+s are conduct$ "u subsection 7a7 ! ,secret>y %all issue "o or m f9al guidance docum5ts1 or update exi/+ guidance docum5ts1 to help address *all5ges to develop+ non-addictive m$ical products to treat pa9 or addiction4 ,su* guidance docum5ts %all include in=mation reg>d+-- 7#a7 h[ ! ,food & ,drug ,adm9i/ration may apply sections #ejf & #eae;,b ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cef1 #cfj;e-#c7 to non-addictive m$ical products int5d$ to treat pa9 or addiction1 includ+ ! circum/ances "u :i* ! ,secret>y-- 7,a7 may apply ! eligibility crit]ia "u su* sections #ejf & #eae;,b to non-addictive m$ical products int5d$ to treat pa9 or addiction2 7,b7 consid]s ! risk ( addiction ( controll$ sub/ances approv$ to treat pa9 :5 e/abli%+ unmet m$ical ne$2 & 7,c7 consid]s pa91 pa9 control1 or pa9 managem5t 9 assess+ :e!r a disease or condition is a s]i\s or life-?reat5+ disease or condition2 7#b7 ! me?ods by :i* sponsors may evaluate acute & *ronic pa91 endpo9ts = non-addictive m$ical products int5d$ to treat pa91 ! mann] 9 :i* endpo9ts & evaluations ( efficacy w be appli$ across & )9 review divisions1 tak+ into consid]ation ! etiology ( ! und]ly+ disease1 & ! mann] 9 :i* sponsors may use surrogate endpo9ts1 int]m$iate endpo9ts1 & real _w evid5ce2 7#c7 ! mann] 9 :i* ! ,food & ,drug ,adm9i/ration w assess evid5ce to support ! inclusion ( opioid-sp>+ data 9 ! label+ ( non-addictive m$ical products int5d$ to treat acute or *ronic pa91 includ+-- 7,a7 alt]native data collection me?odologies1 includ+ ! use ( novel cl9ical trial designs 7consi/5t ) section #cjba ( ! #ba/ ,c5tury ,cures ,act 7,public ,law #aad-bee77 & real _w evid5ce 7consi/5t ) section #eje;,f ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cee;g771 includ+ pati5t regi/ries & pati5t report$ outcomes1 z appropriate1 to support product label+2 7,b7 e?ical consid]ations ( expos+ subjects to controll$ sub/ances 9 cl9ical trials to develop opioid-sp>+ data & consid]ations on data collection me?ods t r$uce h>m1 :i* may include ! r$uction ( opioid use z a cl9ical b5efit2 7,c7 endpo9ts1 includ+ prim>y1 second>y1 & surrogate endpo9ts1 to evaluate ! r$uction ( opioid use2 7,d7 be/ practices = communication betwe5 sponsors & ! ag5cy on ! developm5t ( data collection me?ods1 includ+ ! initiation ( data collection2 & 7,e7 ! appropriate =mat 9 :i* to submit su* data results to ! ,secret>y2 & 7#d7 ! circum/ances "u :i* ! ,food & ,drug ,adm9i/ration consid]s misuse & abuse ( a controll$ sub/ance 7z def9$ 9 section #ajb ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hjb77 9 mak+ ! risk b5efit assessm5t "u p>agraphs 7#b7 & 7#d7 ( subsection 7d7 ( section #eje ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cee7 & 9 f9d+ t a drug is unsafe "u p>agraph 7#a7 or 7#b7 ( subsection 7e7 ( su* section4 7c7 ,def9itions ,9 ?is section-- 7#a7 ! t]m m$ical product means a drug 7z def9$ 9 section #bja7;g77#a7 ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cba7;g77#a7771 biological product 7z def9$ 9 section #cea7;i7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bfb7;i7771 or device 7z def9$ 9 section #bja7;h7 ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cba7;h7772 & 7#b7 ! t]m opioid-sp>+ means r$uc+1 replac+1 or avoid+ ! use ( opioids or o!r controll$ sub/ances int5d$ to treat acute or *ronic pa94 #cjjb4 ,evid5ce-bas$ opioid analgesic prescrib+ guidel9es & report 7a7 ,guidel9es ,! ,commission] ( ,food & ,drugs %all develop evid5ce-bas$ opioid analgesic prescrib+ guidel9es = ! indication-specific treatm5t ( acute pa9 only = ! relevant !rapeutic areas :]e su* guidel9es d n exi/4 7b7 ,public input ,9 develop+ ! guidel9es "u subsection 7a71 ! ,commission] ( ,food & ,drugs %all-- 7#a7 consult ) /akehold]s1 :i* may include conduct+ a public meet+ ( m$ical pr(essional societies 7includ+ any ,/ate-bas$ societies71 heal? c>e provid]s1 ,/ate m$ical bo>ds1 m$ical specialties includ+ pa9 m$ic9e specialty societies1 pati5t gr\ps1 ph>maci/s1 academic or m$ical rese>* entities1 & o!r entities ) exp]i5ce 9 heal? c>e1 z appropriate2 7#b7 collaborate ) ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 z applicable & appropriate1 & o!r ,f$]al ag5cies ) relevant exp]tise z appropriate2 & 7#c7 provide = a notice & comm5t p]iod consi/5t ) section #gja7;h7 ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cga7;h77 = ! submission ( comm5ts by ! public4 7c7 ,report ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 or1 if e>li]1 at ! "t ! guidel9es "u subsection 7a7 are f9aliz$1 ! ,commission] ( ,food & ,drugs %all submit to ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives & ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate1 & po/ on ! public website ( ! ,food & ,drug ,adm9i/ration1 a report on h[ ! ,food & ,drug ,adm9i/ration w utilize ! guidel9es "u subsection 7a7 to protect ! public heal? & a description ( ! public heal? ne$ ) respect to ea* su* indication-specific treatm5t guidel9e4 7d7 ,updates ,! ,commission] ( ,food & ,drugs %all p]iodically-- 7#a7 update ! guidel9es "u subsection 7a71 in=m$ by public input describ$ 9 subsection 7b72 & 7#b7 submit to ! committees specifi$ 9 subsection 7c7 & po/ on ! public website ( ! ,food & ,drug ,adm9i/ration an updat$ report "u su* subsection4 7e7 ,/atem5t ,to accompany guidel9es & recomm5dations ,! ,commission] ( ,food & ,drugs %all ensure t opioid analgesic prescrib+ guidel9es & o!r recomm5dations develop$ "u ?is section are accompani$ by a cle> /atem5t t su* guidel9es or recomm5dations1 z applicable-- 7#a7 are int5d$ to help in=m cl9ical decisionmak+ by prescrib]s & pati5ts2 & 7#b7 are n int5d$ to be us$ = ! purposes ( re/rict+1 limit+1 delay+1 or d5y+ cov]age =1 or access to1 a prescription issu$ = a legitimate m$ical purpose by an individual practition] act+ 9 ! usual c\rse ( pr(essional practice4 #b ,/op ,c\nt]feit ,drugs by ,regulat+ & ,enhanc+ ,en=cem5t ,n[ #cjaa4 ,%ort title ,?is *apt] may be cit$ z ! ,/op ,c\nt]feit ,drugs by ,regulat+ & ,enhanc+ ,en=cem5t ,n[ ,act or ! ,,scre5 ,act4 #cjab4 ,notification1 nondi/ribution1 & recall ( controll$ sub/ances 7a7 ,prohibit$ ,acts ,section #cja ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cca7 is am5d$ by add+ at ! end ! foll[+3 7eee7 ,! failure to comply ) any ord] issu$ "u section #efi;,d4 4 7b7 ,notification1 nondi/ribution1 & recall ( controll$ sub/ances ,sub*apt] ,e ( *apt] ,v ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cfj;bbb et seq47 is am5d$ by add+ at ! end ! foll[+3 #efi;,d4 ,notification1 nondi/ribution1 & recall ( controll$ sub/ances 7a7 ,ord] ,to cease di/ribution & recall 7#a7 ,9 g5]al ,if ! ,secret>y det]m9es !re is a reasonable probability t a controll$ sub/ance w\ld cause s]i\s adv]se heal? consequ5ces or dea?1 ! ,secret>y may1 aft] provid+ ! appropriate p]son ) an opportunity to consult ) ! ag5cy1 issue an ord] requir+ manufactur]s1 import]s1 di/ributors1 or ph>maci/s1 :o di/ribute su* controll$ sub/ance to imm$iately cease di/ribution ( su* controll$ sub/ance4 7#b7 ,he>+ ,an ord] "u p>agraph 7#a7 %all provide ! p]son subject to ! ord] ) an opportunity = an in=mal he>+1 to be held n lat] ?an #aj days aft] ! date ( issuance ( ! ord]1 on :e!r adequate evid5ce exi/s to ju/ify an am5dm5t to ! ord]1 & :at actions are requir$ by su* am5d$ ord] pursuant to subp>agraph 7#c74 7#c7 ,ord] resolution ,aft] an ord] is issu$ accord+ to ! process "u p>agraphs 7#a7 & 7#b71 ! ,secret>y %all1 except z provid$ 9 p>agraph 7#d7-- 7,a7 vacate ! ord]1 if ! ,secret>y det]m9es t inadequate gr\nds exi/ to support ! actions requir$ by ! ord]2 7,b7 cont9ue ! ord] ceas+ di/ribution ( ! controll$ sub/ance until a date specifi$ 9 su* ord]2 or 7,c7 am5d ! ord] to require a recall ( ! controll$ sub/ance1 includ+ any requirem5ts to notify appropriate p]sons1 a timetable = ! recall to occur1 & a s*$ule = updates to be provid$ to ! ,secret>y reg>d+ su* recall4 7#d7 ,risk assessm5t ,if ! ,secret>y det]m9es t ! risk ( recall+ a controll$ sub/ance pres5ts a great] heal? risk ?an ! heal? risk ( n recall+ su* controll$ sub/ance f use1 an am5d$ ord] "u subp>agraph 7,b7 or 7,c7 ( p>agraph 7#c7 %all n include ei!r a recall ord] =1 or an ord] to cease di/ribution (1 su* controll$ sub/ance1 z applicable4 7#e7 ,action foll[+ ord] ,any p]son :o is subject to an ord] pursuant to subp>agraph 7,b7 or 7,c7 ( p>agraph 7#c7 %all imm$iately cease di/ribution ( or recall1 z applicable1 ! controll$ sub/ance & provide notification z requir$ by su* ord]4 7b7 ,notice to p]sons affect$ ,if ! ,secret>y det]m9es necess>y1 ! ,secret>y may require ! p]son subject to an ord] pursuant to p>agraph 7#a7 or an am5d$ ord] pursuant to subp>agraph 7,b7 or 7,c7 ( p>agraph 7#c7 to provide ei!r a notice ( a recall ord] =1 or an ord] to cease di/ribution (1 su* controll$ sub/ance1 z applicable1 "u ?is section to appropriate p]sons1 includ+ p]sons :o manufacture1 di/ribute1 import1 or (f] = sale su* product t is ! subject ( an ord] & to ! public4 ,9 provid+ su* notice1 ! ,secret>y may use ! assi/ance ( heal? pr(essionals :o prescrib$ or disp5s$ su* controll$ sub/ances4 7c7 ,nondelegation ,an ord] describ$ 9 subsection 7a77#c7 %all be ord]$ by ! ,secret>y or an (ficial designat$ by ! ,secret>y4 ,an (ficial may n be s designat$ "u ?is section unless ! (ficial is ! ,director ( ! ,c5t] = ,drug ,evaluation & ,rese>* or an (ficial s5ior to su* ,director4 7d7 ,sav+s clause ,no?+ conta9$ 9 ?is section %all be con/ru$ z limit+-- 7#a7 ! au?ority ( ! ,secret>y to issue an ord] to cease di/ribution (1 or to recall1 any drug "u any o!r provision ( ?is ,act or ! ,public ,heal? ,s]vice ,act2 or 7#b7 ! ability ( ! ,secret>y to reque/ any p]son to p]=m a volunt>y activity relat$ to any drug subject to ?is ,act or ! ,public ,heal? ,s]vice ,act4 4 7c7 ,controll$ sub/ances subject to refusal ,! ?ird s5t5ce ( section #hja7;a7 ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cha7;a77 is am5d$ by ins]t+ 1 or is a controll$ sub/ance subject to an ord] "u section #efi;,d be=e 1 or 7#d74 7d7 ,effective date ,sections #cja7;eee7 & #efi;,d ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act1 z add$ by subsections 7a7 & 7b71 %all be effective beg9n+ on ! date ( enactm5t ( ?is ,act4 #cjac4 ,s+le s\rce patt]n ( import$ illegal drugs ,section #hja ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cha71 z am5d$ by section #cjab1 is fur!r am5d$ by add+ at ! end ! foll[+3 7t7 ,s+le s\rce patt]n ( import$ illegal drugs ,if ! ,secret>y det]m9es t a p]son subject to deb>m5t z a result ( engag+ 9 a patt]n ( import+ or (f]+ = import controll$ sub/ances or drugs z describ$ 9 section #cjf7;b77#c77;,d71 & su* patt]n is id5tifi$ by ! ,secret>y z be+ (f]$ = import f ! same manufactur]1 di/ributor1 or import]1 ! ,secret>y may by ord] det]m9e all drugs be+ (f]$ = import f su* p]son z adult]at$ or misbr&$1 unless su* p]son c provide evid5ce o!rwise4 4 #cjad4 ,/r5g!n+ ,,fda & ,,cbp coord9ation & capacity 7a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices 7ref]r$ to 9 ?is section z ! ,secret>y71 act+ ?r\gh ! ,commission] ( ,food & ,drugs1 %all coord9ate ) ! ,secret>y ( ,homel& ,security to c>ry out activities relat$ to cu/oms & bord] protection & 9 response to illegal controll$ sub/ances & drug imports1 includ+ at sites ( import 7su* z int]national mail facilities71 t w provide improvem5ts to su* facilities1 te*nologies1 & inspection capacity4 ,su* ,secret>ies may c>ry out su* activities ?r\gh a memor&um ( und]/&+ betwe5 ! ,food & ,drug ,adm9i/ration & ! ,u4,s4 ,cu/oms & ,bord] ,protection4 7b7 ,,fda import facilities & inspection capacity 7#a7 ,9 g5]al ,9 c>ry+ out ?is section1 ! ,secret>y %all1 9 collaboration ) ! ,secret>y ( ,homel& ,security & ! ,po/ma/] ,g5]al ( ! ,unit$ ,/ates ,po/al ,s]vice1 provide t import facilities 9 :i* ! ,food & ,drug ,adm9i/ration op]ates or c>ries out activities relat$ to drug imports )9 ! int]national mail facilities include-- 7,a7 facility upgrades & improv$ capacity 9 ord] to increase & improve inspection & detection capabilities1 :i* may include1 z ! ,secret>y det]m9es appropriate-- 7i7 improvem5ts to facilities1 su* z upgrades or r5ovations1 & support = ! ma9t5ance ( exi/+ import facilities & sites to improve coord9ation betwe5 ,f$]al ag5cies2 7ii7 improvem5ts 9 equipm5t & in=mation te*nology enhancem5t to id5tify unapprov$1 c\nt]feit1 or o!r unlawful controll$ sub/ances = de/ruction2 7iii7 ! con/ruction (1 or upgrades to1 laboratory capacity = purposes ( detection & te/+ ( import$ goods2 7iv7 upgrades to ! security ( import facilities2 & 7v7 innovative te*nology & equipm5t to facilitate improv$ & ne>-real-"t in=mation %>+ betwe5 ! ,food & ,drug ,adm9i/ration1 ! ,dep>tm5t ( ,homel& ,security1 & ! ,unit$ ,/ates ,po/al ,s]vice2 & 7,b7 innovative te*nology1 includ+ controll$ sub/ance detection & te/+ equipm5t & o!r applicable te*nology1 9 ord] to collaborate ) ! ,u4,s4 ,cu/oms & ,bord] ,protection to %>e ne>-real-"t in=mation1 includ+ in=mation ab\t te/ results1 z appropriate4 7#b7 ,innovative te*nology ,any te*nology us$ 9 accordance ) p>agraph 7#a77;,b7 %all be int]op]able ) te*nology us$ by o!r relevant ,f$]al ag5cies1 includ+ ! ,u4,s4 ,cu/oms & ,bord] ,protection1 z ! ,secret>y det]m9es appropriate & practicable4 7c7 ,report ,n lat] ?an #f mon?s aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y1 9 consultation ) ! ,secret>y ( ,homel& ,security & ! ,po/ma/] ,g5]al ( ! ,unit$ ,/ates ,po/al ,s]vice1 %all report to ! ,committee on ,en]gy & ,comm]ce & ! ,committee on ,homel& ,security ( ! ,h\se ( ,repres5tatives & ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions & ! ,committee on ,homel& ,security & ,gov]nm5tal ,affairs ( ! ,s5ate on ! implem5tation ( ?is section1 includ+ a summ>y ( progress made t[>d ne>-real-"t in=mation %>+ & ! int]op]ability ( su* te*nologies4 #c ,/op ,illicit ,drug ,importation #cjba4 ,%ort title ,?is *apt] may be cit$ z ! ,/op ,illicit ,drug ,importation ,act ( #bjah4 #cjbb4 ,re/rict+ entrance ( illicit drugs 7a7 ,food & ,drug ,adm9i/ration & ,u4,s4 ,cu/oms & ,bord] ,protection ,coop]ation 7#a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices 7ref]r$ to 9 ?is section z ! ,secret>y71 act+ ?r\gh ! ,commission] ( ,food & ,drugs & 9 consultation ) ! ,u4,s4 ,cu/oms & ,bord] ,protection1 %all develop & p]iodically update a mutually agre$ ^u li/ ( ! controll$ sub/ances t ! ,secret>y w ref] to ,u4,s4 ,cu/oms & ,bord] ,protection1 unless ! ,secret>y & ,u4,s4 ,cu/oms & ,bord] ,protection agree o!rwise1 :5 su* sub/ances are (f]$ = import via int]national mail & appe> to violate ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hja et seq471 ! ,controll$ ,sub/ances ,import & ,export ,act 7#ba ,u4,s4,c4 #iea et seq471 ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cja et seq471 or any o!r applicable law4 ,! ,secret>y %all transf] controll$ sub/ances on su* li/ to ! ,u4,s4 ,cu/oms & ,bord] ,protection4 ,if ! ,secret>y id5tifies additional packages t appe> to be ! same z su* package conta9+ a controll$ sub/ance1 su* additional packages may also be transf]r$ to ,u4,s4 ,cu/oms & ,bord] ,protection4 ,! ,u4,s4 ,cu/oms & ,bord] ,protection %all receive su* packages consi/5t ) ! requirem5ts ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hja et seq474 7#b7 ,report ,n lat] ?an #i mon?s aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y1 act+ ?r\gh ! ,commission] ( ,food & ,drugs & 9 consultation ) ! ,secret>y ( ,homel& ,security1 %all report to ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives & ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate on ! implem5tation ( ?is section4 7b7 ,deb>m5t1 tempor>y d5ial ( approval1 & susp5sion 7#a7 ,prohibit$ act ,section #cja7;cc7 ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cca7;cc77 is am5d$-- 7,a7 by ins]t+ or a drug aft] food2 & 7,b7 by ins]t+ f su* activity aft] p]son deb>r$4 7#b7 ,deb>m5t ,section #cjf7;b7 ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cce;a7b77 is am5d$-- 7,a7 9 p>agraph 7#a7-- 7i7 9 ! matt] prec$+ subp>agraph 7,a71 by ins]t+ or 7#c7 aft] p>agraph 7#b72 7ii7 9 subp>agraph 7,a71 by /rik+ ! comma at ! end & ins]t+ a semicolon2 7iii7 9 subp>agraph 7,b71 by /rik+ 1 or & ins]t+ a semicolon2 7iv7 9 subp>agraph 7,c71 by /rik+ ! p]iod & ins]t+ 2 or2 & 7v7 by add+ at ! end ! foll[+3 7,d7 a p]son f import+ or (f]+ = import into ! ,unit$ ,/ates a drug4 2 7,b7 9 p>agraph 7#c7-- 7i7 9 ! head+1 by ins]t+ or drug aft] ,food2 7ii7 9 subp>agraph 7,a71 by /rik+ 2 or & ins]t+ a semicolon2 7iii7 9 subp>agraph 7,b71 by /rik+ ! p]iod & ins]t+ a semicolon2 & 7iv7 by add+ at ! end ! foll[+3 7,c7 ! p]son has be5 convict$ ( a felony = conduct relat+ to ! importation into ! ,unit$ ,/ates ( any drug or controll$ sub/ance 7z def9$ 9 section #ajb ( ! ,controll$ ,sub/ances ,act72 7,d7 ! p]son has engag$ 9 a patt]n ( import+ or (f]+ = import-- 7i7 controll$ sub/ances t are prohibit$ f importation "u section #dja7m7 ( ! ,t>iff ,act ( #aicj 7#ai ,u4,s4,c4 #adja7m772 or 7ii7 adult]at$ or misbr&$ drugs t are-- 7,i7 n designat$ 9 an au?oriz$ electronic data int]*ange sy/em z a product t is regulat$ by ! ,secret>y2 or 7,,ii7 kn[+ly or int5tionally falsely designat$ 9 an au?oriz$ electronic data int]*ange sy/em z a product t is regulat$ by ! ,secret>y4 2 & 7,c7 by add+ at ! end ! foll[+3 7#e7 ,def9ition ,= purposes ( p>agraph 7#c77;,d71 ! t]m patt]n ( import+ or (f]+ = import means import+ or (f]+ = import a drug describ$ 9 clause 7i7 or 7ii7 ( p>agraph 7#c77;,d7 9 an am\nt1 frequ5cy1 or dosage t is inconsi/5t ) p]sonal or h\sehold use by ! import]4 4 7c7 ,imports & exports ,section #hja7;a7 ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cha7;a771 z am5d$1 is fur!r am5d$-- 7#a7 by /rik+ 1 !n su* article %all be refus$ admission ins]t+ or 7#e7 su* article is be+ import$ or (f]$ = import 9 violation ( section #cja7;cc71 !n any su* article describ$ 9 any ( clauses 7#a7 ?r\gh 7#e7 %all be refus$ admission2 7#b7 by ins]t+ ,if x appe>s f ! exam9ation ( su* samples or o!rwise t ! article is a c\nt]feit drug1 su* article %all be refus$ admission4 be=e ,) respect to an article ( food1 if importation2 & 7#c7 by /rik+ ,clause 7#b7 ( ! ?ird s5t5ce & all t foll[s ?r\gh ! p]iod at ! end & ins]t+ ! foll[+3 ,nei!r clause 7#b7 nor clause 7#e7 ( ! ?ird s5t5ce ( ?is subsection %all be con/ru$ to prohibit ! admission ( n>cotic drugs1 ! importation ( :i* is p]mitt$ "u ! ,controll$ ,sub/ances ,import & ,export ,act44 7d7 ,c]ta9 illicit articles ,section #hja ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cha71 z am5d$1 is am5d$ by add+ at ! end ! foll[+-- 7u7 ,illicit articles conta9+ active ph>maceutical +r$i5ts 7#a7 ,9 g5]al ,= purposes ( ?is section1 an article t is be+ import$ or (f]$ = import into ! ,unit$ ,/ates may be treat$ by ! ,secret>y z a drug if ! article-- 7,a7 is n-- 7i7 accompani$ by an electronic import entry = su* article submitt$ us+ an au?oriz$ electronic data int]*ange sy/em2 & 7ii7 designat$ 9 su* a sy/em z an article regulat$ by ! ,secret>y 7:i* may include regulation z a drug1 a device1 a diet>y supplem5t1 or o!r product t is regulat$ "u ?is ,act72 & 7,b7 is an +r$i5t t pres5ts significant public heal? conc]n & is1 or conta9s-- 7i7 an active +r$i5t 9 a drug-- 7,i7 t is approv$ "u section #eje or lic5s$ "u section #cea ( ! ,public ,heal? ,s]vice ,act2 or 7,,ii7 = :i*-- 7aa7 an inve/igational use exemption has be5 au?oriz$ "u section #eje7;i7 ( ?is ,act or section #cea7;a7 ( ! ,public ,heal? ,s]vice ,act2 & 7bb7 a sub/antial cl9ical inve/igation has be5 in/itut$1 & su* inve/igation has be5 made public2 or 7ii7 a sub/ance t has a *emical /ructure t is sub/antially simil> to ! *emical /ructure ( an active +r$i5t 9 a drug or biological product describ$ 9 subclause 7,i7 or 7,,ii7 ( clause 7i74 7#b7 ,effect ,?is subsection %all n be con/ru$ to be> ^u any det]m9ation ( :e!r an article is a drug )9 ! mean+ ( section #bja7;g71 o!r ?an = ! purposes describ$ 9 p>agraph 7#a74 4 #d ,secur+ ,opioids & ,unus$ ,n>cotics ) ,delib]ate ,disposal & ,packag+ #cjca4 ,%ort title ,?is *apt] may be cit$ z ! ,secur+ ,opioids & ,unus$ ,n>cotics ) ,delib]ate ,disposal & ,packag+ ,act ( #bjah or ! ,,s\nd ,disposal & ,packag+ ,act4 #cjcb4 ,safety-enhanc+ packag+ & disposal features 7a7 ,delib]ate disposal & packag+ elem5ts ( /rategy ,section #eje-a7;e7 ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cee-a7;e77 is am5d$ by add+ at ! end ! foll[+3 7#d7 ,packag+ & disposal ,! ,secret>y may require a risk evaluation mitigation /rategy = a drug = :i* !re is a s]i\s risk ( an adv]se drug exp]i5ce describ$ 9 subp>agraph 7,b7 or 7,c7 ( subsection 7b77#a71 tak+ into consid]ation ! factors describ$ 9 subp>agraphs 7,c7 & 7,d7 ( subsection 7f77#b7 & 9 consultation ) o!r relevant ,f$]al ag5cies ) au?orities ov] drug disposal packag+1 :i* may include requir+ t-- 7,a7 ! drug be made available = disp5s+ to c]ta9 pati5ts 9 unit dose packag+1 packag+ t provides a set duration1 or ano!r packag+ sy/em t ! ,secret>y det]m9es may mitigate su* s]i\s risk2 or 7,b7 ! drug be disp5s$ to c]ta9 pati5ts ) a safe disposal packag+ or safe disposal sy/em = purposes ( r5d]+ drugs nonretrievable 7z def9$ 9 section #acjj4je ( title #ba1 ,code ( ,f$]al ,regulations 7or any successor regulation77 if ! ,secret>y det]m9es t su* safe disposal packag+ or sy/em may mitigate su* s]i\s risk & is suffici5tly available4 4 7b7 ,assur+ access & m9imiz+ burd5 ,section #eje-a7;f77#b77;,c7 ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cee-a7;f77#b77;,c77 is am5d$-- 7#a7 9 clause 7i7 by /rik+ & at ! end2 & 7#b7 by add+ at ! end ! foll[+3 7iii7 pati5ts ) functional limitations2 & 4 7c7 ,application to abbreviat$ new drug applications ,section #eje-a7;i7 ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cee-a7;i77 is am5d$-- 7#a7 9 p>agraph 7#a7-- 7,a7 by r$esignat+ subp>agraph 7,b7 z subp>agraph 7,c72 & 7,b7 ins]t+ aft] subp>agraph 7,a7 ! foll[+3 7,b7 ,a packag+ or disposal requirem5t1 if requir$ "u subsection 7e77#d7 = ! applicable li/$ drug4 2 & 7#b7 9 p>agraph 7#b7-- 7,a7 9 subp>agraph 7,a71 by /rik+ & at ! end2 7,b7 by r$esignat+ subp>agraph 7,b7 z subp>agraph 7,c72 & 7,c7 by ins]t+ aft] subp>agraph 7,a7 ! foll[+3 7,b7 %all p]mit packag+ sy/ems & safe disposal packag+ or safe disposal sy/ems t are diff]5t f ^? requir$ = ! applicable li/$ drug "u subsection 7e77#d72 & 4 7d7 ,,gao report ,n lat] ?an #ab mon?s aft] ! date ( enactm5t ( ?is ,act1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all prep>e & submit to ,congress a report conta9+-- 7#a7 a description ( available evid5ce1 if any1 on ! effectiv5ess ( site-(-use1 9-home controll$ sub/ance disposal products & packag+ te*nologies2 7#b7 an evaluation ( exi/+ ref]5ce /&>ds ) respect to controll$ sub/ance disposal products & packag+ te*nologies1 includ+ any su* /&>ds e/abli%$ by a /&>ds developm5t organization1 & h[ su* /&>ds %\ld be consid]$ 9 ensur+ effectiv5ess ( su* products & te*nologies2 7#c7 id5tification ( ways 9 :i* su* disposal products int5d$ = use by pati5ts1 consum]s1 & o!r end us]s t are n regi/rants "u ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hja et seq471 are made available to ! public & any b>ri]s to ! use ( su* disposal products2 7#d7 id5tification ( ways 9 :i* packag+ te*nologies are made available to ! public & any b>ri]s to ! use ( su* te*nologies2 7#e7 a description ( curr5t ,f$]al ov]sight1 if any1 ( site-(-use1 9-home controll$ sub/ance disposal products1 includ+-- 7,a7 id5tification ( ! ,f$]al ag5cies t ov]see su* products2 7,b7 id5tification ( ! me?ods ( disposal ( controll$ sub/ances recomm5d$ by su* ag5cies = site-(-use1 9-home disposal2 & 7,c7 a description ( ! effectiv5ess ( su* recomm5dations at prev5t+ ! div]sion ( legally prescrib$ controll$ sub/ances2 7#f7 a description ( curr5t ,f$]al ov]sight1 if any1 ( controll$ sub/ance packag+ te*nologies1 includ+-- 7,a7 id5tification ( ! ,f$]al ag5cies t ov]see su* te*nologies2 7,b7 id5tification ( ! te*nologies recomm5d$ by su* ag5cies1 includ+ unit dose packag+1 packag+ t provides a set duration1 & o!r packag+ sy/ems t may mitigate abuse or misuse2 & 7,c7 a description ( ! effectiv5ess ( su* recomm5dations at prev5t+ ! div]sion ( legally prescrib$ controll$ sub/ances2 & 7#g7 recomm5dations1 z appropriate1 on-- 7,a7 :e!r site-(-use1 9-home controll$ sub/ance disposal products & packag+ te*nologies require ,f$]al ov]sight &1 if s1 :i* ag5cy or ag5cies %\ld be responsible = su* ov]sight &1 z applicable1 review ( su* products or te*nologies2 & 7,b7 :e!r !re are applicable /&>ds t %\ld be consid]$ to ensure ! effectiv5ess ( su* products4 #e ,po/approval /udy requirem5ts #cjda4 ,cl>ify+ ,,fda po/m>ket au?orities 7a7 ,def9ition ( adv]se drug exp]i5ce ,section #eje-a7;b77#a77;,e7 ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cee-a7;b77#a77;,e77 is am5d$ by /rik+ ( ! drug & ins]t+ ( ! drug1 :i* may include r$uc$ effectiv5ess "u ! conditions ( use prescrib$ 9 ! label+ ( su* drug1 b :i* may n include r$uc$ effectiv5ess t is 9 accordance ) su* label+4 7b7 ,safety label+ *anges ,section #eje7o77#d7 ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cee7o77#d77 is am5d$-- 7#a7 9 subp>agraph 7,a7 by-- 7,a7 /rik+ ,safety in=mation & ins]t+ ,safety or new effectiv5ess in=mation2 & 7,b7 by /rik+ ,if ! ,secret>y becomes & all t foll[s ?r\gh 9 ! label+ ( ! drug & ins]t+ ,if ! ,secret>y becomes aw>e ( new in=mation1 includ+ any new safety in=mation or in=mation relat$ to r$uc$ effectiv5ess1 t ! ,secret>y det]m9es %\ld be includ$ 9 ! label+ ( ! drug2 7#b7 9 clause 7i7 ( subp>agraph 7,b71 by ins]t+ be=e ! semicolon 1 or new effectiv5ess in=mation2 7#c7 9 subp>agraph 7,c7 by /rik+ safety in=mation & ins]t+ safety or new effectiv5ess in=mation2 & 7#d7 9 subp>agraph 7,e7 by /rik+ safety in=mation & ins]t+ safety or new effectiv5ess in=mation4 7c7 ,guidance ,n less ?an "o ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all issue guidance reg>d+ ! circum/ances "u :i* ! ,food & ,drug ,adm9i/ration may require po/m>ket /udies or cl9ical trials to assess ! pot5tial r$uction 9 effectiv5ess ( a drug & h[ su* r$uction 9 effectiv5ess c\ld result 9 a *ange to ! b5efits ( ! drug & ! risks to ! pati5t4 ,su* guidance %all also address h[ ! ,food & ,drug ,adm9i/ration may apply ?is section & ! am5dm5ts made !reby ) respect to circum/ances "u :i* ! ,food & ,drug ,adm9i/ration may require po/m>ket /udies or cl9ical trials & safety label+ *anges relat$ to ! use ( controll$ sub/ances = acute or *ronic pa94 ,b ,controll$ sub/ance provisions #a ,m flexibility ) respect to m$ication-,assi/$ treatm5t = opioid use disord]s #cbja4 ,all[+ = m flexibility ) respect to m$ication-assi/$ treatm5t = opioid use disord]s 7a7 ,con=m+ applicable numb] ,subclause 7,,ii7 ( section #cjc7;g77#b77;,b77iii7 ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hbc7;g77#b77;,b77iii77 is am5d$ to read z foll[s3 7,,ii7 ,! applicable numb] is-- 7aa7 #ajj if1 n soon] ?an #a ye> aft] ! date on :i* ! practition] submitt$ ! initial notification1 ! practition] submits a second notification to ! ,secret>y ( ! ne$ & int5t ( ! practition] to treat up to #ajj pati5ts2 7bb7 #ajj if ! practition] holds additional cr$5tial+1 z def9$ 9 section #h4b ( title #db1 ,code ( ,f$]al ,regulations 7or successor regulations72 7cc7 #ajj if ! practition] provides m$ication-assi/$ treatm5t 7,,mat7 us+ cov]$ m$ications 7z su* t]ms are def9$ 9 section #h4b ( title #db1 ,code ( ,f$]al ,regulations 7or successor regulations77 9 a qualifi$ practice sett+ 7z describ$ 9 section #h4fae ( title #db1 ,code ( ,f$]al ,regulations 7or successor regulations772 or 7dd7 #bge if ! practition] meets ! requirem5ts specifi$ 9 sections #h4faj ?r\gh #h4fee ( title #db1 ,code ( ,f$]al ,regulations 7or successor regulations74 4 7b7 ,elim9at+ any "t limitation = nurse practition]s & physician assi/ants ,to become qualify+ practition]s ,clause 7iii7 ( section #cjc7;g77#b77;,g7 ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hbc7;g77#b77;,g77 is am5d$-- 7#a7 9 subclause 7,i71 by /rik+ or at ! end2 & 7#b7 by am5d+ subclause 7,,ii7 to read z foll[s3 7,,ii7 a qualify+ o!r practition]1 z def9$ 9 clause 7iv71 :o is a nurse practition] or physician assi/ant2 or 4 7c7 ,impos+ a "t limitation = cl9ical nurse speciali/s1 c]tifi$ regi/]$ nurse ane/heti/s1 & c]tifi$ nurse midwifes ,to become qualify+ practition]s ,clause 7iii7 ( section #cjc7;g77#b77;,g7 ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hbc7;g77#b77;,g771 z am5d$ by subsection 7b71 is fur!r am5d$ by add+ at ! end ! foll[+3 7,,iii7 = ! p]iod beg9n+ on ,octob] #a1 #bjah1 & end+ on ,octob] #a1 #bjbc1 a qualify+ o!r practition]1 z def9$ 9 clause 7iv71 :o is a cl9ical nurse speciali/1 c]tifi$ regi/]$ nurse ane/heti/1 or c]tifi$ nurse midwife4 4 7d7 ,def9ition ( qualify+ o!r practition] ,section #cjc7;g77#b77;,g77iv7 ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hbc7;g77#b77;,g77iv77 is am5d$ by /rik+ nurse practition] or physician assi/ant ea* place x appe>s & ins]t+ nurse practition]1 cl9ical nurse speciali/1 c]tifi$ regi/]$ nurse ane/heti/1 c]tifi$ nurse midwife1 or physician assi/ant4 7e7 ,report by ,secret>y ,n lat] ?an #b ye>s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices1 9 consultation ) ! ,drug ,en=cem5t ,adm9i/ration1 %all submit to ,congress a report t assesses ! c>e provid$ by qualify+ practition]s 7z def9$ 9 section #cjc7;g77#b77;,g77iii7 ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hbc7;g77#b77;,g77iii777 :o are treat+1 9 ! case ( physicians1 m ?an #ajj pati5ts1 & 9 ! case ( qualify+ practition]s :o are n physicians1 m ?an #cj pati5ts4 ,su* report %all include recomm5dations on future applicable pati5t numb] levels & limits4 ,9 prep>+ su* report1 ! ,secret>y %all /udy1 ) respect to opioid use disord] treatm5t-- 7#a7 ! av]age frequ5cy ) :i* qualify+ practition]s see _! pati5ts2 7#b7 ! av]age frequ5cy ) :i* pati5ts receive c\nsel+1 includ+ ! rates by :i* su* c\nsel+ is provid$ by su* a qualify+ practition] directly1 or by ref]ral2 7#c7 ! frequ5cy ( toxicology te/+1 includ+ ! av]age frequ5cy ) :i* r&om toxicology te/+ is adm9i/]$2 7#d7 ! av]age mon?ly pati5t caseload = ea* type ( qualify+ practition]2 7#e7 ! treatm5t ret5tion rates = pati5ts2 7#f7 ov]dose & mortality rates2 & 7#g7 any available in=mation reg>d+ ! div]sion ( drugs by pati5ts receiv+ su* treatm5t f su* a qualify+ practition]4 #cbjb4 ,m$ication-assi/$ treatm5t = recov]y f sub/ance use disord] 7a7 ,waiv]s = ,ma9t5ance ,treatm5t or ,detoxification ,section #cjc7;g77#b77;,g77ii7 ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hbc7;g77#b77;,g77ii77 is am5d$ by add+ at ! end ! foll[+3 7,,viii7 ,! physician graduat$ 9 good /&+ f an accr$it$ s*ool ( allopa?ic m$ic9e or o/eopa?ic m$ic9e 9 ! ,unit$ ,/ates dur+ ! #e-ye> p]iod imm$iately prec$+ ! date on :i* ! physician submits to ! ,secret>y a writt5 notification "u subp>agraph 7,b7 & successfully complet$ a compreh5sive allopa?ic or o/eopa?ic m$ic9e curriculum or accr$it$ m$ical resid5cy t-- 7aa7 includ$ n less ?an #h h\rs ( tra9+ on treat+ & manag+ opioid-dep5d5t pati5ts2 & 7bb7 includ$1 at a m9imum-- 7,,aa7 ! tra9+ describ$ 9 items 7aa7 ?r\gh 7gg7 ( subclause 7,,iv72 & 7,,bb7 tra9+ ) respect to any o!r be/ practice ! ,secret>y det]m9es %\ld be includ$ 9 ! curriculum1 :i* may include tra9+ on pa9 managem5t1 includ+ assessm5t & appropriate use ( opioid & non-opioid alt]natives4 4 7b7 ,treatm5t = *ildr5 ,! ,secret>y ( ,heal? & ,human ,s]vices %all consid] ways to ensure t an adequate numb] ( qualifi$ practition]s1 z def9$ 9 subp>agraph 7,g77ii7 ( section #cjc7;g77#b7 ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hbc7;g77#b771 :o h a specialty 9 p$iatrics or ! treatm5t ( *ildr5 or adolesc5ts1 are grant$ a waiv] "u su* section #cjc7;g77#b7 to treat *ildr5 & adolesc5ts ) sub/ance use disord]s4 7c7 ,te*nical ,am5dm5t ,section #ajb7bd7 ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hjb7bd77 is am5d$ by /rik+ ,heal?1 ,education1 & ,welf>e & ins]t+ ,heal? & ,human ,s]vices4 #cbjc4 ,grants to enhance access to sub/ance use disord] treatm5t 7a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices %all e/abli% a grant program "u :i* ! ,secret>y may make grants to accr$it$ s*ools ( allopa?ic m$ic9e or o/eopa?ic m$ic9e & tea*+ hospitals locat$ 9 ! ,unit$ ,/ates to support ! developm5t ( curricula t meet ! requirem5ts "u subclause 7,,viii7 ( section #cjc7;g77#b77;,g77ii7 ( ! ,controll$ ,sub/ances ,act1 z add$ by section #cbjb7;a7 ( ?is ,act4 7b7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$1 = grants "u subsection 7a71 #d1jjj1jjj = ea* ( fiscal ye>s #bjai ?r\gh #bjbc4 #cbjd4 ,deliv]y ( a controll$ sub/ance by a ph>macy to be adm9i/]$ by injection or implantation 7a7 ,9 g5]al ,! ,controll$ ,sub/ances ,act is am5d$ by ins]t+ aft] section #cji 7#ba ,u4,s4,c4 #hbi7 ! foll[+3 #cji;,a4 ,deliv]y ( a controll$ sub/ance by a ph>macy to an adm9i/]+ practition] 7a7 ,9 g5]al ,not)/&+ section #ajb7aj71 a ph>macy may deliv] a controll$ sub/ance to a practition] 9 accordance ) a prescription t meets ! requirem5ts ( ?is title & ! regulations issu$ by ! ,attorney ,g5]al "u ?is title1 = ! purpose ( adm9i/]+ ! controll$ sub/ance by ! practition] if-- 7#a7 ! controll$ sub/ance is deliv]$ by ! ph>macy to ! prescrib+ practition] or ! practition] adm9i/]+ ! controll$ sub/ance1 z applicable1 at ! location li/$ on ! practition]'s c]tificate ( regi/ration issu$ "u ?is title2 7#b7 ! controll$ sub/ance is to be adm9i/]$ = ! purpose ( ma9t5ance or detoxification treatm5t "u section #cjc7;g77#b7 &-- 7,a7 ! practition] :o issu$ ! prescription is a qualify+ practition] au?oriz$ "u1 & act+ )9 ! scope ( t section2 & 7,b7 ! controll$ sub/ance is to be adm9i/]$ by injection or implantation2 7#c7 ! ph>macy & ! practition] are au?oriz$ to conduct ! activities specifi$ 9 ?is section "u ! law ( ! ,/ate 9 :i* su* activities take place2 7#d7 ! prescription is n issu$ to supply any practition] ) a /ock ( controll$ sub/ances = ! purpose ( g5]al disp5s+ to pati5ts2 7#e7 except z provid$ 9 subsection 7b71 ! controll$ sub/ance is to be adm9i/]$ only to ! pati5t nam$ on ! prescription n lat] ?an #ad days aft] ! date ( receipt ( ! controll$ sub/ance by ! practition]2 & 7#f7 not)/&+ any exceptions "u section #cjg1 ! prescrib+ practition]1 & ! practition] adm9i/]+ ! controll$ sub/ance1 z applicable1 ma9ta9 complete & accurate records ( all controll$ sub/ances deliv]$1 receiv$1 adm9i/]$1 or o!rwise dispos$ ( "u ?is section1 includ+ ! p]sons to :om controll$ sub/ances 7 deliv]$ & su* o!r in=mation z may be requir$ by regulations ( ! ,attorney ,g5]al4 7b7 ,modification ( numb] ( days be=e :i* controll$ sub/ance %all be adm9i/]$ 7#a7 ,initial #b-ye> p]iod ,dur+ ! #b-ye> p]iod beg9n+ on ! date ( enactm5t ( ?is section1 ! ,attorney ,g5]al1 9 coord9ation ) ! ,secret>y1 may r$uce ! numb] ( days describ$ 9 subsection 7a77#e7 if ! ,attorney ,g5]al det]m9es t su* r$uction w-- 7,a7 r$uce ! risk ( div]sion2 or 7,b7 protect ! public heal?4 7#b7 ,modifications aft] submission ( report ,aft] ! date on :i* ! report describ$ 9 section #cbjd7;b7 ( ! ,,support = ,pati5ts & ,communities ,act is submitt$1 ! ,attorney ,g5]al1 9 coord9ation ) ! ,secret>y1 may modify ! numb] ( days describ$ 9 subsection 7a77#e74 7#c7 ,m9imum numb] ( days ,any modification "u ?is subsection %all be = a p]iod ( n less ?an #g days4 4 7b7 ,/udy & report ,n lat] ?an #b ye>s aft] ! date ( enactm5t ( ?is section1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all conduct a /udy & submit to ,congress a report on access to & pot5tial div]sion ( controll$ sub/ances adm9i/]$ by injection or implantation4 7c7 ,te*nical & con=m+ am5dm5t ,! table ( cont5ts = ! ,compreh5sive ,drug ,abuse ,prev5tion & ,control ,act ( #aigj is am5d$ by ins]t+ aft] ! item relat+ to section #cji ! foll[+3 ,sec4 #cji;,a4 ,deliv]y ( a controll$ sub/ance by a ph>macy to an adm9i/]+ practition]4 4 #b ,emp[]+ ,ph>maci/s 9 ! ,fight ,aga9/ ,opioid ,abuse #cbaa4 ,%ort title ,?is *apt] may be cit$ z ! ,emp[]+ ,ph>maci/s 9 ! ,fight ,aga9/ ,opioid ,abuse ,act4 #cbab4 ,programs & mat]ials = tra9+ on c]ta9 circum/ances "u :i* a ph>maci/ may decl9e to fill a prescription 7a7 ,9 g5]al ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices1 9 consultation ) ! ,adm9i/rator ( ! ,drug ,en=cem5t ,adm9i/ration1 ,commission] ( ,food & ,drugs1 ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 & ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use1 %all develop & dissem9ate1 z appropriate1 mat]ials = ph>maci/s1 heal? c>e provid]s1 & pati5ts on-- 7#a7 circum/ances "u :i* a ph>maci/ may1 consi/5t ) section #cji ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hbi7 & regulations !reund]1 includ+ section #acjf4jd ( title #ba1 ,code ( ,f$]al ,regulations1 decl9e to fill a prescription = a controll$ sub/ance because ! ph>maci/ suspects ! prescription is fraudul5t1 =g$1 or ( d\btful1 que/ionable1 or suspici\s orig92 & 7#b7 o!r ,f$]al requirem5ts p]ta9+ to decl9+ to fill a prescription "u su* circum/ances1 includ+ ! p>tial fill ( prescriptions = c]ta9 controll$ sub/ances4 7b7 ,mat]ials includ$ ,9 develop+ mat]ials "u subsection 7a71 ! ,secret>y ( ,heal? & ,human ,s]vices %all include in=mation =-- 7#a7 ph>maci/s on h[ to decl9e to fill a prescription & actions to take aft] decl9+ to fill a prescription2 & 7#b7 o!r heal? c>e practition]s & ! public on a ph>maci/'s ability to decl9e to fill prescriptions 9 c]ta9 circum/ances & a description ( ^? circum/ances 7z describ$ 9 ! mat]ials develop$ "u subsection 7a77#a774 7c7 ,/akehold] input ,9 develop+ ! programs & mat]ials requir$ "u subsection 7a71 ! ,secret>y ( ,heal? & ,human ,s]vices %all seek input f relevant national1 ,/ate1 & local associations1 bo>ds ( ph>macy1 m$ical societies1 lic5s+ bo>ds1 heal? c>e practition]s1 & pati5ts1 includ+ individuals ) *ronic pa94 #c ,safe ,disposal ( ,unus$ ,m$ication #cbba4 ,%ort title ,?is *apt] may be cit$ z ! ,safe ,disposal ( ,unus$ ,m$ication ,act4 #cbbb4 ,disposal ( controll$ sub/ances ( a hospice pati5t by employees ( a qualifi$ hospice program 7a7 ,9 g5]al ,subsection 7g7 ( section #cjb ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hbb7 is am5d$ by add+ at ! end ! foll[+3 7#e7 7,a7 ,9 ! case ( a p]son receiv+ hospice c>e1 an employee ( a qualifi$ hospice program1 act+ )9 ! scope ( employm5t1 may h&le1 )\t be+ regi/]$ "u ?is section1 any controll$ sub/ance t 0 lawfully disp5s$ to ! p]son receiv+ hospice c>e1 = ! purpose ( disposal ( ! controll$ sub/ance s long z su* disposal occurs onsite 9 accordance ) all applicable ,f$]al1 ,/ate1 ,tribal1 & local law &-- 7i7 ! disposal occurs aft] ! dea? ( a p]son receiv+ hospice c>e2 7ii7 ! controll$ sub/ance is expir$2 or 7iii7 7,i7 ! employee is-- 7aa7 ! physician ( ! p]son receiv+ hospice c>e2 & 7bb7 regi/]$ "u section #cjc7;f72 & 7,,ii7 ! hospice pati5t no long] requires ! controll$ sub/ance because ! plan ( c>e ( ! hospice pati5t has be5 modifi$4 7,b7 ,= ! purposes ( ?is p>agraph3 7i7 ,! t]ms hospice c>e & hospice program h ! mean+s giv5 to ^? t]ms 9 section #ahfa7;dd7 ( ! ,social ,security ,act4 7ii7 ,! t]m employee ( a qualifi$ hospice program means a physician1 physician assi/ant1 nurse1 or o!r p]son :o-- 7,i7 is employ$ by1 or pursuant to arrangem5ts made by1 a qualifi$ hospice program2 7,,ii7 7aa7 is lic5s$ to p]=m m$ical or nurs+ s]vices by ! jurisdiction 9 :i* ! p]son receiv+ hospice c>e 0 locat$2 & 7bb7 is act+ )9 ! scope ( su* employm5t 9 accordance ) applicable ,/ate law2 & 7,,iii7 has complet$ tra9+ ?r\gh ! qualifi$ hospice program reg>d+ ! disposal ( controll$ sub/ances 9 a secure & responsible mann] s z to disc\rage abuse1 misuse1 or div]sion4 7iii7 ,! t]m qualifi$ hospice program means a hospice program t-- 7,i7 has writt5 policies & proc$ures = assi/+ 9 ! disposal ( ! controll$ sub/ances ( a p]son receiv+ hospice c>e aft] ! p]son's dea?2 7,,ii7 at ! "t :5 ! controll$ sub/ances are fir/ ord]$-- 7aa7 provides a copy ( ! writt5 policies & proc$ures to ! pati5t or pati5t repres5tative & family2 7bb7 discusses ! policies & proc$ures ) ! pati5t or repres5tative & ! family 9 a language & mann] t !y und]/& to ensure t ^! p>ties are educat$ reg>d+ ! safe disposal ( controll$ sub/ances2 & 7cc7 docum5ts 9 ! pati5t's cl9ical record t ! writt5 policies & proc$ures 7 provid$ & discuss$2 & 7,,iii7 at ! "t foll[+ ! disposal ( ! controll$ sub/ances-- 7aa7 docum5ts 9 ! pati5t's cl9ical record ! type ( controll$ sub/ance1 dosage1 r\te ( adm9i/ration1 & quantity s dispos$2 & 7bb7 ! "t1 date1 & mann] 9 :i* t disposal occurr$4 4 7b7 ,guidance ,! ,attorney ,g5]al may issue guidance to hospice programs 7z def9$ 9 p>agraph 7#e7 ( section #cjb7;g7 ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hbb7;g771 z add$ by subsection 7a77 to assi/ ! programs 9 satisfy+ ! requirem5ts "u su* p>agraph 7#e74 7c7 ,rule ( con/ruction relat+ to ,/ate & local law ,no?+ 9 ?is section or ! am5dm5ts made by ?is section %all be con/ru$ to prev5t a ,/ate or local gov]nm5t f impos+ additional controls or re/rictions relat+ to ! regulation ( ! disposal ( controll$ sub/ances 9 hospice c>e or hospice programs4 #cbbc4 ,,gao /udy & report on hospice safe drug managem5t 7a7 ,/udy 7#a7 ,9 g5]al ,! ,comptroll] ,g5]al ( ! ,unit$ ,/ates 79 ?is section ref]r$ to z ! ,comptroll] ,g5]al7 %all conduct a /udy on ! requirem5ts applicable to1 & *all5ges (1 hospice programs ) reg>d to ! managem5t & disposal ( controll$ sub/ances 9 ! home ( an individual4 7#b7 ,cont5ts ,9 conduct+ ! /udy "u p>agraph 7#a71 ! ,comptroll] ,g5]al %all include-- 7,a7 an ov]view ( any *all5ges enc\nt]$ by select$ hospice programs reg>d+ ! disposal ( controll$ sub/ances1 su* z opioids1 9 a home sett+1 includ+ any key *anges 9 policies1 proc$ures1 or be/ practices = ! disposal ( controll$ sub/ances ov] "t2 & 7,b7 a description ( ,f$]al requirem5ts1 includ+ requirem5ts "u ! ,m$ic>e program1 = hospice programs reg>d+ ! disposal ( controll$ sub/ances 9 a home sett+1 & ov]sight ( compliance ) ^? requirem5ts4 7b7 ,report ,n lat] ?an #ah mon?s aft] ! date ( enactm5t ( ?is ,act1 ! ,comptroll] ,g5]al %all submit to ,congress a report conta9+ ! results ( ! /udy conduct$ "u subsection 7a71 toge!r ) recomm5dations1 if any1 = su* legislation & adm9i/rative action z ! ,comptroll] ,g5]al det]m9es appropriate4 #d ,special ,regi/ration = ,telem$ic9e ,cl>ification #cbca4 ,%ort title ,?is *apt] may be cit$ z ! ,special ,regi/ration = ,telem$ic9e ,cl>ification ,act ( #bjah4 #cbcb4 ,regulations relat+ to a special regi/ration = telem$ic9e ,section #caa7;h77#b7 ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hca7;h77#b77 is am5d$ to read z foll[s3 7#b7 ,regulations ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ! ,,support = ,pati5ts & ,communities ,act1 9 consultation ) ! ,secret>y1 ! ,attorney ,g5]al %all promulgate f9al regulations specify+-- 7,a7 ! limit$ circum/ances 9 :i* a special regi/ration "u ?is subsection may be issu$2 & 7,b7 ! proc$ure = obta9+ a special regi/ration "u ?is subsection4 4 #e ,syn!tic ,abuse & ,label+ ( ,toxic ,sub/ances #cbda4 ,controll$ sub/ance analogues ,section #bjc ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hac7 is am5d$-- 7#a7 by /rik+ ,a controll$ & ins]t+ 7a7 ,9 g5]al4--,a controll$2 & 7#b7 by add+ at ! end ! foll[+3 7b7 ,det]m9ation ,9 det]m9+ :e!r a controll$ sub/ance analogue 0 int5d$ = human consumption "u subsection 7a71 ! foll[+ factors may be consid]$1 along ) any o!r relevant factors3 7#a7 ,! m>ket+1 adv]tis+1 & label+ ( ! sub/ance4 7#b7 ,! kn[n efficacy or usefulness ( ! sub/ance = ! m>ket$1 adv]tis$1 or label$ purpose4 7#c7 ,! diff]5ce betwe5 ! price at :i* ! sub/ance is sold & ! price at :i* ! sub/ance x is purport$ to be or adv]tis$ z is normally sold4 7#d7 ,! div]sion ( ! sub/ance f legitimate *annels & ! cl&e/9e importation1 manufacture1 or di/ribution ( ! sub/ance4 7#e7 ,:e!r ! def5dant knew or %\ld h kn[n ! sub/ance 0 int5d$ to be consum$ by injection1 inhalation1 +e/ion1 or any o!r imm$iate means4 7#f7 ,any controll$ sub/ance analogue t is manufactur$1 =mulat$1 sold1 di/ribut$1 or m>ket$ ) ! int5t to avoid ! provisions ( exi/+ drug laws4 7c7 ,limitation ,= purposes ( ?is section1 evid5ce t a sub/ance 0 n m>ket$1 adv]tis$1 or label$ = human consumption1 by itself1 %all n be suffici5t to e/abli% t ! sub/ance 0 n int5d$ = human consumption4 4 #f ,access to ,increas$ ,drug ,disposal #cbea4 ,%ort title ,?is *apt] may be cit$ z ! ,access to ,increas$ ,drug ,disposal ,act ( #bjah4 #cbeb4 ,def9itions ,9 ?is *apt]-- 7#a7 ! t]m ,attorney ,g5]al means ! ,attorney ,g5]al1 act+ ?r\gh ! ,assi/ant ,attorney ,g5]al = ! ,(fice ( ,ju/ice ,programs2 7#b7 ! t]m au?oriz$ collector means a n>cotic treatm5t program1 a hospital or cl9ic ) an on-site ph>macy1 a retail ph>macy1 or a rev]se di/ributor1 t is au?oriz$ z a collector "u section #acag4dj ( title #ba1 ,code ( ,f$]al ,regulations 7or any successor regulation72 7#c7 ! t]m cov]$ grant means a grant aw>d$ "u section #cjjc2 & 7#d7 ! t]m eligible collector means a p]son :o is eligible to be an au?oriz$ collector4 #cbec4 ,au?ority to make grants ,! ,attorney ,g5]al %all aw>d grants to ,/ates to enable ! ,/ates to increase ! p>ticipation ( eligible collectors z au?oriz$ collectors4 #cbed4 ,application ,a ,/ate desir+ a cov]$ grant %all submit to ! ,attorney ,g5]al an application t1 at a m9imum-- 7#a7 id5tifies ! s+le ,/ate ag5cy t ov]sees ph>maceutical c>e & w be responsible = comply+ ) ! requirem5ts ( ! grant2 7#b7 details a plan to increase p>ticipation rates ( eligible collectors z au?oriz$ collectors2 & 7#c7 describes h[ ! ,/ate w select eligible collectors to be s]v$ "u ! grant4 #cbee4 ,use ( grant funds ,a ,/ate t receives a cov]$ grant1 & any subrecipi5t ( ! grant1 may use ! grant am\nts only = ! co/s ( in/allation1 ma9t5ance1 tra9+1 pur*as+1 & disposal ( controll$ sub/ances associat$ ) ! p>ticipation ( eligible collectors z au?oriz$ collectors4 #cbef4 ,eligibility = grant ,! ,attorney ,g5]al %all aw>d a cov]$ grant to #e ,/ates1 n less ?an #c ( :i* %all be ,/ates 9 ! l[e/ qu>tile ( ,/ates bas$ on ! p>ticipation rate ( eligible collectors z au?oriz$ collectors1 z det]m9$ by ! ,attorney ,g5]al4 #cbeg4 ,duration ( grants ,! ,attorney ,g5]al %all det]m9e ! p]iod ( ye>s = :i* a cov]$ grant is made to a ,/ate4 #cbeh4 ,acc\ntability & ov]sight ,a ,/ate t receives a cov]$ grant %all submit to ! ,attorney ,g5]al a report1 at su* "t & 9 su* mann] z ! ,attorney ,g5]al may reasonably require1 t-- 7#a7 li/s ! ultimate recipi5ts ( ! grant am\nts2 7#b7 describes ! activities und]tak5 by ! ,/ate us+ ! grant am\nts2 & 7#c7 conta9s p]=mance measures relat+ to ! effectiv5ess ( ! grant1 includ+ *anges 9 ! p>ticipation rate ( eligible collectors z au?oriz$ collectors4 #cbei4 ,duration ( program ,! ,attorney ,g5]al may aw>d cov]$ grants = ea* ( ! fir/ #e fiscal ye>s beg9n+ aft] ! date ( enactm5t ( ?is ,act4 #cbfj4 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to ! ,attorney ,g5]al su* sums z may be necess>y to c>ry out ?is *apt]4 #g ,us+ ,data ,to ,prev5t ,opioid ,div]sion #cbga4 ,%ort title ,?is *apt] may be cit$ z ! ,us+ ,data ,to ,prev5t ,opioid ,div]sion ,act ( #bjah4 #cbgb4 ,purpose 7a7 ,9 g5]al ,! purpose ( ?is *apt] is to provide drug manufactur]s & di/ributors ) access to anonymiz$ in=mation ?r\gh ! ,automat$ ,reports & ,consolidat$ ,ord]s ,sy/em to help drug manufactur]s & di/ributors id5tify1 report1 & /op suspici\s ord]s ( opioids & r$uce div]sion rates4 7b7 ,rule ( con/ruction ,no?+ 9 ?is *apt] %\ld be con/ru$ to absolve a drug manufactur]1 drug di/ributor1 or o!r ,drug ,en=cem5t ,adm9i/ration regi/rant f ! responsibility ( ! manufactur]1 di/ributor1 or o!r regi/rant to-- 7#a7 id5tify1 /op1 & report suspici\s ord]s2 or 7#b7 ma9ta9 effective controls aga9/ div]sion 9 accordance ) section #cjc ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hbc7 or any successor law or associat$ regulation4 #cbgc4 ,am5dm5ts 7a7 ,records & reports ( regi/rants ,section #cjg ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hbg7 is am5d$-- 7#a7 by r$esignat+ subsections 7f71 7g71 & 7h7 z subsections 7g71 7h71 & 7i71 respectively2 7#b7 by ins]t+ aft] subsection 7e7 ! foll[+3 7f7 7#a7 ,! ,attorney ,g5]al %all1 n less frequ5tly ?an qu>t]ly1 make ! foll[+ in=mation available to manufactur] & di/ributor regi/rants ?r\gh ! ,automat$ ,reports & ,consolidat$ ,ord]s ,sy/em1 or any subsequ5t automat$ sy/em develop$ by ! ,drug ,en=cem5t ,adm9i/ration to monitor select$ controll$ sub/ances3 7,a7 ,! total numb] ( di/ributor regi/rants t di/ribute controll$ sub/ances to a ph>macy or practition] regi/rant1 aggregat$ by ! "n & address ( ea* ph>macy & practition] regi/rant4 7,b7 ,! total quantity & type ( opioids di/ribut$1 li/$ by ,adm9i/ration ,controll$ ,sub/ances ,code ,numb]1 to ea* ph>macy & practition] regi/rant describ$ 9 subp>agraph 7,a74 7#b7 ,! in=mation requir$ to be made available "u p>agraph 7#a7 %all be made available n lat] ?an ! #cj? day ( ! fir/ mon? foll[+ ! qu>t] to :i* ! in=mation relates4 7#c7 7,a7 ,all regi/]$ manufactur]s & di/ributors %all be responsible = review+ ! in=mation made available by ! ,attorney ,g5]al "u ?is subsection4 7,b7 ,9 det]m9+ :e!r to initiate proce$+s "u ?is title aga9/ a regi/]$ manufactur] or di/ributor bas$ on ! failure ( ! regi/rant to ma9ta9 effective controls aga9/ div]sion or o!rwise comply ) ! requirem5ts ( ?is title or ! regulations issu$ !reund]1 ! ,attorney ,g5]al may take into acc\nt t ! in=mation made available "u ?is subsection 0 available to ! regi/rant4 2 & 7#c7 by ins]t+ aft] subsection 7i71 z s r$esignat$1 ! foll[+3 7j7 ,all ( ! reports requir$ "u ?is section %all be provid$ 9 an electronic =mat4 4 7b7 ,coop]ative arrangem5ts ,section #ejc ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hgc7 is am5d$ by /rik+ subsection 7c7 & ins]t+ ! foll[+3 7c7 7#a7 ,! ,attorney ,g5]al %all1 once e #f mon?s1 prep>e & make available to regulatory1 lic5s+1 attorneys g5]al1 & law en=cem5t ag5cies ( ,/ates a /&>diz$ report conta9+ descriptive & analytic in=mation on ! actual di/ribution patt]ns1 z ga!r$ ?r\gh ! ,automat$ ,reports & ,consolidat$ ,ord]s ,sy/em1 or any subsequ5t automat$ sy/em1 pursuant to section #cjg & :i* includes detail$ am\nts1 outli]s1 & tr5ds ( di/ributor & ph>macy regi/rants1 9 su* ,/ates = ! controll$ sub/ances conta9$ 9 s*$ule ,,ii1 :i*1 9 ! discretion ( ! ,attorney ,g5]al1 are det]m9$ to h ! highe/ abuse4 7#b7 ,if ! ,attorney ,g5]al publi%es ! report describ$ 9 p>agraph 7#a7 once e #f mon?s z requir$ "u p>agraph 7#a71 no?+ 9 ?is subsection %all be con/ru$ to br+ an action 9 any c\rt to *all5ge ! suffici5cy ( ! in=mation or to compel ! ,attorney ,g5]al to produce any docum5ts or reports ref]r$ to 9 ?is subsection4 4 7c7 ,civil & crim9al p5alties ,section #djb ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hdb7 is am5d$-- 7#a7 9 subsection 7a7-- 7,a7 9 p>agraph 7#ae71 by /rik+ or at ! end2 7,b7 9 p>agraph 7#af71 by /rik+ ! p]iod at ! end & ins]t+ 2 or2 & 7,c7 by ins]t+ aft] p>agraph 7#af7 ! foll[+3 7#ag7 9 ! case ( a regi/]$ manufactur] or di/ributor ( opioids1 to fail to review ! mo/ rec5t in=mation1 directly relat$ to ! cu/om]s ( ! manufactur] or di/ributor1 made available by ! ,attorney ,g5]al 9 accordance ) section #cjg7;f74 2 & 7#b7 9 subsection 7c7-- 7,a7 9 p>agraph 7#a71 by /rik+ subp>agraph 7,b7 & ins]t+ ! foll[+3 7,b7 7i7 ,except z provid$ 9 clause 7ii71 9 ! case ( a violation ( p>agraph 7#e71 7#aj71 or 7#ag7 ( subsection 7a71 ! civil p5alty %all n exce$ #aj1jjj4 7ii7 ,9 ! case ( a violation describ$ 9 clause 7i7 committ$ by a regi/]$ manufactur] or di/ributor ( opioids & relat$ to ! report+ ( suspici\s ord]s = opioids1 fail+ to ma9ta9 effective controls aga9/ div]sion ( opioids1 or fail+ to review ! mo/ rec5t in=mation made available by ! ,attorney ,g5]al 9 accordance ) section #cjg7;f71 ! p5alty %all n exce$ #ajj1jjj4 2 & 7,b7 9 p>agraph 7#b7-- 7i7 9 subp>agraph 7,a71 by ins]t+ or 7,d7 aft] subp>agraph 7,b72 & 7ii7 by add+ at ! end ! foll[+3 7,d7 ,9 ! case ( a violation describ$ 9 subp>agraph 7,a7 t 0 a violation ( p>agraph 7#e71 7#aj71 or 7#ag7 ( subsection 7a7 committ$ by a regi/]$ manufactur] or di/ributor ( opioids t relates to ! report+ ( suspici\s ord]s = opioids1 fail+ to ma9ta9 effective controls aga9/ div]sion ( opioids1 or fail+ to review ! mo/ rec5t in=mation made available by ! ,attorney ,g5]al 9 accordance ) section #cjg7;f71 ! crim9al f9e "u title #ah1 ,unit$ ,/ates ,code1 %all n exce$ #ejj1jjj4 4 #cbgd4 ,report ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,attorney ,g5]al %all submit to ,congress a report t provides in=mation ab\t h[ ! ,attorney ,g5]al is us+ data 9 ! ,automation ( ,reports & ,consolidat$ ,ord]s ,sy/em to id5tify & /op suspici\s activity1 includ+ :e!r ! ,attorney ,g5]al is look+ at aggregate ord]s f individual ph>macies to multiple di/ributors t 9 total are suspici\s1 ev5 if no individual ord] rises to ! level ( a suspici\s ord] to a giv5 di/ributor4 #h ,opioid ,quota ,re=m #cbha4 ,%ort title ,?is *apt] may be cit$ z ! ,opioid ,quota ,re=m ,act4 #cbhb4 ,/r5g!n+ consid]ations = ,,dea opioid quotas 7a7 ,9 g5]al ,section #cjf ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hbf7 is am5d$-- 7#a7 9 subsection 7a7-- 7,a7 by ins]t+ 7#a7 aft] 7a72 7,b7 9 ! second s5t5ce1 by /rik+ ,production & ins]t+ ,except z provid$ 9 p>agraph 7#b71 production2 & 7,c7 by add+ at ! end ! foll[+3 7#b7 ,! ,attorney ,g5]al may1 if ! ,attorney ,g5]al det]m9es x w assi/ 9 avoid+ ! ov]production1 %ortages1 or div]sion ( a controll$ sub/ance1 e/abli% an aggregate or individual production quota "u ?is subsection1 or a procurem5t quota e/abli%$ by ! ,attorney ,g5]al by regulation1 9 t]ms ( ph>maceutical dosage =ms prep>$ f or conta9+ ! controll$ sub/ance4 2 7#b7 9 subsection 7b71 9 ! fir/ s5t5ce1 by /rik+ production & ins]t+ manufactur+2 7#c7 9 subsection 7c71 by /rik+ ,octob] & ins]t+ ,decemb]2 & 7#d7 by add+ at ! end ! foll[+3 7i7 7#a7 7,a7 ,9 e/abli%+ any quota "u ?is section1 or any procurem5t quota e/abli%$ by ! ,attorney ,g5]al by regulation1 = f5tanyl1 oxycodone1 hydrocodone1 oxymorphone1 or hydromorphone 79 ?is subsection ref]r$ to z a cov]$ controll$ sub/ance71 ! ,attorney ,g5]al %all e/imate ! am\nt ( div]sion ( ! cov]$ controll$ sub/ance t occurs 9 ! ,unit$ ,/ates4 7,b7 ,9 e/imat+ div]sion "u ?is p>agraph1 ! ,attorney ,g5]al-- 7i7 %all consid] in=mation ! ,attorney ,g5]al1 9 consultation ) ! ,secret>y ( ,heal? & ,human ,s]vices1 det]m9es reliable on rates ( ov]dose dea?s & abuse & ov]all public heal? impact relat$ to ! cov]$ controll$ sub/ance 9 ! ,unit$ ,/ates2 & 7ii7 may take into consid]ation :atev] o!r s\rces ( in=mation ! ,attorney ,g5]al det]m9es reliable4 7,c7 ,aft] e/imat+ ! am\nt ( div]sion ( a cov]$ controll$ sub/ance1 ! ,attorney ,g5]al %all make appropriate quota r$uctions1 z det]m9$ by ! ,attorney ,g5]al1 f ! quota ! ,attorney ,g5]al w\ld h o!rwise e/abli%$ _h su* div]sion n be5 consid]$4 7#b7 7,a7 ,= any ye> = :i* ! approv$ aggregate production quota = a cov]$ controll$ sub/ance is high] ?an ! approv$ aggregate production quota = ! cov]$ controll$ sub/ance = ! previ\s ye>1 ! ,attorney ,g5]al1 9 consultation ) ! ,secret>y ( ,heal? & ,human ,s]vices1 %all include 9 ! f9al ord] an explanation ( :y ! public heal? b5efits ( increas+ ! quota cle>ly outweigh ! consequ5ces ( hav+ an increas$ volume ( ! cov]$ controll$ sub/ance available = sale1 & pot5tial div]sion1 9 ! ,unit$ ,/ates4 7,b7 ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is subsection1 & e ye> !reaft]1 ! ,attorney ,g5]al %all submit to ! ,committee on ! ,judici>y1 ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions1 & ! ,committee on ,appropriations ( ! ,s5ate & ! ,committee on ! ,judici>y1 ! ,committee on ,en]gy & ,comm]ce1 & ! ,committee on ,appropriations ( ! ,h\se ( ,repres5tatives ! foll[+ in=mation ) reg>d to ea* cov]$ controll$ sub/ance3 7i7 ,an anonymiz$ c\nt ( ! total numb] ( manufactur]s issu$ individual manufactur+ quotas t ye> = ! cov]$ controll$ sub/ance4 7ii7 ,an anonymiz$ c\nt ( h[ _m su* manufactur]s 7 issu$ an approv$ manufactur+ quota t 0 high] ?an ! quota issu$ to t manufactur] = ! cov]$ controll$ sub/ance 9 ! previ\s ye>4 7#c7 ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is subsection1 ! ,attorney ,g5]al %all submit to ,congress a report on h[ ! ,attorney ,g5]al1 :5 fix+ & adju/+ production & manufactur+ quotas "u ?is section = cov]$ controll$ sub/ances1 w-- 7,a7 take into consid]ation *anges 9 ! accept$ m$ical use ( ! cov]$ controll$ sub/ances2 & 7,b7 "w ) ! ,secret>y ( ,heal? & ,human ,s]vices on me?ods to appropriately & anonym\sly e/imate ! type & am\nt ( cov]$ controll$ sub/ances t are submitt$ = collection f approv$ drug collection receptacles1 mail-back programs1 & take-back ev5ts4 4 7b7 ,con=m+ *ange ,! ,law ,revision ,c\nsel is direct$ to am5d ! head+ = subsection 7b7 ( section #hbf ( title #ba1 ,unit$ ,/ates ,code1 by /rik+ production & ins]t+ manufactur+4 #i ,prev5t+ ,drug ,div]sion #cbia4 ,%ort title ,?is *apt] may be cit$ z ! ,prev5t+ ,drug ,div]sion ,act ( #bjah4 #cbib4 ,improvem5ts to prev5t drug div]sion 7a7 ,def9ition ,section #ajb ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hjb7 is am5d$ by add+ at ! end ! foll[+3 7#eg7 ,! t]m suspici\s ord] may include1 b is n limit$ to-- 7,a7 an ord] ( a controll$ sub/ance ( unusual size2 7,b7 an ord] ( a controll$ sub/ance deviat+ sub/antially f a normal patt]n2 & 7,c7 ord]s ( controll$ sub/ances ( unusual frequ5cy4 4 7b7 ,suspici\s ord]s ,"p ,c ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hba et seq47 is am5d$ by add+ at ! end ! foll[+3 #cab4 ,suspici\s ord]s 7a7 ,report+ ,ea* regi/rant %all-- 7#a7 design & op]ate a sy/em to id5tify suspici\s ord]s = ! regi/rant2 7#b7 ensure t ! sy/em design$ & op]at$ "u p>agraph 7#a7 by ! regi/rant complies ) applicable ,f$]al & ,/ate privacy laws2 & 7#c7 ^u discov]+ a suspici\s ord] or s]ies ( ord]s1 notify ! ,adm9i/rator ( ! ,drug ,en=cem5t ,adm9i/ration & ! ,special ,ag5t 9 ,*>ge ( ! ,division ,(fice ( ! ,drug ,en=cem5t ,adm9i/ration = ! area 9 :i* ! regi/rant is locat$ or conducts bus9ess4 7b7 ,suspici\s ord] database 7#a7 ,9 g5]al ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is section1 ! ,attorney ,g5]al %all e/abli% a c5traliz$ database = collect+ reports ( suspici\s ord]s4 7#b7 ,satisfaction ( report+ requirem5ts ,if a regi/rant reports a suspici\s ord] to ! c5traliz$ database e/abli%$ "u p>agraph 7#a71 ! regi/rant %all be consid]$ to h compli$ ) ! requirem5t "u subsection 7a77#c7 to notify ! ,adm9i/rator ( ! ,drug ,en=cem5t ,adm9i/ration & ! ,special ,ag5t 9 ,*>ge ( ! ,division ,(fice ( ! ,drug ,en=cem5t ,adm9i/ration = ! area 9 :i* ! regi/rant is locat$ or conducts bus9ess4 7c7 ,%>+ in=mation ) ! ,/ates 7#a7 ,9 g5]al ,! ,attorney ,g5]al %all prep>e & make available in=mation reg>d+ suspici\s ord]s 9 a ,/ate1 includ+ in=mation 9 ! database e/abli%$ "u subsection 7b77#a71 to ! po9t ( contact = purposes ( adm9i/rative1 civil1 & crim9al ov]sight relat+ to ! div]sion ( controll$ sub/ances = ! ,/ate1 z designat$ by ! ,gov]nor or *ief executive (fic] ( ! ,/ate4 7#b7 ,tim+ ,! ,attorney ,g5]al %all provide in=mation 9 accordance ) p>agraph 7#a7 )9 a reasonable p]iod ( "t aft] obta9+ ! in=mation4 7#c7 ,coord9ation ,9 e/abli%+ ! process = ! provision ( in=mation "u ?is subsection1 ! ,attorney ,g5]al %all coord9ate ) ,/ates to ensure t ! ,attorney ,g5]al has access to in=mation1 z p]mitt$ "u ,/ate law1 possess$ by ! ,/ates relat+ to prescriptions = controll$ sub/ances t w assi/ 9 en=c+ ,f$]al law4 4 7c7 ,reports to ,congress 7#a7 ,def9ition ,9 ?is subsection1 ! t]m suspici\s ord] has ! mean+ giv5 t t]m 9 section #ajb ( ! ,controll$ ,sub/ances ,act1 z am5d$ by ?is *apt]4 7#b7 ,"o-"t report ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,attorney ,g5]al %all submit to ,congress a report on ! report+ ( suspici\s ord]s1 :i* %all include-- 7,a7 a description ( ! c5traliz$ database e/abli%$ "u section #cab ( ! ,controll$ ,sub/ances ,act1 z add$ by ?is section1 to collect reports ( suspici\s ord]s2 7,b7 a description ( ! sy/em & reports e/abli%$ "u section #cab ( ! ,controll$ ,sub/ances ,act1 z add$ by ?is section1 to %>e in=mation ) ,/ates2 7,c7 in=mation reg>d+ h[ ! ,attorney ,g5]al us$ reports ( suspici\s ord]s be=e ! date ( enactm5t ( ?is ,act & aft] ! date ( enactm5t ( ?is ,act1 includ+ h[ ! ,attorney ,g5]al receiv$ ! reports & :at actions 7 tak5 9 response to ! reports2 & 7,d7 descriptions ( ! data analyses conduct$ on reports ( suspici\s ord]s to id5tify1 analyze1 & /op suspici\s activity4 7#c7 ,additional reports ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 & annually !reaft] until ! date t is #e ye>s aft] ! date ( enactm5t ( ?is ,act1 ! ,attorney ,g5]al %all submit to ,congress a report provid+1 = ! previ\s ye>-- 7,a7 ! numb] ( reports ( suspici\s ord]s2 7,b7 a summ>y ( actions tak5 9 response to reports1 9 ! aggregate1 ( suspici\s ord]s2 & 7,c7 a description ( ! in=mation %>$ ) ,/ates bas$ on reports ( suspici\s ord]s4 7#d7 ,"o-"t ,,gao report ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates1 9 consultation ) ! ,adm9i/rator ( ! ,drug ,en=cem5t ,adm9i/ration1 %all submit to ,congress a report on ! report+ ( suspici\s ord]s1 :i* %all include an evaluation ( ! utility ( real-"t report+ ( pot5tial suspici\s ord]s ( opioids on a national level us+ comput]iz$ algori?ms1 includ+ ! ext5t to :i* su* algori?ms-- 7,a7 w\ld help ensure t pot5tially suspici\s ord]s are m accurately captur$1 id5tifi$1 & report$ 9 real "t to suppli]s be=e ord]s are fill$2 7,b7 may produce false positives ( suspici\s ord] reports t c\ld result 9 m>ket disruptions = legitimate ord]s ( opioids2 & 7,c7 w\ld r$uce ! ov]all l5g? ( an inve/igation t prev5ts ! div]sion ( suspici\s ord]s ( opioids4 ,,iv ,(fsets #djja4 ,promot+ value 9 ,m$icaid manag$ c>e ,section #aijc7m7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;b7m771 z am5d$ by sections #ajac & #ajaf1 is fur!r am5d$ by add+ at ! end ! foll[+ new p>agraph3 7#i7 7,a7 ,) respect to exp5ditures describ$ 9 subp>agraph 7,b7 t are incurr$ by a ,/ate = any fiscal ye> aft] fiscal ye> #bjbj 7& be=e fiscal ye> #bjbd71 9 det]m9+ ! pro rata %>e to :i* ! ,unit$ ,/ates is equitably entitl$ "u subsection 7d77#c71 ! ,secret>y %all sub/itute ! ,f$]al m$ical assi/ance p]c5tage t applies = su* fiscal ye> to ! ,/ate "u section #aije7;b7 7)\t reg>d to any adju/m5ts to su* p]c5tage applicable "u su* section or any o!r provision ( law7 = ! p]c5tage t applies to su* exp5ditures "u section #aije7y74 7,b7 ,exp5ditures describ$ 9 ?is subp>agraph1 ) respect to a fiscal ye> to :i* subp>agraph 7,a7 applies1 are exp5ditures incurr$ by a ,/ate = paym5t = m$ical assi/ance provid$ to individuals describ$ 9 subclause 7,,viii7 ( section #aijb7;a77#aj77;,a77i7 by a manag$ c>e entity1 or o!r specifi$ entity 7z def9$ 9 subp>agraph 7,d77iii771 t are treat$ z remittances because ! ,/ate-- 7i7 has satisfi$ ! requirem5t ( section #dch4h ( title #db1 ,code ( ,f$]al ,regulations 7or any successor regulation71 by elect+-- 7,i7 9 ! case ( a ,/ate describ$ 9 subp>agraph 7,c71 to apply a m9imum m$ical loss ratio 7z def9$ 9 subp>agraph 7,d77ii77 t is at lea/ #he p]c5t b n great] ?an ! m9imum m$ical loss ratio 7z s def9$7 t su* ,/ate appli$ z ( ,may #ca1 #bjah2 or 7,,ii7 9 ! case ( a ,/ate n describ$ 9 subp>agraph 7,c71 to apply a m9imum m$ical loss ratio t is equal to #he p]c5t2 & 7ii7 recov]$ all or a portion ( ! exp5ditures z a result ( ! entity's failure to meet su* ratio4 7,c7 ,= purposes ( subp>agraph 7,b71 a ,/ate describ$ 9 ?is subp>agraph is a ,/ate t z ( ,may #ca1 #bjah1 appli$ a m9imum m$ical loss ratio 7z calculat$ "u subsection 7d7 ( section #dch4h ( title #db1 ,code ( ,f$]al ,regulations 7z 9 effect on ,june #a1 #bjah77 = paym5t = s]vices provid$ by entities describ$ 9 su* subp>agraph "u ! ,/ate plan "u ?is title 7or a waiv] ( ! plan7 t is equal to or great] ?an #he p]c5t4 7,d7 ,= purposes ( ?is p>agraph3 7i7 ,! t]m manag$ c>e entity means a m$icaid manag$ c>e organization describ$ 9 section #aicb7;a77#a77;,b77i74 7ii7 ,! t]m m9imum m$ical loss ratio means1 ) respect to a ,/ate1 a m9imum m$ical loss ratio 7z calculat$ "u subsection 7d7 ( section #dch4h ( title #db1 ,code ( ,f$]al ,regulations 7z 9 effect on ,june #a1 #bjah77 = paym5t = s]vices provid$ by entities describ$ 9 subp>agraph 7,b7 "u ! ,/ate plan "u ?is title 7or a waiv] ( ! plan74 7iii7 ,! t]m o!r specifi$ entity means-- 7,i7 a prepaid inpati5t heal? plan1 z def9$ 9 section #dch4b ( title #db1 ,code ( ,f$]al ,regulations 7or any successor regulation72 & 7,,ii7 a prepaid ambulatory heal? plan1 z def9$ 9 su* section 7or any successor regulation74 4 #djjb4 ,requir+ report+ by gr\p heal? plans ( prescription drug cov]age in=mation = purposes ( id5tify+ prim>y pay] situations "u ! ,m$ic>e program ,clause 7i7 ( section #ahfb7;b77#g77;,a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciey7b77#g77;,a77 is am5d$ to read z foll[s3 7i7 secure f ! plan sponsor & plan p>ticipants su* in=mation z ! ,secret>y %all specify = ! purpose ( id5tify+ situations :]e ! gr\p heal? plan is or has be5-- 7,i7 a prim>y plan to ! program "u ?is title2 or 7,,ii7 = cal5d> qu>t]s beg9n+ on or aft] ,janu>y #a1 #bjbj1 a prim>y pay] ) respect to b5efits relat+ to prescription drug cov]age "u "p ,d2 & 4 #djjc4 ,additional religi\s exemption f heal? cov]age responsibility requirem5t 7a7 ,9 g5]al ,section #ejjj;,a7d77#b77;,a7 ( ! ,int]nal ,rev5ue ,code ( #aihf is am5d$ to read z foll[s3 7,a7 ,religi\s consci5ce exemptions 7i7 ,9 g5]al ,su* t]m %all n include any individual = any mon? if su* individual has 9 effect an exemption "u section #acaa7;d77#d77;,h7 ( ! ,pati5t ,protection & ,af=dable ,c>e ,act :i* c]tifies t-- 7,i7 su* individual is a memb] ( a recogniz$ religi\s sect or division !re( :i* is describ$ 9 section #adjb7;g77#a71 & is adh]5t ( e/abli%$ t5ets or tea*+s ( su* sect or division z describ$ 9 su* section2 or 7,,ii7 su* individual is a memb] ( a religi\s sect or division !re( :i* is n describ$ 9 section #adjb7;g77#a71 :o relies solely on a religi\s me?od ( heal+1 & = :om ! acceptance ( m$ical heal? s]vices w\ld be inconsi/5t ) ! religi\s beliefs ( ! individual4 7ii7 ,special rules 7,i7 ,m$ical heal? s]vices def9$ ,= purposes ( ?is subp>agraph1 ! t]m m$ical heal? s]vices does n include r\t9e d5tal1 vision & he>+ s]vices1 midwif]y s]vices1 vacc9ations1 necess>y m$ical s]vices provid$ to *ildr51 s]vices requir$ by law or by a ?ird p>ty1 & su* o!r s]vices z ! ,secret>y ( ,heal? & ,human ,s]vices may provide 9 implem5t+ section #acaa7;d77#d77;,h7 ( ! ,pati5t ,protection & ,af=dable ,c>e ,act4 7,,ii7 ,atte/ation requir$ ,clause 7i77,,ii7 %all apply to an individual = mon?s 9 a taxable ye> only if ! in=mation provid$ by ! individual "u section #adaa7;b77#e77;,a7 ( su* ,act includes an atte/ation t ! individual has n receiv$ m$ical heal? s]vices dur+ ! prec$+ taxable ye>4 4 7b7 ,effective date ,! am5dm5t made by subsection 7a7 %all apply to taxable ye>s beg9n+ aft] ,decemb] #ca1 #bjah4 7c7 ,con/ruction ,no?+ 9 ! am5dm5t made by subsection 7a7 %all preempt any ,/ate law requir+ ! provision ( m$ical treatm5t = *ildr51 especially ^? :o are s]i\sly ill4 #djjd4 ,mod]niz+ ! report+ ( biological & biosimil> products ,subtitle ,b ( title ,,xi ( ! ,m$ic>e ,prescription ,drug1 ,improvem5t1 & ,mod]nization ,act ( #bjjc 7,public ,law #ajh-agc7 is am5d$-- 7#a7 9 section #aaaa1 z am5d$ by section #c7a7 ( ! ,pati5t ,"r to ,"k ,drug ,prices ,act-- 7,a7 9 ! p>agraph 7#c7 ins]t$ by su* section #c7a71 by /rik+ an application & ins]t+ a biosimil> biological product application2 7,b7 9 ! p>agraph 7#d7 ins]t$ by su* section #c7a71 by ins]t+ application be=e "u section #cea7k7 ( ! ,public ,heal? ,s]vice ,act2 7,c7 9 ! p>agraph 7#e7 ins]t$ by su* section #c7a71 by /rik+ = lic5sure ( a biological product "u section #cea7k7 ( ! ,public ,heal? ,s]vice ,act & ins]t+ "u section #cea7k7 ( ! ,public ,heal? ,s]vice ,act = lic5sure ( a biological product z biosimil> to1 or int]*angeable )1 a ref]5ce product2 7,d7 9 p>agraph 7#g71 z r$esignat$ & am5d$ by su* section #c7a71 by /rik+ or "u section #cea7;a7 ( ! ,public ,heal? ,s]vice ,act & ins]t+ or ! own]1 or exclusive lic5see1 ( a pat5t includ$ 9 a li/ provid$ "u section #cea7l77#c7 ( ! ,public ,heal? ,s]vice ,act2 & 7,e7 9 ! p>agraph 7#ab7 add$ by su* section #c7a71 by /rik+ means a br& "n drug = :i* a lic5se is 9 effect "u section #cea7;a7 & ins]t+ has ! mean+ giv5 su* t]m 9 section #cea7;i72 & 7#b7 9 section #aaab1 z am5d$ by section #c7b7 ( ! ,pati5t ,"r to ,"k ,drug ,prices ,act-- 7,a7 9 subsection 7a7-- 7i7 9 p>agraph 7#a71 by /rik+ = :i* a /atem5t "u section #cea7l77#c77;,b77ii77,i7 ( ! ,public ,heal? ,s]vice ,act has be5 provid$2 7ii7 9 p>agraph 7#b7-- 7,i7 9 subp>agraph 7,c77i71 by /rik+ br& "n & ins]t+ li/$2 & 7,,ii7 by am5d+ clause 7ii7 ( subp>agraph 7,c7 to read z foll[s3 7ii7 any ( ! "t p]iods ref]r$ to 9 section #cea7k77#f7 ( ! ,public ,heal? ,s]vice ,act z su* p]iod applies to su* biosimil> biological product application or to any o!r biosimil> biological product application bas$ on ! same ref]5ce product4 2 7,b7 9 subsection 7b7-- 7i7 9 ! subsection head+1 by ins]t+ or ,biosimil> ,biological ,product ,applicant aft] ,applicant2 7ii7 9 p>agraph 7#a77;,b71 by /rik+ ! fir/ s5t5ce & ins]t+ ! foll[+3 ,a biosimil> biological product applicant t has submitt$ a biosimil> biological product application t ref]5ces a ref]5ce product & ano!r biosimil> biological product applicant t has submitt$ a biosimil> biological product application t ref]5ces ! same ref]5ce product %all ea* file ! agreem5t 9 accordance ) subsection 7c742 & 7iii7 9 p>agraph 7#b7-- 7,i7 by /rik+ #b g5]ic drug applicants & ins]t+ #b or m g5]ic drug applicants2 & 7,,ii7 by /rik+ or an agreem5t betwe5 #b biosimil> biological product applicants reg>d+ ! #a-ye> p]iod ref]r$ to 9 section #cea7k77#f77;,a7 ( ! ,public ,heal? ,s]vice ,act z x applies to ! biosimil> biological product applications ) :i* ! agreem5t is conc]n$ & ins]t+ 1 an agreem5t betwe5 #b or m biosimil> biological product applicants reg>d+ a "t p]iod ref]r$ to 9 section #cea7k77#f7 ( ! ,public ,heal? ,s]vice ,act z x applies to ! biosimil> biological product1 or an agreem5t betwe5 #b or m biosimil> biological product applicants reg>d+ ! manufacture1 m>ket+1 or sale ( a biosimil> biological product2 & 7,c7 9 subsection 7c77#b71 by ins]t+ 7 ent]$ into )9 #cj days (1 aft] condition =14 ,v ,o!r ,m$icaid ,provisions ,a ,m&atory report+ ) respect to adult behavioral heal? measures #ejja4 ,m&atory report+ ) respect to adult behavioral heal? measures ,section #aaci;,b ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acbj;b-#i;b7 is am5d$-- 7#a7 9 subsection 7b7-- 7,a7 9 p>agraph 7#c7-- 7i7 by /rik+ ,n lat] ?an ,janu>y #a1 #bjac & ins]t+ ! foll[+3 7,a7 ,volunt>y report+ ,n lat] ?an ,janu>y #a1 #bjac 2 & 7ii7 by add+ at ! end ! foll[+3 7,b7 ,m&atory report+ ) respect to behavioral heal? measures ,beg9n+ ) ! ,/ate report requir$ "u subsection 7d77#a7 = #bjbd1 ! ,secret>y %all require ,/ates to use all behavioral heal? measures includ$ 9 ! core set ( adult heal? quality measures & any updates or *anges to su* measures to report in=mation1 us+ ! /&>diz$ =mat = report+ in=mation & proc$ures develop$ "u subp>agraph 7,a71 reg>d+ ! quality ( behavioral heal? c>e = ,m$icaid eligible adults4 2 & 7,b7 9 p>agraph 7#e71 by add+ at ! end ! foll[+ new subp>agraph3 7,c7 ,behavioral heal? measures ,beg9n+ ) respect to ,/ate reports requir$ "u subsection 7d77#a7 = #bjbd1 ! core set ( adult heal? quality measures ma9ta9$ "u ?is p>agraph 7& any updates or *anges to su* measures7 %all include behavioral heal? measures4 2 & 7#b7 9 subsection 7d77#a77;,a7-- 7,a7 by /rik+ ! su* plan & ins]t+ su* plan2 & 7,b7 by /rik+ subsection 7a77#e7 & ins]t+ subsection 7b77#e7 &1 beg9n+ ) ! report = #bjbd1 all behavioral heal? measures includ$ 9 ! core set ( adult heal? quality measures ma9ta9$ "u su* subsection 7b77#e7 & any updates or *anges to su* measures 7z requir$ "u subsection 7b77#c774 ,b ,m$icaid ,,imd ,additional ,info #ejaa4 ,%ort title ,?is subtitle may be cit$ z ! ,m$icaid ,in/itutes = ,m5tal ,disease ,are ,decisive 9 ,deliv]+ ,inpati5t ,treatm5t = ,individuals b ,opportunities = ,ne$$ ,access are ,limit$ )\t ,in=mation ,ne$$ ab\t ,facility ,obligations ,act or ! ,m$icaid ,,imd ,,additional ,,info ,act4 #ejab4 ,,macpac exploratory /udy & report on in/itutions = m5tal diseases requirem5ts & practices "u ,m$icaid 7a7 ,9 g5]al ,n lat] ?an ,janu>y #a1 #bjbj1 ! ,m$icaid & ,,*ip ,paym5t & ,access ,commission e/abli%$ "u section #aijj ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif7 %all conduct an exploratory /udy1 us+ data f a repres5tative sample ( ,/ates1 & submit to ,congress a report on at lea/ ! foll[+ in=mation1 ) respect to s]vices furni%$ to individuals enroll$ "u ,/ate plans "u ! ,m$icaid program "u title ,,xix ( su* ,act 7#db ,u4,s4,c4 #acif et seq47 7or waiv]s ( su* plans7 :o are pati5ts 9 in/itutions = m5tal diseases & = :i* paym5t is made ?r\gh fee-=-s]vice or manag$ c>e arrangem5ts "u su* ,/ate plans 7or waiv]s73 7#a7 ,a description ( su* in/itutions = m5tal diseases 9 ea* su* ,/ate1 includ+ at a m9imum-- 7,a7 ! numb] ( su* in/itutions 9 ! ,/ate2 7,b7 ! facility type ( su* in/itutions 9 ! ,/ate2 & 7,c7 any cov]age limitations "u ea* su* ,/ate plan 7or waiv]7 on scope1 duration1 or frequ5cy ( su* s]vices4 7#b7 ,) respect to ea* su* in/itution = m5tal diseases 9 ea* su* ,/ate1 a description (-- 7,a7 su* s]vices provid$ at su* in/itution2 7,b7 ! process1 includ+ any timeframe1 us$ by su* in/itution to cl9ically assess & reassess su* individuals2 & 7,c7 ! dis*>ge process us$ by su* in/itution1 includ+ any c>e cont9uum ( relevant s]vices or facilities provid$ or us$ 9 su* process4 7#c7 ,a description (-- 7,a7 any ,f$]al waiv] t ea* su* ,/ate has = su* in/itutions & ! ,f$]al /atutory au?ority = su* waiv]2 & 7,b7 any o!r ,m$icaid fund+ s\rces us$ by ea* su* ,/ate = fund+ su* in/itutions1 su* z supplem5tal paym5ts4 7#d7 ,a summ>y ( ,/ate requirem5ts 7su* z c]tification1 lic5sure1 & accr$itation7 appli$ by ea* su* ,/ate to su* in/itutions 9 ord] = su* in/itutions to receive paym5t "u ! ,/ate plan 7or waiv]7 & h[ ea* su* ,/ate det]m9es if su* requirem5ts h be5 met4 7#e7 ,a summ>y ( ,/ate /&>ds 7su* z quality /&>ds1 cl9ical /&>ds1 & facility /&>ds7 t su* in/itutions mu/ meet to receive paym5t "u su* ,/ate plans 7or waiv]s7 & h[ ea* su* ,/ate det]m9es if su* /&>ds h be5 met4 7#f7 ,if det]m9$ appropriate by ! ,commission1 recomm5dations = policies & actions by ,congress & ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices1 su* z on h[ ,/ate ,m$icaid programs may improve c>e & improve /&>ds & includ+ a recomm5dation = h[ ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices c improve data collection f su* programs to address any gaps 9 in=mation4 7b7 ,/akehold] input ,9 c>ry+ out subsection 7a71 ! ,m$icaid & ,,*ip ,paym5t & ,access ,commission %all seek input f ,/ate ,m$icaid directors & /akehold]s1 includ+ at a m9imum ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration1 ,c5t]s = ,m$ic>e ,m$icaid ,s]vices1 ,/ate ,m$icaid (ficials1 ,/ate m5tal heal? au?orities1 ,m$icaid b5efici>y advocates1 heal? c>e provid]s1 & ,m$icaid manag$ c>e organizations4 7c7 ,def9itions ,9 ?is section3 7#a7 ,repres5tative sample ( ,/ates ,! t]m repres5tative sample ( ,/ates means a non-probability sample 9 :i* at lea/ two ,/ates are select$ bas$ on ! k & pr(essional judgm5t ( ! selector4 7#b7 ,/ate ,! t]m ,/ate means ea* ( ! #ej ,/ates1 ! ,di/rict ( ,columbia1 & any commonweal? or t]ritory ( ! ,unit$ ,/ates4 7#c7 ,in/itution = m5tal diseases ,! t]m in/itution = m5tal diseases has ! mean+ giv5 su* t]m 9 section #dce4ajaj ( title #db1 ,code ( ,f$]al ,regulations1 or any successor regulation4 ,c ,,*ip ,m5tal ,heal? & ,sub/ance ,use ,disord] ,p>ity #ejba4 ,%ort title ,?is subtitle may be cit$ z ! ,,*ip ,m5tal ,heal? & ,sub/ance ,use ,disord] ,p>ity ,act4 #ejbb4 ,ensur+ access to m5tal heal? & sub/ance use disord] s]vices = *ildr5 & pregnant wom5 "u ! ,*ildr5's ,heal? ,insurance ,program 7a7 ,9 g5]al ,section #bajc7;c77#a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acig;cc7c77#a77 is am5d$ by add+ at ! end ! foll[+ new subp>agraph3 7,e7 ,m5tal heal? & sub/ance use disord] s]vices 7z def9$ 9 p>agraph 7#e774 4 7b7 ,m5tal heal? & sub/ance use disord] s]vices 7#a7 ,9 g5]al ,section #bajc7;c7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acig;cc7c77 is am5d$-- 7,a7 by r$esignat+ p>agraphs 7#e71 7#f71 7#g71 & 7#h7 z p>agraphs 7#f71 7#g71 7#h71 & 7#i71 respectively2 & 7,b7 by ins]t+ aft] p>agraph 7#d7 ! foll[+ new p>agraph3 7#e7 ,m5tal heal? & sub/ance use disord] s]vices ,reg>dless ( ! type ( cov]age elect$ by a ,/ate "u subsection 7a71 *ild heal? assi/ance provid$ "u su* cov]age = t>get$ l[-income *ildr5 &1 9 ! case t ! ,/ate elects to provide pregnancy-relat$ assi/ance "u su* cov]age pursuant to section #baab1 su* pregnancy-relat$ assi/ance = t>get$ l[-income pregnant wom5 7z def9$ 9 section #baab7;d77 %all-- 7,a7 include cov]age ( m5tal heal? s]vices 7includ+ behavioral heal? treatm5t7 necess>y to prev5t1 diagnose1 & treat a broad range ( m5tal heal? symptoms & disord]s1 includ+ sub/ance use disord]s2 & 7,b7 be deliv]$ 9 a culturally & l+ui/ically appropriate mann]4 4 7#b7 ,con=m+ am5dm5ts 7,a7 ,section #bajc7;a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acig;cc7a77 is am5d$1 9 ! matt] be=e p>agraph 7#a71 by /rik+ p>agraphs 7#e71 7#f71 & 7#g7 & ins]t+ p>agraphs 7#e71 7#f71 7#g71 & 7#h74 7,b7 ,section #baaj7;a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acig;jj7a77 is am5d$-- 7i7 9 p>agraph 7#ah71 by /rik+ sub/ance abuse ea* place x appe>s & ins]t+ sub/ance use2 & 7ii7 9 p>agraph 7#ai71 by /rik+ sub/ance abuse & ins]t+ sub/ance use4 7,c7 ,section #baaj7;b77#e77;,a77i7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acig;jj7b77#e77;,a77i77 is am5d$ by /rik+ subsection 7c77#e7 & ins]t+ subsection 7c77#f74 7c7 ,assur+ access to c>e ,section #bajb7;a77#g77;,b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acig;bb7c77#b77 is am5d$ by /rik+ section #bajc7;c77#e7 & ins]t+ p>agraphs 7#e7 & 7#f7 ( section #bajc7;c74 7d7 ,m5tal heal? s]vices p>ity ,subp>agraph 7,a7 ( p>agraph 7#g7 ( section #bajc7;c7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acig;cc7c77 7z r$esignat$ by subsection 7b77#a77 is am5d$ to read z foll[s3 7,a7 ,9 g5]al ,a ,/ate *ild heal? plan %all ensure t ! f9ancial requirem5ts & treatm5t limitations applicable to m5tal heal? & sub/ance use disord] s]vices 7z describ$ 9 p>agraph 7#e77 provid$ "u su* plan comply ) ! requirem5ts ( section #bgbf7;a7 ( ! ,public ,heal? ,s]vice ,act 9 ! same mann] z su* requirem5ts or limitations apply to a gr\p heal? plan "u su* section4 4 7e7 ,effective date 7#a7 ,9 g5]al ,subject to p>agraph 7#b71 ! am5dm5ts made by ?is section %all take effect ) respect to *ild heal? assi/ance provid$ on or aft] ! date t is #a ye> aft] ! date ( ! enactm5t ( ?is ,act4 7#b7 ,exception = ,/ate legislation ,9 ! case ( a ,/ate *ild heal? plan "u title ,,xxi ( ! ,social ,security ,act 7or a waiv] ( su* plan71 :i* ! ,secret>y ( ,heal? & ,human ,s]vices det]m9es requires ,/ate legislation 9 ord] = ! respective plan 7or waiv]7 to meet any requirem5t impos$ by ! am5dm5ts made by ?is section1 ! respective plan 7or waiv]7 %all n be reg>d$ z fail+ to comply ) ! requirem5ts ( su* title solely on ! basis ( its failure to meet su* an additional requirem5t be=e ! fir/ day ( ! fir/ cal5d> qu>t] beg9n+ aft] ! close ( ! fir/ regul> session ( ! ,/ate legislature t beg9s aft] ! date ( enactm5t ( ?is section4 ,= purposes ( ! previ\s s5t5ce1 9 ! case ( a ,/ate t has a #b-ye> legislative session1 ea* ye> ( ! session %all be consid]$ to be a sep>ate regul> session ( ! ,/ate legislature4 ,d ,m$icaid ,re5try #ejca4 ,%ort title ,?is subtitle may be cit$ z ! ,m$icaid ,re5try ,act4 #ejcb4 ,promot+ ,/ate innovations to ease transitions integration to ! community = c]ta9 individuals 7a7 ,/akehold] gr\p developm5t ( be/ practices2 ,/ate ,m$icaid program innovation 7#a7 ,/akehold] gr\p be/ practices ,n lat] ?an #f mon?s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all conv5e a /akehold] gr\p ( repres5tatives ( manag$ c>e organizations1 ,m$icaid b5efici>ies1 heal? c>e provid]s1 ! ,national ,association ( ,m$icaid ,directors1 & o!r relevant repres5tatives f local1 ,/ate1 & ,f$]al jail & prison sy/ems to develop be/ practices 7& submit to ! ,secret>y & ,congress a report on su* be/ practices7 = ,/ates-- 7,a7 to ease ! heal? c>e-relat$ transition ( an individual :o is an inmate ( a public in/itution f ! public in/itution to ! community1 includ+ be/ practices = ensur+ cont9uity ( heal? insurance cov]age or cov]age "u ! ,/ate ,m$icaid plan "u title ,,xix ( ! ,social ,security ,act1 z applicable1 & relevant social s]vices2 & 7,b7 to c>ry out1 ) respect to su* an individual1 su* heal? c>e-relat$ transition n lat] ?an #cj days aft] su* individual is releas$ f ! public in/itution4 7#b7 ,/ate ,m$icaid program innovation ,! ,secret>y ( ,heal? & ,human ,s]vices %all "w ) ,/ates on innovative /rategies to help individuals :o are inmates ( public in/itutions & o!rwise eligible = m$ical assi/ance "u ! ,m$icaid program "u title ,,xix ( ! ,social ,security ,act transition1 ) respect to enrollm5t = m$ical assi/ance "u su* program1 seamlessly to ! community4 7b7 ,guidance on innovative s]vice deliv]y sy/ems demon/ration project opportunities ,n lat] ?an #a ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices1 ?r\gh ! ,adm9i/rator ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices1 %all issue a ,/ate ,m$icaid ,director lett]1 bas$ on be/ practices develop$ "u subsection 7a77#a71 reg>d+ opportunities to design demon/ration projects "u section #aaae ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acae7 to improve c>e transitions = c]ta9 individuals :o are soon-to-be =m] inmates ( a public in/itution & :o are o!rwise eligible to receive m$ical assi/ance "u title ,,xix ( su* ,act1 includ+ sy/ems =1 ) respect to a p]iod 7n to exce$ #cj days7 imm$iately prior to ! day on :i* su* individuals are expect$ to be releas$ f su* in/itution-- 7#a7 provid+ assi/ance & education = enrollm5t "u a ,/ate plan "u ! ,m$icaid program "u title ,,xix ( su* ,act = su* individuals dur+ su* p]iod2 & 7#b7 provid+ heal? c>e s]vices = su* individuals dur+ su* p]iod4 7c7 ,rule ( con/ruction ,no?+ "u title ,,xix ( ! ,social ,security ,act or any o!r provision ( law precludes a ,/ate f reclassify+ or susp5d+ 7r ?an t]m9at+7 eligibility ( an individual = m$ical assi/ance "u title ,,xix ( ! ,social ,security ,act :ile su* individual is an inmate ( a public in/itution4 ,e ,m$icaid ,p>tn]%ip #ejda4 ,%ort title ,?is subtitle may be cit$ z ! ,m$icaid ,provid]s ,are ,requir$ ,to ,note ,exp]i5ces 9 ,record ,sy/ems to ,help ,9-ne$ ,pati5ts ,act or ! ,m$icaid ,,p>tn]%ip ,act4 #ejdb4 ,m$icaid provid]s are requir$ to note exp]i5ces 9 record sy/ems to help 9-ne$ pati5ts 7a7 ,requirem5ts "u ! ,m$icaid program relat+ to qualifi$ prescription drug monitor+ programs & prescrib+ c]ta9 controll$ sub/ances ,title ,,xix ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq47 is am5d$ by ins]t+ aft] section #aidc ! foll[+ new section3 #aidd4 ,requirem5ts relat+ to qualifi$ prescription drug monitor+ programs & prescrib+ c]ta9 controll$ sub/ances 7a7 ,9 g5]al ,subject to subsection 7d71 beg9n+ ,octob] #a1 #bjba1 a ,/ate-- 7#a7 %all require ea* cov]$ provid] to *eck1 9 accordance ) su* tim+1 mann]1 & =m z specifi$ by ! ,/ate1 ! prescription drug hi/ory ( a cov]$ individual be+ treat$ by ! cov]$ provid] ?r\gh a qualifi$ prescription drug monitor+ program describ$ 9 subsection 7b7 be=e prescrib+ to su* individual a controll$ sub/ance2 & 7#b7 9 ! case t su* a provid] is n able to conduct su* a *eck despite a good fai? ef=t by su* provid]-- 7,a7 %all require ! provid] to docum5t su* good fai? ef=t1 includ+ ! reasons :y ! provid] 0 n able to conduct ! *eck2 & 7,b7 may require ! provid] to submit1 ^u reque/1 su* docum5tation to ! ,/ate4 7b7 ,qualifi$ prescription drug monitor+ program describ$ ,a qualifi$ prescription drug monitor+ program describ$ 9 ?is subsection is1 ) respect to a ,/ate1 a prescription drug monitor+ program adm9i/]$ by ! ,/ate t1 at a m9imum1 satisfies ea* ( ! foll[+ crit]ia3 7#a7 ,! program facilitates access by a cov]$ provid] to1 at a m9imum1 ! foll[+ in=mation ) respect to a cov]$ individual1 9 z close to real-"t z possible3 7,a7 ,in=mation reg>d+ ! prescription drug hi/ory ( a cov]$ individual ) respect to controll$ sub/ances4 7,b7 ,! numb] & type ( controll$ sub/ances prescrib$ to & fill$ = ! cov]$ individual dur+ at lea/ ! mo/ rec5t #ab-mon? p]iod4 7,c7 ,! "n1 location1 & contact in=mation 7or o!r id5tify+ numb] select$ by ! ,/ate1 su* z a national provid] id5tifi] issu$ by ! ,national ,plan & ,provid] ,enum]ation ,sy/em ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices7 ( ea* cov]$ provid] :o prescrib$ a controll$ sub/ance to ! cov]$ individual dur+ at lea/ ! mo/ rec5t #ab-mon? p]iod4 7#b7 ,! program facilitates ! integration ( in=mation describ$ 9 p>agraph 7#a7 into ! workfl[ ( a cov]$ provid]1 :i* may include ! electronic sy/em ! cov]$ provid] uses to prescribe controll$ sub/ances4 ,a qualifi$ prescription drug monitor+ program describ$ 9 ?is subsection1 ) respect to a ,/ate1 may h 9 place1 9 accordance ) applicable ,/ate & ,f$]al law1 a data-%>+ agreem5t ) ! ,/ate ,m$icaid program t all[s ! m$ical director & ph>macy director ( su* program 7& any designee ( su* a director :o reports directly to su* director7 to access ! in=mation describ$ 9 p>agraph 7#a7 9 an electronic =mat4 ,! ,/ate ,m$icaid program "u ?is title may facilitate reasonable & limit$ access1 z det]m9$ by ! ,/ate & ensur+ docum5t$ b5efici>y protections reg>d+ ! use ( su* data1 to su* qualifi$ prescription drug monitor+ program = ! m$ical director or ph>macy director ( any manag$ c>e entity 7z def9$ "u section #aicb7;a77#a77;,b77 t has a contract ) ! ,/ate "u section #aijc7m7 or "u section #aije7t77#c71 or ! m$ical director or ph>macy director ( any entity t has a contract to manage ! ph>maceutical b5efit ) respect to individuals enroll$ 9 ! ,/ate plan 7or "u a waiv] ( ! ,/ate plan74 ,all applicable ,/ate & ,f$]al security & privacy laws %all apply to ! directors or designees ( su* directors ( any ,/ate ,m$icaid program or entity access+ a qualifi$ prescription drug monitor+ program "u ?is section4 7c7 ,application ( privacy rules cl>ification ,! ,secret>y %all cl>ify privacy requirem5ts1 includ+ requirem5ts "u ! regulations promulgat$ pursuant to section #bfd7;c7 ( ! ,heal? ,insurance ,portability & ,acc\ntability ,act ( #aiif 7#db ,u4,s4,c4 #acbj;d-#b note71 relat$ to ! %>+ ( data "u subsection 7b7 9 ! same mann] z ! ,secret>y is requir$ "u subp>agraph 7,j7 ( section #ahfj;,d-#d7;c77#e7 to cl>ify privacy requirem5ts relat$ to ! %>+ ( data describ$ 9 su* subp>agraph4 7d7 ,ensur+ access ,9 ord] to ensure reasonable access to heal? c>e1 ! ,secret>y %all waive ! application ( ! requirem5t "u subsection 7a71 ) respect to a ,/ate1 9 ! case ( natural disa/]s & simil> situations1 & 9 ! case ( ! provision ( em]g5cy s]vices 7z def9$ = purposes ( section #ahfj;,d-#d7;c77#e77;,d77ii77,,ii774 7e7 ,reports 7#a7 ,/ate reports ,ea* ,/ate %all include 9 ! annual report submitt$ to ! ,secret>y "u section #aibg7;g77#c77;,d71 beg9n+ ) su* reports submitt$ = #bjbc1 in=mation includ+1 at a m9imum1 ! foll[+ in=mation = ! mo/ rec5t #ab-mon? p]iod3 7,a7 ,! p]c5tage ( cov]$ provid]s 7z det]m9$ pursuant to a process e/abli%$ by ! ,/ate7 :o *eck$ ! prescription drug hi/ory ( a cov]$ individual ?r\gh a qualifi$ prescription drug monitor+ program describ$ 9 subsection 7b7 be=e prescrib+ to su* individual a controll$ sub/ance4 7,b7 ,aggregate tr5ds ) respect to prescrib+ controll$ sub/ances su* z-- 7i7 ! quantity ( daily morph9e milligram equival5ts prescrib$ = controll$ sub/ances2 7ii7 ! numb] & quantity ( daily morph9e milligram equival5ts prescrib$ = controll$ sub/ances p] cov]$ individual2 & 7iii7 ! types ( controll$ sub/ances prescrib$1 includ+ ! dates ( su* prescriptions1 ! supplies au?oriz$ 7includ+ ! duration ( su* supplies71 & ! p]iod ( validity ( su* prescriptions1 9 diff]5t populations 7su* z individuals :o are eld]ly1 individuals ) disabilities1 & individuals :o are enroll$ "u bo? ?is title & title ,,xviii74 7,c7 ,:e!r or n ! ,/ate requires 7& a detail$ explanation z to :y ! ,/ate does or does n require7 ph>maci/s to *eck ! prescription drug hi/ory ( a cov]$ individual ?r\gh a qualifi$ prescription drug monitor+ program describ$ 9 subsection 7b7 be=e disp5s+ a controll$ sub/ance to su* individual4 7,d7 ,an acc\nt+ ( any data or privacy brea* ( a qualifi$ prescription drug monitor+ program describ$ 9 subsection 7b71 ! numb] ( cov]$ individuals impact$ by ea* su* brea*1 & a description ( ! /eps ! ,/ate has tak5 to address ea* su* brea*1 includ+1 to ! ext5t requir$ by ,/ate or ,f$]al law or o!rwise det]m9$ appropriate by ! ,/ate1 al]t+ any su* impact$ individual & law en=cem5t ( ! brea*4 7#b7 ,report by ,,cms ,n lat] ?an ,octob] #a1 #bjbc1 ! ,adm9i/rator ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices %all publi% on ! publicly available website ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices a report includ+ ! foll[+ in=mation3 7,a7 ,guidance = ,/ates on h[ ,/ates c increase ! p]c5tage ( cov]$ provid]s :o use qualifi$ prescription drug monitor+ programs describ$ 9 subsection 7b74 7,b7 ,be/ practices = h[ ,/ates & cov]$ provid]s %\ld use su* qualifi$ prescription drug monitor+ programs to r$uce ! occurr5ce ( abuse ( controll$ sub/ances4 7f7 ,increase to ,,fmap & ,f$]al mat*+ rates = c]ta9 exp5ditures relat+ to qualifi$ prescription drug monitor+ programs 7#a7 ,9 g5]al ,) respect to a ,/ate t meets ! condition describ$ 9 p>agraph 7#b7 & any qu>t] occurr+ dur+ fiscal ye> #bjai or fiscal ye> #bjbj1 ! ,f$]al m$ical assi/ance p]c5tage or ,f$]al mat*+ rate t w\ld o!rwise apply to su* ,/ate "u section #aijc7;a7 = su* qu>t]1 ) respect to exp5ditures by ! ,/ate = activities "u ! ,/ate plan 7or a waiv] ( su* plan7 to design1 develop1 or implem5t a prescription drug monitor+ program 7& to make connections to su* program7 t satisfies ! crit]ia describ$ 9 p>agraphs 7#a7 & 7#b7 ( subsection 7b71 %all be equal to #ajj p]c5t4 7#b7 ,condition ,! condition describ$ 9 ?is p>agraph1 ) respect to a ,/ate1 is t ! ,/ate 79 ?is p>agraph ref]r$ to z ! adm9i/]+ ,/ate7 has 9 place agreem5ts ) all ,/ates t are contigu\s to su* adm9i/]+ ,/ate t1 :5 comb9$1 enable cov]$ provid]s 9 all su* contigu\s ,/ates to access1 ?r\gh ! prescription drug monitor+ program1 ! in=mation t is describ$ 9 subsection 7b77#a7 ( cov]$ individuals ( su* adm9i/]+ ,/ate & t cov]$ provid]s 9 su* adm9i/]+ ,/ate are able to access ?r\gh su* program4 7g7 ,rule ( con/ruction ,no?+ 9 ?is section prev5ts a ,/ate f requir+ ph>maci/s to *eck ! prescription drug hi/ory ( cov]$ individuals ?r\gh a qualifi$ prescription drug monitor+ program be=e disp5s+ controll$ sub/ances to su* individuals4 7h7 ,def9itions ,9 ?is section3 7#a7 ,controll$ sub/ance ,! t]m controll$ sub/ance means a drug t is includ$ 9 s*$ule ,,ii ( section #bjb7;c7 ( ! ,controll$ ,sub/ances ,act &1 at ! option ( ! ,/ate involv$1 a drug includ$ 9 s*$ule ,,iii or ,,iv ( su* section4 7#b7 ,cov]$ individual ,! t]m cov]$ individual means1 ) respect to a ,/ate1 an individual :o is enroll$ 9 ! ,/ate plan 7or "u a waiv] ( su* plan74 ,su* t]m does n include an individual :o-- 7,a7 is receiv+-- 7i7 hospice or palliative c>e2 or 7ii7 treatm5t = canc]2 7,b7 is a resid5t ( a long-t]m c>e facility1 ( a facility describ$ 9 section #aije7;d71 or ( ano!r facility = :i* frequ5tly abus$ drugs are disp5s$ = resid5ts ?r\gh a contract ) a s+le ph>macy2 or 7,c7 ! ,/ate elects to treat z exempt$ f su* t]m4 7#c7 ,cov]$ provid] 7,a7 ,9 g5]al ,! t]m cov]$ provid] means1 subject to subp>agraph 7,b71 ) respect to a ,/ate1 a heal? c>e provid] :o is p>ticipat+ "u ! ,/ate plan 7or waiv] ( ! ,/ate plan7 & lic5s$1 regi/]$1 or o!rwise p]mitt$ by ! ,/ate to prescribe a controll$ sub/ance 7or ! designee ( su* provid]74 7,b7 ,exceptions 7i7 ,9 g5]al ,beg9n+ ,octob] #a1 #bjba1 = purposes ( ?is section1 su* t]m does n include a heal? c>e provid] includ$ 9 any type ( heal? c>e provid] det]m9$ by ! ,secret>y to be exempt f application ( ?is section "u clause 7ii74 7ii7 ,exceptions process ,n lat] ?an ,octob] #a1 #bjbj1 ! ,secret>y1 aft] consultation ) ! ,national ,association ( ,m$icaid ,directors1 national heal? c>e provid] associations1 ,m$icaid b5efici>y advocates1 & advocates = individuals ) r>e diseases1 %all det]m9e1 bas$ on su* consultations1 ! types ( heal? c>e provid]s 7if any7 t %\ld be exempt$ f ! def9ition ( ! t]m cov]$ provid] = purposes ( ?is section4 4 7b7 ,guidance ,n lat] ?an ,octob] #a1 #bjai1 ! ,adm9i/rator ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices1 9 consultation ) ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 %all issue guidance on be/ practices on ! uses ( prescription drug monitor+ programs requir$ ( prescrib]s & on protect+ ! privacy ( ,m$icaid b5efici>y in=mation ma9ta9$ 9 & access$ ?r\gh prescription drug monitor+ programs4 7c7 ,developm5t ( model ,/ate practices 7#a7 ,9 g5]al ,n lat] ?an ,octob] #a1 #bjbj1 ! ,secret>y ( ,heal? & ,human ,s]vices %all develop & publi% model practices to assi/ ,/ate ,m$icaid program op]ations 9 id5tify+ & implem5t+ /rategies to utilize data-%>+ agreem5ts describ$ 9 ! matt] foll[+ p>agraph 7#b7 ( section #aidd7;b7 ( ! ,social ,security ,act1 z add$ by subsection 7a71 = ! foll[+ purposes3 7,a7 ,monitor+ & prev5t+ fraud1 wa/e1 & abuse4 7,b7 ,improv+ heal? c>e = individuals enroll$ 9 a ,/ate plan "u title ,,xix ( su* ,act 7or "u a waiv] ( su* plan7 :o-- 7i7 transition 9 & out ( cov]age "u su* title2 7ii7 may h s\rces ( heal? c>e cov]age 9 addition to cov]age "u su* title2 or 7iii7 pay = prescription drugs ) ca%4 7,c7 ,any o!r purposes specifi$ by ! ,secret>y4 7#b7 ,elem5ts ( model practices ,! model practices describ$ 9 p>agraph 7#a7-- 7,a7 %all include /rategies = assi/+ ,/ates 9 all[+ ! m$ical director or ph>macy director 7or designees ( su* a director7 ( manag$ c>e organizations or ph>maceutical b5efit manag]s to access in=mation ) respect to all cov]$ individuals s]v$ by su* manag$ c>e organizations or ph>maceutical b5efit manag]s to access z a s+le data set1 9 an electronic =mat2 & 7,b7 %all include any appropriate b5efici>y protections & privacy guidel9es4 7#c7 ,consultation ,9 develop+ model practices "u ?is subsection1 ! ,secret>y %all consult ) ! ,national ,association ( ,m$icaid ,directors1 manag$ c>e entities 7z def9$ 9 section #aicb7;a77#a77;,b7 ( ! ,social ,security ,act7 ) contracts ) ,/ates pursuant to section #aijc7m7 ( su* ,act1 ph>maceutical b5efit manag]s1 physicians & o!r heal? c>e provid]s1 b5efici>y advocates1 & individuals ) exp]tise 9 heal? c>e te*nology relat$ to prescription drug monitor+ programs & electronic heal? records4 7d7 ,report by ,comptroll] ,g5]al ,n lat] ?an ,octob] #a1 #bjbj1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all issue a report exam9+ ! op]ation ( prescription drug monitor+ programs adm9i/]$ by ,/ates1 includ+ data security & access /&>ds us$ by su* programs4 ,f ,,imd ,,c>e ,act #ejea4 ,%ort title ,?is title may be cit$ z ! ,individuals 9 ,m$icaid ,des]ve ,c>e t is ,appropriate & ,responsible 9 its ,execution ,act or ! ,,imd ,,c>e ,act4 #ejeb4 ,/ate option to provide ,m$icaid cov]age = c]ta9 individuals ) sub/ance use disord]s :o are pati5ts 9 c]ta9 in/itutions = m5tal diseases 7a7 ,9 g5]al ,title ,,xix ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq471 z am5d$ by prec$+ sections ( ?is ,act1 is fur!r am5d$-- 7#a7 9 section #aije7;a71 9 ! subdivision 7,b7 t foll[s p>agraph 7#cj71 by ins]t+ 7except 9 ! case ( s]vices provid$ "u a ,/ate plan am5dm5t describ$ 9 section #aiae7l77 be=e ! p]iod2 & 7#b7 9 section #aiae1 by add+ at ! end ! foll[+ new subsection3 7l7 ,/ate plan am5dm5t option to provide m$ical assi/ance = c]ta9 individuals :o are pati5ts 9 c]ta9 in/itutions = m5tal diseases 7#a7 ,9 g5]al ,) respect to cal5d> qu>t]s beg9n+ dur+ ! p]iod beg9n+ ,octob] #a1 #bjai1 & end+ ,septemb] #cj1 #bjbc1 a ,/ate may elect1 ?r\gh a ,/ate plan am5dm5t1 to provide m$ical assi/ance = items & s]vices furni%$ to an eligible individual :o is a pati5t 9 an eligible in/itution = m5tal diseases 9 accordance ) ! requirem5ts ( ?is subsection4 7#b7 ,paym5ts ,subject to p>agraphs 7#c7 & 7#d71 am\nts exp5d$ "u a ,/ate plan am5dm5t "u p>agraph 7#a7 = s]vices describ$ 9 su* p>agraph furni%$1 ) respect to a #ab-mon? p]iod1 to an eligible individual :o is a pati5t 9 an eligible in/itution = m5tal diseases %all be treat$ z m$ical assi/ance = :i* paym5t is made "u section #aijc7;a7 b only to ! ext5t t su* s]vices are furni%$ = n m ?an a p]iod ( #cj days 7:e!r or n consecutive7 dur+ su* #ab-mon? p]iod4 7#c7 ,ma9t5ance ( ef=t 7,a7 ,9 g5]al ,z a condition = a ,/ate receiv+ paym5ts "u section #aijc7;a7 = m$ical assi/ance provid$ 9 accordance ) ?is subsection1 ! ,/ate %all 7dur+ ! p]iod 9 :i* x s furni%$ su* m$ical assi/ance ?r\gh a ,/ate plan am5dm5t "u ?is subsection7 ma9ta9 on an annual basis a level ( fund+ exp5d$ by ! ,/ate 7& political subdivisions !re(7 o!r ?an "u ?is title f non-,f$]al funds =-- 7i7 items & s]vices furni%$ to eligible individuals :o are pati5ts 9 eligible in/itutions = m5tal diseases t is n less ?an ! level ( su* fund+ = su* items & s]vices = ! mo/ rec5tly end$ fiscal ye> z ( ! date ( enactm5t ( ?is subsection or1 if high]1 = ! mo/ rec5tly end$ fiscal ye> z ( ! date ! ,/ate submits a ,/ate plan am5dm5t to ! ,secret>y to provide su* m$ical assi/ance 9 accordance ) ?is subsection2 & 7ii7 items & s]vices 7includ+ s]vices describ$ 9 subp>agraph 7,b77 furni%$ to eligible individuals 9 outpati5t & community-bas$ sett+s t is n less ?an ! level ( su* fund+ = su* items & s]vices = ! mo/ rec5tly end$ fiscal ye> z ( ! date ( enactm5t ( ?is subsection or1 if high]1 = ! mo/ rec5tly end$ fiscal ye> z ( ! date ! ,/ate submits a ,/ate plan am5dm5t to ! ,secret>y to provide su* m$ical assi/ance 9 accordance ) ?is subsection4 7,b7 ,s]vices describ$ ,= purposes ( subp>agraph 7,a77ii71 s]vices describ$ 9 ?is subp>agraph are ! foll[+3 7i7 ,outpati5t & community-bas$ sub/ance use disord] treatm5t4 7ii7 ,evid5ce-bas$ recov]y & support s]vices4 7iii7 ,cl9ically-direct$ !rapeutic treatm5t to facilitate recov]y skills1 relapse prev5tion1 & emotional cop+ /rategies4 7iv7 ,outpati5t m$ication-assi/$ treatm5t1 relat$ !rapies1 & ph>macology4 7v7 ,c\nsel+ & cl9ical monitor+4 7vi7 ,outpati5t )drawal managem5t & relat$ treatm5t design$ to alleviate acute emotional1 behavioral1 cognitive1 or biom$ical di/ress result+ f1 or occurr+ )1 an individual's use ( alcohol & o!r drugs4 7vii7 ,r\t9e monitor+ ( m$ication adh]5ce4 7viii7 ,o!r outpati5t & community-bas$ s]vices = ! treatm5t ( sub/ance use disord]s1 z designat$ by ! ,secret>y4 7,c7 ,/ate report+ requirem5t 7i7 ,9 g5]al ,prior to approval ( a ,/ate plan am5dm5t "u ?is subsection1 z a condition = a ,/ate receiv+ paym5ts "u section #aijc7;a7 = m$ical assi/ance provid$ 9 accordance ) ?is subsection1 ! ,/ate %all report to ! ,secret>y1 9 accordance ) ! process e/abli%$ by ! ,secret>y "u clause 7ii71 ! in=mation deem$ necess>y by ! ,secret>y "u su* clause4 7ii7 ,process ,n lat] ?an ! date t is #h mon?s aft] ! date ( enactm5t ( ?is subsection1 ! ,secret>y %all e/abli% a process = ,/ates to report to ! ,secret>y1 at su* "t & 9 su* mann] z ! ,secret>y deems appropriate1 su* in=mation z ! ,secret>y deems necess>y to v]ify a ,/ate's compliance ) subp>agraph 7,a74 7#d7 ,ensur+ a cont9uum ( s]vices 7,a7 ,9 g5]al ,z a condition = a ,/ate receiv+ paym5ts "u section #aijc7;a7 = m$ical assi/ance provid$ 9 accordance ) ?is subsection1 ! ,/ate %all c>ry out ea* ( ! requirem5ts describ$ 9 subp>agraphs 7,b7 ?r\gh 7,d74 7,b7 ,notification ,prior to approval ( a ,/ate plan am5dm5t "u ?is subsection1 ! ,/ate %all notify ! ,secret>y ( h[ ! ,/ate w ensure t eligible individuals receive appropriate evid5ce-bas$ cl9ical scre5+ prior to be+ furni%$ ) items & s]vices 9 an eligible in/itution = m5tal diseases1 includ+ initial & p]iodic assessm5ts to det]m9e ! appropriate level ( c>e1 l5g? ( /ay1 & sett+ = su* c>e = ea* individual4 7,c7 ,outpati5t s]vices2 inpati5t & resid5tial s]vices 7i7 ,outpati5t s]vices ,! ,/ate %all1 at a m9imum1 provide m$ical assi/ance = s]vices t c\ld o!rwise be cov]$ "u ! ,/ate plan1 consi/5t ) ea* ( ! foll[+ outpati5t levels ( c>e3 7,i7 ,e>ly int]v5tion = individuals :o1 = a kn[n reason1 are at risk ( develop+ sub/ance-relat$ problems & = individuals = :om !re is n yet suffici5t in=mation to docum5t a diagnosable sub/ance use disord]4 7,,ii7 ,outpati5t s]vices = less ?an #i h\rs p] week = adults1 & = less ?an #f h\rs p] week = adolesc5ts1 = recov]y or motivational enhancem5t !rapies & /rategies4 7,,iii7 ,int5sive outpati5t s]vices = #i h\rs or m p] week = adults1 & = #f h\rs or m p] week = adolesc5ts1 to treat multidim5sional in/ability4 7,,iv7 ,p>tial hospitalization s]vices = #bj h\rs or m p] week = adults & adolesc5ts to treat multidim5sional in/ability t does n require #bd-;h\r c>e4 7ii7 ,inpati5t & resid5tial s]vices ,! ,/ate %all provide m$ical assi/ance = s]vices t c\ld o!rwise be cov]$ "u ! ,/ate plan1 consi/5t ) at lea/ #b ( ! foll[+ inpati5t & resid5tial levels ( c>e3 7,i7 ,cl9ically manag$1 l[-int5sity resid5tial s]vices t provide adults & adolesc5ts ) #bd-;h\r liv+ support & /ructure ) tra9$ p]sonnel & at lea/ #e h\rs ( cl9ical s]vice p] week p] individual4 7,,ii7 ,cl9ically manag$1 population-specific1 high-int5sity resid5tial s]vices t provide adults ) #bd-;h\r c>e ) tra9$ c\nselors to /abilize multidim5sional imm95t dang] along ) less int5se milieu & gr\p treatm5t = ^? ) cognitive or o!r impairm5ts unable to use full active milieu or !rapeutic community4 7,,iii7 ,cl9ically manag$1 m$ium-int5sity resid5tial s]vices = adolesc5ts1 & cl9ically manag$1 high-int5sity resid5tial s]vices = adults1 t provide #bd-;h\r c>e ) tra9$ c\nselors to /abilize multidim5sional imm95t dang] & prep>ation = outpati5t treatm5t4 7,,iv7 ,m$ically monitor$1 high-int5sity inpati5t s]vices = adolesc5ts1 & m$ically monitor$1 int5sive inpati5t s]vices )drawal managem5t = adults1 t provide #bd-;h\r nurs+ c>e1 make physicians available = significant problems 9 ,dim5sions #a1 #b1 or #c1 & provide c\nsel+ s]vices #af h\rs p] day4 7,v7 ,m$ically manag$1 int5sive inpati5t s]vices = adolesc5ts & adults t provide #bd-;h\r nurs+ c>e & daily physician c>e = sev]e1 un/able problems 9 ,dim5sions #a1 #b or #c4 7,d7 ,transition ( c>e ,9 ord] to ensure an appropriate transition = an eligible individual f receiv+ c>e 9 an eligible in/itution = m5tal diseases to receiv+ c>e at a l[] level ( cl9ical int5sity )9 ! cont9uum ( c>e 7includ+ outpati5t s]vices71 ! ,/ate %all ensure t-- 7i7 a placem5t 9 su* eligible in/itution = m5tal diseases w\ld all[ = an eligible individual's successful transition to ! community1 consid]+ su* factors z proximity to an individual's support network 7su* z family memb]s1 employm5t1 & c\nsel+ & o!r s]vices ne> an individual's resid5ce72 & 7ii7 all eligible in/itutions = m5tal diseases t furni% items & s]vices to individuals = :i* m$ical assi/ance is provid$ "u ! ,/ate plan-- 7,i7 are able to provide c>e at su* l[] level ( cl9ical int5sity2 or 7,,ii7 h an e/abli%$ relation%ip ) ano!r facility or provid] t is able to provide c>e at su* l[] level ( cl9ical int5sity & accepts pati5ts receiv+ m$ical assi/ance "u ?is title "u :i* ! eligible in/itution = m5tal diseases may arrange = individuals to receive su* c>e f su* o!r facility or provid]4 7#e7 ,application to manag$ c>e ,paym5ts =1 & limitations to1 m$ical assi/ance furni%$ 9 accordance ) ?is subsection %all be 9 addition to & %all n be con/ru$ to limit or sup]s$e ! ability ( ,/ates to make mon?ly capitation paym5ts to manag$ c>e organizations = individuals receiv+ treatm5t 9 in/itutions = m5tal diseases 9 accordance ) section #dch4f7;e7 ( title #db1 ,code ( ,f$]al ,regulations 7or any successor regulation74 7#f7 ,o!r m$ical assi/ance ,! provision ( m$ical assi/ance = items & s]vices furni%$ to an eligible individual :o is a pati5t 9 an eligible in/itution = m5tal diseases 9 accordance ) ! requirem5ts ( ?is subsection %all n prohibit ,f$]al f9ancial p>ticipation = m$ical assi/ance = items or s]vices t are provid$ to su* eligible individual 9 or away f ! eligible in/itution = m5tal disease dur+ any p]iod 9 :i* ! eligible individual is receiv+ items or s]vices 9 accordance ) ?is subsection4 7#g7 ,def9itions ,9 ?is subsection3 7,a7 ,dim5sions #a1 #b1 or #c ,! t]m ,dim5sions #a1 #b1 or #c has ! mean+ giv5 t t]m = purposes ( ! publication ( ! ,am]ican ,society ( ,addiction ,m$ic9e entitl$ ,! ,,asam ,crit]ia3 ,treatm5t ,crit]ia = ,addictive ,sub/ance-,relat$1 & ,co-,occurr+ ,conditions1 #bjac4 7,b7 ,eligible individual ,! t]m eligible individual means an individual :o-- 7i7 ) respect to a ,/ate1 is enroll$ = m$ical assi/ance "u ! ,/ate plan or a waiv] ( su* plan2 7ii7 is at lea/ #ba ye>s ( age2 7iii7 has n atta9$ #fe ye>s ( age2 & 7iv7 has at lea/ #a sub/ance use disord]4 7,c7 ,eligible in/itution = m5tal diseases ,! t]m eligible in/itution = m5tal diseases means an in/itution = m5tal diseases t-- 7i7 foll[s reliable1 evid5ce-bas$ practices2 & 7ii7 (f]s at lea/ #b =ms ( m$ication-assi/$ treatm5t = sub/ance use disord]s on site1 includ+1 9 ! case ( m$ication-assi/$ treatm5t = opioid use disord]1 at lea/ #a antagoni/ & #a p>tial agoni/4 7,d7 ,in/itution = m5tal diseases ,! t]m in/itution = m5tal diseases has ! mean+ giv5 t t]m 9 section #aije7;i74 4 7b7 ,rule ( con/ruction ,no?+ 9 ! am5dm5ts made by subsection 7a7 %all be con/ru$ z enc\rag+ a ,/ate to place an individual 9 an inpati5t or a resid5tial c>e sett+ :]e a home or community-bas$ c>e sett+ w\ld be m appropriate = ! individual1 or z prev5t+ a ,/ate f conduct+ or pursu+ a demon/ration project "u section #aaae ( ! ,social ,security ,act to improve access to1 & ! quality (1 sub/ance use disord] treatm5t = eligible populations4 ,g ,m$icaid ,improvem5t ,fund #ejfa4 ,m$icaid ,improvem5t ,fund ,section #aida7;b77#a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acifw-#a7;b77#a77 is am5d$ by /rik+ #j & ins]t+ #ca1jjj1jjj4 ,,vi ,o!r ,m$ic>e ,provisions ,a ,te/+ ( inc5tive paym5ts = behavioral heal? provid]s = adoption & use ( c]tifi$ electronic heal? record te*nology #fjja4 ,te/+ ( inc5tive paym5ts = behavioral heal? provid]s = adoption & use ( c]tifi$ electronic heal? record te*nology ,section #aaae;,a7b77#b77;,b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acae;a7b77#b77;,b77 is am5d$ by add+ at ! end ! foll[+ new clause3 7xxv7 ,provid+1 = ! adoption & use ( c]tifi$ ,,ehr te*nology 7z def9$ 9 section #ahdh7o77#d77 to improve ! quality & coord9ation ( c>e ?r\gh ! electronic docum5tation & ex*ange ( heal? in=mation1 inc5tive paym5ts to behavioral heal? provid]s 7su* z psy*iatric hospitals 7z def9$ 9 section #ahfa7;f771 community m5tal heal? c5t]s 7z def9$ 9 section #ahfa7;ff77#c77;,b771 hospitals t p>ticipate 9 a ,/ate plan "u title ,,xix or a waiv] ( su* plan1 treatm5t facilities t p>ticipate 9 su* a ,/ate plan or su* a waiv]1 m5tal heal? or sub/ance use disord] provid]s t p>ticipate 9 su* a ,/ate plan or su* a waiv]1 cl9ical psy*ologi/s 7z def9$ 9 section #ahfa7;ii771 nurse practition]s 7z def9$ 9 section #ahfa7;aa77#e77 ) respect to ! provision ( psy*iatric s]vices1 & cl9ical social work]s 7z def9$ 9 section #ahfa7;hh77#a7774 4 ,b ,abuse ,det]r5t ,access #fjaa4 ,%ort title ,?is subtitle may be cit$ at ! ,abuse ,det]r5t ,access ,act ( #bjah4 #fjab4 ,/udy on abuse-det]r5t opioid =mulations access b>ri]s "u ,m$ic>e 7a7 ,9 g5]al ,n lat] ?an #a ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all conduct a /udy & submit to ,congress a report on-- 7#a7 ! adequacy ( access to abuse-det]r5t opioid =mulations = individuals ) *ronic pa9 enroll$ 9 an ,,ma-,,pd plan "u "p ,c ( title ,,xviii ( ! ,social ,security ,act or a prescription drug plan "u "p ,d ( su* title ( su* ,act1 tak+ into acc\nt any b>ri]s prev5t+ su* individuals f access+ su* =mulations "u su* ,,ma-,,pd or "p ,d plans1 su* z co/-%>+ ti]s1 fail-fir/ requirem5ts1 ! price ( su* =mulations1 & prior au?orization requirem5ts2 & 7#b7 ! effectiv5ess ( abuse-det]r5t opioid =mulations 9 prev5t+ opioid abuse or misuse2 ! impact ( ! use ( abuse-det]r5t opioid =mulations on ! use or abuse ( o!r prescription or illicit opioids 7includ+ *anges 9 dea?s f su* opioids72 & o!r public heal? consequ5ces ( ! use ( abuse-det]r5t opioid =mulations1 su* z an increase 9 rates ( human immunodefici5cy virus4 7b7 ,def9ition ( ,abuse-,det]r5t opioid =mulation ,9 ?is section1 ! t]m abuse-det]r5t opioid =mulation means an opioid t is a prodrug or t has c]ta9 abuse-det]r5t prop]ties1 su* z physical or *emical b>ri]s1 agoni/ or antagoni/ comb9ations1 av]sion prop]ties1 deliv]y sy/em me*anisms1 or o!r features design$ to prev5t abuse ( su* opioid4 ,c ,m$ic>e ,opioid ,safety ,education #fjba4 ,m$ic>e opioid safety education 7a7 ,9 g5]al ,section #ahjd ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie;b-#b7 is am5d$ by add+ at ! end ! foll[+ new subsection3 7d7 ,! notice provid$ "u subsection 7a7 %all include-- 7#a7 ref]5ces to educational res\rces reg>d+ opioid use & pa9 managem5t2 7#b7 a description ( categories ( alt]native1 non-opioid pa9 managem5t treatm5ts cov]$ "u ?is title2 & 7#c7 a sugge/ion = ! b5efici>y to talk to a physician reg>d+ opioid use & pa9 managem5t4 4 7b7 ,effective date ,! am5dm5t made by subsection 7a7 %all apply to notices di/ribut$ prior to ea* ,m$ic>e op5 enrollm5t p]iod beg9n+ aft] ,janu>y #a1 #bjai4 ,d ,opioid ,addiction ,action ,plan #fjca4 ,%ort title ,?is subtitle may be cit$ z ! ,opioid ,addiction ,action ,plan ,act4 #fjcb4 ,action plan on recomm5dations = *anges "u ,m$ic>e & ,m$icaid to prev5t opioids addictions & enhance access to m$ication-assi/$ treatm5t 7a7 ,9 g5]al ,n lat] ?an ,janu>y #a1 #bjbj1 ! ,secret>y ( ,heal? & ,human ,s]vices 79 ?is section ref]r$ to z ! 8,secret>y071 9 collaboration ) ! ,pa9 ,managem5t ,be/ ,practices ,int]-,ag5cy ,task ,=ce conv5$ "u section #aja7;b7 ( ! ,compreh5sive ,addiction & ,recov]y ,act ( #bjaf 7,public ,law #aad-aih71 %all develop an action plan z describ$ 9 subsection 7b74 7b7 ,action plan compon5ts ,! action plan %all include a review by ! ,secret>y ( ,m$ic>e & ,m$icaid paym5t & cov]age policies t may be view$ z pot5tial ob/acles to an effective response to ! opioid crisis1 & recomm5dations1 z det]m9$ appropriate by ! ,secret>y1 on ! foll[+3 7#a7 ,a review ( paym5t & cov]age policies "u ! ,m$ic>e program "u title ,,xviii ( ! ,social ,security ,act & ! ,m$icaid program "u title ,,xix ( su* ,act1 includ+ a review ( cov]age & paym5t "u su* programs ( all m$ication-assi/$ treatm5t approv$ by ! ,food & ,drug ,adm9i/ration relat$ to ! treatm5t ( opioid use disord] & o!r !rapies t manage *ronic & acute pa9 & treat & m9imize risk ( opioid misuse & abuse1 includ+ 9 su* review1 paym5t "u ! ,m$ic>e prospective paym5t sy/em = inpati5t hospital s]vices "u section #ahhf7;d7 ( su* ,act 7#db ,u4,s4,c4 #acieww7d77 & ! ,m$ic>e prospective paym5t sy/em = hospital outpati5t dep>tm5t s]vices "u section #ahcc7t7 ( su* ,act 7#db ,u4,s4,c4 #acie;,i7t771 to det]m9e :e!r ^? paym5t policies result$ 9 inc5tives or dis9c5tives t h contribut$ to ! opioid crisis4 7#b7 ,recomm5dations = paym5t & s]vice deliv]y models to be te/$ z appropriate by ! ,c5t] = ,m$ic>e & ,m$icaid ,innovation & o!r f$]ally au?oriz$ demon/ration projects1 includ+ value-bas$ models1 t may enc\rage ! use ( appropriate m$ication-assi/$ treatm5t approv$ by ! ,food & ,drug ,adm9i/ration = ! treatm5t ( opioid use disord] & o!r !rapies t manage *ronic & acute pa9 & treat & m9imize risk ( opioid misuse & abuse4 7#c7 ,recomm5dations = data collection t c\ld facilitate rese>* & policy-mak+ reg>d+ prev5tion ( opioid use disord] z well z data t w\ld aid ! ,secret>y 9 mak+ cov]age & paym5t decisions "u ! ,m$ic>e & ,m$icaid programs relat$ to ! access to appropriate opioid dep5d5ce treatm5ts4 7#d7 ,a review ( ,m$ic>e & ,m$icaid b5efici>ies' access to ! full range ( m$ication-assi/$ treatm5t approv$ by ! ,food & ,drug ,adm9i/ration = ! treatm5t ( opioid use disord] & o!r !rapies t manage *ronic & acute pa9 & treat & m9imize risk ( opioid misuse & abuse1 includ+ access ( b5efici>ies resid+ 9 rural or m$ically und]s]v$ communities4 7#e7 ,a review ( paym5t & cov]age policies "u ! ,m$ic>e program & ! ,m$icaid program relat$ to m$ical devices t are non-opioid bas$ treatm5ts approv$ by ! ,food & ,drug ,adm9i/ration = ! managem5t ( acute pa9 & *ronic pa91 = monitor+ sub/ance use )drawal & prev5t+ ov]doses ( controll$ sub/ances1 & = treat+ sub/ance use disord]1 includ+ b>ri]s to pati5t access4 7c7 ,/akehold] meet+s 7#a7 ,9 g5]al ,beg9n+ n lat] ?an #c mon?s aft] ! date ( ! enactm5t ( ?is section1 ! ,secret>y %all conv5e a public /akehold] meet+ to solicit public comm5t on ! compon5ts ( ! action plan describ$ 9 subsection 7b74 7#b7 ,p>ticipants ,p>ticipants ( meet+s describ$ 9 p>agraph 7#a7 %all include repres5tatives f ! ,food & ,drug ,adm9i/ration & ,national ,in/itutes ( ,heal?1 bioph>maceutical indu/ry memb]s1 m$ical rese>*]s1 heal? c>e provid]s1 ! m$ical device indu/ry1 ! ,m$ic>e program1 ! ,m$icaid program1 & pati5t advocates4 7d7 ,reque/ = in=mation ,n lat] ?an #c mon?s aft] ! date ( ! enactm5t ( ?is section1 ! ,secret>y %all issue a reque/ = in=mation seek+ public fe$back reg>d+ ways 9 :i* ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices c help address ! opioid crisis ?r\gh ! developm5t ( & application ( ! action plan4 7e7 ,report to ,congress ,n lat] ?an ,june #a1 #bjbj1 ! ,secret>y %all submit to ,congress1 & make public1 a report t includes-- 7#a7 a summ>y ( ! results ( ! ,secret>y's review & any recomm5dations "u ! action plan2 7#b7 ! ,secret>y's plann$ next /eps ) respect to ! action plan2 & 7#c7 an evaluation ( price tr5ds = drugs us$ to rev]se opioid ov]doses 7su* z naloxone71 includ+ recomm5dations on ways to l[] su* prices = consum]s4 7f7 ,def9ition ( ,m$ication-,assi/$ treatm5t ,9 ?is section1 ! t]m m$ication-assi/$ treatm5t includes opioid treatm5t programs1 behavioral !rapy1 & m$ications to treat sub/ance abuse disord]4 ,e ,advanc+ ,high ,quality ,treatm5t = ,opioid ,use ,disord]s 9 ,m$ic>e #fjda4 ,%ort title ,?is subtitle may be cit$ z ! ,advanc+ ,high ,quality ,treatm5t = ,opioid ,use ,disord]s 9 ,m$ic>e ,act4 #fjdb4 ,opioid use disord] treatm5t demon/ration program ,title ,,xviii ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie et seq47 is am5d$ by ins]t+ aft] section #ahff;,e 7#db ,u4,s4,c4 #acie;cc-#e7 ! foll[+ new section3 #ahff;,f4 ,opioid use disord] treatm5t demon/ration program 7a7 ,implem5tation ( #d-,ye> demon/ration program 7#a7 ,9 g5]al ,n lat] ?an ,janu>y #a1 #bjba1 ! ,secret>y %all implem5t a #d-ye> demon/ration program "u ?is title 79 ?is section ref]r$ to z ! ,program7 to increase access ( applicable b5efici>ies to opioid use disord] treatm5t s]vices1 improve physical & m5tal heal? outcomes = su* b5efici>ies1 & to ! ext5t possible1 r$uce exp5ditures "u ?is title4 ,"u ! ,program1 ! ,secret>y %all make paym5ts "u subsection 7e7 to p>ticipants 7z def9$ 9 subsection 7c77#a77;,a77 = furni%+ opioid use disord] treatm5t s]vices deliv]$ ?r\gh opioid use disord] c>e teams1 or arrang+ = su* s]vices to be furni%$1 to applicable b5efici>ies p>ticipat+ 9 ! ,program4 7#b7 ,opioid use disord] treatm5t s]vices ,= purposes ( ?is section1 ! t]m opioid use disord] treatm5t s]vices-- 7,a7 means1 ) respect to an applicable b5efici>y1 s]vices t are furni%$ = ! treatm5t ( opioid use disord]s & t utilize drugs approv$ "u section #eje ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act = ! treatm5t ( opioid use disord]s 9 an outpati5t sett+2 & 7,b7 includes-- 7i7 m$ication-assi/$ treatm5t2 7ii7 treatm5t plann+2 7iii7 psy*iatric1 psy*ological1 or c\nsel+ s]vices 7or any comb9ation ( su* s]vices71 z appropriate2 7iv7 social support s]vices1 z appropriate2 & 7v7 c>e managem5t & c>e coord9ation s]vices1 includ+ coord9ation ) o!r provid]s ( s]vices & suppli]s n on an opioid use disord] c>e team4 7b7 ,program design 7#a7 ,9 g5]al ,! ,secret>y %all design ! ,program 9 su* a mann] to all[ = ! evaluation ( ! ext5t to :i* ! ,program accompli%es ! foll[+ purposes3 7,a7 ,r$uces hospitalizations & em]g5cy dep>tm5t visits4 7,b7 ,increases use ( m$ication-assi/$ treatm5t = opioid use disord]s4 7,c7 ,improves heal? outcomes ( individuals ) opioid use disord]s1 includ+ by r$uc+ ! incid5ce ( infecti\s diseases 7su* z hepatitis ,c & ,,hiv74 7,d7 ,does n increase ! total sp5d+ on items & s]vices "u ?is title4 7,e7 ,r$uces dea?s f opioid ov]dose4 7,f7 ,r$uces ! utilization ( inpati5t resid5tial treatm5t4 7#b7 ,consultation ,9 design+ ! ,program1 includ+ ! crit]ia "u subsection 7e77#b77;,a71 ! ,secret>y %all1 n lat] ?an #c mon?s aft] ! date ( ! enactm5t ( ?is section1 consult ) speciali/s 9 ! field ( addiction1 cl9icians 9 ! prim>y c>e community1 & b5efici>y gr\ps4 7c7 ,p>ticipants2 opioid use disord] c>e teams 7#a7 ,p>ticipants 7,a7 ,def9ition ,9 ?is section1 ! t]m p>ticipant means an entity or individual-- 7i7 t is o!rwise enroll$ "u ?is title & t is-- 7,i7 a physician 7z def9$ 9 section #ahfa7r77#a772 7,,ii7 a gr\p practice compris$ ( at lea/ "o physician describ$ 9 subclause 7,i72 7,,iii7 a hospital outpati5t dep>tm5t2 7,,iv7 a f$]ally qualifi$ heal? c5t] 7z def9$ 9 section #ahfa7;aa77#d772 7,v7 a rural heal? cl9ic 7z def9$ 9 section #ahfa7;aa77#b772 7,,vi7 a community m5tal heal? c5t] 7z def9$ 9 section #ahfa7;ff77#c77;,b772 7,,vii7 a cl9ic c]tifi$ z a c]tifi$ community behavioral heal? cl9ic pursuant to section #bbc ( ! ,protect+ ,access to ,m$ic>e ,act ( #bjad2 or 7,,viii7 any o!r individual or entity specifi$ by ! ,secret>y2 7ii7 t appli$ = & 0 select$ to p>ticipate 9 ! ,program pursuant to an application & selection process e/abli%$ by ! ,secret>y2 & 7iii7 t e/abli%es an opioid use disord] c>e team 7z def9$ 9 p>agraph 7#b77 ?r\gh employ+ or contract+ ) heal? c>e practition]s describ$ 9 p>agraph 7#b77;,a71 & uses su* team to furni% or arrange = opioid use disord] treatm5t s]vices 9 ! outpati5t sett+ "u ! ,program4 7,b7 ,pref]5ce ,9 select+ p>ticipants = ! ,program1 ! ,secret>y %all give pref]5ce to individuals & entities t are locat$ 9 areas ) a preval5ce ( opioid use disord]s t is high] ?an ! national av]age preval5ce4 7#b7 ,opioid use disord] c>e teams 7,a7 ,9 g5]al ,= purposes ( ?is section1 ! t]m opioid use disord] c>e team means a team ( heal? c>e practition]s e/abli%$ by a p>ticipant describ$ 9 p>agraph 7#a77;,a7 t-- 7i7 %all include-- 7,i7 at lea/ "o physician 7z def9$ 9 section #ahfa7r77#a77 furni%+ prim>y c>e s]vices or addiction treatm5t s]vices to an applicable b5efici>y2 & 7,,ii7 at lea/ "o eligible practition] 7z def9$ 9 p>agraph 7#c771 :o may be a physician :o meets ! crit]ion 9 subclause 7,i72 & 7ii7 may include o!r practition]s lic5s$ "u ,/ate law to furni% psy*iatric1 psy*ological1 c\nsel+1 & social s]vices to applicable b5efici>ies4 7,b7 ,requirem5ts = receipt ( paym5t "u ,program ,9 ord] to receive paym5ts "u subsection 7e71 ea* p>ticipant 9 ! ,program %all-- 7i7 furni% opioid use disord] treatm5t s]vices ?r\gh opioid use disord] c>e teams to applicable b5efici>ies :o agree to receive ! s]vices2 7ii7 meet m9imum crit]ia1 z e/abli%$ by ! ,secret>y2 & 7iii7 submit to ! ,secret>y1 9 su* =m1 mann]1 & frequ5cy z specifi$ by ! ,secret>y1 ) respect to ea* applicable b5efici>y = :om opioid use disord] treatm5t s]vices are furni%$ by ! opioid use disord] c>e team1 data & su* o!r in=mation z ! ,secret>y det]m9es appropriate to-- 7,i7 monitor & evaluate ! ,program2 7,,ii7 det]m9e if m9imum crit]ia are met "u clause 7ii72 & 7,,iii7 det]m9e ! inc5tive paym5t "u subsection 7e74 7#c7 ,eligible practition] def9$ ,= purposes ( ?is section1 ! t]m eligible practition] means a physician or o!r heal? c>e practition]1 su* z a nurse practition]1 t-- 7,a7 is enroll$ "u section #ahff7;j77#a72 7,b7 is au?oriz$ to prescribe or disp5se n>cotic drugs to individuals = ma9t5ance treatm5t or detoxification treatm5t2 & 7,c7 has 9 effect a waiv] 9 accordance ) section #cjc7;g7 ( ! ,controll$ ,sub/ances ,act = su* purpose & is o!rwise 9 compliance ) regulations promulgat$ by ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration to c>ry out su* section4 7d7 ,p>ticipation ( applicable b5efici>ies 7#a7 ,applicable b5efici>y def9$ ,9 ?is section1 ! t]m applicable b5efici>y means an individual :o-- 7,a7 is entitl$ to1 or enroll$ =1 b5efits "u "p ,a & enroll$ = b5efits "u "p ,b2 7,b7 is n enroll$ 9 a ,m$ic>e ,advantage plan "u "p ,c2 7,c7 has a curr5t diagnosis = an opioid use disord]2 & 7,d7 meets su* o!r crit]ia z ! ,secret>y det]m9es appropriate4 ,su* t]m %all include an individual :o is dually eligible = b5efits "u ?is title & title ,,xix if su* individual satisfies ! crit]ia describ$ 9 subp>agraphs 7,a7 ?r\gh 7,d74 7#b7 ,volunt>y b5efici>y p>ticipation2 limitation on numb] ( b5efici>ies ,an applicable b5efici>y may p>ticipate 9 ! ,program on a volunt>y basis & may t]m9ate p>ticipation 9 ! ,program at any "t4 ,n m ?an #bj1jjj applicable b5efici>ies may p>ticipate 9 ! ,program at any "t4 7#c7 ,s]vices ,9 ord] to p>ticipate 9 ! ,program1 an applicable b5efici>y %all agree to receive opioid use disord] treatm5t s]vices f a p>ticipant4 ,p>ticipation "u ! ,program %all n affect cov]age ( or paym5t = any o!r item or s]vice "u ?is title = ! applicable b5efici>y4 7#d7 ,b5efici>y access to s]vices ,no?+ 9 ?is section %all be con/ru$ z enc\rag+ provid]s to limit applicable b5efici>y access to s]vices cov]$ "u ?is title1 & applicable b5efici>ies %all n be requir$ to rel9qui% access to any b5efit "u ?is title z a condition ( receiv+ s]vices f a p>ticipant 9 ! ,program4 7e7 ,paym5ts 7#a7 ,p] applicable b5efici>y p] mon? c>e managem5t fee 7,a7 ,9 g5]al ,! ,secret>y %all e/abli% a s*$ule ( p] applicable b5efici>y p] mon? c>e managem5t fees4 ,su* a p] applicable b5efici>y p] mon? c>e managem5t fee %all be paid to a p>ticipant 9 addition to any o!r am\nt o!rwise payable "u ?is title to ! heal? c>e practition]s 9 ! p>ticipant's opioid use disord] c>e team or1 if applicable1 to ! p>ticipant4 ,a p>ticipant may use su* p] applicable b5efici>y p] mon? c>e managem5t fee to deliv] additional s]vices to applicable b5efici>ies1 includ+ s]vices n o!rwise eligible = paym5t "u ?is title4 7,b7 ,paym5t am\nts ,9 c>ry+ out subp>agraph 7,a71 ! ,secret>y may-- 7i7 consid] paym5ts o!rwise payable "u ?is title = opioid use disord] treatm5t s]vices & ! ne$s ( applicable b5efici>ies2 7ii7 pay a high] p] applicable b5efici>y p] mon? c>e managem5t fee = an applicable b5efici>y :o receives m int5sive treatm5t s]vices f a p>ticipant & = :om ^? s]vices are appropriate bas$ on cl9ical guidel9es = opioid use disord] c>e2 7iii7 pay a high] p] applicable b5efici>y p] mon? c>e managem5t fee = ! mon? 9 :i* ! applicable b5efici>y beg9s treatm5t ) a p>ticipant ?an 9 subsequ5t mon?s1 to reflect ! great] "t & co/s requir$ = ! plann+ & initiation ( treatm5t1 z comp>$ to ma9t5ance ( treatm5t2 & 7iv7 take into acc\nt :e!r a p>ticipant's opioid use disord] c>e team ref]s applicable b5efici>ies to o!r suppli]s or provid]s = any opioid use disord] treatm5t s]vices4 7,c7 ,no duplicate paym5t ,! ,secret>y %all make paym5ts "u ?is p>agraph to only "o p>ticipant = s]vices furni%$ to an applicable b5efici>y dur+ a cal5d> mon?4 7#b7 ,inc5tive paym5ts 7,a7 ,9 g5]al ,"u ! ,program1 ! ,secret>y %all e/abli% a p]=mance-bas$ inc5tive paym5t1 :i* %all be paid 7us+ a me?odology e/abli%$ & at a "t det]m9$ appropriate by ! ,secret>y7 to p>ticipants bas$ on ! p]=mance ( p>ticipants ) respect to crit]ia1 z det]m9$ appropriate by ! ,secret>y1 9 accordance ) subp>agraph 7,b74 7,b7 ,crit]ia 7i7 ,9 g5]al ,crit]ia describ$ 9 subp>agraph 7,a7 may include consid]ation ( ! foll[+3 7,i7 ,pati5t engagem5t & ret5tion 9 treatm5t4 7,,ii7 ,evid5ce-bas$ m$ication-assi/$ treatm5t4 7,,iii7 ,o!r crit]ia e/abli%$ by ! ,secret>y4 7ii7 ,requir$ consultation & consid]ation ,9 det]m9+ crit]ia describ$ 9 subp>agraph 7,a71 ! ,secret>y %all-- 7,i7 consult ) /akehold]s1 includ+ cl9icians 9 ! prim>y c>e community & 9 ! field ( addiction m$ic9e2 & 7,,ii7 consid] exi/+ cl9ical guidel9es = ! treatm5t ( opioid use disord]s4 7,c7 ,no duplicate paym5t ,! ,secret>y %all ensure t no duplicate paym5ts "u ?is p>agraph are made ) respect to an applicable b5efici>y4 7f7 ,multipay] /rategy ,9 c>ry+ out ! ,program1 ! ,secret>y %all enc\rage o!r pay]s to provide simil> paym5ts & to use simil> crit]ia z appli$ "u ! ,program "u subsection 7e77#b77;,c74 ,! ,secret>y may ent] into a memor&um ( und]/&+ ) o!r pay]s to align ! me?odology = paym5t provid$ by su* a pay] relat$ to opioid use disord] treatm5t s]vices ) su* me?odology = paym5t "u ! ,program4 7g7 ,evaluation 7#a7 ,9 g5]al ,! ,secret>y %all conduct an int]m$iate & f9al evaluation ( ! program4 ,ea* su* evaluation %all det]m9e ! ext5t to :i* ea* ( ! purposes describ$ 9 subsection 7b7 h be5 accompli%$ "u ! ,program4 7#b7 ,reports ,! ,secret>y %all submit to ,congress-- 7,a7 a report ) respect to ! int]m$iate evaluation "u p>agraph 7#a7 n lat] ?an #c ye>s aft] ! date ( ! implem5tation ( ! ,program2 & 7,b7 a report ) respect to ! f9al evaluation "u p>agraph 7#a7 n lat] ?an #f ye>s aft] su* date4 7h7 ,fund+ 7#a7 ,adm9i/rative fund+ ,= ! purposes ( implem5t+1 adm9i/]+1 & c>ry+ out ! ,program 7o!r ?an = purposes describ$ 9 p>agraph 7#b771 #e1jjj1jjj %all be available f ! ,f$]al ,supplem5t>y ,m$ical ,insurance ,tru/ ,fund "u section #ahda4 7#b7 ,c>e managem5t fees & inc5tives ,= ! purposes ( mak+ paym5ts "u subsection 7e71 #aj1jjj1jjj %all be available f ! ,f$]al ,supplem5t>y ,m$ical ,insurance ,tru/ ,fund "u section #ahda = ea* ( fiscal ye>s #bjba ?r\gh #bjbd4 7#c7 ,availability ,am\nts transf]r$ "u ?is subsection = a fiscal ye> %all be available until exp5d$4 7i7 ,waiv]s ,! ,secret>y may waive any provision ( ?is title z may be necess>y to c>ry out ! ,program "u ?is section4 4 ,f ,responsible ,education ,a*ieves ,c>e & ,heal?y ,outcomes = ,us]s' ,treatm5t #fjea4 ,%ort title ,?is subtitle may be cit$ z ! ,responsible ,education ,a*ieves ,c>e & ,heal?y ,outcomes = ,us]s' ,treatm5t ,act ( #bjah or ! ,,rea* ,,out ,act ( #bjah4 #fjeb4 ,grants to provide te*nical assi/ance to outli] prescrib]s ( opioids 7a7 ,grants au?oriz$ ,! ,secret>y ( ,heal? & ,human ,s]vices 79 ?is section ref]r$ to z ! ,secret>y7 %all1 ?r\gh ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices1 aw>d grants1 contracts1 or coop]ative agreem5ts to eligible entities = ! purposes describ$ 9 subsection 7b74 7b7 ,use ( funds ,grants1 contracts1 & coop]ative agreem5ts aw>d$ "u subsection 7a7 %all be us$ to support eligible entities ?r\gh te*nical assi/ance-- 7#a7 to educate & provide outrea* to outli] prescrib]s ( opioids ab\t be/ practices = prescrib+ opioids2 7#b7 to educate & provide outrea* to outli] prescrib]s ( opioids ab\t non-opioid pa9 managem5t !rapies2 & 7#c7 to r$uce ! am\nt ( opioid prescriptions prescrib$ by outli] prescrib]s ( opioids4 7c7 ,application ,ea* eligible entity seek+ to receive a grant1 contract1 or coop]ative agreem5t "u subsection 7a7 %all submit to ! ,secret>y an application1 at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y may require4 7d7 ,geographic di/ribution ,9 aw>d+ grants1 contracts1 & coop]ative agreem5ts "u ?is section1 ! ,secret>y %all prioritize e/abli%+ te*nical assi/ance res\rces 9 ea* ,/ate4 7e7 ,def9itions ,9 ?is section3 7#a7 ,eligible entity ,! t]m eligible entity means-- 7,a7 an organization-- 7i7 t has demon/rat$ exp]i5ce provid+ te*nical assi/ance to heal? c>e pr(essionals on a ,/ate or regional basis2 & 7ii7 t has at lea/-- 7,i7 "o individual :o is a repres5tative ( consum]s on its gov]n+ body2 & 7,,ii7 "o individual :o is a repres5tative ( heal? c>e provid]s on its gov]n+ body2 or 7,b7 an entity t is a quality improvem5t entity ) a contract "u "p ,b ( title ,,xi ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acbj;c et seq474 7#b7 ,outli] prescrib] ( opioids ,! t]m outli] prescrib] ( opioids means1 ) respect to a p]iod1 a prescrib] id5tifi$ by ! ,secret>y "u subp>agraph 7,d77ii7 ( section #ahfj;,d-#d7;c77#d7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#ajd7;c77#d771 z add$ by section #fjfe ( ?is ,act1 to be an outli] prescrib] ( opioids = su* p]iod4 7#c7 ,prescrib]s ,! t]m prescrib] means any heal? c>e pr(essional1 includ+ a nurse practition] or physician assi/ant1 :o is lic5s$ to prescribe opioids by ! ,/ate or t]ritory 9 :i* su* pr(essional practices4 7f7 ,fund+ ,= purposes ( implem5t+ ?is section1 #ge1jjj1jjj %all be available f ! ,f$]al ,supplem5t>y ,m$ical ,insurance ,tru/ ,fund "u section #ahda ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciet71 to rema9 available until exp5d$4 ,g ,prev5t+ ,addiction = ,susceptible ,s5iors #fjfa4 ,%ort title ,?is subtitle may be cit$ z ! ,prev5t+ ,addiction = ,susceptible ,s5iors ,act ( #bjah or ! ,,pass ,act ( #bjah4 #fjfb4 ,electronic prior au?orization = cov]$ "p ,d drugs ,section #ahfj;,d-#d7;e77#b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#ajd7;e77#b77 is am5d$ by add+ at ! end ! foll[+ new subp>agraph3 7,e7 ,electronic prior au?orization 7i7 ,9 g5]al ,n lat] ?an ,janu>y #a1 #bjba1 ! program %all provide = ! secure electronic transmission (-- 7,i7 a prior au?orization reque/ f ! prescrib+ heal? c>e pr(essional = cov]age ( a cov]$ "p ,d drug = a "p ,d eligible individual enroll$ 9 a "p ,d plan 7z def9$ 9 section #ahfj;,d-#bc7;a77#e77 to ! ,,pdp sponsor or ,m$ic>e ,advantage organization (f]+ su* plan2 & 7,,ii7 a response1 9 accordance ) ?is subp>agraph1 f su* ,,pdp sponsor or ,m$ic>e ,advantage organization1 respectively1 to su* pr(essional4 7ii7 ,electronic transmission 7,i7 ,exclusions ,= purposes ( ?is subp>agraph1 a facsimile1 a propriet>y pay] portal t does n meet /&>ds specifi$ by ! ,secret>y1 or an electronic =m %all n be treat$ z an electronic transmission describ$ 9 clause 7i74 7,,ii7 ,/&>ds ,9 ord] to be treat$1 = purposes ( ?is subp>agraph1 z an electronic transmission describ$ 9 clause 7i71 su* transmission %all comply ) te*nical /&>ds adopt$ by ! ,secret>y 9 consultation ) ! ,national ,c\ncil = ,prescription ,drug ,programs1 o!r /&>d sett+ organizations det]m9$ appropriate by ! ,secret>y1 & /akehold]s includ+ ,,pdp sponsors1 ,m$ic>e ,advantage organizations1 heal? c>e pr(essionals1 & heal? in=mation te*nology s(tw>e v5dors4 7,,iii7 ,application ,not)/&+ any o!r provision ( law1 = purposes ( ?is subp>agraph1 ! ,secret>y may require ! use ( su* /&>ds adopt$ "u subclause 7,,ii7 9 lieu ( any o!r applicable /&>ds = an electronic transmission describ$ 9 clause 7i7 = a cov]$ "p ,d drug = a "p ,d eligible individual4 4 #fjfc4 ,program integrity transp>5cy measures "u ,m$ic>e p>ts ,c & ,d 7a7 ,9 g5]al ,section #ahei ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#bh7 is am5d$ by add+ at ! end ! foll[+ new subsection3 7i7 ,program integrity transp>5cy measures 7#a7 ,program integrity portal 7,a7 ,9 g5]al ,n lat] ?an #b ye>s aft] ! date ( ! enactm5t ( ?is subsection1 ! ,secret>y %all1 aft] consultation ) /akehold]s1 e/abli% a secure int]net website portal 7or o!r successor te*nology7 t w\ld all[ a secure pa? = communication betwe5 ! ,secret>y1 ,,ma plans "u ?is "p1 prescription drug plans "u "p ,d1 & an eligible entity ) a contract "u section #ahic 7su* z a ,m$ic>e drug integrity contractor or an entity responsible = c>ry+ out program integrity activities "u ?is "p & "p ,d7 = ! purpose ( enabl+ ?r\gh su* portal 7or o!r successor te*nology7-- 7i7 ! ref]ral by su* plans ( sub/antiat$ or suspici\s activities1 z def9$ by ! ,secret>y1 ( a provid] ( s]vices 7includ+ a prescrib]7 or suppli] relat$ to fraud1 wa/e1 & abuse = initiat+ or assi/+ inve/igations conduct$ by ! eligible entity2 & 7ii7 data %>+ among su* ,,ma plans1 prescription drug plans1 & ! ,secret>y4 7,b7 ,requir$ uses ( portal ,! ,secret>y %all dissem9ate ! foll[+ in=mation to ,,ma plans "u ?is "p & prescription drug plans "u "p ,d ?r\gh ! secure int]net website portal 7or o!r successor te*nology7 e/abli%$ "u subp>agraph 7,a73 7i7 ,provid]s ( s]vices & suppli]s t h be5 ref]r$ pursuant to subp>agraph 7,a77i7 dur+ ! previ\s #ab-mon? p]iod4 7ii7 ,provid]s ( s]vices & suppli]s :o are ! subject ( an active exclusion "u section #aabh or :o are subject to a susp5sion ( paym5t "u ?is title pursuant to section #ahfb7o7 or o!rwise4 7iii7 ,provid]s ( s]vices & suppli]s :o are ! subject ( an active revocation ( p>ticipation "u ?is title1 includ+ = n satisfy+ conditions ( p>ticipation4 7iv7 ,9 ! case ( su* a plan t makes a ref]ral "u subp>agraph 7,a77i7 ?r\gh ! portal 7or o!r successor te*nology7 ) respect to activities ( sub/antiat$ or suspici\s activities ( fraud1 wa/e1 or abuse ( a provid] ( s]vices 7includ+ a prescrib]7 or suppli]1 if su* provid] 7includ+ a prescrib]7 or suppli] has be5 ! subject ( an adm9i/rative action "u ?is title or title ,,xi ) respect to simil> activities1 a notification to su* plan ( su* action s tak54 7,c7 ,rulemak+ ,= purposes ( ?is p>agraph1 ! ,secret>y %all1 ?r\gh rulemak+1 specify :at con/itutes sub/antiat$ or suspici\s activities ( fraud1 wa/e1 & abuse1 us+ guidance su* z :at is provid$ 9 ! ,m$ic>e ,program ,integrity ,manual #d4h4 ,9 c>ry+ out ?is subsection1 a fraud hotl9e tip 7z def9$ by ! ,secret>y7 )\t fur!r evid5ce %all n be treat$ z suffici5t evid5ce = sub/antiat$ fraud1 wa/e1 or abuse4 7,d7 ,,hipaa compliant in=mation only ,= purposes ( ?is subsection1 communications may only occur if ! communications are p]mitt$ "u ! ,f$]al regulations 7conc]n+ ! privacy ( individually id5tifiable heal? in=mation7 promulgat$ "u section #bfd7;c7 ( ! ,heal? ,insurance ,portability & ,acc\ntability ,act ( #aiif4 7#b7 ,qu>t]ly reports ,beg9n+ n lat] ?an #b ye>s aft] ! date ( ! enactm5t ( ?is subsection1 ! ,secret>y %all make available to ,,ma plans "u ?is "p & prescription drug plans "u "p ,d 9 a timely mann] 7b no less frequ5tly ?an qu>t]ly7 & us+ in=mation submitt$ to an entity describ$ 9 p>agraph 7#a7 ?r\gh ! portal 7or o!r successor te*nology7 describ$ 9 su* p>agraph or pursuant to section #ahic1 in=mation on fraud1 wa/e1 & abuse s*emes & tr5ds 9 id5tify+ suspici\s activity4 ,in=mation includ$ 9 ea* su* report %all-- 7,a7 include adm9i/rative actions1 p]t95t in=mation relat$ to opioid ov]prescrib+1 & o!r data det]m9$ appropriate by ! ,secret>y 9 consultation ) /akehold]s2 & 7,b7 be anonymiz$ in=mation submitt$ by plans )\t id5tify+ ! s\rce ( su* in=mation4 7#c7 ,cl>ification ,no?+ 9 ?is subsection %all preclude or o!rwise affect ref]rals to ! ,inspector ,g5]al ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices or o!r law en=cem5t entities4 4 7b7 ,contract requirem5t to communicate plan corrective actions aga9/ opioids ov]-prescrib]s ,section #aheg7;e7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#bg7;e77 is am5d$ by add+ at ! end ! foll[+ new p>agraph3 7#e7 ,communicat+ plan corrective actions aga9/ opioids ov]-prescrib]s 7,a7 ,9 g5]al ,beg9n+ ) plan ye>s beg9n+ on or aft] ,janu>y #a1 #bjba1 a contract "u ?is section ) an ,,ma organization %all require ! organization to submit to ! ,secret>y1 ?r\gh ! process e/abli%$ "u subp>agraph 7,b71 in=mation on ! inve/igations1 cr$ible evid5ce ( suspici\s activities ( a provid] ( s]vices 7includ+ a prescrib]7 or suppli] relat$ to fraud1 & o!r actions tak5 by su* plans relat$ to inappropriate prescrib+ ( opioids4 7,b7 ,process ,n lat] ?an ,janu>y #a1 #bjba1 ! ,secret>y %all1 9 consultation ) /akehold]s1 e/abli% a process "u :i* ,,ma plans & prescription drug plans %all submit to ! ,secret>y in=mation describ$ 9 subp>agraph 7,a74 7,c7 ,regulations ,= purposes ( ?is p>agraph1 includ+ z appli$ "u section #ahfj;,d-#ab7;b77#c77;,d71 ! ,secret>y %all1 pursuant to rulemak+-- 7i7 specify a def9ition = ! t]m inappropriate prescrib+ & a me?od = det]m9+ if a provid] ( s]vices prescribes inappropriate prescrib+2 & 7ii7 e/abli% ! process describ$ 9 subp>agraph 7,b7 & ! types ( in=mation t %all be submitt$ ?r\gh su* process4 4 7c7 ,ref]5ce "u "p ,d to program integrity transp>5cy measures ,section #ahfj;,d-#d ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#ajd7 is am5d$ by add+ at ! end ! foll[+ new subsection3 7m7 ,program integrity transp>5cy measures ,= program integrity transp>5cy measures appli$ ) respect to prescription drug plan & ,,ma plans1 see section #ahei7;i74 4 #fjfd4 ,exp&+ eligibility = m$ication !rapy managem5t programs "u "p ,d ,section #ahfj;,d-#d7;c77#b77;,a77ii7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#ajd7;c77#b77;,a77ii77 is am5d$-- 7#a7 by r$esignat+ subclauses 7,i7 ?r\gh 7,,iii7 z items 7aa7 ?r\gh 7cc71 respectively1 & adju/+ ! m>g9s accord+ly2 7#b7 by /rik+ are "p ,d eligible individuals :o-- & ins]t+ are ! foll[+3 7,i7 ,"p ,d eligible individuals :o-- 2 & 7#c7 by add+ at ! end ! foll[+ new subclause3 7,,ii7 ,beg9n+ ,janu>y #a1 #bjba1 at-risk b5efici>ies = prescription drug abuse 7z def9$ 9 p>agraph 7#e77;,c774 4 #fjfe4 ,commit to opioid m$ical prescrib] acc\ntability & safety = s5iors ,section #ahfj;,d-#d7;c77#d7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#ajd7;c77#d77 is am5d$ by add+ at ! end ! foll[+ new subp>agraph3 7,d7 ,notification & additional requirem5ts ) respect to outli] prescrib]s ( opioids 7i7 ,notification ,n lat] ?an ,janu>y #a1 #bjba1 ! ,secret>y %all1 9 ! case ( a prescrib] id5tifi$ by ! ,secret>y "u clause 7ii7 to be an outli] prescrib] ( opioids1 provide1 subject to clause 7iv71 an annual notification to su* prescrib] t su* prescrib] has be5 s id5tifi$ & t includes res\rces on prop] prescrib+ me?ods & o!r in=mation z specifi$ 9 accordance ) clause 7iii74 7ii7 ,id5tification ( outli] prescrib]s ( opioids 7,i7 ,9 g5]al ,! ,secret>y %all1 subject to subclause 7,,iii71 us+ ! valid prescrib] ,national ,provid] ,id5tifi]s includ$ pursuant to subp>agraph 7,a7 on claims = cov]$ "p ,d drugs = "p ,d eligible individuals enroll$ 9 prescription drug plans "u ?is "p or ,,ma-,,pd plans "u "p ,c & bas$ on ! ?re%olds e/abli%$ "u subclause 7,,ii71 id5tify prescrib]s t are outli] opioids prescrib]s = a p]iod ( "t specifi$ by ! ,secret>y4 7,,ii7 ,e/abli%m5t ( ?re%olds ,= purposes ( subclause 7,i7 & subject to subclause 7,,iii71 ! ,secret>y %all1 aft] consultation ) /akehold]s1 e/abli% ?re%olds1 bas$ on prescrib] specialty & geographic area1 = id5tify+ :e!r a prescrib] 9 a specialty & geographic area is an outli] prescrib] ( opioids z comp>$ to o!r prescrib]s ( opioids )9 su* specialty & area4 7,,iii7 ,exclusions ,! foll[+ %all n be includ$ 9 ! analysis = id5tify+ outli] prescrib]s ( opioids "u ?is clause3 7aa7 ,claims = cov]$ "p ,d drugs = "p ,d eligible individuals :o are receiv+ hospice c>e "u ?is title4 7bb7 ,claims = cov]$ "p ,d drugs = "p ,d eligible individuals :o are receiv+ oncology s]vices "u ?is title4 7cc7 ,prescrib]s :o are ! subject ( an inve/igation by ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices or ! ,inspector ,g5]al ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices4 7iii7 ,cont5ts ( notification ,! ,secret>y %all include ! foll[+ in=mation 9 ! notifications provid$ "u clause 7i73 7,i7 ,in=mation on h[ su* prescrib] comp>es to o!r prescrib]s )9 ! same specialty & geographic area4 7,,ii7 ,in=mation on opioid prescrib+ guidel9es1 bas$ on input f /akehold]s1 t may include ! ,c5t]s = ,disease ,control & ,prev5tion guidel9es = prescrib+ opioids = *ronic pa9 & guidel9es develop$ by physician organizations4 7,,iii7 ,o!r in=mation det]m9$ appropriate by ! ,secret>y4 7iv7 ,modifications & expansions 7,i7 ,frequ5cy ,beg9n+ #e ye>s aft] ! date ( ! enactm5t ( ?is subp>agraph1 ! ,secret>y may *ange ! frequ5cy ( ! notifications describ$ 9 clause 7i7 bas$ on /akehold] input & *anges 9 opioid prescrib+ utilization & tr5ds4 7,,ii7 ,expansion to o!r prescriptions ,! ,secret>y may exp& notifications "u ?is subp>agraph to include id5tifications & notifications ) respect to concurr5t prescriptions ( cov]$ ,"p ,d drugs us$ 9 comb9ation ) opioids t are consid]$ to h adv]se side effects :5 s us$ 9 su* comb9ation1 z det]m9$ by ! ,secret>y4 7v7 ,additional requirem5ts = p]si/5t outli] prescrib]s ,9 ! case ( a prescrib] :o ! ,secret>y det]m9es is p]si/5tly id5tifi$ "u clause 7ii7 z an outli] prescrib] ( opioids1 ! foll[+ %all apply3 7,i7 ,su* prescrib] may be requir$ to enroll 9 ! program "u ?is title "u section #ahff7;j7 if su* prescrib] is n o!rwise requir$ to enroll1 b only aft] o!r appropriate rem$ies h be5 provid$1 su* z ! provision ( education fund$ ?r\gh section #fjeb ( ! ,,support = ,pati5ts & ,communities ,act1 = a p]iod det]m9$ by ! ,secret>y z suffici5t to correct ! prescrib+ patt]ns t lead to id5tification ( su* prescrib] z a p]si/5t outli] prescrib] ( opioids4 ,! ,secret>y %all det]m9e ! l5g? ( ! p]iod = :i* su* prescrib] is requir$ to ma9ta9 su* enrollm5t1 :i* %all be ! m9imum p]iod necess>y to correct su* prescrib+ patt]ns4 7,,ii7 ,n less frequ5tly ?an annually 7& 9 a =m & mann] det]m9$ appropriate by ! ,secret>y71 ! ,secret>y1 consi/5t ) clause7iv77,i71 %all communicate in=mation on su* prescrib]s to sponsors ( a prescription drug plan & ,m$ic>e ,advantage organizations (f]+ an ,,ma-,,pd plan4 7vi7 ,public availability ( in=mation ,! ,secret>y %all make aggregate in=mation "u ?is subp>agraph available on ! int]net website ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices4 ,su* in=mation %all be 9 a =m & mann] det]m9$ appropriate by ! ,secret>y & %all n id5tify any specific prescrib]4 ,9 c>ry+ out ?is clause1 ! ,secret>y %all consult ) int]e/$ /akehold]s4 7vii7 ,opioids def9$ ,= purposes ( ?is subp>agraph1 ! t]m opioids has su* mean+ z specifi$ by ! ,secret>y4 7viii7 ,o!r activities ,no?+ 9 ?is subp>agraph %all preclude ! ,secret>y f conduct+ activities t provide prescrib]s ) in=mation z to h[ !y comp>e to o!r prescrib]s t are 9 addition to ! activities "u ?is subp>agraph1 includ+ activities t 7 be+ conduct$ z ( ! date ( ! enactm5t ( ?is subp>agraph4 4 #fjff4 ,no additional funds au?oriz$ ,no additional funds are au?oriz$ to be appropriat$ to c>ry out ! requirem5ts ( ?is subtitle & ! am5dm5ts made by ?is subtitle4 ,su* requirem5ts %all be c>ri$ out us+ am\nts o!rwise au?oriz$ to be appropriat$4 ,h ,exp&+ ,ov]sight ( ,opioid ,prescrib+ & ,paym5t #fjga4 ,%ort title ,?is subtitle may be cit$ z ! ,exp&+ ,ov]sight ( ,opioid ,prescrib+ & ,paym5t ,act ( #bjah4 #fjgb4 ,m$ic>e ,paym5t ,advisory ,commission report on opioid paym5t1 adv]se inc5tives1 & data "u ! ,m$ic>e program ,n lat] ?an ,m>* #ae1 #bjai1 ! ,m$ic>e ,paym5t ,advisory ,commission %all submit to ,congress a report on1 ) respect to ! ,m$ic>e program "u title ,,xviii ( ! ,social ,security ,act1 ! foll[+3 7#a7 ,a description ( h[ ! ,m$ic>e program pays = pa9 managem5t treatm5ts 7bo? opioid & non-opioid pa9 managem5t alt]natives7 9 bo? inpati5t & outpati5t hospital sett+s4 7#b7 ,! id5tification ( inc5tives "u ! hospital inpati5t prospective paym5t sy/em "u section #ahhf ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acieww7 & inc5tives "u ! hospital outpati5t prospective paym5t sy/em "u section #ahcc7t7 ( su* ,act 7#db ,u4,s4,c4 #aciel7t77 = prescrib+ opioids & inc5tives "u ea* su* sy/em = prescrib+ non-opioid treatm5ts1 & recomm5dations z ! ,commission deems appropriate = address+ any ( su* inc5tives t are adv]se inc5tives4 7#c7 ,a description ( h[ opioid use is track$ & monitor$ ?r\gh ,m$ic>e claims data & o!r me*anisms & ! id5tification ( any areas 9 :i* fur!r data & me?ods are ne$$ = improv+ data & und]/&+ ( opioid use4 #fjgc4 ,no additional funds au?oriz$ ,no additional funds are au?oriz$ to be appropriat$ to c>ry out ! requirem5ts ( ?is subtitle4 ,su* requirem5ts %all be c>ri$ out us+ am\nts o!rwise au?oriz$ to be appropriat$4 ,i ,dr4 ,todd ,graham ,pa9 ,managem5t1 ,treatm5t1 & ,recov]y #fjha4 ,%ort title ,?is subtitle may be cit$ z ! ,dr4 ,todd ,graham ,pa9 ,managem5t1 ,treatm5t1 & ,recov]y ,act ( #bjah4 #fjhb4 ,review & adju/m5t ( paym5ts "u ! ,m$ic>e outpati5t prospective paym5t sy/em to avoid f9ancial inc5tives to use opioids in/ead ( non-opioid alt]native treatm5ts 7a7 ,outpati5t prospective paym5t sy/em ,section #ahcc7t7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciel7t77 is am5d$ by add+ at ! end ! foll[+ new p>agraph3 7#bb7 ,review & revisions ( paym5ts = non-opioid alt]native treatm5ts 7,a7 ,9 g5]al ,) respect to paym5ts made "u ?is subsection = cov]$ ,,opd s]vices 7or gr\ps ( s]vices71 includ+ cov]$ ,,opd s]vices assign$ to a compreh5sive ambulatory paym5t classification1 ! ,secret>y-- 7i7 %all1 z soon z practicable1 conduct a review 7"p ( :i* may include a reque/ = in=mation7 ( paym5ts = opioids & evid5ce-bas$ non-opioid alt]natives = pa9 managem5t 7includ+ drugs & devices1 n]ve blocks1 surgical injections1 & neuromodulation7 ) a goal ( ensur+ t !re are n f9ancial inc5tives to use opioids in/ead ( non-opioid alt]natives2 7ii7 may1 z ! ,secret>y det]m9es appropriate1 conduct subsequ5t reviews ( su* paym5ts2 & 7iii7 %all consid] ! ext5t to :i* revisions "u ?is subsection to su* paym5ts 7su* z ! creation ( additional gr\ps ( cov]$ ,,opd s]vices to classify sep>ately ^? proc$ures t utilize opioids & non-opioid alt]natives = pa9 managem5t7 w\ld r$uce paym5t inc5tives to use opioids in/ead ( non-opioid alt]natives = pa9 managem5t4 7,b7 ,priority ,9 conduct+ ! review "u clause 7i7 ( subp>agraph 7,a7 & consid]+ revisions "u clause 7iii7 ( su* subp>agraph1 ! ,secret>y %all focus on cov]$ ,,opd s]vices 7or gr\ps ( s]vices7 assign$ to a compreh5sive ambulatory paym5t classification1 ambulatory paym5t classifications t prim>ily include surgical s]vices1 & o!r s]vices det]m9$ by ! ,secret>y :i* g5]ally involve treatm5t = pa9 managem5t4 7,c7 ,revisions ,if ! ,secret>y id5tifies revisions to paym5ts pursuant to subp>agraph 7,a77iii71 ! ,secret>y %all1 z det]m9$ appropriate1 beg9 mak+ su* revisions = s]vices furni%$ on or aft] ,janu>y #a1 #bjbj4 ,revisions "u ! previ\s s5t5ce %all be treat$ z adju/m5ts = purposes ( application ( p>agraph 7#i77;,b74 7,d7 ,rules ( con/ruction ,no?+ 9 ?is p>agraph %all be con/ru$ to preclude ! ,secret>y-- 7i7 f conduct+ a demon/ration be=e mak+ ! revisions describ$ 9 subp>agraph 7,c72 or 7ii7 prior to implem5tation ( ?is p>agraph1 f *ang+ paym5ts "u ?is subsection = cov]$ ,,opd s]vices 7or gr\ps ( s]vices7 :i* include opioids or non-opioid alt]natives = pa9 managem5t4 4 7b7 ,ambulatory surgical c5t]s ,section #ahcc7;i7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciel7i77 is am5d$ by add+ at ! end ! foll[+ new p>agraph3 7#h7 ,! ,secret>y %all conduct a simil> type ( review z requir$ "u p>agraph 7#bb7 ( section #ahcc7t771 includ+ ! second s5t5ce ( subp>agraph 7,c7 ( su* p>agraph1 to paym5t = s]vices "u ?is subsection1 & make su* revisions "u ?is p>agraph1 9 an appropriate mann] 7z det]m9$ by ! ,secret>y74 4 #fjhc4 ,exp&+ access "u ! ,m$ic>e program to addiction treatm5t 9 ,f$]ally qualifi$ heal? c5t]s & rural heal? cl9ics 7a7 ,f$]ally qualifi$ heal? c5t]s ,section #ahcd7o7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciem7o77 is am5d$ by add+ at ! end ! foll[+ new p>agraph3 7#c7 ,additional paym5ts = c]ta9 ,f,q,h,cs ) physicians or o!r practition]s receiv+ ,,data #bjjj waiv]s 7,a7 ,9 g5]al ,9 ! case ( a ,f$]ally qualifi$ heal? c5t] ) respect to :i*1 beg9n+ on or aft] ,janu>y #a1 #bjai1 ,f$]ally qualifi$ heal? c5t] s]vices 7z def9$ 9 section #ahfa7;aa77#c77 are furni%$ = ! treatm5t ( opioid use disord] by a physician or practition] :o meets ! requirem5ts describ$ 9 subp>agraph 7,c71 ! ,secret>y %all1 subject to availability ( funds "u subp>agraph 7,d71 make a paym5t 7at su* "t & 9 su* mann] z specifi$ by ! ,secret>y7 to su* ,f$]ally qualifi$ heal? c5t] aft] receiv+ & approv+ an application submitt$ by su* ,f$]ally qualifi$ heal? c5t] "u subp>agraph 7,b74 ,su* a paym5t %all be 9 an am\nt det]m9$ by ! ,secret>y1 bas$ on an e/imate ( ! av]age co/s ( tra9+ = purposes ( receiv+ a waiv] describ$ 9 subp>agraph 7,c77ii74 ,su* a paym5t may be made only "o "t ) respect to ea* su* physician or practition]4 7,b7 ,application ,9 ord] to receive a paym5t describ$ 9 subp>agraph 7,a71 a ,f$]ally qualifi$ heal? c5t] %all submit to ! ,secret>y an application = su* a paym5t at su* "t1 9 su* mann]1 & conta9+ su* in=mation z specifi$ by ! ,secret>y4 ,a ,f$]ally qualifi$ heal? c5t] may apply = su* a paym5t = ea* physician or practition] describ$ 9 subp>agraph 7,a7 furni%+ s]vices describ$ 9 su* subp>agraph at su* c5t]4 7,c7 ,requirem5ts ,= purposes ( subp>agraph 7,a71 ! requirem5ts describ$ 9 ?is subp>agraph1 ) respect to a physician or practition]1 are ! foll[+3 7i7 ,! physician or practition] is employ$ by or work+ "u contract ) a ,f$]ally qualifi$ heal? c5t] describ$ 9 subp>agraph 7,a7 t submits an application "u subp>agraph 7,b74 7ii7 ,! physician or practition] fir/ receives a waiv] "u section #cjc7;g7 ( ! ,controll$ ,sub/ances ,act on or aft] ,janu>y #a1 #bjai4 7,d7 ,fund+ ,= purposes ( mak+ paym5ts "u ?is p>agraph1 !re are appropriat$1 out ( am\nts 9 ! ,treasury n o!rwise appropriat$1 #f1jjj1jjj1 :i* %all rema9 available until exp5d$4 4 7b7 ,rural heal? cl9ic ,section #ahcc ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciel7 is am5d$-- 7#a7 by r$esignat+ ! subsection 7z7 relat+ to m$ical review ( sp9al subluxation s]vices z subsection 7aa72 & 7#b7 by add+ at ! end ! foll[+ new subsection3 7bb7 ,additional paym5ts = c]ta9 rural heal? cl9ics ) physicians or practition]s receiv+ ,,data #bjjj waiv]s 7#a7 ,9 g5]al ,9 ! case ( a rural heal? cl9ic ) respect to :i*1 beg9n+ on or aft] ,janu>y #a1 #bjai1 rural heal? cl9ic s]vices 7z def9$ 9 section #ahfa7;aa77#a77 are furni%$ = ! treatm5t ( opioid use disord] by a physician or practition] :o meets ! requirem5ts describ$ 9 p>agraph 7#c71 ! ,secret>y %all1 subject to availability ( funds "u p>agraph 7#d71 make a paym5t 7at su* "t & 9 su* mann] z specifi$ by ! ,secret>y7 to su* rural heal? cl9ic aft] receiv+ & approv+ an application describ$ 9 p>agraph 7#b74 ,su* paym5t %all be 9 an am\nt det]m9$ by ! ,secret>y1 bas$ on an e/imate ( ! av]age co/s ( tra9+ = purposes ( receiv+ a waiv] describ$ 9 p>agraph 7#c77;,b74 ,su* paym5t may be made only "o "t ) respect to ea* su* physician or practition]4 7#b7 ,application ,9 ord] to receive a paym5t describ$ 9 p>agraph 7#a71 a rural heal? cl9ic %all submit to ! ,secret>y an application = su* a paym5t at su* "t1 9 su* mann]1 & conta9+ su* in=mation z specifi$ by ! ,secret>y4 ,a rural heal? cl9ic may apply = su* a paym5t = ea* physician or practition] describ$ 9 p>agraph 7#a7 furni%+ s]vices describ$ 9 su* p>agraph at su* cl9ic4 7#c7 ,requirem5ts ,= purposes ( p>agraph 7#a71 ! requirem5ts describ$ 9 ?is p>agraph1 ) respect to a physician or practition]1 are ! foll[+3 7,a7 ,! physician or practition] is employ$ by or work+ "u contract ) a rural heal? cl9ic describ$ 9 p>agraph 7#a7 t submits an application "u p>agraph 7#b74 7,b7 ,! physician or practition] fir/ receives a waiv] "u section #cjc7;g7 ( ! ,controll$ ,sub/ances ,act on or aft] ,janu>y #a1 #bjai4 7#d7 ,fund+ ,= purposes ( mak+ paym5ts "u ?is subsection1 !re are appropriat$1 out ( am\nts 9 ! ,treasury n o!rwise appropriat$1 #b1jjj1jjj1 :i* %all rema9 available until exp5d$4 4 #fjhd4 ,/udy+ ! availability ( supplem5tal b5efits design$ to treat or prev5t sub/ance use disord]s "u ,m$ic>e ,advantage plans 7a7 ,9 g5]al ,n lat] ?an #b ye>s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices 79 ?is section ref]r$ to z ! ,secret>y7 %all submit to ,congress a report on ! availability ( supplem5tal heal? c>e b5efits 7z describ$ 9 section #aheb7;a77#c77;,a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#bb7;a77#c77;,a777 design$ to treat or prev5t sub/ance use disord]s "u ,m$ic>e ,advantage plans (f]$ "u "p ,c ( title ,,xviii ( su* ,act4 ,su* report %all include ! analysis describ$ 9 subsection 7c7 & any diff]5ces 9 ! availability ( su* b5efits "u specializ$ ,,ma plans = special ne$s individuals 7z def9$ 9 section #ahei7;b77#f7 ( su* ,act 7#db ,u4,s4,c4 #aciew-#bh7;b77#f777 (f]$ to individuals entitl$ to m$ical assi/ance "u title ,,xix ( su* ,act & o!r su* ,m$ic>e ,advantage plans4 7b7 ,consultation ,! ,secret>y %all develop ! report describ$ 9 subsection 7a7 9 consultation ) relevant /akehold]s1 includ+-- 7#a7 individuals entitl$ to b5efits "u "p ,a or enroll$ "u "p ,b ( title ,,xviii ( ! ,social ,security ,act2 7#b7 entities :o advocate on behalf ( su* individuals2 7#c7 ,m$ic>e ,advantage organizations2 7#d7 ph>macy b5efit manag]s2 & 7#e7 provid]s ( s]vices & suppli]s 7z su* t]ms are def9$ 9 section #ahfa ( su* ,act 7#db ,u4,s4,c4 #aciex774 7c7 ,cont5ts ,! report describ$ 9 subsection 7a7 %all include an analysis on ! foll[+3 7#a7 ,! ext5t to :i* plans describ$ 9 su* subsection (f] supplem5tal heal? c>e b5efits relat+ to cov]age (-- 7,a7 m$ication-assi/$ treatm5ts = opioid use1 sub/ance use disord] c\nsel+1 pe] recov]y support s]vices1 or o!r =ms ( sub/ance use disord] treatm5ts 7:e!r furni%$ 9 an inpati5t or outpati5t sett+72 & 7,b7 non-opioid alt]natives = ! treatm5t ( pa94 7#b7 ,*all5ges associat$ ) su* plans (f]+ supplem5tal heal? c>e b5efits relat+ to cov]age ( items & s]vices describ$ 9 subp>agraph 7,a7 or 7,b7 ( p>agraph 7#a74 7#c7 ,! impact1 if any1 ( increas+ ! applicable rebate p]c5tage det]m9$ "u section #ahed7;b77#a77;,c7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#bd7;b77#a77;,c77 = plans (f]+ su* b5efits relat+ to su* cov]age w\ld h on ! availability ( su* b5efits relat+ to su* cov]age (f]$ "u ,m$ic>e ,advantage plans4 7#d7 ,pot5tial ways to improve ^u su* cov]age or to inc5tivize su* plans to (f] additional supplem5tal heal? c>e b5efits relat+ to su* cov]age4 #fjhe4 ,cl9ical psy*ologi/ s]vices models "u ! ,c5t] = ,m$ic>e & ,m$icaid ,innovation2 ,,gao /udy & report 7a7 ,,cmi models ,section #aaae;,a7b77#b77;,b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acae;a7b77#b77;,b771 z am5d$ by section #fjja1 is fur!r am5d$ by add+ at ! end ! foll[+ new clauses3 7xxvi7 ,support+ ways to famili>ize individuals ) ! availability ( cov]age "u "p ,b ( title ,,xviii = qualifi$ psy*ologi/ s]vices 7z def9$ 9 section #ahfa7;ii774 7xxvii7 ,explor+ ways to avoid unnecess>y hospitalizations or em]g5cy dep>tm5t visits = m5tal & behavioral heal? s]vices 7su* z = treat+ depression7 ?r\gh use ( a #bd-;h\r1 #g-;day a week help l9e t may in=m individuals ab\t ! availability ( treatm5t options1 includ+ ! availability ( qualifi$ psy*ologi/ s]vices 7z def9$ 9 section #ahfa7;ii774 4 7b7 ,,gao /udy & report ,n lat] ?an #ah mon?s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all conduct a /udy1 & submit to ,congress a report1 on m5tal & behavioral heal? s]vices "u ! ,m$ic>e program "u title ,,xviii ( ! ,social ,security ,act1 includ+ an exam9ation ( ! foll[+3 7#a7 ,in=mation ab\t s]vices furni%$ by psy*iatri/s1 cl9ical psy*ologi/s1 & o!r pr(essionals4 7#b7 ,in=mation ab\t ways t ,m$ic>e b5efici>ies famili>ize !mselves ab\t ! availability ( ,m$ic>e paym5t = qualifi$ psy*ologi/ s]vices 7z def9$ 9 section #ahfa7;ii7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex7ii77 & ways t ! provision ( su* in=mation c\ld be improv$4 #fjhf4 ,dr4 ,todd ,graham pa9 managem5t /udy 7a7 ,9 g5]al ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices 7ref]r$ to 9 ?is section z ! 8,secret>y07 %all conduct a /udy analyz+ be/ practices z well z paym5t & cov]age = pa9 managem5t s]vices "u title ,,xviii ( ! ,social ,security ,act & submit to ! ,committee on ,ways & ,means & ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives & ! ,committee on ,f9ance ( ! ,s5ate a report conta9+ options = revis+ paym5t to provid]s & suppli]s ( s]vices & cov]age relat$ to ! use ( multi-discipl9>y1 evid5ce-bas$1 non-opioid treatm5ts = acute & *ronic pa9 managem5t = individuals entitl$ to b5efits "u "p ,a or enroll$ "u "p ,b ( title ,,xviii ( ! ,social ,security ,act4 ,! ,secret>y %all make su* report available on ! public website ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices4 7b7 ,consultation ,9 develop+ ! report describ$ 9 subsection 7a71 ! ,secret>y %all consult )-- 7#a7 relevant ag5cies )9 ! ,dep>tm5t ( ,heal? & ,human ,s]vices2 7#b7 lic5s$ & practic+ o/eopa?ic & allopa?ic physicians1 behavioral heal? practition]s1 physician assi/ants1 nurse practition]s1 d5ti/s1 ph>maci/s1 & o!r provid]s ( heal? s]vices2 7#c7 provid]s & suppli]s ( s]vices 7z su* t]ms are def9$ 9 section #ahfa ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex772 7#d7 sub/ance abuse & m5tal heal? pr(essional organizations2 7#e7 pa9 managem5t pr(essional organizations & advocacy entities1 includ+ individuals :o p]sonally suff] *ronic pa92 7#f7 m$ical pr(essional organizations & m$ical specialty organizations2 7#g7 lic5s$ heal? c>e provid]s :o furni% alt]native pa9 managem5t s]vices2 7#h7 organizations ) exp]tise 9 ! developm5t ( innovative m$ical te*nologies = pa9 managem5t2 7#i7 b5efici>y advocacy organizations2 & 7#aj7 o!r organizations ) exp]tise 9 ! assessm5t1 diagnosis1 treatm5t1 & managem5t ( pa91 z det]m9$ appropriate by ! ,secret>y4 7c7 ,cont5ts ,! report describ$ 9 subsection 7a7 %all include ! foll[+3 7#a7 ,an analysis ( paym5t & cov]age "u title ,,xviii ( ! ,social ,security ,act ) respect to ! foll[+3 7,a7 ,evid5ce-bas$ treatm5ts & te*nologies = *ronic or acute pa91 includ+ su* treatm5ts t are cov]$1 n cov]$1 or h limit$ cov]age "u su* title4 7,b7 ,evid5ce-bas$ treatm5ts & te*nologies t monitor sub/ance use )drawal & prev5t ov]doses ( opioids4 7,c7 ,evid5ce-bas$ treatm5ts & te*nologies t treat sub/ance use disord]s4 7,d7 ,items & s]vices furni%$ by practition]s ?r\gh a multi-discipl9>y treatm5t model = pa9 managem5t1 includ+ ! pati5t-c5t]$ m$ical home4 7,e7 ,items & s]vices furni%$ to b5efici>ies ) psy*iatric disord]s1 sub/ance use disord]s1 or :o are at risk ( suicide1 or h comorbidities & require consultation or managem5t ( pa9 ) "o or m speciali/s 9 pa9 managem5t1 m5tal heal?1 or addiction treatm5t4 7#b7 ,an evaluation ( ! foll[+3 7,a7 ,b>ri]s inhibit+ individuals entitl$ to b5efits "u "p ,a or enroll$ "u "p ,b ( su* title f access+ treatm5ts & te*nologies describ$ 9 subp>agraphs 7,a7 ?r\gh 7,e7 ( p>agraph 7#a74 7,b7 ,co/s & b5efits associat$ ) pot5tial expansion ( cov]age "u su* title to include items & s]vices n cov]$ "u su* title t may be us$ = ! treatm5t ( pa91 su* z acupuncture1 !rapeutic massage1 & items & s]vices furni%$ by integrat$ pa9 managem5t programs4 7,c7 ,pa9 managem5t guidance publi%$ by ! ,f$]al ,gov]nm5t t may be relevant to cov]age det]m9ations or o!r cov]age requirem5ts "u title ,,xviii ( ! ,social ,security ,act4 7#c7 ,an assessm5t ( all guidance publi%$ by ! ,dep>tm5t ( ,heal? & ,human ,s]vices on or aft] ,janu>y #a1 #bjaf1 relat+ to ! prescrib+ ( opioids4 ,su* assessm5t %all consid] incorporat+ into su* guidance relevant elem5ts ( ! ,va_/,do,d ,cl9ical ,practice ,guidel9e = ,opioid ,!rapy = ,*ronic ,pa9 publi%$ 9 ,febru>y #bjag by ! ,dep>tm5t ( ,vet]ans ,affairs & ,dep>tm5t ( ,def5se1 includ+ adoption ( elem5ts ( ! ,dep>tm5t ( ,def5se & ,dep>tm5t ( ,vet]ans ,affairs pa9 rat+ scale4 7#d7 ,! options describ$ 9 subsection 7d74 7#e7 ,! impact analysis describ$ 9 subsection 7e74 7d7 ,options ,! options describ$ 9 ?is subsection are1 ) respect to individuals entitl$ to b5efits "u "p ,a or enroll$ "u "p ,b ( title ,,xviii ( ! ,social ,security ,act1 legislative & adm9i/rative options = accompli%+ ! foll[+3 7#a7 ,improv+ cov]age ( & paym5t = pa9 managem5t !rapies )\t ! use ( opioids1 includ+ int]v5tional pa9 !rapies1 & options to augm5t opioid !rapy ) o!r cl9ical & complem5t>y1 integrative heal? s]vices to m9imize ! risk ( sub/ance use disord]1 includ+ 9 a hospital sett+4 7#b7 ,improv+ cov]age ( & paym5t = m$ical devices & non-opioid bas$ ph>macological & non-ph>macological !rapies approv$ or cle>$ by ! ,food & ,drug ,adm9i/ration = ! treatm5t ( pa9 z an alt]native or augm5t to opioid !rapy4 7#c7 ,improv+ & dissem9at+ treatm5t /rategies = b5efici>ies ) psy*iatric disord]s1 sub/ance use disord]s1 or :o are at risk ( suicide1 & treatm5t /rategies to address heal? disp>ities relat$ to opioid use & opioid abuse treatm5t4 7#d7 ,improv+ & dissem9at+ treatm5t /rategies = b5efici>ies ) comorbidities :o require a consultation or comanagem5t ( pa9 ) "o or m speciali/s 9 pa9 managem5t1 m5tal heal?1 or addiction treatm5t1 includ+ 9 a hospital sett+4 7#e7 ,educat+ provid]s on risks ( coadm9i/ration ( opioids & o!r drugs1 p>ticul>ly b5zodiazep9es4 7#f7 ,ensur+ appropriate case managem5t = b5efici>ies :o transition betwe5 inpati5t & outpati5t hospital sett+s1 or betwe5 opioid !rapy to non-opioid !rapy1 :i* may include ! use ( c>e transition plans4 7#g7 ,exp&+ outrea* activities design$ to educate provid]s ( s]vices & suppli]s "u ! ,m$ic>e program & individuals entitl$ to b5efits "u "p ,a or "u "p ,b ( su* title on alt]native1 non-opioid !rapies to manage & treat acute & *ronic pa94 7#h7 ,creat+ a b5efici>y education tool on alt]natives to opioids = *ronic pa9 managem5t4 7e7 ,impact analysis ,! impact analysis describ$ 9 ?is subsection consi/s ( an analysis ( any pot5tial effects implem5t+ ! options describ$ 9 subsection 7d7 w\ld h-- 7#a7 on exp5ditures "u ! ,m$ic>e program2 & 7#b7 on prev5t+ or r$uc+ opioid addiction = individuals receiv+ b5efits "u ! ,m$ic>e program4 ,j ,combat+ ,opioid ,abuse = ,c>e 9 ,hospitals #fjia4 ,%ort title ,?is subtitle may be cit$ z ! ,combat+ ,opioid ,abuse = ,c>e 9 ,hospitals ,act ( #bjah or ! ,,coa* ,act ( #bjah4 #fjib4 ,develop+ guidance on pa9 managem5t & opioid use disord] prev5tion = hospitals receiv+ paym5t "u "p ,a ( ! ,m$ic>e program 7a7 ,9 g5]al ,n lat] ?an ,july #a1 #bjai1 ! ,secret>y ( ,heal? & ,human ,s]vices 79 ?is section ref]r$ to z ! ,secret>y7 %all develop & publi% on ! public website ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices guidance = hospitals receiv+ paym5t "u "p ,a ( title ,,xviii ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie;c et seq47 on pa9 managem5t /rategies & opioid use disord] prev5tion /rategies ) respect to individuals entitl$ to b5efits "u su* "p4 7b7 ,consultation ,9 develop+ ! guidance describ$ 9 subsection 7a71 ! ,secret>y %all consult ) relevant /akehold]s1 includ+-- 7#a7 m$ical pr(essional organizations2 7#b7 provid]s & suppli]s ( s]vices 7z su* t]ms are def9$ 9 section #ahfa ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex772 7#c7 heal? c>e consum]s or gr\ps repres5t+ su* consum]s2 & 7#d7 o!r entities det]m9$ appropriate by ! ,secret>y4 7c7 ,cont5ts ,! guidance describ$ 9 subsection 7a7 %all include1 ) respect to hospitals & individuals describ$ 9 su* subsection1 ! foll[+3 7#a7 ,be/ practices reg>d+ evid5ce-bas$ scre5+ & practition] education initiatives relat+ to scre5+ & treatm5t protocols = opioid use disord]1 includ+-- 7,a7 me?ods to id5tify su* individuals at-risk ( opioid use disord]1 includ+ risk /ratification2 7,b7 ways to prev5t1 recognize1 & treat opioid ov]doses2 & 7,c7 res\rces available to su* individuals1 su* z opioid treatm5t programs1 pe] support gr\ps1 & o!r recov]y programs4 7#b7 ,be/ practices = su* hospitals to educate practition]s furni%+ items & s]vices at su* hospital ) respect to pa9 managem5t & sub/ance use disord]s1 includ+ education on-- 7,a7 ! adv]se effects ( prolong$ opioid use2 7,b7 non-opioid1 evid5ce-bas$1 non-ph>macological pa9 managem5t treatm5ts2 7,c7 monitor+ programs = individuals :o h be5 prescrib$ opioids2 & 7,d7 ! prescrib+ ( naloxone along ) an initial opioid prescription4 7#c7 ,be/ practices = su* hospitals to make su* individuals aw>e ( ! risks associat$ ) opioid use 7:i* may include use ( ! notification template describ$ 9 p>agraph 7#d774 7#d7 ,a notification template develop$ by ! ,secret>y1 = use z appropriate1 = su* individuals :o are prescrib$ an opioid t-- 7,a7 expla9s ! risks & side effects associat$ ) opioid use 7includ+ ! risks ( addiction & ov]dose7 & ! importance ( adh]+ to ! prescrib$ treatm5t regim51 avoid+ m$ications t may h an adv]se int]action ) su* opioid1 & /or+ su* opioid safely & securely2 7,b7 highlights multimodal & evid5ce-bas$ non-opioid alt]natives = pa9 managem5t2 7,c7 enc\rages su* individuals to talk to _! heal? c>e provid]s ab\t su* alt]natives2 7,d7 provides = a me?od 7?r\gh signature or o!rwise7 = su* an individual1 or p]son act+ on su* individual's behalf1 to ackn[l$ge receipt ( su* notification template2 7,e7 is word$ 9 an easily und]/&able mann] & made available 9 multiple languages det]m9$ appropriate by ! ,secret>y2 & 7,f7 includes any o!r in=mation det]m9$ appropriate by ! ,secret>y4 7#e7 ,be/ practices = su* hospital to track opioid prescrib+ tr5ds by practition]s furni%+ items & s]vices at su* hospital1 includ+-- 7,a7 ways = su* hospital to e/abli% t>get levels1 tak+ into acc\nt ! specialties ( su* practition]s & ! geographic area 9 :i* su* hospital is locat$1 ) respect to opioids prescrib$ by su* practition]s2 7,b7 guidance on *eck+ ! m$ical records ( su* individuals aga9/ in=mation includ$ 9 prescription drug monitor+ programs2 7,c7 /rategies to r$uce long-t]m opioid prescriptions2 & 7,d7 me?ods to id5tify su* practition]s :o may be ov]-prescrib+ opioids4 7#f7 ,o!r in=mation ! ,secret>y det]m9es appropriate1 includ+ any su* in=mation f ! ,opioid ,safety ,initiative e/abli%$ by ! ,dep>tm5t ( ,vet]ans ,affairs or ! ,opioid ,ov]dose ,prev5tion ,toolkit publi%$ by ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration4 #fjic4 ,requir+ ! review ( quality measures relat+ to opioids & opioid use disord] treatm5ts furni%$ "u ! m$ic>e program & o!r f$]al heal? c>e programs ,section #ahij;,a ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie;aaa-#a7 is am5d$ by add+ at ! end ! foll[+ new subsection3 7g7 ,te*nical exp]t panel review ( opioid & opioid use disord] quality measures 7#a7 ,9 g5]al ,n lat] ?an #ahj days aft] ! date ( ! enactm5t ( ?is subsection1 ! ,secret>y %all e/abli% a te*nical exp]t panel = purposes ( review+ quality measures relat+ to opioids & opioid use disord]s1 includ+ c>e1 prev5tion1 diagnosis1 heal? outcomes1 & treatm5t furni%$ to individuals ) opioid use disord]s4 ,! ,secret>y may use ! entity ) a contract "u section #ahij7;a7 & am5d su* contract z necess>y to provide = ! e/abli%m5t ( su* te*nical exp]t panel4 7#b7 ,review & assessm5t ,n lat] ?an #a ye> aft] ! date ! te*nical exp]t panel describ$ 9 p>agraph 7#a7 is e/abli%$ 7& p]iodically !reaft] z ! ,secret>y det]m9es appropriate71 ! te*nical exp]t panel %all-- 7,a7 review quality measures t relate to opioids & opioid use disord]s1 includ+ exi/+ measures & ^? "u developm5t2 7,b7 id5tify gaps 9 areas ( quality measurem5t t relate to opioids & opioid use disord]s1 & id5tify measure developm5t priorities = su* measure gaps2 & 7,c7 make recomm5dations to ! ,secret>y on quality measures ) respect to opioids & opioid use disord]s = purposes ( improv+ c>e1 prev5tion1 diagnosis1 heal? outcomes1 & treatm5t1 includ+ recomm5dations = revisions ( su* measures1 ne$ = developm5t ( new measures1 & recomm5dations = includ+ su* measures 9 ! ,m]it-,bas$ ,inc5tive ,paym5t ,sy/em "u section #ahdh7q71 ! alt]native paym5t models "u section #ahcc7z77#c77;,c71 ! %>$ sav+s program "u section #ahii1 ! quality report+ requirem5ts = inpati5t hospitals "u section #ahhf7;b77#c77;,b77viii71 & ! hospital value-bas$ pur*as+ program "u section #ahhf7o74 7#c7 ,consid]ation ( measures by secret>y ,! ,secret>y %all consid]-- 7,a7 us+ opioid & opioid use disord] measures 7includ+ measures us$ "u ! ,m]it-,bas$ ,inc5tive ,paym5t ,sy/em "u section #ahdh7q71 measures recomm5d$ "u p>agraph 7#b77;,c71 & o!r su* measures id5tifi$ by ! ,secret>y7 9 alt]native paym5t models "u section #ahcc7z77#c77;,c7 & 9 ! %>$ sav+s program "u section #ahii2 & 7,b7 us+ opioid measures describ$ 9 subp>agraph 7,a71 z applicable1 9 ! quality report+ requirem5ts = inpati5t hospitals "u section #ahhf7;b77#c77;,b77viii71 & 9 ! hospital value-bas$ pur*as+ program "u section #ahhf7o74 7#d7 ,prioritization ( measure developm5t ,! ,secret>y %all prioritize = measure developm5t ! gaps 9 quality measures id5tifi$ "u p>agraph 7#b77;,b74 7#e7 ,prioritization ( measure endorsem5t ,! ,secret>y-- 7,a7 dur+ ! p]iod beg9n+ on ! date ( ! enactm5t ( ?is subsection & end+ on ,decemb] #ca1 #bjbc1 %all prioritize ! endorsem5t ( measures relat+ to opioids & opioid use disord]s by ! entity ) a contract "u subsection 7a7 ( section #ahij 9 connection ) endorsem5t ( measures describ$ 9 subsection 7b77#b7 ( su* section2 & 7,b7 on & aft] ,janu>y #a1 #bjbd1 may prioritize ! endorsem5t ( su* measures by su* entity4 4 #fjid4 ,te*nical exp]t panel on r$uc+ surgical sett+ opioid use2 ,data collection on p]iop]ative opioid use 7a7 ,te*nical exp]t panel on r$uc+ surgical sett+ opioid use 7#a7 ,9 g5]al ,n lat] ?an #f mon?s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all conv5e a te*nical exp]t panel1 includ+ m$ical & surgical specialty societies & hospital organizations1 to provide recomm5dations on r$uc+ opioid use 9 ! inpati5t & outpati5t surgical sett+s & on be/ practices = pa9 managem5t1 includ+ ) respect to ! foll[+3 7,a7 ,approa*es t limit pati5t exposure to opioids dur+ ! p]iop]ative p]iod1 includ+ pre-surgical & po/-surgical injections1 & t id5tify su* pati5ts at risk ( opioid use disord] pre-op]ation4 7,b7 ,%>$ decision mak+ ) pati5ts & families on pa9 managem5t1 includ+ a review ( paym5t to ensure paym5t "u ! ,m$ic>e program "u title ,,xviii ( ! ,social ,security ,act acc\nts = "t sp5t on %>$ decision mak+4 7,c7 ,education on ! safe use1 /orage1 & disposal ( opioids4 7,d7 ,prev5tion ( opioid misuse & abuse aft] dis*>ge4 7,e7 ,developm5t ( a cl9ical algori?m to id5tify & treat at-risk1 opiate-tol]ant pati5ts & r$uce reliance on opioids = acute pa9 dur+ ! p]iop]ative p]iod4 7#b7 ,report ,n lat] ?an #a ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y %all submit to ,congress & make public a report conta9+ ! recomm5dations develop$ "u p>agraph 7#a7 & an action plan = broad] implem5tation ( pa9 managem5t protocols t limit ! use ( opioids 9 ! p]iop]ative sett+ & ^u dis*>ge f su* sett+4 7b7 ,data collection on p]iop]ative opioid use ,n lat] ?an #a ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all submit to ,congress a report t conta9s ! foll[+3 7#a7 ,! diagnosis-relat$ gr\p codes id5tifi$ by ! ,secret>y z hav+ ! highe/ volume ( surg]ies4 7#b7 ,) respect to ea* ( su* diagnosis-relat$ gr\p codes s id5tifi$1 a det]m9ation by ! ,secret>y ( ! data t is bo? available & report$ on opioid use foll[+ su* surg]ies1 su* z ) respect to-- 7,a7 surgical volumes1 practices1 & opioid prescrib+ patt]ns2 7,b7 opioid consumption1 includ+-- 7i7 p]iop]ative days ( !rapy2 7ii7 av]age daily dose at ! hospital1 includ+ dosage great] ?an #ij milligram morph9e equival5t2 7iii7 po/-dis*>ge prescriptions & o!r comb9ation drugs t are us$ be=e int]v5tion & aft] int]v5tion2 7iv7 quantity & duration ( opioid prescription at dis*>ge2 & 7v7 quantity consum$ & numb] ( refills2 7,c7 regional ane/hesia & analgesia practices1 includ+ pre-surgical & po/-surgical injections2 7,d7 naloxone rev]sal2 7,e7 po/-op]ative respiratory failure2 7,f7 in=mation ab\t /orage & disposal2 & 7,g7 su* o!r in=mation z ! ,secret>y may specify4 7#c7 ,recomm5dations = improv+ data collection on p]iop]ative opioid use1 includ+ an analysis to id5tify & r$uce b>ri]s to collect+1 report+1 & analyz+ ! data describ$ 9 p>agraph 7#b71 includ+ b>ri]s relat$ to te*nological availability4 #fjie4 ,requir+ ! po/+ & p]iodic update ( opioid prescrib+ guidance = ,m$ic>e b5efici>ies 7a7 ,9 g5]al ,n lat] ?an #ahj days aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices 79 ?is section ref]r$ to z ! ,secret>y7 %all po/ on ! public website ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices all guidance publi%$ by ! ,dep>tm5t ( ,heal? & ,human ,s]vices on or aft] ,janu>y #a1 #bjaf1 relat+ to ! prescrib+ ( opioids & applicable to opioid prescriptions = individuals entitl$ to b5efits "u "p ,a ( title ,,xviii ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie;c et seq47 or enroll$ "u "p ,b ( su* title ( su* ,act 7#db ,u4,s4,c4 #acie;j et seq474 7b7 ,update ( guidance 7#a7 ,p]iodic update ,! ,secret>y %all1 9 consultation ) ! entities specifi$ 9 p>agraph 7#b71 p]iodically 7z det]m9$ appropriate by ! ,secret>y7 update guidance describ$ 9 subsection 7a7 & revise ! po/+ ( su* guidance on ! website describ$ 9 su* subsection4 7#b7 ,consultation ,! entities specifi$ 9 ?is p>agraph are ! foll[+3 7,a7 ,m$ical pr(essional organizations4 7,b7 ,provid]s & suppli]s ( s]vices 7z su* t]ms are def9$ 9 section #ahfa ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex774 7,c7 ,heal? c>e consum]s or gr\ps repres5t+ su* consum]s4 7,d7 ,o!r entities det]m9$ appropriate by ! ,secret>y4 ,k ,provid+ ,reliable ,options = ,pati5ts & ,educational ,res\rces #faja4 ,%ort title ,?is subtitle may be cit$ z ! ,provid+ ,reliable ,options = ,pati5ts & ,educational ,res\rces ,act ( #bjah or ! ,,prop] ,act ( #bjah4 #fajb4 ,requir+ ,m$ic>e ,advantage plans & "p ,d prescription drug plans to include in=mation on risks associat$ ) opioids & cov]age ( nonph>macological !rapies & nonopioid m$ications or devices us$ to treat pa9 ,section #ahfj;,d-#d7;a77#a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#ajd7;a77#a77 is am5d$-- 7#a7 9 subp>agraph 7,a71 by ins]t+ 1 subject to subp>agraph 7,c71 be=e includ+2 7#b7 9 subp>agraph 7,b71 by add+ at ! end ! foll[+ new clause3 7vi7 ,= plan ye> #bjba & ea* subsequ5t plan ye>1 subject to subp>agraph 7,c71 ) respect to ! treatm5t ( pa9-- 7,i7 ! risks associat$ ) prolong$ opioid use2 & 7,,ii7 cov]age ( nonph>macological !rapies1 devices1 & nonopioid m$ications-- 7aa7 9 ! case ( an ,,ma-,,pd plan "u "p ,c1 "u su* plan2 & 7bb7 9 ! case ( a prescription drug plan1 "u su* plan & "u p>ts ,a & ,b4 2 & 7#c7 by add+ at ! end ! foll[+ new subp>agraph3 7,c7 ,t>get$ provision ( in=mation ,a ,,pdp sponsor ( a prescription drug plan may1 9 lieu ( disclos+ ! in=mation describ$ 9 subp>agraph 7,b77vi7 to ea* enrollee "u ! plan1 disclose su* in=mation ?r\gh mail or electronic communications to a subset ( enrollees "u ! plan1 su* z enrollees :o h be5 prescrib$ an opioid 9 ! previ\s #b-ye> p]iod4 4 #fajc4 ,requir+ ,m$ic>e ,advantage plans & prescription drug plans to provide in=mation on ! safe disposal ( prescription drugs 7a7 ,m$ic>e ,advantage ,section #aheb ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#bb7 is am5d$ by add+ at ! end ! foll[+ new subsection3 7n7 ,provision ( in=mation relat+ to ! safe disposal ( c]ta9 prescription drugs 7#a7 ,9 g5]al ,9 ! case ( an individual enroll$ "u an ,,ma or ,,ma-,,pd plan :o is furni%$ an 9-home heal? risk assessm5t on or aft] ,janu>y #a1 #bjba1 su* plan %all ensure t su* assessm5t includes in=mation on ! safe disposal ( prescription drugs t are controll$ sub/ances t meets ! crit]ia e/abli%$ "u p>agraph 7#b74 ,su* in=mation %all include in=mation on drug takeback programs t meet su* requirem5ts det]m9$ appropriate by ! ,secret>y & in=mation on 9-home disposal4 7#b7 ,crit]ia ,! ,secret>y %all1 ?r\gh rulemak+1 e/abli% crit]ia ! ,secret>y det]m9es appropriate ) respect to in=mation provid$ to an individual to ensure t su* in=mation suffici5tly educates su* individual on ! safe disposal ( prescription drugs t are controll$ sub/ances4 4 7b7 ,prescription drug plans ,section #ahfj;,d-#d7;c77#b77;,b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#ajd7;c77#b77;,b77 is am5d$-- 7#a7 by /rik+ may include elem5ts t promote2 7#b7 by r$esignat+ clauses 7i7 ?r\gh 7iii7 z subclauses 7,i7 ?r\gh 7,,iii7 & adju/+ ! m>g9s accord+ly2 7#c7 by ins]t+ be=e subclause 7,i71 z s r$esignat$1 ! foll[+ new clause3 7i7 may include elem5ts t promote-- 2 7#d7 9 subclause 7,,iii71 z s r$esignat$1 by /rik+ ! p]iod at ! end & ins]t+ 2 &2 & 7#e7 by add+ at ! end ! foll[+ new clause3 7ii7 ) respect to plan ye>s beg9n+ on or aft] ,janu>y #a1 #bjba1 %all provide =-- 7,i7 ! provision ( in=mation to ! enrollee on ! safe disposal ( prescription drugs t are controll$ sub/ances t meets ! crit]ia e/abli%$ "u section #aheb7n77#b71 includ+ in=mation on drug takeback programs t meet su* requirem5ts det]m9$ appropriate by ! ,secret>y & in=mation on 9-home disposal2 & 7,,ii7 co/-effective means by :i* an enrollee may s safely dispose ( su* drugs4 4 #fajd4 ,revis+ measures us$ "u ! ,hospital ,consum] ,assessm5t ( ,heal?c>e ,provid]s & ,sy/ems survey relat+ to pa9 managem5t 7a7 ,re/riction on ! use ( pa9 que/ions 9 ,,hcahps ,section #ahhf7;b77#c77;,b77viii7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acieww7b77#c77;,b77viii77 is am5d$ by add+ at ! end ! foll[+ new subclause3 7,,xii7 7aa7 ,) respect to a ,hospital ,consum] ,assessm5t ( ,heal?c>e ,provid]s & ,sy/ems survey 7or a successor survey7 conduct$ on or aft] ,janu>y #a1 #bjbj1 su* survey may n include que/ions ab\t communication by hospital /aff ) an individual ab\t su* individual's pa9 unless su* que/ions take into acc\nt1 z applicable1 :e!r an individual exp]i5c+ pa9 0 in=m$ ab\t risks associat$ ) ! use ( opioids & ab\t non-opioid alt]natives = ! treatm5t ( pa94 7bb7 ,! ,secret>y %all n include on ! ,hospital ,comp>e int]net website any measures bas$ on ! que/ions appe>+ on ! ,hospital ,consum] ,assessm5t ( ,heal?c>e ,provid]s & ,sy/ems survey 9 #bjah or #bjai ab\t communication by hospital /aff ) an individual ab\t su* individual's pa94 4 7b7 ,re/riction on use ( #bjah & #bjai pa9 que/ions 9 ! hospital value-bas$ pur*as+ program ,section #ahhf7o77#b77;,b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acieww7o77#b77;,b77 is am5d$ by add+ at ! end ! foll[+ new clause3 7iii7 ,,hcahps pa9 que/ions ,! ,secret>y may n include "u subp>agraph 7,a7 a measure t is bas$ on ! que/ions appe>+ on ! ,hospital ,consum] ,assessm5t ( ,heal?c>e ,provid]s & ,sy/ems survey 9 #bjah or #bjai ab\t communication by hospital /aff ) an individual ab\t ! individual's pa94 4 ,l ,fight+ ! ,opioid ,epidemic ,) ,sun%9e #faaa4 ,fight+ ! opioid epidemic ) sun%9e 7a7 ,inclusion ( in=mation reg>d+ paym5ts to additional practition]s 7#a7 ,9 g5]al ,section #aabh;,g7e77#f7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acbj;a-#g;h7e77#f77 is am5d$-- 7,a7 9 subp>agraph 7,a71 by add+ at ! end ! foll[+ new clauses3 7iii7 ,a physician assi/ant1 nurse practition]1 or cl9ical nurse speciali/ 7z su* t]ms are def9$ 9 section #ahfa7;aa77#e774 7iv7 ,a c]tifi$ regi/]$ nurse ane/heti/ 7z def9$ 9 section #ahfa7;bb77#b774 7v7 ,a c]tifi$ nurse-midwife 7z def9$ 9 section #ahfa7;gg77#b774 2 & 7,b7 9 subp>agraph 7,b71 by ins]t+ 1 physician assi/ant1 nurse practition]1 cl9ical nurse speciali/1 c]tifi$ nurse ane/heti/1 or c]tifi$ nurse-midwife aft] physician4 7#b7 ,effective date ,! am5dm5ts made by ?is subsection %all apply ) respect to in=mation requir$ to be submitt$ "u section #aabh;,g ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acbj;a-#g;h7 on or aft] ,janu>y #a1 #bjbb4 7b7 ,sunset ( exclusion ( ,national ,provid] ,id5tifi] ( cov]$ recipi5t 9 in=mation made publicly available ,section #aabh;,g7c77#a77;,c77viii7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acbj;a-#g;h7c77#a77;,c77viii77 is am5d$ by /rik+ does n conta9 & ins]t+ 9 ! case ( in=mation made available "u ?is subp>agraph prior to ,janu>y #a1 #bjbb1 does n conta94 7c7 ,adm9i/ration ,*apt] #ce ( title #dd1 ,unit$ ,/ates ,code1 %all n apply to ?is section or ! am5dm5ts made by ?is section4 ,,vii ,public ,heal? ,provisions ,a ,aw>5ess & tra9+ #gjja4 ,report on effects on public heal? ( syn!tic drug use 7a7 ,9 g5]al ,n lat] ?an #c ye>s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices1 9 coord9ation ) ! ,surgeon ,g5]al ( ! ,public ,heal? ,s]vice1 %all submit to ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives & ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate a report on ! heal? effects ( new psy*oactive sub/ances1 includ+ syn!tic drugs1 us$ by adolesc5ts & "y adults4 7b7 ,new psy*oactive sub/ance def9$ ,= purposes ( subsection 7a71 ! t]m new psy*oactive sub/ance means a controll$ sub/ance analogue 7z def9$ 9 section #ajb7cb7 ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hjb7cb774 #gjjb4 ,fir/ respond] tra9+ ,section #edf ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;ee-#a7 is am5d$-- 7#a7 9 subsection 7c7-- 7,a7 9 p>agraph 7#b71 by /rik+ & at ! end2 7,b7 9 p>agraph 7#c71 by /rik+ ! p]iod & ins]t+ 2 &2 & 7,c7 by add+ at ! end ! foll[+3 7#d7 tra9 & provide res\rces = fir/ respond]s & memb]s ( o!r key community sectors on safety ar\nd f5tanyl1 c>f5tanil1 & o!r dang]\s licit & illicit drugs to protect !mselves f exposure to su* drugs & respond appropriately :5 exposure occurs4 2 7#b7 9 subsection 7d71 by /rik+ & me*anisms = ref]ral to appropriate treatm5t = an entity receiv+ a grant "u ?is section & ins]t+ me*anisms = ref]ral to appropriate treatm5t1 & safety ar\nd f5tanyl1 c>f5tanil1 & o!r dang]\s licit & illicit drugs2 7#c7 9 subsection 7f7-- 7,a7 9 p>agraph 7#c71 by /rik+ & at ! end2 7,b7 9 p>agraph 7#d71 by /rik+ ! p]iod & ins]t+ 2 &2 & 7,c7 by add+ at ! end ! foll[+3 7#e7 ! numb] ( fir/ respond]s & memb]s ( o!r key community sectors tra9$ on safety ar\nd f5tanyl1 c>f5tanil1 & o!r dang]\s licit & illicit drugs4 2 7#d7 by r$esignat+ subsection 7g7 z subsection 7h72 7#e7 by ins]t+ aft] subsection 7f7 ! foll[+3 7g7 ,o!r key community sectors ,9 ?is section1 ! t]m o!r key community sectors includes sub/ance use disord] treatm5t provid]s1 em]g5cy m$ical s]vices ag5cies1 ag5cies & organizations work+ ) prison & jail populations & (f5d] re5try programs1 heal? c>e provid]s1 h>m r$uction gr\ps1 ph>macies1 community heal? c5t]s1 tribal heal? facilities1 & m5tal heal? provid]s4 2 & 7#f7 9 subsection 7h71 z s r$esignat$1 by /rik+ #ab1jjj1jjj = ea* ( fiscal ye>s #bjag ?r\gh #bjba & ins]t+ #cf1jjj1jjj = ea* ( fiscal ye>s #bjai ?r\gh #bjbc4 ,b ,pilot program = public heal? laboratories ,to detect f5tanyl & o!r syn!tic opioids #gjaa4 ,pilot program = public heal? laboratories to detect f5tanyl & o!r syn!tic opioids 7a7 ,grants ,! ,secret>y ( ,heal? & ,human ,s]vices 7ref]r$ to 9 ?is section z ! ,secret>y7 %all aw>d grants to1 or ent] into coop]ative agreem5ts )1 ,f$]al1 ,/ate1 & local ag5cies to improve coord9ation betwe5 public heal? laboratories & laboratories op]at$ by law en=cem5t ag5cies1 su* z ,cu/oms & ,bord] ,protection & ! ,drug ,en=cem5t ,adm9i/ration1 to improve detection ( syn!tic opioids1 includ+ f5tanyl & its analogues1 z describ$ 9 subsection 7b74 7b7 ,detection activities ,! ,secret>y1 9 consultation ) ! ,director ( ! ,national ,in/itute ( ,/&>ds & ,te*nology1 ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 ! ,attorney ,g5]al ( ! ,unit$ ,/ates1 & ! ,adm9i/rator ( ! ,drug ,en=cem5t ,adm9i/ration1 %all1 = purposes ( ?is section1 develop or id5tify-- 7#a7 be/ practices = safely h&l+ & te/+ syn!tic opioids1 includ+ f5tanyl & its analogues1 includ+ ) respect to ref]5ce mat]ials1 in/rum5t calibration1 & quality control protocols2 7#b7 ref]5ce mat]ials & quality control /&>ds relat$ to syn!tic opioids1 includ+ f5tanyl & its analogues1 to enhance-- 7,a7 cl9ical diagno/ics2 7,b7 po/mortem data collection2 & 7,c7 portable te/+ equipm5t utiliz$ by law en=cem5t & public heal? (ficials2 & 7#c7 proc$ures = ! id5tification ( new & em]g+ syn!tic opioid =mulations & proc$ures = report+ ^? f9d+s to appropriate law en=cem5t ag5cies & ,f$]al1 ,/ate1 & local public heal? laboratories & heal? dep>tm5ts1 z appropriate4 7c7 ,laboratories ,! ,secret>y %all require recipi5ts ( grants or coop]ative agreem5ts "u subsection 7a7 to-- 7#a7 foll[ ! be/ practices e/abli%$ "u subsection 7b7 & h ! appropriate capabilities to provide laboratory te/+ ( controll$ sub/ances1 su* z syn!tic f5tanyl1 & biospecim5s = ! purposes ( aggregat+ & report+ public heal? in=mation to ,f$]al1 ,/ate1 & local public heal? (ficials1 laboratories1 & o!r entities ! ,secret>y deems appropriate2 7#b7 "w ) law en=cem5t ag5cies & public heal? au?orities1 z practicable2 7#c7 provide e>ly w>n+ in=mation to ,f$]al1 ,/ate1 & local law en=cem5t ag5cies & public heal? au?orities reg>d+ tr5ds or o!r data relat$ to ! supply ( syn!tic opioids1 includ+ f5tanyl & its analogues2 7#d7 provide biosurveillance capabilities ) respect to id5tify+ tr5ds 9 adv]se heal? outcomes associat$ ) non-fatal exposures2 & 7#e7 provide diagno/ic te/+1 z appropriate & practicable1 = non-fatal exposures ( em]g5cy p]sonnel1 fir/ respond]s1 & o!r individuals4 7d7 ,au?orization ( appropriations ,to c>ry out ?is section1 !re is au?oriz$ to be appropriat$ #ae1jjj1jjj = ea* ( fiscal ye>s #bjai ?r\gh #bjbc4 ,c ,index+ ,n>cotics1 ,f5tanyl1 & ,opioids #gjba4 ,e/abli%m5t ( sub/ance use disord] in=mation da%bo>d ,title ,,xvii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjju et seq47 is am5d$ by add+ at ! end ! foll[+ new section3 #agaa4 ,e/abli%m5t ( sub/ance use disord] in=mation da%bo>d 7a7 ,9 g5]al ,n lat] ?an #f mon?s aft] ! date ( ! enactm5t ( ?is section1 ! ,secret>y ( ,heal? & ,human ,s]vices %all1 9 consultation ) ! ,director ( ,national ,drug ,control ,policy1 e/abli% & p]iodically update1 on ! ,int]net website ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 a public in=mation da%bo>d t-- 7#a7 provides l9ks to in=mation on programs )9 ! ,dep>tm5t ( ,heal? & ,human ,s]vices relat$ to ! r$uction ( opioid & o!r sub/ance use disord]s2 7#b7 provides access1 to ! ext5t practicable & appropriate1 to publicly available data1 :i* may include data f ag5cies )9 ! ,dep>tm5t ( ,heal? & ,human ,s]vices &-- 7,a7 o!r ,f$]al ag5cies2 7,b7 ,/ate1 local1 & ,tribal gov]nm5ts2 7,c7 nonpr(it organizations2 7,d7 law en=cem5t2 7,e7 m$ical exp]ts2 7,f7 public heal? educators2 & 7,g7 rese>* in/itutions reg>d+ prev5tion1 treatm5t1 recov]y1 & o!r s]vices = opioid & o!r sub/ance use disord]s2 7#c7 provides data on sub/ance use disord] prev5tion & treatm5t /rategies 9 diff]5t regions ( & populations 9 ! ,unit$ ,/ates2 7#d7 id5tifies in=mation on alt]natives to controll$ sub/ances = pa9 managem5t1 su* z approa*es /udi$ by ! ,national ,in/itutes ( ,heal? ,pa9 ,consortium1 ! ,national ,c5t] = ,complim5t>y & ,integrative ,heal?1 & o!r in/itutes & c5t]s at ! ,national ,in/itutes ( ,heal?1 z appropriate2 & 7#e7 id5tifies guidel9es & be/ practices = heal? c>e provid]s reg>d+ treatm5t ( sub/ance use disord]s4 7b7 ,controll$ sub/ance def9$ ,9 ?is section1 ! t]m controll$ sub/ance has ! mean+ giv5 t t]m 9 section #ajb ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hjb74 4 #gjbb4 ,int]dep>tm5tal ,sub/ance ,use ,disord]s ,coord9at+ ,committee 7a7 ,e/abli%m5t ,n lat] ?an #c mon?s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices 79 ?is section ref]r$ to z ! ,secret>y7 %all1 9 coord9ation ) ! ,director ( ,national ,drug ,control ,policy1 e/abli% a committee1 to be kn[n z ! ,int]dep>tm5tal ,sub/ance ,use ,disord]s ,coord9at+ ,committee 79 ?is section ref]r$ to z ! ,committee71 to coord9ate ,f$]al activities relat$ to sub/ance use disord]s4 7b7 ,memb]%ip 7#a7 ,f$]al memb]s ,! ,committee %all be compos$ ( ! foll[+ ,f$]al repres5tatives1 or ! designees ( su* repres5tatives3 7,a7 ,! ,secret>y1 :o %all s]ve z ! ,*air ( ! ,committee4 7,b7 ,! ,attorney ,g5]al ( ! ,unit$ ,/ates4 7,c7 ,! ,secret>y ( ,labor4 7,d7 ,! ,secret>y ( ,h\s+ & ,urban ,developm5t4 7,e7 ,! ,secret>y ( ,education4 7,f7 ,! ,secret>y ( ,vet]ans ,affairs4 7,g7 ,! ,commission] ( ,social ,security4 7,h7 ,! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use4 7,i7 ,! ,director ( ,national ,drug ,control ,policy4 7,j7 ,repres5tatives ( o!r ,f$]al ag5cies t support or conduct activities or programs relat$ to sub/ance use disord]s1 z det]m9$ appropriate by ! ,secret>y4 7#b7 ,non-,f$]al memb]s ,! ,committee %all include a m9imum ( #ae non-,f$]al memb]s appo9t$ by ! ,secret>y1 ( :i*-- 7,a7 at lea/ two su* memb]s %all be an individual :o has receiv$ treatm5t = a diagnosis ( a sub/ance use disord]2 7,b7 at lea/ two su* memb]s %all be a director ( a ,/ate sub/ance abuse ag5cy2 7,c7 at lea/ two su* memb]s %all be a repres5tative ( a lead+ rese>*1 advocacy1 or s]vice organization = adults ) sub/ance use disord]2 7,d7 at lea/ two su* memb]s %all-- 7i7 be a physician1 lic5s$ m5tal heal? pr(essional1 advance practice regi/]$ nurse1 or physician assi/ant2 & 7ii7 h exp]i5ce 9 treat+ individuals ) sub/ance use disord]s2 7,e7 at lea/ "o su* memb] %all be a sub/ance use disord] treatm5t pr(essional :o provides treatm5t s]vices at a c]tifi$ opioid treatm5t program2 7,f7 at lea/ "o su* memb] %all be a sub/ance use disord] treatm5t pr(essional :o has rese>* or cl9ical exp]i5ce 9 work+ ) racial & e?nic m9ority populations2 7,g7 at lea/ "o su* memb] %all be a sub/ance use disord] treatm5t pr(essional :o has rese>* or cl9ical m5tal heal? exp]i5ce 9 work+ ) m$ically und]s]v$ populations2 7,h7 at lea/ "o su* memb] %all be a ,/ate-c]tifi$ sub/ance use disord] pe] support speciali/2 7,i7 at lea/ "o su* memb] %all be a drug c\rt judge or a judge ) exp]i5ce 9 adjudicat+ cases relat$ to sub/ance use disord]2 7,j7 at lea/ "o su* memb] %all be a public safety (fic] ) ext5sive exp]i5ce 9 int]act+ ) adults ) a sub/ance use disord]2 & 7,k7 at lea/ "o su* memb] %all be an individual ) exp]i5ce provid+ s]vices = homeless individuals ) a sub/ance use disord]4 7c7 ,t]ms 7#a7 ,9 g5]al ,a memb] ( ! ,committee appo9t$ "u subsection 7b77#b7 %all be appo9t$ = a t]m ( #c ye>s & may be reappo9t$ = "o or m #c-ye> t]ms4 7#b7 ,vacancies ,a vacancy on ! ,committee %all be fill$ 9 ! same mann] 9 :i* ! orig9al appo9tm5t 0 made4 ,any individual appo9t$ to fill a vacancy = an unexpir$ t]m %all be appo9t$ = ! rema9d] ( su* t]m & may s]ve aft] ! expiration ( su* t]m until a successor has be5 appo9t$4 7d7 ,meet+s ,! ,committee %all meet n few] ?an two times ea* ye>4 7e7 ,duties ,! ,committee %all-- 7#a7 id5tify areas = improv$ coord9ation ( activities1 if any1 relat$ to sub/ance use disord]s1 includ+ rese>*1 s]vices1 supports1 & prev5tion activities across all relevant ,f$]al ag5cies2 7#b7 id5tify & provide to ! ,secret>y recomm5dations = improv+ ,f$]al programs = ! prev5tion & treatm5t (1 & recov]y f1 sub/ance use disord]s1 includ+ by exp&+ access to prev5tion1 treatm5t1 & recov]y s]vices2 7#c7 analyze sub/ance use disord] prev5tion & treatm5t /rategies 9 diff]5t regions ( & populations 9 ! ,unit$ ,/ates & evaluate ! ext5t to :i* ,f$]al sub/ance use disord] prev5tion & treatm5t /rategies are align$ ) ,/ate & local sub/ance use disord] prev5tion & treatm5t /rategies2 7#d7 make recomm5dations to ! ,secret>y reg>d+ any appropriate *anges ) respect to ! activities & /rategies describ$ 9 p>agraphs 7#a7 ?r\gh 7#c72 7#e7 make recomm5dations to ! ,secret>y reg>d+ public p>ticipation 9 decisions relat+ to sub/ance use disord]s & ! process by :i* public fe$back c be bett] integrat$ into su* decisions2 & 7#f7 make recomm5dations to ensure t sub/ance use disord] rese>*1 s]vices1 supports1 & prev5tion activities ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices & o!r ,f$]al ag5cies are n unnecess>ily duplicative4 7f7 ,annual report ,n lat] ?an #a ye> aft] ! date ( ! enactm5t ( ?is ,act1 & annually !reaft] = ! life ( ! ,committee1 ! ,committee %all publi% on ! ,int]net website ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 :i* may include ! public in=mation da%bo>d e/abli%$ "u section #agaa ( ! ,public ,heal? ,s]vice ,act1 z add$ by section #gjba1 a report summ>iz+ ! activities c>ri$ out by ! ,committee pursuant to subsection 7e71 includ+ any f9d+s result+ f su* activities4 7g7 ,work+ gr\ps ,! ,committee may e/abli% work+ gr\ps = purposes ( c>ry+ out ! duties describ$ 9 subsection 7e74 ,any su* work+ gr\p %all be compos$ ( memb]s ( ! ,committee 7or ! designees ( su* memb]s7 & may hold su* meet+s z are necess>y to enable ! work+ gr\p to c>ry out ! duties delegat$ to ! work+ gr\p4 7h7 ,f$]al ,advisory ,committee ,act ,! ,f$]al ,advisory ,committee ,act 7#e ,u4,s4,c4 ,app47 %all apply to ! ,committee only to ! ext5t t ! provisions ( su* ,act d n conflict ) ! requirem5ts ( ?is section4 7i7 ,sunset ,! ,committee %all t]m9ate on ! date t is #f ye>s aft] ! date on :i* ! ,committee is e/abli%$ "u subsection 7a74 #gjbc4 ,national mile/ones to measure success 9 curtail+ ! opioid crisis 7a7 ,9 g5]al ,n lat] ?an #ahj days aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices 7ref]r$ to 9 ?is section z ! ,secret>y71 9 coord9ation ) ! ,adm9i/rator ( ! ,drug ,en=cem5t ,adm9i/ration & ! ,director ( ! ,(fice ( ,national ,drug ,control ,policy1 %all develop or id5tify exi/+ national indicators 7ref]r$ to 9 ?is section z ! national mile/ones7 to measure success 9 curtail+ ! opioid crisis1 ) ! goal ( significantly rev]s+ ! incid5ce & preval5ce ( opioid misuse & abuse1 & opioid-relat$ morbidity & mortality 9 ! ,unit$ ,/ates )9 #e ye>s ( su* date ( enactm5t4 7b7 ,national mile/ones to end ! opioid crisis ,! national mile/ones "u subsection 7a7 %all include ! foll[+3 7#a7 ,n few] ?an #aj indicators or metrics to accurately & exp$i5tly measure progress 9 meet+ ! goal describ$ 9 subsection 7a71 :i* %all1 z appropriate1 include1 indicators or metrics relat$ to-- 7,a7 ! numb] ( fatal & non-fatal opioid ov]doses2 7,b7 ! numb] ( em]g5cy room visits relat$ to opioid misuse & abuse2 7,c7 ! numb] ( individuals 9 su/a9$ recov]y f opioid use disord]2 7,d7 ! numb] ( infections associat$ ) illicit drug use1 su* z ,,hiv1 viral hepatitis1 & infective endoc>ditis1 & available capacity = treat+ su* infections2 7,e7 ! numb] ( provid]s prescrib+ m$ication-assi/$ treatm5t = opioid use disord]s1 includ+ 9 prim>y c>e sett+s1 community heal? c5t]s1 jails1 & prisons2 7,f7 ! numb] ( individuals receiv+ treatm5t = opioid use disord]2 & 7,g7 additional indicators or metrics1 z appropriate1 su* z metrics p]ta9+ to specific populations1 includ+ wom5 & *ildr51 ,am]ican ,indians & ,alaskan ,natives1 individuals liv+ 9 rural & non-urban areas1 & ju/ice-involv$ populations1 t w\ld fur!r cl>ify ! progress made 9 address+ ! opioid crisis4 7#b7 ,a reasonable goal1 su* z a p]c5tage decrease or o!r specifi$ metric1 t signifies progress 9 meet+ ! goal describ$ 9 subsection 7a71 & annual t>gets to help a*ieve t goal4 7c7 ,consid]ation ( o!r sub/ance use disord]s ,9 develop+ ! national mile/ones "u subsection 7b71 ! ,secret>y %all1 z appropriate1 consid] o!r sub/ance use disord]s 9 addition to opioid use disord]4 7d7 ,ext5sion ( p]iod ,if ! ,secret>y det]m9es t ! goal describ$ 9 subsection 7a7 w n be a*iev$ ) respect to any indicator or metric e/abli%$ "u subsection 7b77#b7 )9 #e ye>s ( ! date ( enactm5t ( ?is ,act1 ! ,secret>y may ext5d ! timel9e = meet+ su* goal ) respect to t indicator or metric4 ,! ,secret>y %all include ) any su* ext5sion a rationale = :y additional "t is ne$$ & in=mation on :e!r significant *anges are ne$$ 9 ord] to a*ieve su* goal ) respect to ! indicator or metric4 7e7 ,annual /atus update ,n lat] ?an "o ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y %all make available on ! ,int]net website ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 & submit to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate & ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives1 an update on ! progress1 includ+ expect$ progress 9 ! subsequ5t ye>1 9 a*iev+ ! goals detail$ 9 ! national mile/ones4 ,ea* su* update %all include ! progress made 9 ! fir/ ye> or s9ce ! previ\s report1 z applicable1 9 meet+ ea* indicator or metric 9 ! national mile/ones4 #gjbd4 ,/udy on prescrib+ limits ,n lat] ?an #b ye>s aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices1 9 consultation ) ! ,attorney ,g5]al ( ! ,unit$ ,/ates1 %all submit to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate & ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives a report on ! impact ( ,f$]al & ,/ate laws & regulations t limit ! l5g?1 quantity1 or dosage ( opioid prescriptions4 ,su* report %all address-- 7#a7 ! impact ( su* limits on-- 7,a7 ! incid5ce & preval5ce ( ov]dose relat$ to prescription opioids2 7,b7 ! incid5ce & preval5ce ( ov]dose relat$ to illicit opioids2 7,c7 ! preval5ce ( opioid use disord]s2 7,d7 m$ically appropriate use (1 & access to1 opioids1 includ+ any impact on travel exp5ses & pa9 managem5t outcomes = pati5ts1 :e!r su* limits are associat$ ) significantly high] rates ( negative heal? outcomes1 includ+ suicide1 & :e!r ! impact ( su* limits diff]s bas$ on ! cl9ical indication = :i* opioids are prescrib$2 7#b7 :e!r su* limits lead to a significant increase 9 burd5 = prescrib]s ( opioids or prescrib]s ( treatm5ts = opioid use disord]1 includ+ any impact on pati5t access to treatm5t1 & :e!r any su* burd5 is mitigat$ by any factors su* z electronic prescrib+ or telem$ic9e2 & 7#c7 ! impact ( su* limits on div]sion or misuse ( any controll$ sub/ance 9 s*$ule ,,ii1 ,,iii1 or ,,iv ( section #bjb7;c7 ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hab7;c774 ,d ,ensur+ ,access to ,quality ,sob] ,liv+ #gjca4 ,national recov]y h\s+ be/ practices ,"p ,d ( title ,v ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;dd et seq47 is am5d$ by add+ at ! end ! foll[+ new section3 #eej4 ,national recov]y h\s+ be/ practices 7a7 ,be/ practices = op]at+ recov]y h\s+ 7#a7 ,9 g5]al ,! ,secret>y1 9 consultation ) ! individuals & entities specifi$ 9 p>agraph 7#b71 %all id5tify or facilitate ! developm5t ( be/ practices1 :i* may include model laws = implem5t+ sugge/$ m9imum /&>ds1 = op]at+ recov]y h\s+4 7#b7 ,consultation ,9 c>ry+ out ! activities describ$ 9 p>agraph 7#a71 ! ,secret>y %all consult )1 z appropriate-- 7,a7 relevant divisions ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 includ+ ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration1 ! ,(fice ( ,inspector ,g5]al1 ! ,indian ,heal? ,s]vice1 & ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices2 7,b7 ! ,secret>y ( ,h\s+ & ,urban ,developm5t2 7,c7 directors or commission]s1 z applicable1 ( ,/ate heal? dep>tm5ts1 tribal heal? dep>tm5ts1 ,/ate ,m$icaid programs1 & ,/ate insurance ag5cies2 7,d7 repres5tatives ( heal? insurance issu]s2 7,e7 national accr$it+ entities & reputable provid]s (1 & analy/s (1 recov]y h\s+ s]vices1 includ+ ,indian tribes1 tribal organizations1 & tribally designat$ h\s+ entities t provide recov]y h\s+ s]vices1 z applicable2 7,f7 individuals ) a hi/ory ( sub/ance use disord]2 & 7,g7 o!r /akehold]s id5tifi$ by ! ,secret>y4 7b7 ,id5tification ( fraudul5t recov]y h\s+ op]ators 7#a7 ,9 g5]al ,! ,secret>y1 9 consultation ) ! individuals & entities describ$ 9 p>agraph 7#b71 %all id5tify or facilitate ! developm5t ( common indicators t c\ld be us$ to id5tify pot5tially fraudul5t recov]y h\s+ op]ators4 7#b7 ,consultation ,9 c>ry+ out ! activities describ$ 9 p>agraph 7#a71 ! ,secret>y %all consult )1 z appropriate1 ! individuals & entities specifi$ 9 subsection 7a77#b7 & ! ,attorney ,g5]al ( ! ,unit$ ,/ates4 7#c7 ,requirem5ts 7,a7 ,practices = id5tification & report+ ,9 c>ry+ out ! activities describ$ 9 p>agraph 7#a71 ! ,secret>y %all consid] h[ law en=cem5t1 public & private pay]s1 & ! public c be/ id5tify & report fraudul5t recov]y h\s+ op]ators4 7,b7 ,factors to be consid]$ ,9 c>ry+ out ! activities describ$ 9 p>agraph 7#a71 ! ,secret>y %all id5tify or develop indicators1 :i* may include indicators relat$ to-- 7i7 unusual bill+ practices2 7ii7 av]age l5g?s ( /ays2 7iii7 excessive levels ( drug te/+ 79 t]ms ( co/ or frequ5cy72 & 7iv7 unusually high levels ( recidivism4 7c7 ,dissem9ation ,! ,secret>y %all1 z appropriate1 dissem9ate ! be/ practices id5tifi$ or develop$ "u subsection 7a7 & ! common indicators id5tifi$ or develop$ "u subsection 7b7 to-- 7#a7 ,/ate ag5cies1 :i* may include ! provision ( te*nical assi/ance to ,/ate ag5cies seek+ to adopt or implem5t su* be/ practices2 7#b7 ,indian tribes1 tribal organizations1 & tribally designat$ h\s+ entities2 7#c7 ! ,attorney ,g5]al ( ! ,unit$ ,/ates2 7#d7 ! ,secret>y ( ,labor2 7#e7 ! ,secret>y ( ,h\s+ & ,urban ,developm5t2 7#f7 ,/ate & local law en=cem5t ag5cies2 7#g7 heal? insurance issu]s2 7#h7 recov]y h\s+ entities2 & 7#i7 ! public4 7d7 ,requirem5ts ,9 c>ry+ out ! activities describ$ 9 subsections 7a7 & 7b71 ! ,secret>y1 9 consultation ) appropriate individuals & entities describ$ 9 subsections 7a77#b7 & 7b77#b71 %all consid] h[ recov]y h\s+ is able to support recov]y & prev5t relapse1 recidivism1 or ov]dose 7includ+ ov]dose dea?71 includ+ by improv+ access & adh]5ce to treatm5t1 includ+ m$ication-assi/$ treatm5t4 7e7 ,rule ( con/ruction ,no?+ 9 ?is section %all be con/ru$ to provide ! ,secret>y ) ! au?ority to require ,/ates to adh]e to m9imum /&>ds 9 ! ,/ate ov]sight ( recov]y h\s+4 7f7 ,def9itions ,9 ?is section3 7#a7 ,! t]m recov]y h\s+ means a %>$ liv+ environm5t free f alcohol & illicit drug use & c5t]$ on pe] support & connection to s]vices t promote su/a9$ recov]y f sub/ance use disord]s4 7#b7 ,! t]ms ,indian tribe & tribal organization h ! mean+s giv5 ^? t]ms 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act 7#be ,u4,s4,c4 #ecjd74 7#c7 ,! t]m tribally designat$ h\s+ entity has ! mean+ giv5 t t]m 9 section #d ( ! ,native ,am]ican ,h\s+ ,assi/ance & ,self-,det]m9ation ,act ( #aiif 7#be ,u4,s4,c4 #dajc74 7g7 ,au?orization ( appropriations ,to c>ry out ?is section1 !re is au?oriz$ to be appropriat$ #c1jjj1jjj = ! p]iod ( fiscal ye>s #bjai ?r\gh #bjba4 4 ,e ,advanc+ ,cutt+ ,edge ,rese>* #gjda4 ,unique rese>* initiatives ,section #djb7n77#a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bhb7n77#a77 is am5d$-- 7#a7 9 subp>agraph 7,a71 by /rik+ or2 7#b7 9 subp>agraph 7,b71 by /rik+ ! p]iod & ins]t+ 2 or2 & 7#c7 by add+ at ! end ! foll[+3 7,c7 high impact cutt+-edge rese>* t fo/]s sci5tific creativity & increases fundam5tal biological und]/&+ lead+ to ! prev5tion1 diagnosis1 or treatm5t ( diseases & disord]s1 or rese>* urg5tly requir$ to respond to a public heal? ?reat4 4 #gjdb4 ,pa9 rese>* ,section #dji;,j7b7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bhdq7b77 is am5d$-- 7#a7 9 p>agraph 7#e7-- 7,a7 9 subp>agraph 7,a71 by /rik+ & treatm5t ( pa9 & diseases & disord]s associat$ ) pa9 & ins]t+ treatm5t1 & managem5t ( pa9 & diseases & disord]s associat$ ) pa91 includ+ in=mation on be/ practices = ! utilization ( non-ph>macologic treatm5ts1 non-addictive m$ical products1 & o!r drugs or devices approv$ or cle>$ by ! ,food & ,drug ,adm9i/ration2 7,b7 9 subp>agraph 7,b71 by /rik+ on ! symptoms & causes ( pa92 & ins]t+ ! foll[+3 8on-- 7i7 ! symptoms & causes ( pa91 includ+ ! id5tification ( relevant biom>k]s & scre5+ models & ! epidemiology ( acute & *ronic pa92 7ii7 ! diagnosis1 prev5tion1 treatm5t1 & managem5t ( acute & *ronic pa91 includ+ ) respect to non-ph>macologic treatm5ts1 non-addictive m$ical products1 & o!r drugs or devices approv$ or cle>$ by ! ,food & ,drug ,adm9i/ration2 & 7iii7 risk factors =1 & e>ly w>n+ signs (1 sub/ance use disord]s 9 populations ) acute & *ronic pa92 & 2 & 7,c7 by /rik+ subp>agraphs 7,c7 ?r\gh 7,e7 & ins]t+ ! foll[+3 7,c7 make recomm5dations to ! ,director ( ,,nih-- 7i7 to ensure t ! activities ( ! ,national ,in/itutes ( ,heal? & o!r ,f$]al ag5cies are free ( unnecess>y duplication ( ef=t2 7ii7 on h[ be/ to dissem9ate in=mation on pa9 c>e & epidemiological data relat$ to acute & *ronic pa92 & 7iii7 on h[ to exp& p>tn]%ips betwe5 public entities & private entities to exp& collaborative1 cross-cutt+ rese>*4 2 7#b7 by r$esignat+ p>agraph 7#f7 z p>agraph 7#g72 & 7#c7 by ins]t+ aft] p>agraph 7#e7 ! foll[+3 7#f7 ,report ,! ,secret>y %all ensure t recomm5dations & actions tak5 by ! ,director ) respect to ! topics discuss$ at ! meet+s describ$ 9 p>agraph 7#d7 are includ$ 9 appropriate reports to ,congress4 4 ,f ,jessie's ,law #gjea4 ,inclusion ( opioid addiction hi/ory 9 pati5t records 7a7 ,be/ practices 7#a7 ,9 g5]al ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices 79 ?is section ref]r$ to z ! ,secret>y71 9 consultation ) appropriate /akehold]s1 includ+ a pati5t ) a hi/ory ( opioid use disord]1 an exp]t 9 electronic heal? records1 an exp]t 9 ! confid5tiality ( pati5t heal? in=mation & records1 & a heal? c>e provid]1 %all id5tify or facilitate ! developm5t ( be/ practices reg>d+-- 7,a7 ! circum/ances "u :i* in=mation t a pati5t has provid$ to a heal? c>e provid] reg>d+ su* pati5t's hi/ory ( opioid use disord] %\ld1 only at ! pati5t's reque/1 be prom95tly display$ 9 ! m$ical records 7includ+ electronic heal? records7 ( su* pati5t2 7,b7 :at con/itutes ! pati5t's reque/ = ! purpose describ$ 9 subp>agraph 7,a72 & 7,c7 ! process & me?ods by :i* ! in=mation %\ld be s display$4 7#b7 ,dissem9ation ,! ,secret>y %all dissem9ate ! be/ practices develop$ "u p>agraph 7#a7 to heal? c>e provid]s & ,/ate ag5cies4 7b7 ,requirem5ts ,9 id5tify+ or facilitat+ ! developm5t ( be/ practices "u subsection 7a71 z applicable1 ! ,secret>y1 9 consultation ) appropriate /akehold]s1 %all consid] ! foll[+3 7#a7 ,! pot5tial = addiction relapse or ov]dose1 includ+ ov]dose dea?1 :5 opioid m$ications are prescrib$ to a pati5t recov]+ f opioid use disord]4 7#b7 ,! b5efits ( display+ in=mation ab\t a pati5t's opioid use disord] hi/ory 9 a mann] simil> to o!r pot5tially le?al m$ical conc]ns1 includ+ drug all]gies & contra9dications4 7#c7 ,! importance ( prom95tly display+ in=mation ab\t a pati5t's opioid use disord] :5 a physician or m$ical pr(essional is prescrib+ m$ication1 includ+ me?ods = avoid+ al]t fatigue 9 provid]s4 7#d7 ,! importance ( a v>iety ( appropriate m$ical pr(essionals1 includ+ physicians1 nurses1 & ph>maci/s1 hav+ access to in=mation describ$ 9 ?is section :5 prescrib+ or disp5s+ opioid m$ication1 consi/5t ) ,f$]al & ,/ate laws & regulations4 7#e7 ,! importance ( protect+ pati5t privacy1 includ+ ! requirem5ts relat$ to cons5t = disclosure ( sub/ance use disord] in=mation "u all applicable laws & regulations4 7#f7 ,all applicable ,f$]al & ,/ate laws & regulations4 #gjeb4 ,communication ) families dur+ em]g5cies 7a7 ,promot+ aw>5ess ( au?oriz$ disclosures dur+ em]g5cies ,! ,secret>y ( ,heal? & ,human ,s]vices %all annually notify heal? c>e provid]s reg>d+ p]mitt$ disclosures "u ,f$]al heal? c>e privacy law dur+ em]g5cies1 includ+ ov]doses1 ( c]ta9 heal? in=mation to families1 c>egiv]s1 & heal? c>e provid]s4 7b7 ,use ( mat]ial ,= ! purposes ( c>ry+ out subsection 7a71 ! ,secret>y ( ,heal? & ,human ,s]vices may use mat]ial produc$ "u section #gjec ( ?is ,act or section #aajjd ( ! #ba/ ,c5tury ,cures ,act 7#db ,u4,s4,c4 #acbj;d-#b note74 #gjec4 ,developm5t & dissem9ation ( model tra9+ programs = sub/ance use disord] pati5t records 7a7 ,initial programs & mat]ials ,n lat] ?an #a ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices 79 ?is section ref]r$ to z ! ,secret>y71 9 consultation ) appropriate exp]ts1 %all id5tify ! foll[+ model programs & mat]ials 7or if no su* programs or mat]ials exi/1 recognize private or public entities to develop & dissem9ate su* programs & mat]ials73 7#a7 ,model programs & mat]ials = tra9+ heal? c>e provid]s 7includ+ physicians1 em]g5cy m$ical p]sonnel1 psy*iatri/s1 psy*ologi/s1 c\nselors1 !rapi/s1 nurse practition]s1 physician assi/ants1 behavioral heal? facilities & cl9ics1 c>e manag]s1 & hospitals1 includ+ individuals su* z g5]al c\nsels or regulatory compliance /aff :o are responsible = e/abli%+ provid] privacy policies7 conc]n+ ! p]mitt$ uses & disclosures1 consi/5t ) ! /&>ds & regulations gov]n+ ! privacy & security ( sub/ance use disord] pati5t records promulgat$ by ! ,secret>y "u section #edc ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;dd-#b7 = ! confid5tiality ( pati5t records4 7#b7 ,model programs & mat]ials = tra9+ pati5ts & _! families reg>d+ _! rights to protect & obta9 in=mation "u ! /&>ds & regulations describ$ 9 p>agraph 7#a74 7b7 ,requirem5ts ,! model programs & mat]ials describ$ 9 p>agraphs 7#a7 & 7#b7 ( subsection 7a7 %all address circum/ances "u :i* disclosure ( sub/ance use disord] pati5t records is ne$$ to-- 7#a7 facilitate communication betwe5 sub/ance use disord] treatm5t provid]s & o!r heal? c>e provid]s to promote & provide ! be/ possible integrat$ c>e2 7#b7 avoid inappropriate prescrib+ t c lead to dang]\s drug int]actions1 ov]dose1 or relapse2 & 7#c7 notify & involve families & c>egiv]s :5 individuals exp]i5ce an ov]dose4 7c7 ,p]iodic updates ,! ,secret>y %all-- 7#a7 p]iodically review & update ! model program & mat]ials id5tifi$ or develop$ "u subsection 7a72 & 7#b7 dissem9ate su* updat$ programs & mat]ials to ! individuals describ$ 9 subsection 7a77#a74 7d7 ,input ( c]ta9 entities ,9 id5tify+1 review+1 or updat+ ! model programs & mat]ials "u ?is section1 ! ,secret>y %all solicit ! input ( relevant /akehold]s4 7e7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section-- 7#a7 #d1jjj1jjj = fiscal ye> #bjai2 7#b7 #b1jjj1jjj = ea* ( fiscal ye>s #bjbj & #bjba2 & 7#c7 #a1jjj1jjj = ea* ( fiscal ye>s #bjbb & #bjbc4 ,g ,protect+ ,pregnant ,wom5 & ,infants #gjfa4 ,report on address+ mat]nal & infant heal? 9 ! opioid crisis 7a7 ,9 g5]al ,n lat] ?an #ah mon?s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices1 9 coord9ation ) ! ,c5t]s = ,disease ,control & ,prev5tion1 ! ,national ,in/itutes ( ,heal?1 ! ,indian ,heal? ,s]vice1 & ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration1 %all develop & submit to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate & ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives a report t includes-- 7#a7 in=mation on opioid1 non-opioid1 & non-ph>macologic pa9 managem5t practices dur+ pregnancy & aft] pregnancy2 7#b7 recomm5dations = increas+ public aw>5ess & education ab\t sub/ance use disord]s1 includ+ opioid use disord]s1 dur+ & aft] pregnancy1 includ+ available treatm5t res\rces 9 urban & rural areas2 7#c7 recomm5dations to prev5t1 id5tify1 & r$uce sub/ance use disord]s1 includ+ opioid use disord]s1 dur+ pregnancy to improve c>e = pregnant wom5 ) sub/ance use disord]s & _! infants2 & 7#d7 an id5tification ( areas 9 ne$ ( fur!r rese>* ) respect to acute & *ronic pa9 managem5t dur+ & aft] pregnancy4 7b7 ,no additional funds ,no additional funds are au?oriz$ to be appropriat$ = purposes ( c>ry+ out subsection 7a74 #gjfb4 ,protect+ moms & infants 7a7 ,report 7#a7 ,9 g5]al ,n lat] ?an #fj days aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices 7ref]r$ to 9 ?is section z ! ,secret>y7 %all submit to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate & ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives1 & make available to ! public on ! ,int]net website ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 a report reg>d+ ! implem5tation ( ! recomm5dations 9 ! /rategy relat+ to pr5atal opioid use1 includ+ neonatal ab/95ce syndrome1 develop$ pursuant to section #b ( ! ,protect+ ,our ,infants ,act ( #bjae 7,public ,law #aad-ia74 ,su* report %all include-- 7,a7 an update on ! implem5tation ( ! recomm5dations 9 ! /rategy1 includ+ in=mation reg>d+ ! ag5cies involv$ 9 ! implem5tation2 & 7,b7 in=mation on additional fund+ or au?ority ! ,secret>y requires1 if any1 to implem5t ! /rategy1 :i* may include au?orities ne$$ to coord9ate implem5tation ( su* /rategy across ! ,dep>tm5t ( ,heal? & ,human ,s]vices4 7#b7 ,p]iodic updates ,! ,secret>y %all p]iodically update ! report "u p>agraph 7#a74 7b7 ,resid5tial treatm5t programs = pregnant & po/p>tum wom5 ,section #ejh7s7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#a7s77 is am5d$ by /rik+ #af1ijj1jjj = ea* ( fiscal ye>s #bjag ?r\gh #bjba & ins]t+ #bi1ica1jjj = ea* ( fiscal ye>s #bjai ?r\gh #bjbc4 #gjfc4 ,e>ly int]v5tions = pregnant wom5 & infants 7a7 ,developm5t ( educational mat]ials by ,c5t] = ,sub/ance ,abuse ,prev5tion ,section #eae7;b7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#ba7;b77 is am5d$-- 7#a7 9 p>agraph 7#ac71 by /rik+ & at ! end2 7#b7 9 p>agraph 7#ad71 by /rik+ ! p]iod at ! end & ins]t+ 2 &2 & 7#c7 by add+ at ! end ! foll[+3 7#ae7 9 consultation ) relevant /akehold]s & 9 collaboration ) ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 develop educational mat]ials = cl9icians to use ) pregnant wom5 = %>$ decision mak+ reg>d+ pa9 managem5t & ! prev5tion ( sub/ance use disord]s dur+ pregnancy4 4 7b7 ,guidel9es & recomm5dations by ,c5t] = ,sub/ance ,abuse ,treatm5t ,section #ejg7;b7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb7b77 is am5d$-- 7#a7 9 p>agraph 7#ac71 by /rik+ & at ! end2 7#b7 9 p>agraph 7#ad71 by /rik+ ! p]iod at ! end & ins]t+ a semicolon2 & 7#c7 by add+ at ! end ! foll[+3 7#ae7 9 coop]ation ) ! ,secret>y1 implem5t & dissem9ate1 z appropriate1 ! recomm5dations 9 ! report entitl$ ,protect+ ,our ,infants ,act3 ,f9al ,/rategy issu$ by ! ,dep>tm5t ( ,heal? & ,human ,s]vices 9 #bjag2 & 4 7c7 ,support ( p>tn]%ips by ,c5t] = ,sub/ance ,abuse ,treatm5t ,section #ejg7;b7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb7b771 z am5d$ by subsection 7b71 is fur!r am5d$ by add+ at ! end ! foll[+3 7#af7 9 coop]ation ) relevant /akehold]s1 & ?r\gh public-private p>tn]%ips1 enc\rage education ab\t sub/ance use disord]s = pregnant wom5 & heal? c>e provid]s :o treat pregnant wom5 & babies4 4 #gjfd4 ,pr5atal & po/natal heal? ,section #cag,l ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;b-#ac7 is am5d$-- 7#a7 9 subsection 7a7-- 7,a7 by am5d+ p>agraph 7#a7 to read z foll[s3 7#a7 to collect1 analyze1 & make available data on pr5atal smok+ & alcohol & o!r sub/ance abuse & misuse1 includ+-- 7,a7 data on-- 7i7 ! incid5ce1 preval5ce1 & implications ( su* activities2 & 7ii7 ! incid5ce & preval5ce ( implications & outcomes1 includ+ neonatal ab/95ce syndrome & o!r mat]nal & *ild heal? outcomes associat$ ) su* activities2 & 7,b7 additional in=mation or data1 z appropriate1 on family heal? hi/ory1 m$ication exposures dur+ pregnancy1 demographic in=mation1 su* z race1 e?nicity1 geographic location1 & family hi/ory1 & o!r relevant in=mation1 to in=m su* analysis2 2 7,b7 9 p>agraph 7#b7-- 7i7 by /rik+ prev5tion ( & ins]t+ prev5tion & long-t]m outcomes associat$ )2 & 7ii7 by /rik+ illegal drug use & ins]t+ o!r sub/ance abuse & misuse2 7,c7 9 p>agraph 7#c71 by /rik+ & cessation programs2 & & ins]t+ 1 treatm5t1 & cessation programs22 7,d7 9 p>agraph 7#d71 by /rik+ illegal drug use4 & ins]t+ o!r sub/ance abuse & misuse2 &2 & 7,e7 by add+ at ! end ! foll[+3 7#e7 to issue public reports on ! analysis ( data describ$ 9 p>agraph 7#a71 includ+ analysis (-- 7,a7 long-t]m outcomes ( *ildr5 affect$ by neonatal ab/95ce syndrome2 7,b7 heal? outcomes associat$ ) pr5atal smok+1 alcohol1 & sub/ance abuse & misuse2 & 7,c7 relevant /udies1 evaluations1 or in=mation ! ,secret>y det]m9es to be appropriate4 2 7#b7 9 subsection 7b71 by ins]t+ tribal entities1 aft] local gov]nm5ts12 7#c7 by r$esignat+ subsection 7c7 z subsection 7d72 7#d7 by ins]t+ aft] subsection 7b7 ! foll[+3 7c7 ,coord9at+ activities ,to c>ry out ?is section1 ! ,secret>y may-- 7#a7 provide te*nical & consultative assi/ance to entities receiv+ grants "u subsection 7b72 7#b7 ensure a pa?way = data %>+ betwe5 ,/ates1 tribal entities1 & ! ,c5t]s = ,disease ,control & ,prev5tion2 7#c7 ensure data collection "u ?is section is consi/5t ) applicable ,/ate1 ,f$]al1 & ,tribal privacy laws2 & 7#d7 coord9ate ) ! ,national ,coord9ator = ,heal? ,in=mation ,te*nology1 z appropriate1 to assi/ ,/ates & ,tribes 9 implem5t+ sy/ems t use /&>ds recogniz$ by su* ,national ,coord9ator1 z su* recogniz$ /&>ds are available1 9 ord] to facilitate int]op]ability betwe5 su* sy/ems & heal? in=mation te*nology sy/ems1 includ+ c]tifi$ heal? in=mation te*nology4 2 & 7#e7 9 subsection 7d71 z s r$esignat$1 by /rik+ #bjja ?r\gh #bjje & ins]t+ #bjai ?r\gh #bjbc4 #gjfe4 ,plans ( safe c>e 7a7 ,9 g5]al ,section #aje7;a7 ( ! ,*ild ,abuse ,prev5tion & ,treatm5t ,act 7#db ,u4,s4,c4 #eajf7;a77 is am5d$ by add+ at ! end ! foll[+3 7#g7 ,grants to ,/ates to improve & coord9ate _! response to ensure ! safety1 p]man5cy1 & well-be+ ( infants affect$ by sub/ance use 7,a7 ,program au?oriz$ ,! ,secret>y is au?oriz$ to make grants to ,/ates = ! purpose ( assi/+ *ild welf>e ag5cies1 social s]vices ag5cies1 sub/ance use disord] treatm5t ag5cies1 hospitals ) labor & deliv]y units1 m$ical /aff1 public heal? & m5tal heal? ag5cies1 & mat]nal & *ild heal? ag5cies to facilitate collaboration 9 develop+1 updat+1 implem5t+1 & monitor+ plans ( safe c>e describ$ 9 section #ajf7;b77#b77;,b77iii74 ,section #aab7;a77#b7 %all n apply to ! program au?oriz$ "u ?is p>agraph4 7,b7 ,di/ribution ( funds 7i7 ,res]vations ,( ! am\nts made available to c>ry out subp>agraph 7,a71 ! ,secret>y %all res]ve-- 7,i7 no m ?an #c p]c5t = ! purposes describ$ 9 subp>agraph 7,g72 & 7,,ii7 up to #c p]c5t = grants to ,indian ,tribes & tribal organizations to address ! ne$s ( infants born )1 & id5tifi$ z be+ affect$ by1 sub/ance abuse or )drawal symptoms result+ f pr5atal drug exposure or a fetal alcohol spectrum disord] & _! families or c>egiv]s1 :i* to ! ext5t practicable1 %all be consi/5t ) ! uses ( funds describ$ "u subp>agraph 7,d74 7ii7 ,allotm5ts to ,/ates & t]ritories ,! ,secret>y %all allot ! am\nt made available to c>ry out subp>agraph 7,a7 t rema9s aft] application ( clause 7i7 to ea* ,/ate t applies = su* a grant1 9 an am\nt equal to ! sum (-- 7,i7 #ejj1jjj2 & 7,,ii7 an am\nt t be>s ! same relation%ip to any funds made available to c>ry out subp>agraph 7,a7 & rema9+ aft] application ( clause 7i71 z ! numb] ( live bir?s 9 ! ,/ate 9 ! previ\s cal5d> ye> be>s to ! numb] ( live bir?s 9 all ,/ates 9 su* ye>4 7iii7 ,ratable r$uction ,if ! am\nt made available to c>ry out subp>agraph 7,a7 is insuffici5t to satisfy ! requirem5ts ( clause 7ii71 ! ,secret>y %all ratably r$uce ea* allotm5t to a ,/ate4 7,c7 ,application ,a ,/ate desir+ a grant "u ?is p>agraph %all submit an application to ! ,secret>y at su* "t & 9 su* mann] z ! ,secret>y may require4 ,su* application %all include-- 7i7 a description (-- 7,i7 ! impact ( sub/ance use disord] 9 su* ,/ate1 includ+ ) respect to ! sub/ance or class ( sub/ances ) ! highe/ incid5ce ( abuse 9 ! previ\s ye> 9 su* ,/ate1 includ+-- 7aa7 ! preval5ce ( sub/ance use disord] 9 su* ,/ate2 7bb7 ! aggregate rate ( bir?s 9 ! ,/ate ( infants affect$ by sub/ance abuse or )drawal symptoms or a fetal alcohol spectrum disord] 7z det]m9$ by hospitals1 insurance claims1 claims submitt$ to ! ,/ate ,m$icaid program1 or o!r records71 if available & to ! ext5t practicable2 & 7cc7 ! numb] ( infants id5tifi$1 = :om a plan ( safe c>e 0 develop$1 & = :om a ref]ral 0 made = appropriate s]vices1 z report$ "u section #ajf7;d77#ah72 7,,ii7 ! *all5ges ! ,/ate faces 9 develop+1 implem5t+1 & monitor+ plans ( safe c>e 9 accordance ) section #ajf7;b77#b77;,b77iii72 7,,iii7 ! ,/ate's lead ag5cy = ! grant program & h[ t ag5cy w coord9ate ) relevant ,/ate entities & programs1 includ+ ! *ild welf>e ag5cy1 ! sub/ance use disord] treatm5t ag5cy1 hospitals ) labor & deliv]y units1 heal? c>e provid]s1 ! public heal? & m5tal heal? ag5cies1 programs fund$ by ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration t provide sub/ance use disord] treatm5t = wom51 ! ,/ate ,m$icaid program1 ! ,/ate ag5cy adm9i/]+ ! block grant program "u title ,v ( ! ,social ,security ,act 7#db ,u4,s4,c4 #gja et seq471 ! ,/ate ag5cy adm9i/]+ ! programs fund$ "u "p ,c ( ! ,individuals ) ,disabilities ,education ,act 7#bj ,u4,s4,c4 #adca et seq471 ! mat]nal1 infant1 & e>ly *ildhood home visit+ program "u section #eaa ( ! ,social ,security ,act 7#db ,u4,s4,c4 #gaa71 ! ,/ate judicial sy/em1 & o!r ag5cies1 z det]m9$ by ! ,secret>y1 & ,indian ,tribes & tribal organizations1 z appropriate1 to implem5t ! activities "u ?is p>agraph2 7,,iv7 h[ ! ,/ate w monitor local developm5t & implem5tation ( plans ( safe c>e1 9 accordance ) section #ajf7;b77#b77;,b77iii77,,ii71 includ+ h[ ! ,/ate w monitor to ensure plans ( safe c>e address diff]5ces betwe5 sub/ance use disord] & m$ically sup]vis$ sub/ance use1 includ+ = ! treatm5t ( a sub/ance use disord]2 7,v7 if applicable1 h[ ! ,/ate plans to utilize fund+ au?oriz$ "u "p ,e ( title ,,iv ( ! ,social ,security ,act 7#db ,u4,s4,c4 #fgj et seq47 to assi/ 9 c>ry+ out any plan ( safe c>e1 includ+ su* fund+ au?oriz$ "u section #dga7;e7 ( su* ,act 7z 9 effect on ,octob] #a1 #bjah7 = m5tal heal? & sub/ance abuse prev5tion & treatm5t s]vices & 9-home p>5t skill-bas$ programs & fund+ au?oriz$ "u su* section #dgb7;j7 7z 9 effect on ,octob] #a1 #bjah7 = *ildr5 ) a p>5t 9 a lic5s$ resid5tial family-bas$ treatm5t facility = sub/ance abuse2 & 7,,vi7 an assessm5t ( ! treatm5t & o!r s]vices & programs available 9 ! ,/ate to effectively c>ry out any plan ( safe c>e develop$1 includ+ id5tification ( ne$$ treatm5t1 & o!r s]vices & programs to ensure ! well-be+ ( "y *ildr5 & _! families affect$ by sub/ance use disord]1 su* z programs c>ri$ out "u "p ,c ( ! ,individuals ) ,disabilities ,education ,act 7#bj ,u4,s4,c4 #adca et seq47 & compreh5sive e>ly *ildhood developm5t s]vices & programs su* z ,head ,/>t programs2 7ii7 a description ( h[ ! ,/ate plans to use funds = activities describ$ 9 subp>agraph 7,d7 = ! purposes ( ensur+ ,/ate compliance ) requirem5ts "u clauses 7ii7 & 7iii7 ( section #ajf7;b77#b77;,b72 & 7iii7 an assurance t ! ,/ate w comply ) requirem5ts to ref] a *ild id5tifi$ z sub/ance-expos$ to e>ly int]v5tion s]vices z requir$ pursuant to a grant "u "p ,c ( ! ,individuals ) ,disabilities ,education ,act 7#bj ,u4,s4,c4 #adca et seq474 7,d7 ,uses ( funds ,funds aw>d$ to a ,/ate "u ?is p>agraph may be us$ = ! foll[+ activities1 :i* may be c>ri$ out by ! ,/ate directly1 or ?r\gh grants or subgrants1 contracts1 or coop]ative agreem5ts3 7i7 ,improv+ ,/ate & local sy/ems ) respect to ! developm5t & implem5tation ( plans ( safe c>e1 :i*-- 7,i7 %all include p>5t & c>egiv] engagem5t1 z requir$ "u section #ajf7;b77#b77;,b77iii77,i71 reg>d+ available treatm5t & s]vice options1 :i* may include res\rces available = pregnant1 p]9atal1 & po/natal wom52 & 7,,ii7 may include activities su* z-- 7aa7 develop+ policies1 proc$ures1 or protocols = ! adm9i/ration or developm5t ( evid5ce-bas$ & validat$ scre5+ tools = infants :o may be affect$ by sub/ance use )drawal symptoms or a fetal alcohol spectrum disord] & pregnant1 p]9atal1 & po/natal wom5 ^: infants may be affect$ by sub/ance use )drawal symptoms or a fetal alcohol spectrum disord]2 7bb7 improv+ assessm5ts us$ to det]m9e ! ne$s ( ! infant & family2 7cc7 improv+ ongo+ case managem5t s]vices2 7dd7 improv+ access to treatm5t s]vices1 :i* may be prior to ! pregnant woman's deliv]y date2 & 7ee7 keep+ families safely toge!r :5 x is 9 ! be/ int]e/ ( ! *ild4 7ii7 ,develop+ policies1 proc$ures1 or protocols 9 consultation & coord9ation ) heal? pr(essionals1 public & private heal? facilities1 & sub/ance use disord] treatm5t ag5cies to ensure t-- 7,i7 appropriate notification to *ild protective s]vices is made 9 a timely mann]1 z requir$ "u section #ajf7;b77#b77;,b77ii72 7,,ii7 a plan ( safe c>e is 9 place1 9 accordance ) section #ajf7;b77#b77;,b77iii71 be=e ! infant is dis*>g$ f ! bir? or heal? c>e facility2 & 7,,iii7 su* heal? & relat$ ag5cy pr(essionals are tra9$ on h[ to foll[ su* protocols & are aw>e ( ! supports t may be provid$ "u a plan ( safe c>e4 7iii7 ,tra9+ heal? pr(essionals & heal? sy/em lead]s1 *ild welf>e work]s1 sub/ance use disord] treatm5t ag5cies1 & o!r relat$ pr(essionals su* z home visit+ ag5cy /aff & law en=cem5t 9 relevant topics includ+-- 7,i7 ,/ate m&atory report+ laws e/abli%$ "u section #ajf7;b77#b77;,b77i7 & ! ref]ral & process requirem5ts = notification to *ild protective s]vices :5 *ild abuse or neglect report+ is n m&at$2 7,,ii7 ! co-occurr5ce ( pregnancy & sub/ance use disord]1 & implications ( pr5atal exposure2 7,,iii7 ! cl9ical guidance ab\t treat+ sub/ance use disord] 9 pregnant & po/p>tum wom52 7,,iv7 appropriate scre5+ & int]v5tions = infants affect$ by sub/ance use disord]1 )drawal symptoms1 or a fetal alcohol spectrum disord] & ! requirem5ts "u section #ajf7;b77#b77;,b77iii72 & 7,v7 appropriate multig5]ational /rategies to address ! m5tal heal? ne$s ( ! p>5t & *ild toge!r4 7iv7 ,e/abli%+ p>tn]%ips1 agreem5ts1 or memor&a ( und]/&+ betwe5 ! lead ag5cy & o!r entities 7includ+ heal? pr(essionals1 heal? facilities1 *ild welf>e pr(essionals1 juv5ile & family c\rt judges1 sub/ance use & m5tal disord] treatm5t programs1 e>ly *ildhood education programs1 mat]nal & *ild heal? & e>ly int]v5tion pr(essionals 7includ+ home visit+ provid]s71 pe]-to-pe] recov]y programs su* z p>5t m5tor+ programs1 & h\s+ ag5cies7 to facilitate ! implem5tation (1 & compliance )1 section #ajf7;b77#b7 & clause 7ii7 ( ?is subp>agraph1 9 areas :i* may include-- 7,i7 develop+ a compreh5sive1 multi-discipl9>y assessm5t & int]v5tion process = infants1 pregnant wom51 & _! families :o are affect$ by sub/ance use disord]1 )drawal symptoms1 or a fetal alcohol spectrum disord]1 t includes mean+ful engagem5t ) & takes into acc\nt ! unique ne$s ( ea* family & addresses diff]5ces betwe5 m$ically sup]vis$ sub/ance use1 includ+ = ! treatm5t ( sub/ance use disord]1 & sub/ance use disord]2 7,,ii7 ensur+ t treatm5t approa*es = s]v+ infants1 pregnant wom51 & p]9atal & po/natal wom5 ^: infants may be affect$ by sub/ance use1 )drawal symptoms1 or a fetal alcohol spectrum disord]1 are design$ to1 :]e appropriate1 keep infants ) _! mo!rs dur+ bo? inpati5t & outpati5t treatm5t2 & 7,,iii7 increas+ access to all evid5ce-bas$ m$ication-assi/$ treatm5t approv$ by ! ,food & ,drug ,adm9i/ration1 behavioral !rapy1 & c\nsel+ s]vices = ! treatm5t ( sub/ance use disord]s1 z appropriate4 7v7 ,develop+ & updat+ sy/ems ( te*nology = improv$ data collection & monitor+ "u section #ajf7;b77#b77;,b77iii71 includ+ exi/+ electronic m$ical records1 to measure ! outcomes a*iev$ ?r\gh ! plans ( safe c>e1 includ+ monitor+ sy/ems to meet ! requirem5ts ( ?is ,act & submission ( p]=mance measures4 7,e7 ,report+ ,ea* ,/ate t receives funds "u ?is p>agraph1 = ea* ye> su* funds are receiv$1 %all submit a report to ! ,secret>y1 disaggregat$ by geographic location1 economic /atus1 & major racial & e?nic gr\ps1 except t su* disaggregation %all n be requir$ if ! results w\ld reveal p]sonally id5tifiable in=mation on1 ) respect to infants id5tifi$ "u section #ajf7;b77#b77;,b77ii7-- 7i7 ! numb] :o exp]i5c$ removal associat$ ) p>5tal sub/ance use2 7ii7 ! numb] :o exp]i5c$ removal & subsequ5tly are reunifi$ ) p>5ts1 & ! l5g? ( "t betwe5 su* removal & reunification2 7iii7 ! numb] :o are ref]r$ to community provid]s )\t a *ild protection case2 7iv7 ! numb] :o receive s]vices :ile 9 ! c>e ( _! bir? p>5ts2 7v7 ! numb] :o receive po/-reunification s]vices )9 #a ye> aft] a reunification has occurr$2 & 7vi7 ! numb] :o exp]i5c$ a return to out-(-home c>e )9 #a ye> aft] reunification4 7,f7 ,secret>y's report to ,congress ,! ,secret>y %all submit an annual report to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions & ! ,committee on ,appropriations ( ! ,s5ate & ! ,committee on ,education & ! ,work=ce & ! ,committee on ,appropriations ( ! ,h\se ( ,repres5tatives t includes ! in=mation describ$ 9 subp>agraph 7,e7 & recomm5dations or obs]vations on ! *all5ges1 successes1 & lessons d]iv$ f implem5tation ( ! grant program4 7,g7 ,assi/+ ,/ates' implem5tation ,! ,secret>y %all use ! am\nt res]v$ "u subp>agraph 7,b77i77,i7 to provide writt5 guidance & te*nical assi/ance to support ,/ates 9 comply+ ) & implem5t+ ?is p>agraph1 :i* %all include-- 7i7 te*nical assi/ance1 includ+ programs ( 9-dep? te*nical assi/ance1 to additional ,/ates1 t]ritories1 & ,indian ,tribes & tribal organizations 9 accordance ) ! sub/ance-expos$ infant initiative develop$ by ! ,national ,c5t] on ,sub/ance ,abuse & ,*ild ,welf>e2 7ii7 guidance on ! requirem5ts ( ?is ,act ) respect to infants born ) & id5tifi$ z be+ affect$ by sub/ance use or )drawal symptoms or fetal alcohol spectrum disord]1 z describ$ 9 clauses 7ii7 & 7iii7 ( section #ajf7;b77#b77;,b71 includ+ by-- 7,i7 enhanc+ ,/ates' und]/&+ ( requirem5ts & flexibilities "u ! law1 includ+ by cl>ify+ key t]ms2 7,,ii7 address+ /ate-id5tifi$ *all5ges ) develop+1 implem5t+1 & monitor+ plans ( safe c>e1 includ+ ^? report$ "u subp>agraph 7,c77i77,,ii72 7,,iii7 dissem9at+ be/ practices on implem5tation ( plans ( safe c>e1 on su* topics z diff]5tial response1 collaboration & coord9ation1 & id5tification & deliv]y ( s]vices = diff]5t populations1 :ile recogniz+ ne$s ( diff]5t populations & v>y+ community approa*es across ,/ates2 & 7,,iv7 help+ ,/ates improve ! long-t]m safety & well-be+ ( "y *ildr5 & _! families2 7iii7 support+ ,/ate ef=ts to develop in=mation te*nology sy/ems to manage plans ( safe c>e2 & 7iv7 prep>+ ! ,secret>y's report to ,congress describ$ 9 subp>agraph 7,f74 7,h7 ,sunset ,! au?ority "u ?is p>agraph %all sunset on ,septemb] #cj1 #bjbc4 4 7b7 ,repeal ,! ,ab&on$ ,infants ,assi/ance ,act ( #aihh 7#db ,u4,s4,c4 #eaag;aa et seq47 is repeal$4 ,h ,sub/ance ,use ,disord] ,treatm5t ,work=ce #gjga4 ,loan repaym5t program = sub/ance use disord] treatm5t work=ce ,title ,,vii ( ! ,public ,heal? ,s]vice ,act is am5d$-- 7#a7 by r$esignat+ "p ,f z "p ,g2 & 7#b7 by ins]t+ aft] "p ,e 7#db ,u4,s4,c4 #bidn et seq47 ! foll[+3 ,f ,sub/ance ,use ,disord] ,treatm5t ,work=ce #gha4 ,loan repaym5t program = sub/ance use disord] treatm5t work=ce 7a7 ,9 g5]al ,! ,secret>y1 act+ ?r\gh ! ,adm9i/rator ( ! ,heal? ,res\rces & ,s]vices ,adm9i/ration1 %all c>ry out a program "u :i*-- 7#a7 ! ,secret>y ent]s into agreem5ts ) individuals to make paym5ts 9 accordance ) subsection 7b7 on ! pr9cipal ( & int]e/ on any eligible loan2 & 7#b7 ! individuals ea* agree to ! requirem5ts ( s]vice 9 sub/ance use disord] treatm5t employm5t1 z describ$ 9 subsection 7d74 7b7 ,paym5ts ,= ea* ye> ( obligat$ s]vice by an individual pursuant to an agreem5t "u subsection 7a71 ! ,secret>y %all make a paym5t to su* individual z foll[s3 7#a7 ,s]vice 9 a %ortage area ,! ,secret>y %all pay-- 7,a7 = ea* ye> ( obligat$ s]vice by an individual pursuant to an agreem5t "u subsection 7a71 #a_/f ( ! pr9cipal ( & int]e/ on ea* eligible loan ( ! individual :i* is out/&+ on ! date ! individual began s]vice pursuant to ! agreem5t2 & 7,b7 = completion ( ! six? & f9al ye> ( su* s]vice1 ! rema9d] ( su* pr9cipal & int]e/4 7#b7 ,maximum am\nt ,! total am\nt ( paym5ts "u ?is section to any individual %all n exce$ #bej1jjj4 7c7 ,eligible loans ,! loans eligible = repaym5t "u ?is section are ea* ( ! foll[+3 7#a7 ,any loan = education or tra9+ = a sub/ance use disord] treatm5t employm5t4 7#b7 ,any loan "u "p ,e ( title ,,viii 7relat+ to nurs+ /ud5t loans74 7#c7 ,any ,f$]al ,direct ,/af=d ,loan1 ,f$]al ,direct ,,plus ,loan1 ,f$]al ,direct ,unsubsidiz$ ,/af=d ,loan1 or ,f$]al ,direct ,consolidation ,loan 7z su* t]ms are us$ 9 section #dee ( ! ,high] ,education ,act ( #aife74 7#d7 ,any ,f$]al ,p]k9s ,loan "u "p ,e ( title ,i ( ! ,high] ,education ,act ( #aife4 7#e7 ,any o!r ,f$]al loan z det]m9$ appropriate by ! ,secret>y4 7d7 ,requirem5ts ( s]vice ,any individual receiv+ paym5ts "u ?is program z requir$ by an agreem5t "u subsection 7a7 %all agree to an annual commitm5t to full-"t employm5t1 ) no m ?an #a ye> pass+ betwe5 any #b ye>s ( cov]$ employm5t1 9 sub/ance use disord] treatm5t employm5t 9 ! ,unit$ ,/ates 9-- 7#a7 a ,m5tal ,heal? ,pr(essional ,%ortage ,area1 z designat$ "u section #ccb2 or 7#b7 a c\nty 7or a municipality1 if n conta9$ )9 any c\nty7 :]e ! mean drug ov]dose dea? rate p] #ajj1jjj p ov] ! pa/ #c ye>s = :i* (ficial data is available f ! ,/ate1 is high] ?an ! mo/ rec5t available national av]age ov]dose dea? rate p] #ajj1jjj p1 z report$ by ! ,c5t]s = ,disease ,control & ,prev5tion4 7e7 ,ineligibility = d\ble b5efits ,no borr[] may1 = ! same s]vice1 receive a r$uction ( loan obligations or a loan repaym5t "u bo?-- 7#a7 ?is section2 & 7#b7 any ,f$]ally support$ loan =giv5ess program1 includ+ "u section #cch;,b1 #cch;,i1 or #hdf ( ?is ,act1 or section #dbh;,j1 #dbh,l1 #dee7m71 or #dfj ( ! ,high] ,education ,act ( #aife4 7f7 ,brea* 7#a7 ,liquidat$ damages =mula ,! ,secret>y may e/abli% a liquidat$ damages =mula to be us$ 9 ! ev5t ( a brea* ( an agreem5t ent]$ into "u subsection 7a74 7#b7 ,limitation ,! failure by an individual to complete ! full p]iod ( s]vice obligat$ pursuant to su* an agreem5t1 tak5 alone1 %all n con/itute a brea* ( ! agreem5t1 s long z ! individual complet$ 9 good fai? ! ye>s ( s]vice = :i* paym5ts 7 made to ! individual "u ?is section4 7g7 ,additional crit]ia ,! ,secret>y-- 7#a7 may e/abli% su* crit]ia & rules to c>ry out ?is section z ! ,secret>y det]m9es are ne$$ & 9 addition to ! crit]ia & rules specifi$ 9 ?is section2 & 7#b7 %all give notice to ! committees specifi$ 9 subsection 7h7 ( any crit]ia & rules s e/abli%$4 7h7 ,report to ,congress ,n lat] ?an #e ye>s aft] ! date ( enactm5t ( ?is section1 & e o!r ye> !reaft]1 ! ,secret>y %all prep>e & submit to ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives & ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate a report on-- 7#a7 ! numb] & location ( borr[]s :o h qualifi$ = loan repaym5ts "u ?is section2 & 7#b7 ! impact ( ?is section on ! availability ( sub/ance use disord] treatm5t employees nationally & 9 %ortage areas & c\nties describ$ 9 subsection 7d74 7i7 ,def9ition ,9 ?is section3 7#a7 ,! t]ms ,indian tribe & tribal organization h ! mean+s giv5 ^? t]ms 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act4 7#b7 ,! t]m municipality means a city1 t[n1 or o!r public body creat$ by or pursuant to ,/ate law1 or an ,indian tribe4 7#c7 ,! t]m sub/ance use disord] treatm5t employm5t means full-"t employm5t 7includ+ a fell[%ip7-- 7,a7 :]e ! prim>y int5t & function ( ! position is ! direct treatm5t or recov]y support ( pati5ts ) or 9 recov]y f a sub/ance use disord]1 includ+ ma/]'s level social work]s1 psy*ologi/s1 c\nselors1 m>riage & family !rapi/s1 psy*iatric m5tal heal? practition]s1 occupational !rapi/s1 psy*ology doctoral int]ns1 & behavioral heal? p>apr(essionals & physicians1 physician assi/ants1 & nurses1 :o are lic5s$ or c]tifi$ 9 accordance ) applicable ,/ate & ,f$]al laws2 & 7,b7 :i* is locat$ at a sub/ance use disord] treatm5t program1 private physician practice1 hospital or heal? sy/em-affiliat$ inpati5t treatm5t c5t] or outpati5t cl9ic 7includ+ an academic m$ical c5t]-affiliat$ treatm5t program71 correctional facility or program1 y\? det5tion c5t] or program1 inpati5t psy*iatric facility1 crisis /abilization unit1 community heal? c5t]1 community m5tal heal? or o!r specialty community behavioral heal? c5t]1 recov]y c5t]1 s*ool1 community-bas$ organization1 teleheal? plat=m1 migrant heal? c5t]1 heal? program or facility op]at$ by an ,indian tribe or tribal organization1 ,f$]al m$ical facility1 or any o!r facility z det]m9$ appropriate = purposes ( ?is section by ! ,secret>y4 7j7 ,au?orization ( appropriations ,!re are au?oriz$ to be appropriat$ to c>ry out ?is section #be1jjj1jjj = ea* ( fiscal ye>s #bjai ?r\gh #bjbc4 4 #gjgb4 ,cl>ification reg>d+ s]vice 9 s*ools & o!r community-bas$ sett+s ,subp>t ,,iii ( "p ,d ( title ,,iii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bedl et seq47 is am5d$ by add+ at ! end ! foll[+3 #cch,n4 ,cl>ification reg>d+ s]vice 9 s*ools & o!r community-bas$ sett+s 7a7 ,s*ools & community-bas$ sett+s ,an entity to :i* a p>ticipant 9 ! ,s*ol>%ip ,program or ! ,loan ,repaym5t ,program 7ref]r$ to 9 ?is section z a p>ticipant7 is assign$ "u section #ccc may direct su* p>ticipant to provide s]vice z a behavioral or m5tal heal? pr(essional at a s*ool or o!r community-bas$ sett+ locat$ 9 a heal? pr(essional %ortage area4 7b7 ,obligat$ s]vice 7#a7 ,9 g5]al ,any s]vice describ$ 9 subsection 7a7 t a p>ticipant provides may c\nt t[>ds su* p>ticipant's completion ( any obligat$ s]vice requirem5ts "u ! ,s*ol>%ip ,program or ! ,loan ,repaym5t ,program1 subject to any limitation impos$ "u p>agraph 7#b74 7#b7 ,limitation ,! ,secret>y may impose a limitation on ! numb] ( h\rs ( s]vice describ$ 9 subsection 7a7 t a p>ticipant may cr$it t[>ds complet+ obligat$ s]vice requirem5ts1 provid$ t ! limitation all[s a memb] to cr$it s]vice describ$ 9 subsection 7a7 = n less ?an #ej p]c5t ( ! total h\rs requir$ to complete su* obligat$ s]vice requirem5ts4 7c7 ,rule ( con/ruction ,! au?orization "u subsection 7a7 %all be not)/&+ any o!r provision ( ?is subp>t or subp>t ,,ii4 4 #gjgc4 ,programs = heal? c>e work=ce 7a7 ,program = education & tra9+ 9 pa9 c>e ,section #gei ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bid;i7 is am5d$-- 7#a7 9 subsection 7a71 by /rik+ hospices1 & o!r public & private entities & ins]t+ hospices1 tribal heal? programs 7z def9$ 9 section #d ( ! ,indian ,heal? ,c>e ,improvem5t ,act71 & o!r public & nonpr(it private entities2 7#b7 9 subsection 7b7-- 7,a7 9 ! matt] prec$+ p>agraph 7#a71 by /rik+ aw>d may be made "u subsection 7a7 only if ! applicant = ! aw>d agrees t ! program c>ri$ out ) ! aw>d w include & ins]t+ entity receiv+ an aw>d "u ?is section %all develop a compreh5sive education & tra9+ plan t includes2 7,b7 9 p>agraph 7#a7-- 7i7 by ins]t+ prev5t+1 aft] diagnos+12 & 7ii7 by ins]t+ non-addictive m$ical products & non-ph>macologic treatm5ts & aft] includ+2 7,c7 9 p>agraph 7#b7-- 7i7 by ins]t+ ,f$]al1 ,/ate1 & local aft] applicable2 & 7ii7 by /rik+ ! degree to :i* & all t foll[s ?r\gh effective pa9 c>e & ins]t+ opioids2 7,d7 9 p>agraph 7#c71 by ins]t+ 1 integrat$1 evid5ce-bas$ pa9 managem5t1 &1 z appropriate1 non-ph>maco!rapy be=e ! semicolon2 7,e7 9 p>agraph 7#d71 by /rik+ 2 & & ins]t+ 22 & 7,f7 by /rik+ p>agraph 7#e7 & ins]t+ ! foll[+3 7#e7 rec5t f9d+s1 developm5ts1 & advancem5ts 9 pa9 c>e rese>* & ! provision ( pa9 c>e1 :i* may include non-addictive m$ical products & non-ph>macologic treatm5ts int5d$ to treat pa92 & 7#f7 ! dang]s ( opioid abuse & misuse1 detection ( e>ly w>n+ signs ( opioid use disord]s 7:i* may include be/ practices relat$ to scre5+ = opioid use disord]s1 tra9+ on scre5+1 brief int]v5tion1 & ref]ral to treatm5t71 & safe disposal options = prescription m$ications 7includ+ su* options provid$ by law en=cem5t or o!r innovative deactivation me*anisms74 2 7#c7 9 subsection 7d71 by ins]t+ prev5tion1 aft] diagnosis12 & 7#d7 9 subsection 7e71 by /rik+ #bjaj ?r\gh #bjab & ins]t+ #bjai ?r\gh #bjbc4 7b7 ,m5tal & behavioral heal? education & tra9+ program ,section #gef ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bid;e-#a7 is am5d$-- 7#a7 9 subsection 7a7-- 7,a7 9 p>agraph 7#a71 by ins]t+ 1 trauma1 aft] focus on *ild & adolesc5t m5tal heal?2 & 7,b7 9 p>agraphs 7#b7 & 7#c71 by ins]t+ trauma-in=m$ c>e & be=e sub/ance use disord] prev5tion & treatm5t s]vices2 & 7#b7 9 subsection 7f71 by /rik+ #bjah ?r\gh #bjbb & ins]t+ #bjai ?r\gh #bjbc4 ,i ,prev5t+ ,ov]doses ,:ile 9 ,em]g5cy ,rooms #gjha4 ,program to support coord9ation & cont9uation ( c>e = drug ov]dose pati5ts 7a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices 7ref]r$ to 9 ?is section z ! ,secret>y7 %all id5tify or facilitate ! developm5t ( be/ practices =-- 7#a7 em]g5cy treatm5t ( kn[n or suspect$ drug ov]dose2 7#b7 ! use ( recov]y coa*es1 z appropriate1 to enc\rage individuals :o exp]i5ce a non-fatal ov]dose to seek treatm5t = sub/ance use disord] & to support coord9ation & cont9uation ( c>e2 7#c7 coord9ation & cont9uation ( c>e & treatm5t1 includ+1 z appropriate1 ?r\gh ref]rals1 ( individuals aft] a drug ov]dose2 & 7#d7 ! provision or prescrib+ ( ov]dose rev]sal m$ication1 z appropriate4 7b7 ,grant e/abli%m5t & p>ticipation 7#a7 ,9 g5]al ,! ,secret>y %all aw>d grants on a competitive basis to eligible entities to support implem5tation ( volunt>y programs = c>e & treatm5t ( individuals aft] a drug ov]dose1 z appropriate1 :i* may include implem5tation ( ! be/ practices describ$ 9 subsection 7a74 7#b7 ,eligible entity ,9 ?is section1 ! t]m eligible entity means-- 7,a7 a ,/ate sub/ance abuse ag5cy2 7,b7 an ,indian ,tribe or tribal organization2 or 7,c7 an entity t (f]s treatm5t or o!r s]vices = individuals 9 response to1 or foll[+1 drug ov]doses or a drug ov]dose1 su* z an em]g5cy dep>tm5t1 9 consultation ) a ,/ate sub/ance abuse ag5cy4 7#c7 ,application ,an eligible entity desir+ a grant "u ?is section %all submit an application to ! ,secret>y1 at su* "t & 9 su* mann] z ! ,secret>y may require1 t includes-- 7,a7 evid5ce t su* eligible entity c>ries out1 or is capable ( contract+ & coord9at+ ) o!r community entities to c>ry out1 ! activities describ$ 9 p>agraph 7#d72 7,b7 evid5ce t su* eligible entity w "w ) a recov]y community organization to recruit1 tra91 hire1 m5tor1 & sup]vise recov]y coa*es & fulfill ! requirem5ts describ$ 9 p>agraph 7#d77;,a72 & 7,c7 su* additional in=mation z ! ,secret>y may require4 7#d7 ,use ( grant funds ,an eligible entity aw>d$ a grant "u ?is section %all use su* grant funds to-- 7,a7 hire or utilize recov]y coa*es to help support recov]y1 includ+ by-- 7i7 connect+ pati5ts to a cont9uum ( c>e s]vices1 su* z-- 7,i7 treatm5t & recov]y support programs2 7,,ii7 programs t provide non-cl9ical recov]y support s]vices2 7,,iii7 pe] support networks2 7,,iv7 recov]y community organizations2 7,v7 heal? c>e provid]s1 includ+ physicians & o!r provid]s ( behavioral heal? & prim>y c>e2 7,,vi7 education & tra9+ provid]s2 7,,vii7 employ]s2 7,,viii7 h\s+ s]vices2 & 7,,ix7 *ild welf>e ag5cies2 7ii7 provid+ education on ov]dose prev5tion & ov]dose rev]sal to pati5ts & families1 z appropriate2 7iii7 provid+ foll[-up s]vices = pati5ts aft] an ov]dose to ensure cont9u$ recov]y & connection to support s]vices2 7iv7 collect+ & evaluat+ outcome data = pati5ts receiv+ recov]y coa*+ s]vices2 & 7v7 provid+ o!r s]vices ! ,secret>y det]m9es necess>y to help ensure cont9u$ connection ) recov]y support s]vices1 includ+ culturally appropriate s]vices1 z applicable2 7,b7 e/abli% policies & proc$ures1 pursuant to ,f$]al & ,/ate law1 t address ! provision ( ov]dose rev]sal m$ication1 ! adm9i/ration ( all drugs or devices approv$ or cle>$ "u ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cja et seq47 & all biological products lic5s$ "u section #cea ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bfb7 to treat sub/ance use disord]1 & subsequ5t cont9uation (1 or ref]ral to1 evid5ce-bas$ treatm5t = pati5ts ) a sub/ance use disord] :o h exp]i5c$ a non-fatal drug ov]dose1 9 ord] to support long-t]m treatm5t1 prev5t relapse1 & r$uce recidivism & future ov]dose2 & 7,c7 e/abli% integrat$ models ( c>e = individuals :o h exp]i5c$ a non-fatal drug ov]dose :i* may include pati5t assessm5t1 foll[ up1 & transportation to & f treatm5t facilities4 7#e7 ,additional p]missible uses ,9 addition to ! uses describ$ 9 p>agraph 7#d71 a grant aw>d$ "u ?is section may be us$1 directly or ?r\gh contractual arrangem5ts1 to provide-- 7,a7 all drugs or devices approv$ or cle>$ "u ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cja et seq47 & all biological products lic5s$ "u section #cea ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bfb7 to treat sub/ance use disord]s or rev]se ov]dose1 pursuant to ,f$]al & ,/ate law2 7,b7 )drawal & detoxification s]vices t include pati5t evaluation1 /abilization1 & prep>ation = treatm5t ( sub/ance use disord]1 includ+ treatm5t describ$ 9 subp>agraph 7,a71 z appropriate2 or 7,c7 m5tal heal? s]vices provid$ by a c]tifi$ pr(essional :o is lic5s$ & qualifi$ by education1 tra9+1 or exp]i5ce to assess ! psy*osocial backgr\nd ( pati5ts1 to contribute to ! appropriate treatm5t plan = pati5ts ) sub/ance use disord]1 & to monitor pati5t progress4 7#f7 ,pref]5ce ,9 aw>d+ grants "u ?is section1 ! ,secret>y %all give pref]5ce to eligible entities t meet any or all ( ! foll[+ crit]ia3 7,a7 ,! eligible entity is a critical access hospital 7z def9$ 9 section #ahfa7mm77#a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex7mm77#a7771 a l[ volume hospital 7z def9$ 9 section #ahhf7;d77#ab77;,c77i7 ( su* ,act 7#db ,u4,s4,c4 #acieww7d77#ab77;,c77i7771 a sole community hospital 7z def9$ 9 section #ahhf7;d77#e77;,d77iii7 ( su* ,act 7#db ,u4,s4,c4 #acieww7d77#e77;,d77iii7771 or a hospital t receives disproportionate %>e hospital paym5ts "u section #ahhf7;d77#e77;,f7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acieww7d77#e77;,f774 7,b7 ,! eligible entity is locat$ 9 a ,/ate ) an age-adju/$ rate ( drug ov]dose dea?s t is above ! national ov]dose mortality rate1 z det]m9$ by ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 or "u ! jurisdiction ( an ,indian ,tribe ) an age-adju/$ rate ( drug ov]dose dea?s t is above ! national ov]dose mortality rate1 z det]m9$ ?r\gh appropriate me*anisms z det]m9$ by ! ,secret>y 9 consultation ) ,indian ,tribes4 7,c7 ,! eligible entity demon/rates t recov]y coa*es w be plac$ 9 bo? heal? c>e sett+s & community sett+s4 7#g7 ,p]iod ( grant ,a grant aw>d$ to an eligible entity "u ?is section %all be = a p]iod ( n m ?an #e ye>s4 7c7 ,def9itions ,9 ?is section3 7#a7 ,indian ,tribe2 tribal organization ,! t]ms ,indian ,tribe & tribal organization h ! mean+s giv5 ! t]ms ,indian tribe & tribal organization 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act 7#be ,u4,s4,c4 #ecjd74 7#b7 ,recov]y coa* ! t]m recov]y coa* means an individual-- 7,a7 ) k (1 or exp]i5ce )1 recov]y f a sub/ance use disord]2 & 7,b7 :o has complet$ tra9+ f1 & is det]m9$ to be 9 good /&+ by1 a recov]y s]vices organization capable ( conduct+ su* tra9+ & mak+ su* det]m9ation4 7#c7 ,recov]y community organization ,! t]m recov]y community organization has ! mean+ giv5 su* t]m 9 section #edg7;a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;ee-#b7;a774 7d7 ,report+ requirem5ts 7#a7 ,reports by grantees ,ea* eligible entity aw>d$ a grant "u ?is section %all submit to ! ,secret>y an annual report = ea* ye> = :i* ! entity has receiv$ su* grant t includes in=mation on-- 7,a7 ! numb] ( individuals treat$ by ! entity = non-fatal ov]doses1 includ+ ! numb] ( non-fatal ov]doses :]e ov]dose rev]sal m$ication 0 adm9i/]$2 7,b7 ! numb] ( individuals adm9i/]$ m$ication-assi/$ treatm5t by ! entity2 7,c7 ! numb] ( individuals ref]r$ by ! entity to o!r treatm5t facilities aft] a non-fatal ov]dose1 ! types ( su* o!r facilities1 & ! numb] ( su* individuals admitt$ to su* o!r facilities pursuant to su* ref]rals2 & 7,d7 ! frequ5cy & numb] ( pati5ts ) reoccurr5ces1 includ+ readmissions = non-fatal ov]doses & evid5ce ( relapse relat$ to sub/ance use disord]4 7#b7 ,report by ,secret>y ,n lat] ?an #e ye>s aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y %all submit to ,congress a report t includes an evaluation ( ! effectiv5ess ( ! grant program c>ri$ out "u ?is section ) respect to long t]m heal? outcomes ( ! population ( individuals :o h exp]i5c$ a drug ov]dose1 ! p]c5tage ( pati5ts treat$ or ref]r$ to treatm5t by grantees1 & ! frequ5cy & numb] ( pati5ts :o exp]i5c$ relapse1 7 readmitt$ = treatm5t1 or exp]i5c$ ano!r ov]dose4 7e7 ,privacy ,! requirem5ts ( ?is section1 includ+ ) respect to data report+ & program ov]sight1 %all be subject to all applicable ,f$]al & ,/ate privacy laws4 7f7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section #aj1jjj1jjj = ea* ( fiscal ye>s #bjai ?r\gh #bjbc4 ,j ,alt]natives to ,opioids 9 ! ,em]g5cy ,dep>tm5t #gjia4 ,em]g5cy dep>tm5t alt]natives to opioids demon/ration program 7a7 ,demon/ration program grants 7#a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices 79 ?is section ref]r$ to z ! ,secret>y7 %all c>ry out a demon/ration program = purposes ( aw>d+ grants to hospitals & em]g5cy dep>tm5ts1 includ+ free/&+ em]g5cy dep>tm5ts1 to develop1 implem5t1 enhance1 or /udy alt]natives to opioids = pa9 managem5t 9 su* sett+s4 7#b7 ,eligibility ,to be eligible to receive a grant "u p>agraph 7#a71 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 7#c7 ,geographic di/ribution ,9 aw>d+ grants "u ?is section1 ! ,secret>y %all seek to ensure geographical di/ribution among grant recipi5ts4 7#d7 ,use ( funds ,grants "u p>agraph 7#a7 %all be us$ to-- 7,a7 t>get treatm5t approa*es = pa9ful conditions frequ5tly treat$ 9 su* sett+s2 7,b7 tra9 provid]s & o!r hospital p]sonnel on protocols or be/ practices relat$ to ! use & prescription ( opioids & alt]natives to opioids = pa9 managem5t 9 ! em]g5cy dep>tm5t2 & 7,c7 develop or cont9ue /rategies to provide alt]natives to opioids1 z appropriate4 7b7 ,additional demon/ration program ,! ,secret>y may c>ry out a demon/ration program simil> to ! program "u subsection 7a7 = o!r acute c>e sett+s4 7c7 ,consultation ,! ,secret>y %all implem5t a process = recipi5ts ( grants "u subsection 7a7 or 7b7 to %>e evid5ce-bas$ & be/ practices & promote consultation ) p]sons hav+ robu/ k1 includ+ em]g5cy dep>tm5ts & physicians t h successfully implem5t$ programs t use alt]natives to opioids = pa9 managem5t1 z appropriate1 su* z approa*es /udi$ ?r\gh ! ,national ,c5t] = ,complim5t>y & ,integrative ,heal? or o!r in/itutes & c5t]s at ! ,national ,in/itutes ( ,heal?1 z appropriate4 ,! ,secret>y %all (f] to ea* recipi5t ( a grant "u subsection 7a7 or 7b7 te*nical assi/ance z necess>y4 7d7 ,te*nical assi/ance ,! ,secret>y %all id5tify or facilitate ! developm5t ( be/ practices on alt]natives to opioids = pa9 managem5t & provide te*nical assi/ance to hospitals & o!r acute c>e sett+s on alt]natives to opioids = pa9 managem5t4 ,! te*nical assi/ance provid$ %all be = ! purpose (-- 7#a7 utiliz+ in=mation f recipi5ts ( a grant "u subsection 7a7 or 7b7 t h successfully implem5t$ alt]natives to opioids programs2 7#b7 id5tify+ or facilitat+ ! developm5t ( be/ practices on ! use ( alt]natives to opioids1 :i* may include pa9-managem5t /rategies t involve non-addictive m$ical products1 non-ph>macologic treatm5ts1 & te*nologies or te*niques to id5tify pati5ts at risk = opioid use disord]2 7#c7 id5tify+ or facilitat+ ! developm5t ( be/ practices on ! use ( alt]natives to opioids t t>get common pa9ful conditions & include c]ta9 pati5t populations1 su* z g]iatric pati5ts1 pregnant wom51 & *ildr52 & 7#d7 dissem9at+ in=mation on ! use ( alt]natives to opioids to provid]s 9 acute c>e sett+s1 :i* may include em]g5cy dep>tm5ts1 outpati5t cl9ics1 critical access hospitals1 ,f$]ally qualifi$ heal? c5t]s1 ,indian ,heal? ,s]vice heal? facilities1 & tribal hospitals4 7e7 ,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 ) all applicable ,/ate & ,f$]al privacy laws-- 7#a7 a description ( & specific in=mation ab\t ! opioid alt]native pa9 managem5t programs1 includ+ ! demographic *>act]i/ics ( pati5ts :o 7 treat$ ) an alt]native pa9 managem5t protocol1 implem5t$ 9 hospitals1 em]g5cy dep>tm5ts1 & o!r acute c>e sett+s2 7#b7 data on ! opioid alt]native pa9 managem5t /rategies us$1 includ+ ! numb] ( opioid prescriptions writt5-- 7,a7 dur+ a basel9e p]iod be=e ! program began2 or 7,b7 at v>i\s /ages ( ! program2 & 7#c7 data on pati5ts :o 7 ev5tually prescrib$ opioids aft] alt]native pa9 managem5t protocols & treatm5ts 7 utiliz$2 & 7#d7 any o!r in=mation ! ,secret>y det]m9es appropriate4 7f7 ,report to ,congress ,n lat] ?an #a ye> aft] completion ( ! demon/ration program "u ?is section1 ! ,secret>y %all submit a report to ! ,congress on ! results ( ! demon/ration program & include 9 ! report-- 7#a7 ! numb] ( applications receiv$ & ! numb] fund$2 7#b7 a summ>y ( ! reports describ$ 9 subsection 7e71 includ+ data t all[s = comp>ison ( programs2 & 7#c7 recomm5dations = broad] implem5tation ( pa9 managem5t /rategies t enc\rage ! use ( alt]natives to opioids 9 hospitals1 em]g5cy dep>tm5ts1 or o!r acute c>e sett+s4 7g7 ,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 ,k ,treatm5t1 ,education1 & ,community ,help ,to ,combat ,addiction #gaja4 ,e/abli%m5t ( regional c5t]s ( excell5ce 9 sub/ance use disord] education ,"p ,d ( title ,v ( ! ,public ,heal? ,s]vice ,act1 z am5d$ by section #gjca1 is fur!r am5d$ by add+ at ! end ! foll[+ new section3 #eea4 ,regional c5t]s ( excell5ce 9 sub/ance use disord] education 7a7 ,9 g5]al ,! ,secret>y1 9 consultation ) appropriate ag5cies1 %all aw>d coop]ative agreem5ts to eligible entities = ! designation ( su* entities z ,regional ,c5t]s ( ,excell5ce 9 ,sub/ance ,use ,disord] ,education = purposes ( improv+ heal? pr(essional tra9+ res\rces ) respect to sub/ance use disord] prev5tion1 treatm5t1 & recov]y4 7b7 ,eligibility ,to be eligible to receive a coop]ative agreem5t "u subsection 7a71 an entity %all-- 7#a7 be an accr$it$ entity t (f]s education to /ud5ts 9 v>i\s heal? pr(essions1 :i* may include-- 7,a7 a tea*+ hospital2 7,b7 a m$ical s*ool2 7,c7 a c]tifi$ behavioral heal? cl9ic2 or 7,d7 any o!r heal? pr(essions s*ool1 s*ool ( public heal?1 or ,coop]ative ,ext5sion ,program at in/itutions ( high] education1 z def9$ 9 section #aja ( ! ,high] ,education ,act ( #aife1 engag$ 9 ! prev5tion1 treatm5t1 or recov]y ( sub/ance use disord]s2 7#b7 demon/rate community engagem5t & p>tn]%ips ) community /akehold]s1 includ+ entities t tra9 heal? pr(essionals1 m5tal heal? c\nselors1 social work]s1 pe] recov]y speciali/s1 sub/ance use treatm5t programs1 community heal? c5t]s1 physician (fices1 c]tifi$ behavioral heal? cl9ics1 rese>* in/itutions1 & law en=cem5t2 & 7#c7 submit to ! ,secret>y an application conta9+ su* in=mation1 at su* "t1 & 9 su* mann]1 z ! ,secret>y may require4 7c7 ,activities ,an entity receiv+ an aw>d "u ?is section %all develop1 evaluate1 & di/ribute evid5ce-bas$ res\rces reg>d+ ! prev5tion & treatm5t (1 & recov]y f1 sub/ance use disord]s4 ,su* res\rces may include in=mation on-- 7#a7 ! neurology & pa?ology ( sub/ance use disord]s2 7#b7 advancem5ts 9 ! treatm5t ( sub/ance use disord]s2 7#c7 te*niques & be/ practices to support recov]y f sub/ance use disord]s2 7#d7 /rategies = ! prev5tion & treatm5t (1 & recov]y f sub/ance use disord]s across pati5t populations2 & 7#e7 o!r topic areas t are relevant to ! objectives describ$ 9 subsection 7a74 7d7 ,geographic di/ribution ,9 aw>d+ coop]ative agreem5ts "u subsection 7a71 ! ,secret>y %all take into acc\nt regional diff]5ces among eligible entities & %all make an ef=t to ensure geographic di/ribution4 7e7 ,evaluation ,! ,secret>y %all evaluate ea* project c>ri$ out by an entity receiv+ an aw>d "u ?is section & %all dissem9ate ! f9d+s ) respect to ea* su* evaluation to appropriate public & private entities4 7f7 ,fund+ ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section1 #d1jjj1jjj = ea* ( fiscal ye>s #bjai ?r\gh #bjbc4 4 #gajb4 ,y\? prev5tion & recov]y 7a7 ,sub/ance abuse treatm5t s]vices = *ildr51 adolesc5ts1 & "y adults ,section #ead ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#g7 is am5d$-- 7#a7 9 ! section head+1 by /rik+ *ildr5 & adolesc5ts & ins]t+ *ildr51 adolesc5ts1 & "y adults2 7#b7 9 subsection 7a77#b71 by /rik+ *ildr51 includ+ & ins]t+ *ildr51 adolesc5ts1 & "y adults1 includ+2 & 7#c7 by /rik+ *ildr5 & adolesc5ts ea* place x appe>s & ins]t+ *ildr51 adolesc5ts1 & "y adults4 7b7 ,res\rce c5t] ,! ,secret>y ( ,heal? & ,human ,s]vices 7ref]r$ to 9 ?is section z ! ,secret>y1 except z o!rwise provid$71 9 consultation ) ! ,secret>y ( ,education & o!r heads ( ag5cies1 includ+ ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use & ! ,adm9i/rator ( ! ,heal? ,res\rces & ,s]vices ,adm9i/ration1 z appropriate1 %all e/abli% a res\rce c5t] to provide te*nical support to recipi5ts ( grants "u subsection 7c74 7c7 ,y\? prev5tion & recov]y initiative 7#a7 ,9 g5]al ,! ,secret>y1 9 consultation ) ! ,secret>y ( ,education1 %all adm9i/] a program to provide support = communities to support ! prev5tion (1 treatm5t (1 & recov]y f1 sub/ance use disord]s = *ildr51 adolesc5ts1 & "y adults4 7#b7 ,def9itions ,9 ?is subsection3 7,a7 ,eligible entity ,! t]m eligible entity means-- 7i7 a local educational ag5cy t is seek+ to e/abli% or exp& sub/ance use prev5tion or recov]y support s]vices at "o or m high s*ools2 7ii7 a ,/ate educational ag5cy2 7iii7 an in/itution ( high] education 7or consortia ( su* in/itutions71 :i* may include a recov]y program at an in/itution ( high] education2 7iv7 a local bo>d or "o-/op op]ator2 7v7 a nonpr(it organization ) appropriate exp]tise 9 provid+ s]vices or programs = *ildr51 adolesc5ts1 or "y adults1 exclud+ a s*ool2 7vi7 a ,/ate1 political subdivision ( a ,/ate1 ,indian tribe1 or tribal organization2 or 7vii7 a high s*ool or dormitory s]v+ high s*ool /ud5ts t receives fund+ f ! ,bureau ( ,indian ,education4 7,b7 ,fo/] c>e ,! t]m fo/] c>e has ! mean+ giv5 su* t]m 9 section #acee4bj7;a7 ( title #de1 ,code ( ,f$]al ,regulations 7or any successor regulations74 7,c7 ,high s*ool ,! t]m high s*ool has ! mean+ giv5 su* t]m 9 section #haja ( ! ,elem5t>y & ,second>y ,education ,act ( #aife 7#bj ,u4,s4,c4 #ghja74 7,d7 ,homeless y\? ,! t]m homeless y\? has ! mean+ giv5 ! t]m homeless *ildr5 or y\?s 9 section #gbe ( ! ,mc,kinney-,v5to ,homeless ,assi/ance ,act 7#db ,u4,s4,c4 #aadcd;a74 7,e7 ,indian tribe2 tribal organization ,! t]ms ,indian tribe & tribal organization h ! mean+s giv5 su* t]ms 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act 7#be ,u4,s4,c4 #ecjd74 7,f7 ,in/itution ( high] education ,! t]m in/itution ( high] education has ! mean+ giv5 su* t]m 9 section #aja ( ! ,high] ,education ,act ( #aife 7#bj ,u4,s4,c4 #ajja7 & includes a po/second>y vocational in/itution z def9$ 9 section #ajb7;c7 ( su* ,act 7#bj ,u4,s4,c4 #ajjb7;c774 7,g7 ,local educational ag5cy ,! t]m local educational ag5cy has ! mean+ giv5 su* t]m 9 section #haja ( ! ,elem5t>y & ,second>y ,education ,act ( #aife 7#bj ,u4,s4,c4 #ghja74 7,h7 ,local bo>d2 "o-/op op]ator ,! t]ms local bo>d & "o-/op op]ator h ! mean+s giv5 su* t]ms 9 section #c ( ! ,work=ce ,innovation & ,opportunity ,act 7#bi ,u4,s4,c4 #cajb74 7,i7 ,out-(-s*ool y\? ,! t]m out-(-s*ool y\? has ! mean+ giv5 su* t]m 9 section #abi7;a77#a77;,b7 ( ! ,work=ce ,innovation & ,opportunity ,act 7#bi ,u4,s4,c4 #cafd7;a77#a77;,b774 7,j7 ,recov]y program ,! t]m recov]y program means a program-- 7i7 to help *ildr51 adolesc5ts1 or "y adults :o are recov]+ f sub/ance use disord]s to initiate1 /abilize1 & ma9ta9 heal?y & productive lives 9 ! community2 & 7ii7 t includes pe]-to-pe] support deliv]$ by individuals ) liv$ exp]i5ce 9 recov]y1 & communal activities to build recov]y skills & supportive social networks4 7,k7 ,/ate educational ag5cy ,! t]m ,/ate educational ag5cy has ! mean+ giv5 su* t]m 9 section #haja ( ! ,elem5t>y & ,second>y ,education ,act 7#bj ,u4,s4,c4 #ghja74 7#c7 ,be/ practices ,! ,secret>y1 9 consultation ) ! ,secret>y ( ,education1 %all-- 7,a7 id5tify or facilitate ! developm5t ( evid5ce-bas$ be/ practices = prev5tion ( sub/ance misuse & abuse by *ildr51 adolesc5ts1 & "y adults1 includ+ = specific populations su* z y\? 9 fo/] c>e1 homeless y\?1 out-(-s*ool y\?1 & y\? :o are at risk ( or h exp]i5c$ traffick+ t address-- 7i7 prim>y prev5tion2 7ii7 appropriate recov]y support s]vices2 7iii7 appropriate use ( m$ication-assi/$ treatm5t = su* individuals1 if applicable1 & ways ( ov]com+ b>ri]s to ! use ( m$ication-assi/$ treatm5t 9 su* population2 & 7iv7 effici5t & effective communication1 :i* may include ! use ( social m$ia1 to maximize outrea* ef=ts2 7,b7 dissem9ate su* be/ practices to ,/ate educational ag5cies1 local educational ag5cies1 s*ools & dormitories fund$ by ! ,bureau ( ,indian ,education1 in/itutions ( high] education1 recov]y programs at in/itutions ( high] education1 local bo>ds1 "o-/op op]ators1 family & y\? homeless provid]s1 & nonpr(it organizations1 z appropriate2 7,c7 conduct a rigor\s evaluation ( ea* grant fund$ "u ?is subsection1 p>ticul>ly its impact on ! indicators describ$ 9 p>agraph 7#g77;,b72 & 7,d7 provide te*nical assi/ance = grantees "u ?is subsection4 7#d7 ,grants au?oriz$ ,! ,secret>y1 9 consultation ) ! ,secret>y ( ,education1 %all aw>d #c-ye> grants1 on a competitive basis1 to eligible entities to enable su* entities1 9 coord9ation ) ,indian tribes1 if applicable1 & ,/ate ag5cies responsible = c>ry+ out sub/ance use disord] prev5tion & treatm5t programs1 to c>ry out evid5ce-bas$ programs =-- 7,a7 prev5tion ( sub/ance misuse & abuse by *ildr51 adolesc5ts1 & "y adults1 :i* may include prim>y prev5tion2 7,b7 recov]y support s]vices = *ildr51 adolesc5ts1 & "y adults1 :i* may include c\nsel+1 job tra9+1 l9kages to community-bas$ s]vices1 family support gr\ps1 pe] m5tor+1 & recov]y coa*+2 or 7,c7 treatm5t or ref]rals = treatm5t ( sub/ance use disord]s1 :i* may include ! use ( m$ication-assi/$ treatm5t1 z appropriate4 7#e7 ,special consid]ation ,9 aw>d+ grants "u ?is subsection1 ! ,secret>y %all give special consid]ation to ! unique ne$s ( tribal1 urban1 suburban1 & rural populations4 7#f7 ,application ,to be eligible = a grant "u ?is subsection1 an entity %all submit to ! ,secret>y an application at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y may require4 ,su* application %all include-- 7,a7 a description (-- 7i7 ! impact ( sub/ance use disord]s 9 ! population t w be s]v$ by ! grant program2 7ii7 h[ ! eligible entity has solicit$ input f relevant /akehold]s1 :i* may include faculty1 tea*]s1 /aff1 families1 /ud5ts1 & exp]ts 9 sub/ance use disord] prev5tion1 treatm5t1 & recov]y 9 develop+ su* application2 7iii7 ! goals ( ! propos$ project1 includ+ ! int5d$ outcomes2 7iv7 h[ ! eligible entity plans to use grant funds = evid5ce-bas$ activities1 9 accordance ) ?is subsection to prev5t1 provide recov]y support =1 or treat sub/ance use disord]s among/ su* individuals1 or a comb9ation ( su* activities2 & 7v7 h[ ! eligible entity w collaborate ) relevant p>tn]s1 :i* may include ,/ate educational ag5cies1 local educational ag5cies1 in/itutions ( high] education1 juv5ile ju/ice ag5cies1 prev5tion & recov]y support provid]s1 local s]vice provid]s1 includ+ sub/ance use disord] treatm5t programs1 provid]s ( m5tal heal? s]vices1 y\? s]v+ organizations1 family & y\? homeless provid]s1 *ild welf>e ag5cies1 & prim>y c>e provid]s1 9 c>ry+ out ! grant program2 & 7,b7 an assurance t ! eligible entity w p>ticipate 9 ! evaluation describ$ 9 p>agraph 7#c77;,c74 7#g7 ,reports to ! ,secret>y ,ea* eligible entity aw>d$ a grant "u ?is subsection %all submit to ! ,secret>y a report at su* "t & 9 su* mann] z ! ,secret>y may require4 ,su* report %all include-- 7,a7 a description ( h[ ! eligible entity us$ grant funds1 9 accordance ) ?is subsection1 includ+ ! numb] ( *ildr51 adolesc5ts1 & "y adults rea*$ ?r\gh programm+2 & 7,b7 a description1 includ+ relevant data1 ( h[ ! grant program has made an impact on ! int5d$ outcomes describ$ 9 p>agraph 7#f77;,a77iii71 includ+-- 7i7 indicators ( /ud5t success1 :i*1 if ! eligible entity is an educational in/itution1 %all include /ud5t well-be+ & academic a*ievem5t2 7ii7 sub/ance use disord]s among/ *ildr51 adolesc5ts1 & "y adults1 includ+ ! numb] ( ov]doses & dea?s among/ *ildr51 adolesc5ts1 & "y adults s]v$ by ! grant dur+ ! grant p]iod2 & 7iii7 o!r indicators1 z ! ,secret>y det]m9es appropriate4 7#h7 ,report to ,congress ,! ,secret>y %all1 n lat] ?an ,octob] #a1 #bjbb1 submit a report to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate & ! ,committee on ,en]gy & ,comm]ce & ! ,committee on ,education & ! ,work=ce ( ! ,h\se ( ,repres5tatives a report summ>iz+ ! effectiv5ess ( ! grant program "u ?is subsection1 bas$ on ! in=mation submitt$ 9 reports requir$ "u p>agraph 7#g74 7#i7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ #aj1jjj1jjj to c>ry out ?is subsection = ea* ( fiscal ye>s #bjai ?r\gh #bjbc4 ,l ,in=mation f ,national ,m5tal ,heal? & ,sub/ance ,use ,policy ,laboratory #gaaa4 ,in=mation f ,national ,m5tal ,heal? & ,sub/ance ,use ,policy ,laboratory ,section #eja;,a7b7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;aa-#j7;b77 is am5d$-- 7#a7 9 p>agraph 7#e77;,c71 by /rik+ 2 & at ! end & ins]t+ a semicolon2 7#b7 by r$esignat+ p>agraph 7#f7 z p>agraph 7#g72 & 7#c7 by ins]t+ aft] p>agraph 7#e7 ! foll[+3 7#f7 issue & p]iodically update in=mation = entities apply+ = grants or coop]ative agreem5ts f ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration 9 ord] to-- 7,a7 enc\rage ! implem5tation & replication ( evid5ce-bas$ practices2 & 7,b7 provide te*nical assi/ance to applicants = fund+1 includ+ ) respect to ju/ifications = su* programs & activities2 & 4 ,m ,compreh5sive ,opioid ,recov]y ,c5t]s #gaba4 ,compreh5sive opioid recov]y c5t]s 7a7 ,9 g5]al ,"p ,d ( title ,v ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;dd et seq471 z am5d$ by sections #gjca & #gaja1 is fur!r am5d$ by add+ at ! end ! foll[+ new section3 #eeb4 ,compreh5sive opioid recov]y c5t]s 7a7 ,9 g5]al ,! ,secret>y %all aw>d grants on a competitive basis to eligible entities to e/abli% or op]ate a compreh5sive opioid recov]y c5t] 7ref]r$ to 9 ?is section z a ,c5t]74 ,a ,c5t] may be a s+le entity or an integrat$ deliv]y network4 7b7 ,grant p]iod 7#a7 ,9 g5]al ,a grant aw>d$ "u subsection 7a7 %all be = a p]iod ( n less ?an #c ye>s & n m ?an #e ye>s4 7#b7 ,r5ewal ,a grant aw>d$ "u subsection 7a7 may be r5ew$1 on a competitive basis1 = additional p]iods ( "t1 z det]m9$ by ! ,secret>y4 ,9 det]m9+ :e!r to r5ew a grant "u ?is p>agraph1 ! ,secret>y %all consid] ! data submitt$ "u subsection 7h74 7c7 ,m9imum numb] ( ,c5t]s ,! ,secret>y %all allocate ! am\nts made available "u subsection 7j7 su* t n few] ?an #aj grants may be aw>d$4 ,n m ?an "o grant %all be made to entities 9 a s+le ,/ate = any "o p]iod4 7d7 ,application 7#a7 ,eligible entity ,an entity is eligible = a grant "u ?is section if ! entity (f]s treatm5t & o!r s]vices = individuals ) a sub/ance use disord]4 7#b7 ,submission ( application ,9 ord] to be eligible = a grant "u subsection 7a71 an entity %all submit an application to ! ,secret>y at su* "t & 9 su* mann] z ! ,secret>y may require4 ,su* application %all include-- 7,a7 evid5ce t su* entity c>ries out1 or is capable ( coord9at+ ) o!r entities to c>ry out1 ! activities describ$ 9 subsection 7g72 & 7,b7 su* o!r in=mation z ! ,secret>y may require4 7e7 ,priority ,9 aw>d+ grants "u subsection 7a71 ! ,secret>y %all give priority to eligible entities-- 7#a7 locat$ 9 a ,/ate ) an age-adju/$ rate ( drug ov]dose dea?s t is above ! national ov]dose mortality rate1 z det]m9$ by ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion2 or 7#b7 s]v+ an ,indian ,tribe 7z def9$ 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act7 ) an age-adju/$ rate ( drug ov]dose dea?s t is above ! national ov]dose mortality rate1 z det]m9$ ?r\gh appropriate me*anisms det]m9$ by ! ,secret>y 9 consultation ) ,indian ,tribes4 7f7 ,pref]5ce ,9 aw>d+ grants "u subsection 7a71 ! ,secret>y may give pref]5ce to eligible entities utiliz+ te*nology-enabl$ collaborative le>n+ & capacity build+ models1 includ+ su* models z def9$ 9 section #b ( ! ,exp&+ ,capacity = ,heal? ,outcomes ,act 7,public ,law #aad-bgj2 #acj ,/at4 #acie71 to conduct ! activities describ$ 9 ?is section4 7g7 ,c5t] activities ,ea* ,c5t] %all1 at a m9imum1 c>ry out ! foll[+ activities directly1 ?r\gh ref]ral1 or ?r\gh contractual arrangem5ts1 :i* may include c>ry+ out su* activities ?r\gh te*nology-enabl$ collaborative le>n+ & capacity build+ models describ$ 9 subsection 7f73 7#a7 ,treatm5t & recov]y s]vices ,ea* ,c5t] %all-- 7,a7 ,ensure t intake1 evaluations1 & p]iodic pati5t assessm5ts meet ! individualiz$ cl9ical ne$s ( pati5ts1 includ+ by review+ pati5t placem5t 9 treatm5t sett+s to support mean+ful recov]y4 7,b7 ,provide ! full cont9uum ( treatm5t s]vices1 includ+-- 7i7 all drugs & devices approv$ or cle>$ "u ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act & all biological products lic5s$ "u section #cea ( ?is ,act to treat sub/ance use disord]s or rev]se ov]doses1 pursuant to ,f$]al & ,/ate law2 7ii7 m$ically sup]vis$ )drawal managem5t1 t includes pati5t evaluation1 /abilization1 & read9ess = & entry into treatm5t2 7iii7 c\nsel+ provid$ by a program c\nselor or o!r c]tifi$ pr(essional :o is lic5s$ & qualifi$ by education1 tra9+1 or exp]i5ce to assess ! psy*ological & sociological backgr\nd ( pati5ts1 to contribute to ! appropriate treatm5t plan = ! pati5t1 & to monitor pati5t progress2 7iv7 treatm5t1 z appropriate1 = pati5ts ) co-occurr+ sub/ance use & m5tal disord]s2 7v7 te/+1 z appropriate1 = infections commonly associat$ ) illicit drug use2 7vi7 resid5tial rehabilitation1 & outpati5t & int5sive outpati5t programs2 7vii7 recov]y h\s+2 7viii7 community-bas$ & pe] recov]y support s]vices2 7ix7 job tra9+1 job placem5t assi/ance1 & cont9u+ education assi/ance to support re9tegration into ! work=ce2 & 7x7 o!r be/ practices to provide ! full cont9uum ( treatm5t & s]vices1 z det]m9$ by ! ,secret>y4 7,c7 ,ensure t all programs cov]$ by ! ,c5t] include m$ication-assi/$ treatm5t1 z appropriate1 & d n exclude individuals receiv+ m$ication-assi/$ treatm5t f any s]vice4 7,d7 ,p]iodically conduct pati5t assessm5ts to support su/a9$ & cl9ically significant recov]y1 z def9$ by ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use4 7,e7 ,provide onsite access to m$ication1 z appropriate1 & toxicology s]vices2 = purposes ( c>ry+ out ?is section4 7,f7 ,op]ate a secure1 confid5tial1 & int]op]able electronic heal? in=mation sy/em4 7,g7 ,(f] family support s]vices su* z *ild c>e1 family c\nsel+1 & p>5t+ int]v5tions to help /abilize families impact$ by sub/ance use disord]1 z appropriate4 7#b7 ,outrea* ,ea* ,c5t] %all c>ry out outrea* activities reg>d+ ! s]vices (f]$ ?r\gh ! ,c5t]s1 :i* may include-- 7,a7 tra9+ & sup]vis+ outrea* /aff1 z appropriate1 to "w ) ,/ate & local heal? dep>tm5ts1 heal? c>e provid]s1 ! ,indian ,heal? ,s]vice1 ,/ate & local educational ag5cies1 s*ools fund$ by ! ,indian ,bureau ( ,education1 in/itutions ( high] education1 ,/ate & local work=ce developm5t bo>ds1 ,/ate & local community action ag5cies1 public safety (ficials1 fir/ respond]s1 ,indian ,tribes1 *ild welf>e ag5cies1 z appropriate1 & o!r community p>tn]s & ! public1 includ+ pati5ts1 to id5tify & respond to community ne$s2 7,b7 ensur+ t ! entities describ$ 9 subp>agraph 7,a7 are aw>e ( ! s]vices ( ! ,c5t]2 & 7,c7 dissem9at+ & mak+ publicly available1 includ+ ?r\gh ! int]net1 evid5ce-bas$ res\rces t educate pr(essionals & ! public on opioid use disord] & o!r sub/ance use disord]s1 includ+ co-occurr+ sub/ance use & m5tal disord]s4 7h7 ,data report+ & program ov]sight ,) respect to a grant aw>d$ "u subsection 7a71 n lat] ?an #ij days aft] ! end ( ! fir/ ye> ( ! grant p]iod1 & annually !reaft] = ! duration ( ! grant p]iod 7includ+ ! duration ( any r5ewal p]iod = su* grant71 ! entity %all submit data1 z appropriate1 to ! ,secret>y reg>d+-- 7#a7 ! programs & activities fund$ by ! grant2 7#b7 heal? outcomes ( ! population ( individuals ) a sub/ance use disord] :o receiv$ s]vices f ! ,c5t]1 evaluat$ by an indep5d5t program evaluator ?r\gh ! use ( outcomes measures1 z det]m9$ by ! ,secret>y2 7#c7 ! ret5tion rate ( program p>ticipants2 & 7#d7 any o!r in=mation t ! ,secret>y may require = ! purpose (--ensur+ t ! ,c5t] is comply+ ) all ! requirem5ts ( ! grant1 includ+ provid+ ! full cont9uum ( s]vices describ$ 9 subsection 7g77#a77;,b74 7i7 ,privacy ,! provisions ( ?is section1 includ+ ) respect to data report+ & program ov]sight1 %all be subject to all applicable ,f$]al & ,/ate privacy laws4 7j7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ #aj1jjj1jjj = ea* ( fiscal ye>s #bjai ?r\gh #bjbc = purposes ( c>ry+ out ?is section4 4 7b7 ,reports to ,congress 7#a7 ,prelim9>y report ,n lat] ?an #c ye>s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all submit to ,congress a prelim9>y report t analyzes data submitt$ "u section #eeb7;h7 ( ! ,public ,heal? ,s]vice ,act1 z add$ by subsection 7a74 7#b7 ,f9al report ,n lat] ?an #b ye>s aft] submitt+ ! prelim9>y report requir$ "u p>agraph 7#a71 ! ,secret>y ( ,heal? & ,human ,s]vices %all submit to ,congress a f9al report t includes-- 7,a7 an evaluation ( ! effectiv5ess ( ! compreh5sive s]vices provid$ by ! ,c5t]s e/abli%$ or op]at$ pursuant to section #eeb ( ! ,public ,heal? ,s]vice ,act1 z add$ by subsection 7a71 ) respect to heal? outcomes ( ! population ( individuals ) sub/ance use disord] :o receive s]vices f ! ,c5t]1 :i* %all include an evaluation ( ! effectiv5ess ( s]vices = treatm5t & recov]y support & to r$uce relapse1 recidivism1 & ov]dose2 & 7,b7 recomm5dations1 z appropriate1 reg>d+ ways to improve ,f$]al programs relat$ to sub/ance use disord]s1 :i* may include dissem9ation ( be/ practices = ! treatm5t ( sub/ance use disord]s to heal? c>e pr(essionals4 ,n ,trauma-,in=m$ ,c>e #gaca4 ,,cdc surveillance & data collection = *ild1 y\?1 & adult trauma 7a7 ,data collection ,! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion 7ref]r$ to 9 ?is section z ! ,director7 may1 9 coop]ation ) ! ,/ates1 collect & report data on adv]se *ildhood exp]i5ces ?r\gh ! ,behavioral ,risk ,factor ,surveillance ,sy/em1 ! ,y\? ,risk ,behavior ,surveillance ,sy/em1 & o!r relevant public heal? surveys or que/ionnaires4 7b7 ,tim+ ,! collection ( data "u subsection 7a7 may occur bi5nially4 7c7 ,data f rural areas ,! ,director %all enc\rage ea* ,/ate t p>ticipates 9 collect+ & report+ data "u subsection 7a7 to collect & report data f rural areas )9 su* ,/ate1 9 ord] to g5]ate a /ati/ically reliable repres5tation ( su* areas4 7d7 ,data f tribal areas ,! ,director may1 9 coop]ation ) ,indian ,tribes 7z def9$ 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act7 & pursuant to a writt5 reque/ f an ,indian ,tribe1 provide te*nical assi/ance to su* ,indian ,tribe to collect & report data on adv]se *ildhood exp]i5ces ?r\gh ! ,behavioral ,risk ,factor ,surveillance ,sy/em1 ! ,y\? ,risk ,behavior ,surveillance ,sy/em1 or ano!r relevant public heal? survey or que/ionnaire4 7e7 ,au?orization ( appropriations ,to c>ry out ?is section1 !re is au?oriz$ to be appropriat$ #b1jjj1jjj = ea* ( fiscal ye>s #bjai ?r\gh #bjbc4 #gacb4 ,task =ce to develop be/ practices = trauma-in=m$ id5tification1 ref]ral1 & support 7a7 ,e/abli%m5t ,!re is e/abli%$ a task =ce1 to be kn[n z ! ,int]ag5cy ,task ,=ce on ,trauma-,in=m$ ,c>e 79 ?is section ref]r$ to z ! task =ce7 t %all id5tify1 evaluate1 & make recomm5dations reg>d+-- 7#a7 be/ practices ) respect to *ildr5 & y\?1 & _! families z appropriate1 :o h exp]i5c$ or are at risk ( exp]i5c+ trauma2 & 7#b7 ways 9 :i* ,f$]al ag5cies c bett] coord9ate to improve ! ,f$]al response to families impact$ by sub/ance use disord]s & o!r =ms ( trauma4 7b7 ,memb]%ip 7#a7 ,composition ,! task =ce %all be compos$ ( ! heads ( ! foll[+ ,f$]al dep>tm5ts & ag5cies1 or _! designees3 7,a7 ,! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices4 7,b7 ,! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration4 7,c7 ,! ,ag5cy = ,heal?c>e ,rese>* & ,quality4 7,d7 ,! ,c5t]s = ,disease ,control & ,prev5tion4 7,e7 ,! ,indian ,heal? ,s]vice4 7,f7 ,! ,dep>tm5t ( ,vet]ans ,affairs4 7,g7 ,! ,national ,in/itutes ( ,heal?4 7,h7 ,! ,food & ,drug ,adm9i/ration4 7,i7 ,! ,heal? ,res\rces & ,s]vices ,adm9i/ration4 7,j7 ,! ,dep>tm5t ( ,def5se4 7,k7 ,! ,(fice ( ,m9ority ,heal? ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices4 7,l7 ,! ,adm9i/ration = ,*ildr5 & ,families4 7,m7 ,! ,(fice ( ! ,assi/ant ,secret>y = ,plann+ & ,evaluation ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices4 7,n7 ,! ,(fice = ,civil ,rights ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices4 7,o7 ,! ,(fice ( ,juv5ile ,ju/ice & ,del9qu5cy ,prev5tion ( ! ,dep>tm5t ( ,ju/ice4 7,p7 ,! ,(fice ( ,community ,ori5t$ ,polic+ ,s]vices ( ! ,dep>tm5t ( ,ju/ice4 7,q7 ,! ,(fice on ,viol5ce ,aga9/ ,wom5 ( ! ,dep>tm5t ( ,ju/ice4 7,r7 ,! ,national ,c5t] = ,education ,evaluation & ,regional ,assi/ance ( ! ,dep>tm5t ( ,education4 7,s7 ,! ,national ,c5t] = ,special ,education ,rese>* ( ! ,in/itute ( ,education ,sci5ce4 7,t7 ,! ,(fice ( ,elem5t>y & ,second>y ,education ( ! ,dep>tm5t ( ,education4 7,u7 ,! ,(fice = ,civil ,rights ( ! ,dep>tm5t ( ,education4 7,v7 ,! ,(fice ( ,special ,education & ,rehabilitative ,s]vices ( ! ,dep>tm5t ( ,education4 7,w7 ,! ,bureau ( ,indian ,affairs ( ! ,dep>tm5t ( ! ,int]ior4 7,x7 ,! ,vet]ans ,heal? ,adm9i/ration ( ! ,dep>tm5t ( ,vet]ans ,affairs4 7,y7 ,! ,(fice ( ,special ,ne$s ,assi/ance ,programs ( ! ,dep>tm5t ( ,h\s+ & ,urban ,developm5t4 7,z7 ,! ,(fice ( ,head ,/>t ( ! ,adm9i/ration = ,*ildr5 & ,families4 7,,aa7 ,! ,*ildr5's ,bureau ( ! ,adm9i/ration = ,*ildr5 & ,families4 7,,bb7 ,! ,bureau ( ,indian ,education ( ! ,dep>tm5t ( ! ,int]ior4 7,,cc7 ,su* o!r ,f$]al ag5cies z ! ,secret>ies det]m9e to be appropriate4 7#b7 ,date ( appo9tm5ts ,! heads ( ,f$]al dep>tm5ts & ag5cies %all appo9t ! correspond+ memb]s ( ! task =ce n lat] ?an #fj days aft] ! date ( enactm5t ( ?is ,act4 7#c7 ,*airp]son ,! task =ce %all be *air$ by ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use1 or ! ,assi/ant ,secret>y's designee4 7c7 ,task =ce duties ,! task =ce %all-- 7#a7 solicit input f /akehold]s1 includ+ frontl9e s]vice provid]s1 educators1 m5tal heal? pr(essionals1 rese>*]s1 exp]ts 9 infant1 *ild1 & y\? trauma1 *ild welf>e pr(essionals1 & ! public1 9 ord] to in=m ! activities "u p>agraph 7#b72 & 7#b7 id5tify1 evaluate1 make recomm5dations1 & update su* recomm5dations n less ?an annually1 to ! g5]al public1 ! ,secret>y ( ,education1 ! ,secret>y ( ,heal? & ,human ,s]vices1 ! ,secret>y ( ,labor1 ! ,secret>y ( ! ,int]ior1 ! ,attorney ,g5]al1 & o!r relevant cab9et ,secret>ies1 & ,congress reg>d+-- 7,a7 a set ( evid5ce-bas$1 evid5ce-in=m$1 & promis+ be/ practices ) respect to-- 7i7 prev5tion /rategies = individuals at risk ( exp]i5c+ or be+ expos$ to trauma1 includ+ trauma z a result ( exposure to sub/ance use2 7ii7 ! id5tification ( infants1 *ildr5 & y\?1 & _! families z appropriate1 :o h exp]i5c$ or are at risk ( exp]i5c+ trauma2 7iii7 ! exp$iti\s ref]ral to & implem5tation ( trauma-in=m$ practices & supports t prev5t & mitigate ! effects ( trauma1 :i* may include :ole-family & multi-g5]ational approa*es2 & 7iv7 community bas$ or multi-g5]ational practices t support *ildr5 & _! families2 7,b7 a national /rategy on h[ ! task =ce & memb] ag5cies w collaborate1 prioritize options =1 & implem5t a coord9at$ approa*1 :i* may include-- 7i7 data %>+2 7ii7 provid+ support to infants1 *ildr51 & y\?1 & _! families z appropriate1 :o h exp]i5c$ or are at risk ( exp]i5c+ trauma2 7iii7 id5tify+ options = coord9at+ exi/+ grants t support infants1 *ildr51 & y\?1 & _! families z appropriate1 :o h exp]i5c$1 or are at risk ( exp]i5c+1 exposure to sub/ance use or o!r trauma1 includ+ trauma relat$ to sub/ance use2 & 7iv7 o!r ways to improve coord9ation1 plann+1 & communication )9 & across ,f$]al ag5cies1 (fices1 & programs1 to bett] s]ve *ildr5 & families impact$ by sub/ance use disord]s2 & 7,c7 exi/+ ,f$]al au?orities at ! ,dep>tm5t ( ,education1 ,dep>tm5t ( ,heal? & ,human ,s]vices1 ,dep>tm5t ( ,ju/ice1 ,dep>tm5t ( ,labor1 ,dep>tm5t ( ! ,int]ior1 & o!r relevant ag5cies1 & specific ,f$]al grant programs to dissem9ate be/ practices on1 provide tra9+ 91 or deliv] s]vices ?r\gh1 trauma-in=m$ practices1 & dissem9ate su* in=mation-- 7i7 9 writ+ to relevant program (fices at su* ag5cies to enc\rage grant applicants 9 writ+ to use su* funds1 :]e appropriate1 = trauma-in=m$ practices2 & 7ii7 to ! g5]al public ?r\gh ! int]net website ( ! task =ce4 7d7 ,be/ practices ,9 id5tify+1 evaluat+1 & recomm5d+ ! set ( be/ practices "u subsection 7c71 ! task =ce %all-- 7#a7 include guidel9es = provid+ pr(essional developm5t & education = front-l9e s]vices provid]s1 includ+ s*ool p]sonnel1 e>ly *ildhood education program provid]s1 provid]s f *ild- or y\?-s]v+ organizations1 h\s+ & homeless provid]s1 prim>y & behavioral heal? c>e provid]s1 *ild welf>e & social s]vices provid]s1 juv5ile & family c\rt p]sonnel1 heal? c>e provid]s1 individuals :o are m&atory report]s ( *ild abuse or neglect1 tra9$ noncl9ical provid]s 7includ+ pe] m5tors & cl]gy71 & fir/ respond]s1 9-- 7,a7 und]/&+ & id5tify+ e>ly signs & risk factors ( trauma 9 infants1 *ildr51 & y\?1 & _! families z appropriate1 includ+ ?r\gh scre5+ processes & s]vices2 7,b7 provid+ practices to prev5t & mitigate ! impact ( trauma1 includ+ by fo/]+ safe & /able environm5ts & relation%ips2 & 7,c7 develop+ & implem5t+ policies1 proc$ures1 or sy/ems t-- 7i7 are design$ to quickly ref] infants1 *ildr51 y\?1 & _! families z appropriate1 :o h exp]i5c$ or are at risk ( exp]i5c+ trauma to ! appropriate trauma-in=m$ scre5+ & support & age-appropriate treatm5t1 & to ensure su* infants1 *ildr51 y\?1 & family memb]s receive su* support2 7ii7 utilize & develop p>tn]%ips ) e>ly *ildhood education programs1 local social s]vices organizations1 su* z organizations s]v+ y\?1 & cl9ical m5tal heal? or o!r heal? c>e provid]s ) exp]tise 9 provid+ support s]vices & age-appropriate trauma-in=m$ & evid5ce-bas$ treatm5t aim$ at prev5t+ or mitigat+ ! effects ( trauma2 7iii7 educate *ildr5 & y\? to-- 7,i7 und]/& & id5tify ! signs1 effects1 or symptoms ( trauma2 & 7,,ii7 build ! resili5ce & cop+ skills to mitigate ! effects ( exp]i5c+ trauma2 7iv7 promote & support multi-g5]ational practices t assi/ p>5ts1 fo/] p>5ts1 & k9%ip & o!r c>egiv]s 9 access+ res\rces relat$ to1 & develop+ environm5ts conducive to1 ! prev5tion & mitigation ( trauma2 & 7v7 collect & utilize data f scre5+s1 ref]rals1 or ! provision ( s]vices & supports to evaluate outcomes & improve processes = trauma-in=m$ s]vices & supports t are culturally s5sitive1 l+ui/ically appropriate1 & specific to age ranges & sex1 z applicable2 7#b7 recomm5d be/ practices t are design$ to avoid unw>rant$ cu/ody loss or crim9al p5alties = p>5ts or gu>dians 9 connection ) infants1 *ildr51 & y\? :o h exp]i5c$ or are at risk ( exp]i5c+ trauma2 & 7#c7 recomm5d opportunities = local- & ,/ate-level p>tn]%ips t-- 7,a7 are design$ to quickly id5tify & ref] *ildr5 & families1 z appropriate1 :o h exp]i5c$ or are at risk ( exp]i5c+ exposure to trauma1 includ+ relat$ to sub/ance use2 7,b7 utilize & develop p>tn]%ips ) e>ly *ildhood education programs1 local social s]vices organizations1 & heal? c>e s]vices aim$ at prev5t+ or mitigat+ ! effects ( exposure to trauma1 includ+ relat$ to sub/ance use2 7,c7 (f] community-bas$ prev5tion activities1 includ+ educat+ families & *ildr5 on ! effects ( exposure to trauma1 su* z trauma relat$ to sub/ance use1 & h[ to build resili5ce & cop+ skills to mitigate ^? effects2 7,d7 9 accordance ) ,f$]al privacy protections1 utilize non-p]sonally-id5tifiable data f scre5+s1 ref]rals1 or ! provision ( s]vices & supports to evaluate & improve processes address+ exposure to trauma1 includ+ relat$ to sub/ance use2 & 7,e7 are design$ to prev5t sep>ation & support reunification ( families if 9 ! be/ int]e/ ( ! *ild4 7e7 ,op]at+ plan ,n lat] ?an #abj days aft] ! date ( enactm5t ( ?is ,act1 ! task =ce %all hold ! fir/ meet+4 ,n lat] ?an #b ye>s aft] su* date ( enactm5t1 ! task =ce %all submit to ! ,secret>y ( ,education1 ,secret>y ( ,heal? & ,human ,s]vices1 ,secret>y ( ,labor1 ,secret>y ( ! ,int]ior1 ! ,attorney ,g5]al1 & ,congress an op]at+ plan = c>ry+ out ! activities ( ! task =ce describ$ 9 subsection 7c77#b74 ,su* op]at+ plan %all include-- 7#a7 a li/ ( specific activities t ! task =ce plans to c>ry out = purposes ( c>ry+ out duties describ$ 9 subsection 7c77#b71 :i* may include public engagem5t2 7#b7 a plan = c>ry+ out ! activities "u subsection 7c77#b72 7#c7 a li/ ( memb]s ( ! task =ce & o!r individuals :o are n memb]s ( ! task =ce t may be consult$ to c>ry out su* activities2 7#d7 an explanation ( ,f$]al ag5cy involvem5t & coord9ation ne$$ to c>ry out su* activities1 includ+ any /atutory or regulatory b>ri]s to su* coord9ation2 7#e7 a budget = c>ry+ out su* activities2 7#f7 a propos$ timel9e = implem5t+ recomm5dations & ef=ts id5tifi$ "u subsection 7c72 & 7#g7 o!r in=mation t ! task =ce det]m9es appropriate z relat$ to its duties4 7f7 ,f9al report ,n lat] ?an #c ye>s aft] ! date ( ! fir/ meet+ ( ! task =ce1 ! task =ce %all submit to ! g5]al public1 ,secret>y ( ,education1 ,secret>y ( ,heal? & ,human ,s]vices1 ,secret>y ( ,labor1 ,secret>y ( ! ,int]ior1 ! ,attorney ,g5]al1 o!r relevant cab9et ,secret>ies1 ! ,committee on ,en]gy & ,comm]ce & ! ,committee on ,education & ! ,work=ce ( ! ,h\se ( ,repres5tatives & ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate1 & ,congress1 a f9al report conta9+ all ( ! f9d+s & recomm5dations requir$ "u ?is section1 & %all make su* report available onl9e 9 an accessible =mat4 7g7 ,additional reports ,9 addition to ! f9al report "u subsection 7f74 ! task =ce %all submit-- 7#a7 a report to ,congress id5tify+ any recomm5dations id5tifi$ "u subsection 7c7 t require additional legislative au?ority to implem5t2 & 7#b7 a report to ! ,gov]nors describ+ ! opportunities = local- & ,/ate-level p>tn]%ips1 pr(essional developm5t1 or be/ practices recomm5d$ "u subsection 7d77#c74 7h7 ,def9itions ,9 ?is section-- 7#a7 ! t]m e>ly *ildhood education program has ! mean+ giv5 su* t]m 9 section #ajc ( ! ,high] ,education ,act ( #aife 7#bj ,u4,s4,c4 #ajjc72 7#b7 ,! t]m ,gov]nor means ! *ief executive (fic] ( a ,/ate2 & 7#c7 ! t]m ,/ate means ea* ( ! sev]al ,/ates1 ! ,di/rict ( ,columbia1 ! ,commonweal? ( ,pu]to ,rico1 ! ,virg9 ,isl&s1 ,guam1 ,am]ican ,samoa1 & ! ,commonweal? ( ! ,nor!rn ,m>iana ,isl&s4 7i7 ,sunset ,! task =ce %all sunset on ! date t is #fj days aft] ! submission ( ! f9al report "u subsection 7f71 b n lat] ?an ,septemb] #cj1 #bjbc4 #gacc4 ,national ,*ild ,traumatic ,/ress ,initiative ,section #ehb7;j7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;hh-#a7;j77 7relat+ to grants to address ! problems ( p]sons :o exp]i5ce viol5ce-relat$ /ress7 is am5d$ by /rik+ #df1hhg1jjj = ea* ( fiscal ye>s #bjah ?r\gh #bjbb & ins]t+ #fc1hhg1jjj = ea* ( fiscal ye>s #bjai ?r\gh #bjbc4 #gacd4 ,grants to improve trauma support s]vices & m5tal heal? c>e = *ildr5 & y\? 9 educational sett+s 7a7 ,grants1 contracts1 & coop]ative agreem5ts au?oriz$ ,! ,secret>y1 9 coord9ation ) ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use1 is au?oriz$ to aw>d grants to1 or ent] into contracts or coop]ative agreem5ts )1 ,/ate educational ag5cies1 local educational ag5cies1 ,indian ,tribes 7z def9$ 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act7 or _! tribal educational ag5cies1 a s*ool op]at$ by ! ,bureau ( ,indian ,education1 a ,regional ,corporation1 or a ,native ,hawaiian educational organization1 = ! purpose ( increas+ /ud5t access to evid5ce-bas$ trauma support s]vices & m5tal heal? c>e by develop+ innovative initiatives1 activities1 or programs to l9k local s*ool sy/ems ) local trauma-in=m$ support & m5tal heal? sy/ems1 includ+ ^? "u ! ,indian ,heal? ,s]vice4 7b7 ,duration ,) respect to a grant1 contract1 or coop]ative agreem5t aw>d$ or ent]$ into "u ?is section1 ! p]iod dur+ :i* paym5ts "u su* grant1 contract or agreem5t are made to ! recipi5t may n exce$ #d ye>s4 7c7 ,use ( funds ,an entity t receives a grant1 contract1 or coop]ative agreem5t "u ?is section %all use am\nts made available ?r\gh su* grant1 contract1 or coop]ative agreem5t = evid5ce-bas$ activities1 :i* %all include any ( ! foll[+3 7#a7 ,collaborative ef=ts betwe5 s*ool-bas$ s]vice sy/ems & trauma-in=m$ support & m5tal heal? s]vice sy/ems to provide1 develop1 or improve prev5tion1 scre5+1 ref]ral1 & treatm5t & support s]vices to /ud5ts1 su* z provid+ trauma scre5+s to id5tify /ud5ts 9 ne$ ( specializ$ support4 7#b7 ,to implem5t s*oolwide positive behavioral int]v5tions & supports1 or o!r trauma-in=m$ models ( support4 7#c7 ,to provide pr(essional developm5t to tea*]s1 tea*] assi/ants1 s*ool lead]s1 specializ$ in/ructional support p]sonnel1 & m5tal heal? pr(essionals t-- 7,a7 fo/]s safe & /able le>n+ environm5ts t prev5t & mitigate ! effects ( trauma1 includ+ ?r\gh social & emotional le>n+2 7,b7 improves s*ool capacity to id5tify1 ref]1 & provide s]vices to /ud5ts 9 ne$ ( trauma support or behavioral heal? s]vices2 or 7,c7 reflects ! be/ practices = trauma-in=m$ id5tification1 ref]ral1 & support develop$ by ! ,task ,=ce "u section #gacb4 7#d7 ,s]vices at a full-s]vice community s*ool t focuses on trauma-in=m$ supports1 :i* may include a full-"t site coord9ator1 or o!r activities consi/5t ) section #dfbe ( ! ,elem5t>y & ,second>y ,education ,act ( #aife 7#bj ,u4,s4,c4 #gbge74 7#e7 ,engag+ families & communities 9 ef=ts to increase aw>5ess ( *ild & y\? trauma1 :i* may include %>+ be/ practices ) law en=cem5t reg>d+ trauma-in=m$ c>e & work+ ) m5tal heal? pr(essionals to provide int]v5tions1 z well z long] t]m coord9at$ c>e )9 ! community = *ildr5 & y\? :o h exp]i5c$ trauma & _! families4 7#f7 ,to provide te*nical assi/ance to s*ool sy/ems & m5tal heal? ag5cies4 7#g7 ,to evaluate ! effectiv5ess ( ! program c>ri$ out "u ?is section 9 increas+ /ud5t access to evid5ce-bas$ trauma support s]vices & m5tal heal? c>e4 7#h7 ,to e/abli% p>tn]%ips ) or provide subgrants to ,head ,/>t ag5cies 7includ+ ,e>ly ,head ,/>t ag5cies71 public & private pres*ool programs1 *ild c>e programs 7includ+ home-bas$ provid]s71 or o!r entities describ$ 9 subsection 7a71 to include su* entities describ$ 9 ?is p>agraph 9 ! evid5ce-bas$ trauma initiatives1 activities1 support s]vices1 & m5tal heal? sy/ems e/abli%$ "u ?is section 9 ord] to provide1 develop1 or improve prev5tion1 scre5+1 ref]ral1 & treatm5t & support s]vices to "y *ildr5 & _! families4 7d7 ,applications ,to be eligible to receive a grant1 contract1 or coop]ative agreem5t "u ?is section1 an entity describ$ 9 subsection 7a7 %all submit an application to ! ,secret>y at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y may reasonably require1 :i* %all include ! foll[+3 7#a7 ,a description ( ! innovative initiatives1 activities1 or programs to be fund$ "u ! grant1 contract1 or coop]ative agreem5t1 includ+ h[ su* program w increase access to evid5ce-bas$ trauma support s]vices & m5tal heal? c>e = /ud5ts1 &1 z applicable1 ! families ( su* /ud5ts4 7#b7 ,a description ( h[ ! program w provide l+ui/ically appropriate & culturally compet5t s]vices4 7#c7 ,a description ( h[ ! program w support /ud5ts & ! s*ool 9 improv+ ! s*ool climate 9 ord] to support an environm5t conducive to le>n+4 7#d7 ,an assurance t-- 7,a7 p]sons provid+ s]vices "u ! grant1 contract1 or coop]ative agreem5t are adequately tra9$ to provide su* s]vices2 & 7,b7 tea*]s1 s*ool lead]s1 adm9i/rators1 specializ$ in/ructional support p]sonnel1 repres5tatives ( local ,indian ,tribes or tribal organizations z appropriate1 o!r s*ool p]sonnel1 & p>5ts or gu>dians ( /ud5ts p>ticipat+ 9 s]vices "u ?is section w be engag$ & involv$ 9 ! design & implem5tation ( ! s]vices4 7#e7 ,a description ( h[ ! applicant w support & integrate exi/+ s*ool-bas$ s]vices ) ! program 9 ord] to provide m5tal heal? s]vices = /ud5ts1 z appropriate4 7#f7 ,a description ( ! entities 9 ! community ) :i* ! applicant w p>tn] or to :i* ! applicant w provide subgrants 9 accordance ) subsection 7c77#h74 7e7 ,int]ag5cy agreem5ts 7#a7 ,local int]ag5cy agreem5ts ,to ensure ! provision ( ! s]vices describ$ 9 subsection 7c71 a recipi5t ( a grant1 contract1 or coop]ative agreem5t "u ?is section1 or _! designee1 %all e/abli% a local int]ag5cy agreem5t among local educational ag5cies1 ag5cies responsible = e>ly *ildhood education programs1 ,head ,/>t ag5cies 7includ+ ,e>ly ,head ,/>t ag5cies71 juv5ile ju/ice au?orities1 m5tal heal? ag5cies1 *ild welf>e ag5cies1 & o!r relevant ag5cies1 au?orities1 or entities 9 ! community t w be involv$ 9 ! provision ( su* s]vices4 7#b7 ,cont5ts ,9 ensur+ ! provision ( ! s]vices describ$ 9 subsection 7c71 ! local int]ag5cy agreem5t %all specify ) respect to ea* ag5cy1 au?ority1 or entity t is a p>ty to su* agreem5t-- 7,a7 ! f9ancial responsibility = ! s]vices2 7,b7 ! conditions & t]ms ( responsibility = ! s]vices1 includ+ quality1 acc\ntability1 & coord9ation ( ! s]vices2 & 7,c7 ! conditions & t]ms ( reimbursem5t among su* ag5cies1 au?orities1 or entities1 includ+ proc$ures = dispute resolution4 7f7 ,evaluation ,! ,secret>y %all res]ve n m ?an #c p]c5t ( ! funds made available "u subsection 7l7 = ea* fiscal ye> to-- 7#a7 conduct a rigor\s1 indep5d5t evaluation ( ! activities fund$ "u ?is section2 & 7#b7 dissem9ate & promote ! utilization ( evid5ce-bas$ practices reg>d+ trauma support s]vices & m5tal heal? c>e4 7g7 ,di/ribution ( aw>ds ,! ,secret>y %all ensure t grants1 contracts1 & coop]ative agreem5ts aw>d$ or ent]$ into "u ?is section are equitably di/ribut$ among ! geographical regions ( ! ,unit$ ,/ates & among tribal1 urban1 suburban1 & rural populations4 7h7 ,rule ( con/ruction ,no?+ 9 ?is section %all be con/ru$-- 7#a7 to prohibit an entity involv$ ) a program c>ri$ out "u ?is section f report+ a crime t is committ$ by a /ud5t to appropriate au?orities2 or 7#b7 to prev5t ,f$]al1 ,/ate1 & tribal law en=cem5t & judicial au?orities f ex]cis+ _! responsibilities ) reg>d to ! application ( ,f$]al1 tribal1 & ,/ate law to crimes committ$ by a /ud5t4 7i7 ,supplem5t1 n supplant ,any s]vices provid$ ?r\gh programs c>ri$ out "u ?is section %all supplem5t1 & n supplant1 exi/+ m5tal heal? s]vices1 includ+ any special education & relat$ s]vices provid$ "u ! ,individuals ) ,disabilities ,education ,act 7#bj ,u4,s4,c4 #adjj et seq474 7j7 ,consultation ) ,indian ,tribes ,9 c>ry+ out subsection 7a71 ! ,secret>y %all1 9 a timely mann]1 mean+fully consult ) ,indian ,tribes & _! repres5tatives to ensure notice ( eligibility4 7k7 ,def9itions ,9 ?is section3 7#a7 ,elem5t>y s*ool ,! t]m elem5t>y s*ool has ! mean+ giv5 su* t]m 9 section #haja ( ! ,elem5t>y & ,second>y ,education ,act ( #aife 7#bj ,u4,s4,c4 #ghja74 7#b7 ,evid5ce-bas$ ,! t]m evid5ce-bas$ has ! mean+ giv5 su* t]m 9 section #haja7ba77;,a77i7 ( ! ,elem5t>y & ,second>y ,education ,act ( #aife 7#bj ,u4,s4,c4 #ghja7ba77;,a77i774 7#c7 ,native ,hawaiian educational organization ,! t]m ,native ,hawaiian educational organization has ! mean+ giv5 su* t]m 9 section #fbjg ( ! ,elem5t>y & ,second>y ,education ,act ( #aife 7#bj ,u4,s4,c4 #geag74 7#d7 ,local educational ag5cy ,! t]m local educational ag5cy has ! mean+ giv5 su* t]m 9 section #haja ( ! ,elem5t>y & ,second>y ,education ,act ( #aife 7#bj ,u4,s4,c4 #ghja74 7#e7 ,regional ,corporation ,! t]m ,regional ,corporation has ! mean+ giv5 ! t]m 9 section #c ( ! ,alaska ,native ,claims ,settlem5t ,act 7#dc ,u4,s4,c4 #afjb774 7#f7 ,s*ool ,! t]m s*ool means a public elem5t>y s*ool or public second>y s*ool4 7#g7 ,s*ool lead] ,! t]m s*ool lead] has ! mean+ giv5 su* t]m 9 section #haja ( ! ,elem5t>y & ,second>y ,education ,act ( #aife 7#bj ,u4,s4,c4 #ghja74 7#h7 ,second>y s*ool ,! t]m second>y s*ool has ! mean+ giv5 su* t]m 9 section #haja ( ! ,elem5t>y & ,second>y ,education ,act ( #aife 7#bj ,u4,s4,c4 #ghja74 7#i7 ,secret>y ,! t]m ,secret>y means ! ,secret>y ( ,education4 7#aj7 ,specializ$ in/ructional support p]sonnel ,! t]m specializ$ in/ructional support p]sonnel has ! mean+ giv5 su* t]m 9 section #haja ( ! ,elem5t>y & ,second>y ,education ,act ( #aife 7#bj ,u4,s4,c4 #ghja74 7#aa7 ,/ate educational ag5cy ,! t]m ,/ate educational ag5cy has ! mean+ giv5 su* t]m 9 section #haja ( ! ,elem5t>y & ,second>y ,education ,act ( #aife 7#bj ,u4,s4,c4 #ghja74 7l7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section1 #ej1jjj1jjj = ea* ( fiscal ye>s #bjai ?r\gh #bjbc4 #gace4 ,recogniz+ e>ly *ildhood trauma relat$ to sub/ance abuse 7a7 ,dissem9ation ( in=mation ,! ,secret>y ( ,heal? & ,human ,s]vices %all dissem9ate in=mation1 res\rces1 &1 if reque/$1 te*nical assi/ance to e>ly *ildhood c>e & education provid]s & pr(essionals work+ ) "y *ildr5 on-- 7#a7 ways to prop]ly recognize *ildr5 :o may be impact$ by trauma1 includ+ trauma relat$ to sub/ance use by a family memb] or o!r adult2 & 7#b7 h[ to respond appropriately 9 ord] to provide = ! safety & well-be+ ( "y *ildr5 & _! families4 7b7 ,goals ,! in=mation1 res\rces1 & te*nical assi/ance provid$ "u subsection 7a7 %all-- 7#a7 educate e>ly *ildhood c>e & education provid]s & pr(essionals work+ ) "y *ildr5 on und]/&+ & id5tify+ ! e>ly signs & risk factors ( *ildr5 :o might be impact$ by trauma1 includ+ trauma due to exposure to sub/ance use2 7#b7 sugge/ age-appropriate communication tools1 proc$ures1 & practices = trauma-in=m$ c>e1 includ+ ways to prev5t or mitigate ! effects ( trauma2 7#c7 provide options = respond+ to *ildr5 impact$ by trauma1 includ+ due to exposure to sub/ance use1 t consid] ! ne$s ( ! *ild & family1 includ+ recomm5d+ res\rces & ref]rals = evid5ce-bas$ s]vices to support su* family2 & 7#d7 promote :ole-family & multi-g5]ational approa*es to keep families safely toge!r :5 x is 9 ! be/ int]e/ ( ! *ild4 7c7 ,coord9ation ,! ,secret>y ( ,heal? & ,human ,s]vices %all coord9ate ) ! task =ce to develop be/ practices = trauma-in=m$ id5tification1 ref]ral1 & support au?oriz$ "u section #gacb 9 dissem9at+ ! in=mation1 res\rces1 & te*nical assi/ance describ$ "u subsection 7b74 7d7 ,rule ( con/ruction ,su* in=mation1 res\rces1 & if applicable1 te*nical assi/ance1 %all n be con/ru$ to am5d ! requirem5ts "u-- 7#a7 ! ,*ild ,c>e & ,developm5t ,block ,grant ,act ( #aiij 7#db ,u4,s4,c4 #iheh et seq472 7#b7 ! ,head ,/>t ,act 7#db ,u4,s4,c4 #ihca et seq472 or 7#c7 ! ,individuals ) ,disabilities ,education ,act 7#bj ,u4,s4,c4 #adjj et seq474 ,o ,elim9at+ ,opioid ,relat$ ,infecti\s ,diseases #gada4 ,reau?orization & expansion ( program ( surveillance & education reg>d+ infections associat$ ) illicit drug use & o!r risk factors ,section #cag,n ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;b-#ae7 is am5d$ to read z foll[s3 #cag,n4 ,surveillance & education reg>d+ infections associat$ ) illicit drug use & o!r risk factors 7a7 ,9 g5]al ,! ,secret>y1 act+ ?r\gh ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 may 7directly or ?r\gh grants to public & nonpr(it private entities7 provide = programs = ! foll[+3 7#a7 ,to coop]ate ) ,/ates & ,indian tribes 9 implem5t+ or ma9ta9+ a national sy/em to det]m9e ! incid5ce ( infections commonly associat$ ) illicit drug use1 su* z viral hepatitis1 human immunodefici5cy virus1 & infective endoc>ditis1 & to assi/ ! ,/ates 9 det]m9+ ! preval5ce ( su* infections1 :i* may include ! report+ ( cases ( su* infections4 7#b7 ,to id5tify1 c\nsel1 & (f] te/+ to individuals :o are at risk ( infections describ$ 9 p>agraph 7#a7 result+ f illicit drug use1 receiv+ blood transfusions prior to ,july #aiib1 or o!r risk factors4 7#c7 ,to provide appropriate ref]rals = c\nsel+1 te/+1 & m$ical treatm5t ( individuals id5tifi$ "u p>agraph 7#b7 & to ensure1 to ! ext5t practicable1 ! provision ( appropriate foll[-up s]vices4 7#d7 ,to develop & dissem9ate public in=mation & education programs = ! detection & control ( infections describ$ 9 p>agraph 7#a71 ) priority giv5 to high-risk populations z det]m9$ by ! ,secret>y4 7#e7 ,to improve ! education1 tra9+1 & skills ( heal? pr(essionals 9 ! detection & control ( infections describ$ 9 p>agraph 7#a71 includ+ to improve coord9ation ( treatm5t ( sub/ance use disord]s & infecti\s diseases1 ) priority giv5 to sub/ance use disord] treatm5t provid]s1 p$iatricians & o!r prim>y c>e provid]s1 ob/etrician-gynecologi/s1 & infecti\s disease cl9icians1 includ+ ,,hiv cl9icians4 7b7 ,laboratory proc$ures ,! ,secret>y may 7directly or ?r\gh grants to public & nonpr(it private entities7 c>ry out programs to provide = improvem5ts 9 ! quality ( cl9ical-laboratory proc$ures reg>d+ infections describ$ 9 subsection 7a77#a74 7c7 ,def9ition ,9 ?is section1 ! 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 ,= ! purpose ( c>ry+ out ?is section1 !re are au?oriz$ to be appropriat$ #dj1jjj1jjj = ea* ( ! fiscal ye>s #bjai ?r\gh #bjbc4 4 ,p ,pe] ,support ,communities ( ,recov]y #gaea4 ,build+ communities ( recov]y ,section #edg ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;ee-#b7 is am5d$ to read z foll[s3 #edg4 ,build+ communities ( recov]y 7a7 ,def9ition ,9 ?is section1 ! t]m recov]y community organization means an indep5d5t nonpr(it organization t-- 7#a7 mobilizes res\rces )9 & outside ( ! recov]y community1 :i* may include ?r\gh a pe] support network1 to increase ! preval5ce & quality ( long-t]m recov]y f sub/ance use disord]s2 & 7#b7 is :olly or pr9cipally gov]n$ by p 9 recov]y = sub/ance use disord]s :o reflect ! community s]v$4 7b7 ,grants au?oriz$ ,! ,secret>y %all aw>d grants to recov]y community organizations to enable su* organizations to develop1 exp&1 & enhance recov]y s]vices4 7c7 ,f$]al %>e ,! ,f$]al %>e ( ! co/s ( a program fund$ by a grant "u ?is section may n exce$ #he p]c5t4 7d7 ,use ( funds ,grants aw>d$ "u subsection 7b7-- 7#a7 %all be us$ to develop1 exp&1 & enhance community & /atewide recov]y support s]vices2 & 7#b7 may be us$ to-- 7,a7 build connections betwe5 recov]y networks1 includ+ betwe5 recov]y community organizations & pe] support networks1 & ) o!r recov]y support s]vices1 includ+-- 7i7 behavioral heal? provid]s2 7ii7 prim>y c>e provid]s & physicians2 7iii7 educational & vocational s*ools2 7iv7 employ]s2 7v7 h\s+ s]vices2 7vi7 *ild welf>e ag5cies2 & 7vii7 o!r recov]y support s]vices t facilitate recov]y f sub/ance use disord]s1 includ+ non-cl9ical community s]vices2 7,b7 r$uce /igma associat$ ) sub/ance use disord]s2 & 7,c7 conduct outrea* on issues relat+ to sub/ance use disord]s & recov]y1 includ+-- 7i7 id5tify+ ! signs ( sub/ance use disord]2 7ii7 ! res\rces available to individuals ) sub/ance use disord] & to families ( an individual ) a sub/ance use disord]1 includ+ programs t m5tor & provide support s]vices to *ildr52 7iii7 ! res\rces available to help support individuals 9 recov]y2 & 7iv7 relat$ m$ical outcomes ( sub/ance use disord]s1 ! pot5tial ( acquir+ an infection commonly associat$ ) illicit drug use1 & neonatal ab/95ce syndrome among infants expos$ to opioids dur+ pregnancy4 7e7 ,special consid]ation ,9 c>ry+ out ?is section1 ! ,secret>y %all give special consid]ation to ! unique ne$s ( rural areas1 includ+ areas ) an age-adju/$ rate ( drug ov]dose dea?s t is above ! national av]age & areas ) a %ortage ( prev5tion & treatm5t s]vices4 7f7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section #e1jjj1jjj = ea* ( fiscal ye>s #bjai ?r\gh #bjbc4 4 #gaeb4 ,pe] support te*nical assi/ance c5t] ,title ,v ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;dd et seq47 is am5d$ by ins]t+ aft] section #edg ! foll[+3 #edg;,a4 ,pe] support te*nical assi/ance c5t] 7a7 ,e/abli%m5t ,! ,secret>y1 act+ ?r\gh ! ,assi/ant ,secret>y1 %all e/abli% or op]ate a ,national ,pe]-,run ,tra9+ & ,te*nical ,assi/ance ,c5t] = ,addiction ,recov]y ,support 7ref]r$ to 9 ?is section z ! ,c5t]74 7b7 ,functions ,! ,c5t] e/abli%$ "u subsection 7a7 %all provide te*nical assi/ance & support to recov]y community organizations & pe] support networks1 includ+ su* assi/ance & support relat$ to-- 7#a7 tra9+ on id5tify+-- 7,a7 signs ( sub/ance use disord]2 7,b7 res\rces to assi/ individuals ) a sub/ance use disord]1 or res\rces = families ( an individual ) a sub/ance use disord]2 & 7,c7 be/ practices = ! deliv]y ( recov]y support s]vices2 7#b7 ! provision ( translation s]vices1 int]pretation1 or o!r su* s]vices = cli5ts ) limit$ ,engli% speak+ pr(ici5cy2 7#c7 data collection to support rese>*1 includ+ = translational rese>*2 7#d7 capacity build+2 & 7#e7 evaluation & improvem5t1 z necess>y1 ( ! effectiv5ess ( su* s]vices provid$ by recov]y community organizations4 7c7 ,be/ practices ,! ,c5t] e/abli%$ "u subsection 7a7 %all p]iodically issue be/ practices = use by recov]y community organizations & pe] support networks4 7d7 ,recov]y community organization ,9 ?is section1 ! t]m recov]y community organization has ! mean+ giv5 su* t]m 9 section #edg4 7e7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section #a1jjj1jjj = ea* ( fiscal ye>s #bjai ?r\gh #bjbc4 4 ,q ,creat+ ,opportunities t ,necessitate ,new & ,enhanc$ ,connections ,t ,improve ,opioid ,navigation ,/rategies #gafa4 ,prev5t+ ov]doses ( controll$ sub/ances 7a7 ,9 g5]al ,"p ,j ( title ,,iii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bhj;b et seq47 is am5d$ by ins]t+ aft] section #cib 7#db ,u4,s4,c4 #bhj;b-#a7 ! foll[+3 #cib;,a4 ,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 & exp& any evid5ce-bas$ prev5tion activities describ$ 9 p>agraph 7#b72 7,b7 provide tra9+ & te*nical assi/ance to ,/ates1 localities1 & ,indian tribes = purposes ( c>ry+ out su* activity2 & 7,c7 aw>d grants to ,/ates1 localities1 & ,indian tribes = purposes ( c>ry+ out su* activity4 7#b7 ,evid5ce-bas$ prev5tion activities ,an evid5ce-bas$ prev5tion activity describ$ 9 ?is p>agraph is any ( ! foll[+ activities3 7,a7 ,improv+ ! effici5cy & use ( a new or curr5tly op]at+ prescription drug monitor+ program1 includ+ by-- 7i7 enc\rag+ all au?oriz$ us]s 7z specifi$ by ! ,/ate or o!r entity7 to regi/] ) & use ! program2 7ii7 enabl+ su* us]s to access any updates to in=mation collect$ by ! program 9 z close to real-"t z possible2 7iii7 improv+ ! ease ( use ( su* program2 7iv7 provid+ = a me*anism = ! program to notify au?oriz$ us]s ( any pot5tial misuse or abuse ( controll$ sub/ances & any detection ( inappropriate prescrib+ or disp5s+ practices relat+ to su* sub/ances2 7v7 enc\rag+ ! analysis ( prescription drug monitor+ data = purposes ( provid+ de-id5tifi$1 aggregate reports bas$ on su* analysis to ,/ate public heal? ag5cies1 ,/ate sub/ance abuse ag5cies1 ,/ate lic5s+ bo>ds1 & o!r appropriate ,/ate ag5cies1 z p]mitt$ "u applicable ,f$]al & ,/ate law & ! policies ( ! prescription drug monitor+ program & n conta9+ any protect$ heal? in=mation1 to prev5t inappropriate prescrib+1 drug div]sion1 or abuse & misuse ( controll$ sub/ances1 & to facilitate bett] coord9ation among ag5cies2 7vi7 enhanc+ int]op]ability betwe5 ! program & any heal? in=mation te*nology 7includ+ c]tifi$ heal? in=mation te*nology71 includ+ by integrat+ program data into su* te*nology2 7vii7 updat+ program capabilities to respond to te*nological innovation = purposes ( appropriately address+ ! occurr5ce & evolution ( controll$ sub/ance ov]doses2 7viii7 facilitat+ & enc\rag+ data ex*ange betwe5 ! program & ! prescription drug monitor+ programs ( o!r ,/ates2 7ix7 enhanc+ data collection & quality1 includ+ improv+ pati5t mat*+ & proactively monitor+ data quality2 7x7 provid+ prescrib] & disp5s] practice tools1 includ+ prescrib] practice insight reports = practition]s to review _! prescrib+ patt]ns 9 comp>ison to su* patt]ns ( o!r practition]s 9 ! specialty2 & 7xi7 meet+ ! purpose ( ! program e/abli%$ "u section #cii,o1 z describ$ 9 section #cii,o7a74 7,b7 ,promot+ community or heal? sy/em int]v5tions4 7,c7 ,evaluat+ int]v5tions to prev5t controll$ sub/ance ov]doses4 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 7#c7 ,additional grants ,! ,director may aw>d grants to ,/ates1 localities1 & ,indian ,tribes-- 7,a7 to c>ry out innovative projects = grantees to rapidly respond to controll$ sub/ance misuse1 abuse1 & ov]doses1 includ+ *anges 9 patt]ns ( controll$ sub/ance use2 & 7,b7 = any o!r evid5ce-bas$ activity = prev5t+ controll$ sub/ance misuse1 abuse1 & ov]doses z ! ,director det]m9es appropriate4 7#d7 ,rese>* ,! ,director1 9 coord9ation ) ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use & ! ,national ,m5tal ,heal? & ,sub/ance ,use ,policy ,laboratory e/abli%$ "u section #eja;,a1 z appropriate & applicable1 may conduct /udies & evaluations to address sub/ance use disord]s1 includ+ prev5t+ sub/ance use disord]s or o!r relat$ topics ! ,director det]m9es appropriate4 7b7 ,enhanc$ controll$ sub/ance ov]dose data collection1 analysis1 & dissem9ation 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 data collection activities describ$ 9 p>agraph 7#b72 7,b7 provide tra9+ & te*nical assi/ance to ,/ates1 localities1 & ,indian tribes = purposes ( c>ry+ out su* activity2 7,c7 aw>d grants to ,/ates1 localities1 & ,indian tribes = purposes ( c>ry+ out 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 dep>tm5ts z a result ( ! abuse ( alcohol or o!r drugs74 7#b7 ,controll$ sub/ance ov]dose data collection & analysis activities ,a controll$ sub/ance ov]dose data collection1 analysis1 & dissem9ation activity describ$ 9 ?is p>agraph is any ( ! foll[+ activities3 7,a7 ,improv+ ! timel9ess ( report+ data to ! public1 includ+ data on fatal & nonfatal ov]doses ( controll$ sub/ances4 7,b7 ,enhanc+ ! compreh5siv5ess ( controll$ sub/ance ov]dose data by collect+ in=mation on su* ov]doses f appropriate s\rces su* z toxicology reports1 autopsy reports1 dea? sc5e inve/igations1 & em]g5cy dep>tm5ts4 7,c7 ,mod]niz+ ! sy/em = cod+ causes ( dea? relat$ to controll$ sub/ance ov]doses to use an electronic-bas$ sy/em4 7,d7 ,us+ data to help id5tify risk factors associat$ ) controll$ sub/ance ov]doses4 7,e7 ,support+ entities involv$ 9 provid+ in=mation on controll$ sub/ance ov]doses1 su* z coron]s1 m$ical exam9]s1 & public heal? laboratories to improve accurate te/+ & /&>diz$ report+ ( causes & contribut+ factors to controll$ sub/ances ov]doses & analysis ( v>i\s opioid analogues to controll$ sub/ance ov]doses4 7,f7 ,work+ to enable & enc\rage ! access1 ex*ange1 & use ( in=mation reg>d+ controll$ sub/ance ov]doses among data s\rces & entities4 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 section1 section #cii,o ( ?is ,act1 & section #ajb ( ! ,compreh5sive ,addiction & ,recov]y ,act ( #bjaf 7,public ,law #aad-aih71 !re is au?oriz$ to be appropriat$ #dif1jjj1jjj = ea* ( fiscal ye>s #bjai ?r\gh #bjbc4 4 7b7 ,education & aw>5ess ,section #ajb ( ! ,compreh5sive ,addiction & ,recov]y ,act ( #bjaf 7,public ,law #aad-aih7 is am5d$-- 7#a7 by am5d+ subsection 7a7 to read z foll[s3 7a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices1 act+ ?r\gh ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion & 9 coord9ation ) ! heads ( o!r dep>tm5ts & ag5cies1 %all advance education & aw>5ess reg>d+ ! risks relat$ to misuse & abuse ( opioids1 z appropriate1 :i* may include develop+ or improv+ exi/+ programs1 conduct+ activities1 & aw>d+ grants t advance ! education & aw>5ess (-- 7#a7 ! public1 includ+ pati5ts & consum]s-- 7,a7 g5]ally2 & 7,b7 reg>d+ su* risks relat$ to unus$ opioids & ! disp5s+ options "u section #cji7;f7 ( ! ,controll$ ,sub/ances ,act1 z applicable2 & 7#b7 provid]s1 :i* may include-- 7,a7 provid+ = cont9u+ education on appropriate prescrib+ practices2 7,b7 education relat$ to applicable ,/ate or local prescrib] limit laws1 in=mation on ! use ( non-addictive alt]natives = pa9 managem5t1 & ! use ( ov]dose rev]sal drugs1 z appropriate2 7,c7 dissem9at+ & improv+ ! use ( evid5ce-bas$ opioid prescrib+ guidel9es across relevant heal? c>e sett+s1 z appropriate1 & updat+ guidel9es z necess>y2 7,d7 implem5t+ /rategies1 su* z be/ practices1 to enc\rage & facilitate ! use ( prescrib] guidel9es1 9 accordance ) ,/ate & local law2 7,e7 dissem9at+ in=mation to provid]s ab\t prescrib+ options = controll$ sub/ances1 includ+ su* options "u section #cji7;f7 ( ! ,controll$ ,sub/ances ,act1 z applicable2 & 7,f7 dissem9at+ in=mation1 z appropriate1 on ! ,national ,pa9 ,/rategy develop$ by or 9 consultation ) ! ,assi/ant ,secret>y = ,heal?2 & 7#c7 o!r appropriate entities4 2 & 7#b7 9 subsection 7b7-- 7,a7 by /rik+ opioid abuse ea* place su* t]m appe>s & ins]t+ opioid misuse & abuse2 & 7,b7 9 p>agraph 7#b71 by /rik+ safe disposal ( prescription m$ications & o!r & ins]t+ non-addictive treatm5t options1 safe disposal options = prescription m$ications1 & o!r applicable4 #gafb4 ,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 act+ ?r\gh ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 9 coord9ation ) ! heads ( o!r dep>tm5ts & ag5cies z appropriate1 %all support ,/ates or localities = ! 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[2 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 to ,p,d,m,ps by provid]s & _! delegates1 to ! ext5t t ,/ate laws all[2 7ii7 9 consultation ) ! ,(fice ( ! ,national ,coord9ator = ,heal? ,in=mation ,te*nology1 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 9 consultation ) ! ,(fice ( ! ,national ,coord9ator = ,heal? ,in=mation ,te*nology1 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 ,legislation ,z a condition on ! receipt ( support "u ?is section1 ! ,secret>y %all require a ,/ate or locality to demon/rate t x 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 ,/ate or locality1 9 e/abli%+1 improv+1 or ma9ta9+ a ,,pdmp1 to implem5t /rategies t improve-- 7#a7 ! report+ ( disp5s+ 9 ! ,/ate or locality ( 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 or locality 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/ance2 7#c7 may conduct analyses ( controll$ sub/ance program data = purposes ( provid+ appropriate ,/ate ag5cies ) aggregate reports bas$ on su* analyses 9 z close to real-"t z practicable1 reg>d+ prescription patt]ns flagg$ z pot5tially pres5t+ a risk ( misuse1 abuse1 addiction1 ov]dose1 & o!r aggregate in=mation1 z appropriate & 9 compliance ) applicable ,f$]al & ,/ate laws & provid$ t su* reports %all n include protect$ heal? in=mation2 & 7#d7 may access in=mation ab\t prescriptions1 su* z claims data1 to ensure t su* prescrib+ & disp5s+ hi/ory is updat$ 9 z close to real-"t z practicable1 9 compliance ) applicable ,f$]al & ,/ate laws & provid$ t su* in=mation %all n include protect$ heal? in=mation4 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 ,to ! ext5t possible1 su* guidel9es %all be consi/5t ) /&>ds recogniz$ by ! ,(fice ( ! ,national ,coord9ator = ,heal? ,in=mation ,te*nology4 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 ( ?is section1 ! ,secret>y %all-- 7#a7 complete a /udy t-- 7,a7 det]m9es ! progress ( grantees 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 ( grantees 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 ( grantees 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 or locality 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 or localities 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 or localities 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 or locality 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 or locality 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 or locality %\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 ,r ,review ( sub/ance use disord] treatm5t provid]s receiv+ ,f$]al fund+ #gaga4 ,review ( sub/ance use disord] treatm5t provid]s receiv+ ,f$]al fund+ 7a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices 79 ?is section ref]r$ to z ! ,secret>y7 %all conduct a review ( entities t receive ,f$]al fund+ = ! provision ( sub/ance use disord] treatm5t s]vices4 ,! review %all include3 7#a7 ,! l5g? ( "t ! entity has provid$ sub/ance use disord] treatm5t s]vices & ! geographic area s]v$ by ! entity4 7#b7 ,a detail$ analysis ( ! pati5t population s]v$ by ! entity1 includ+ b n limit$ to ! numb] ( pati5ts1 types ( diagnos$ sub/ance use disord]s & ! demographic in=mation ( su* pati5ts1 includ+ sex1 race1 e?nicity1 & socioeconomic /atus4 7#c7 ,detail$ in=mation on ! types ( sub/ance use disord]s = :i* ! entity has ! exp]i5ce1 capability1 & capacity to provide su* s]vices4 7#d7 ,an analysis ( h[ ! entity h&les pati5ts requir+ treatm5t = a sub/ance use disord] t ! organization is n able to treat4 7#e7 ,an analysis ( :at is ne$$ 9 ord] to improve ! entity's ability to meet ! addiction treatm5t ne$s ( ! communities s]v$ by t entity4 7#f7 ,bas$ on ! id5tifi$ ne$s ( ! communities s]v$1 a description ( unmet ne$s & inadequate s]vices & h[ su* ne$s & s]vices c\ld be bett] address$ to treat individuals ) me?amphetam9e1 coca9e1 includ+ crack coca9e1 h]o91 opioid1 & o!r sub/ance use disord]s4 7b7 ,report ,n lat] ?an #b ye>s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y %all develop & submit to ,congress a plan to direct appropriate res\rces to entities t provide sub/ance use disord] treatm5t s]vices 9 ord] to address inadequacies 9 s]vices or fund+ id5tifi$ ?r\gh ! survey describ$ 9 subsection 7a74 ,s ,o!r heal? provisions #gaha4 ,/ate response to ! opioid abuse crisis 7a7 ,9 g5]al ,section #ajjc ( ! #ba/ ,c5tury ,cures ,act 7,public ,law #aad-bee7 is am5d$-- 7#a7 9 subsection 7a7-- 7,a7 by /rik+ ! au?orization ( appropriations "u subsection 7b7 to c>ry out ! grant program describ$ 9 subsection 7c7 & ins]t+ subsection 7h7 to c>ry out ! grant program describ$ 9 subsection 7b72 & 7,b7 by ins]t+ & ,indian ,tribes aft] ,/ates2 7#b7 by /rik+ subsection 7b72 7#c7 by r$esignat+ subsections 7c7 ?r\gh 7e7 z subsections 7b7 ?r\gh 7d71 respectively2 7#d7 by r$esignat+ subsection 7f7 z subsection 7j72 7#e7 9 subsection 7b71 z s r$esignat$-- 7,a7 9 p>agraph 7#a7-- 7i7 9 ! p>agraph head+1 by ins]t+ & tribal aft] ,/ate2 7ii7 by /rik+ ,/ates = ! purpose ( address+ ! opioid abuse crisis )9 su* ,/ates & ins]t+ ,/ates & ,indian ,tribes = ! purpose ( address+ ! opioid abuse crisis )9 su* ,/ates & ,indian ,tribes2 7iii7 by ins]t+ or ,indian ,tribes aft] pref]5ce to ,/ates2 & 7iv7 by ins]t+ be=e ! p]iod ( ! second s5t5ce or o!r ,indian ,tribes1 z applicable2 & 7,b7 9 p>agraph 7#b7-- 7i7 9 ! matt] prec$+ subp>agraph 7,a71 by /rik+ to a ,/ate2 7ii7 9 subp>agraph 7,a71 by /rik+ ,improv+ ,/ate & ins]t+ ,e/abli%+ or improv+2 7iii7 9 subp>agraph 7,c71 by ins]t+ prev5t+ div]sion ( controll$ sub/ances1 aft] treatm5t programs12 & 7iv7 9 subp>agraph 7,e71 by /rik+ z ! ,/ate det]m9es appropriate1 relat$ to address+ ! opioid abuse crisis )9 ! ,/ate & ins]t+ z ! ,/ate or ,indian ,tribe det]m9es appropriate1 relat$ to address+ ! opioid abuse crisis )9 ! ,/ate or ,indian ,tribe1 includ+ direct+ res\rces 9 accordance ) local ne$s relat$ to sub/ance use disord]s2 7#f7 9 subsection 7c71 z s r$esignat$1 by /rik+ subsection 7c7 & ins]t+ subsection 7b72 7#g7 9 subsection 7d71 z s r$esignat$-- 7,a7 9 ! matt] prec$+ p>agraph 7#a71 by /rik+ ! au?orization ( appropriations "u subsection 7b7 & ins]t+ subsection 7h72 & 7,b7 9 p>agraph 7#a71 by /rik+ subsection 7c7 & ins]t+ subsection 7b72 & 7#h7 by ins]t+ aft] subsection 7d71 z s r$esignat$1 ! foll[+3 7e7 ,indian ,tribes 7#a7 ,def9ition ,= purposes ( ?is section1 ! t]m ,indian ,tribe has ! mean+ giv5 ! t]m ,indian tribe 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act 7#be ,u4,s4,c4 #ecjd74 7#b7 ,appropriate me*anisms ,! ,secret>y1 9 consultation ) ,indian ,tribes1 %all id5tify & e/abli% appropriate me*anisms = ,tribes to demon/rate or report ! in=mation z requir$ "u subsections 7b71 7c71 & 7d74 7f7 ,report to ,congress ,n lat] ?an #a ye> aft] ! date on :i* am\nts are fir/ aw>d$ aft] ! date ( enactm5t ( ?is subsection1 pursuant to subsection 7b71 & annually !reaft]1 ! ,secret>y %all submit to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate & ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives a report summ>iz+ ! in=mation provid$ to ! ,secret>y 9 reports made pursuant to subsection 7c71 includ+ ! purposes = :i* grant funds are aw>d$ "u ?is section & ! activities ( su* grant recipi5ts4 7g7 ,te*nical ,assi/ance ,! ,secret>y1 includ+ ?r\gh ! ,tribal ,tra9+ & ,te*nical ,assi/ance ,c5t] ( ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration1 %all provide ,/ate ag5cies & ,indian ,tribes1 z applicable1 ) te*nical assi/ance conc]n+ grant application & submission proc$ures "u ?is section1 aw>d managem5t activities1 & enhanc+ outrea* & direct support to rural & und]s]v$ communities & provid]s 9 address+ ! opioid crisis4 7h7 ,au?orization ( appropriations ,= purposes ( c>ry+ out ! grant program "u subsection 7b71 !re is au?oriz$ to be appropriat$ #ejj1jjj1jjj = ea* ( fiscal ye>s #bjai ?r\gh #bjba1 to rema9 available until exp5d$4 7i7 ,set aside ,( ! am\nts made available = ea* fiscal ye> to aw>d grants "u subsection 7b7 = a fiscal ye>1 #e p]c5t ( su* am\nt = su* fiscal ye> %all be made available to ,indian ,tribes1 & up to #ae p]c5t ( su* am\nt = su* fiscal ye> may be set aside = ,/ates ) ! highe/ age-adju/$ rate ( drug ov]dose dea? bas$ on ! ord9al rank+ ( ,/ates accord+ to ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion4 4 7b7 ,con=m+ am5dm5t ,section #ajjd7;c7 ( ! #ba/ ,c5tury ,cures ,act 7,public ,law #aad-bee7 is am5d$ by /rik+ 1 ! ,,fda ,innovation ,acc\nt1 or ! ,acc\nt ,= ! ,/ate ,response to ! ,opioid ,abuse ,crisis & ins]t+ or ! ,,fda ,innovation ,acc\nt4 #gahb4 ,report on inve/igations reg>d+ p>ity 9 m5tal heal? & sub/ance use disord] b5efits 7a7 ,9 g5]al ,section #acjjc ( ! #ba/ ,c5tury ,cures ,act 7,public ,law #aad-bee7 is am5d$-- 7#a7 9 subsection 7a7-- 7,a7 by /rik+ ) f9d+s ( any s]i\s violation reg>d+ & ins]t+ conc]n+2 & 7,b7 by ins]t+ & ! ,committee on ,education & ! ,work=ce aft] ,en]gy & ,comm]ce2 & 7#b7 9 subsection 7b77#a7-- 7,a7 by ins]t+ compla9ts receiv$ & numb] ( be=e clos$2 & 7,b7 by ins]t+ be=e ! p]iod 1 &1 = ea* su* inve/igation clos$1 :i* ag5cy conduct$ ! inve/igation1 :e!r ! heal? plan t is ! subject ( ! inve/igation is fully insur$ or n fully insur$ & a summ>y ( any coord9ation betwe5 ! applicable ,/ate regulators & ! ,dep>tm5t ( ,labor1 ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 or ! ,dep>tm5t ( ! ,treasury1 & ref]5ces to any guidance provid$ by ! ag5cies address+ ! category ( violation committ$4 7b7 ,applicability ,! am5dm5ts made by subsection 7a7 %all apply ) respect to ! second annual report requir$ "u su* section #acjjc & ea* su* annual report !reaft]4 #gahc4 ,,c>e] ,act 7a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices 7ref]r$ to 9 ?is section z ! ,secret>y71 9 consultation ) ! ,secret>y ( ,labor1 %all cont9ue or e/abli% a program to support individuals 9 sub/ance use disord] treatm5t & recov]y to live indep5d5tly & p>ticipate 9 ! work=ce4 7b7 ,grants au?oriz$ ,9 c>ry+ out ! activities "u ?is section1 ! ,secret>y %all1 on a competitive basis1 aw>d grants = a p]iod ( n m ?an #e ye>s to entities to enable su* entities to c>ry out evid5ce-bas$ programs to help individuals 9 sub/ance use disord] treatm5t & recov]y to live indep5d5tly & p>ticipate 9 ! work=ce4 ,su* entities %all coord9ate1 z applicable1 ) ,indian tribes or tribal organizations 7z applicable71 ,/ate bo>ds & local bo>ds 7z def9$ 9 section #c ( ! ,work=ce ,innovation & ,opportunity ,act 7#bi ,u4,s4,c4 #cajb71 lead ,/ate ag5cies ) responsibility = a work=ce inve/m5t activity 7z def9$ 9 su* section #c71 & ,/ate ag5cies responsible = c>ry+ out sub/ance use disord] prev5tion & treatm5t programs4 7c7 ,priority 7#a7 ,9 g5]al ,9 aw>d+ grants "u ?is section1 ! ,secret>y %all give priority bas$ on ! ,/ate 9 :i* ! entity is locat$4 ,priority %all be giv5 among ,/ates accord+ to a =mula bas$ on ! rates describ$ 9 p>agraph 7#b7 & weight$ z describ$ 9 p>agraph 7#c74 7#b7 ,rates ,! rates describ$ 9 ?is p>agraph are ! foll[+3 7,a7 ,! am\nt by :i* ! rate ( drug ov]dose dea?s 9 ! ,/ate1 adju/$ = age1 is above ! national ov]dose mortality rate1 z det]m9$ by ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion4 7,b7 ,! am\nt by :i* ! rate ( unemploym5t = ! ,/ate1 bas$ on data provid$ by ! ,bureau ( ,labor ,/ati/ics = ! prec$+ #e cal5d> ye>s = :i* !re is available data1 is above ! national av]age4 7,c7 ,! am\nt by :i* rate ( labor =ce p>ticipation 9 ! ,/ate1 bas$ on data provid$ by ! ,bureau ( ,labor ,/ati/ics = ! prec$+ #e cal5d> ye>s = :i* !re is available data1 is bel[ ! national av]age4 7#c7 ,weight+ ,! rates describ$ 9 p>agraph 7#b7 %all be weight$ z foll[s3 7,a7 ,! rate describ$ 9 p>agraph 7#b77;,a7 %all be weight$ #gj p]c5t4 7,b7 ,! rate describ$ 9 p>agraph 7#b77;,b7 %all be weight$ #ae p]c5t4 7,c7 ,! rate describ$ 9 p>agraph 7#b77;,c7 %all be weight$ #ae p]c5t4 7d7 ,pref]5ce ,9 aw>d+ grants "u ?is section1 ! ,secret>y %all give pref]5ce to entities locat$ 9 areas )9 ,/ates ) ! greate/ ne$1 ) su* ne$ bas$ on ! highe/ mortality rate relat$ to sub/ance use disord]4 7e7 ,def9itions ,9 ?is section3 7#a7 ,eligible entity ,! t]m eligible entity means an entity t (f]s treatm5t or recov]y s]vices = individuals ) sub/ance use disord]s1 & p>tn]s ) "o or m local or ,/ate /akehold]s1 :i* may include local employ]s1 community organizations1 ! local work=ce developm5t bo>d1 local & ,/ate gov]nm5ts1 & ,indian ,tribes or tribal organizations1 to support recov]y1 indep5d5t liv+1 & p>ticipation 9 ! work=ce4 7#b7 ,indian ,tribes2 tribal organization ,! t]ms ,indian ,tribe & tribal organization h ! mean+s giv5 ! t]ms ,indian tribe & tribal organization 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act 7#be ,u4,s4,c4 #ecjd74 7#c7 ,/ate ,! t]m ,/ate includes only ! sev]al ,/ates & ! ,di/rict ( ,columbia4 7f7 ,applications ,an eligible entity %all submit an application at su* "t & 9 su* mann] z ! ,secret>y may require4 ,9 submitt+ an application1 ! entity %all demon/rate ! ability to p>tn] ) local /akehold]s1 :i* may include local employ]s1 community /akehold]s1 ! local work=ce developm5t bo>d1 local & ,/ate gov]nm5ts1 & ,indian ,tribes or tribal organizations1 z applicable1 to-- 7#a7 id5tify gaps 9 ! work=ce due to ! preval5ce ( sub/ance use disord]s2 7#b7 9 coord9ation ) /atewide employm5t & tra9+ activities1 includ+ coord9ation & alignm5t ( activities c>ri$ out by entities provid$ grant funds "u section #hjda1 help individuals 9 recov]y f a sub/ance use disord] transition into ! work=ce1 includ+ by provid+ c>e] s]vices1 tra9+ s]vices z describ$ 9 p>agraph 7#b7 ( section #acd7;c7 ( ! ,work=ce ,innovation & ,opportunity ,act 7#bi ,u4,s4,c4 #cagd7;c771 & relat$ s]vices describ$ 9 section #acd7;a77#c7 ( su* ,act 7#db ,u4,s4,c4 #cagd7;a772 & 7#c7 assi/ employ]s ) in=m+ _! employees ( ! res\rces1 su* z res\rces relat$ to sub/ance use disord]s t are available to _! employees4 7g7 ,use ( funds ,an entity receiv+ a grant "u ?is section %all use ! funds to conduct "o or m ( ! foll[+ activities3 7#a7 ,hire case manag]s1 c>e coord9ators1 provid]s ( pe] recov]y support s]vices1 z describ$ 9 section #edg7;a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;ee-#b7;a771 or o!r pr(essionals1 z appropriate1 to provide s]vices t support treatm5t1 recov]y1 & rehabilitation1 & prev5t relapse1 recidivism1 & ov]dose1 includ+ by enc\rag+-- 7,a7 ! developm5t & /r5g!n+ ( daily liv+ skills2 & 7,b7 ! use ( c\nsel+1 c>e coord9ation1 & o!r s]vices1 z appropriate1 to support recov]y f sub/ance use disord]s4 7#b7 ,implem5t or utilize innovative te*nologies1 :i* may include ! use ( telem$ic9e4 7#c7 ,9 coord9ation ) ! lead ,/ate ag5cy ) responsibility = a work=ce inve/m5t activity or local bo>d describ$ 9 subsection 7b71 provide-- 7,a7 %ort-t]m prevocational tra9+ s]vices2 & 7,b7 tra9+ s]vices t are directly l9k$ to ! employm5t opportunities 9 ! local area or ! plann+ region4 7h7 ,support = ,/ate /rategy ,an eligible entity %all include 9 its application "u subsection 7f7 in=mation describ+ h[ ! s]vices & activities propos$ 9 su* application are align$ ) ! ,/ate1 outly+ area1 or ,tribal /rategy1 z applicable1 = address+ issues describ$ 9 su* application & h[ su* entity w coord9ate ) exi/+ sy/ems to deliv] s]vices z describ$ 9 su* application4 7i7 ,data report+ & program ov]sight ,ea* eligible entity aw>d$ a grant "u ?is section %all submit to ! ,secret>y a report at su* "t & 9 su* mann] z ! ,secret>y may require4 ,su* report %all include a description (-- 7#a7 ! programs & activities fund$ by ! grant2 7#b7 outcomes ( ! population ( individuals ) a sub/ance use disord] ! grantee s]v$ ?r\gh activities describ$ 9 subsection 7g72 & 7#c7 any o!r in=mation t ! ,secret>y may require = ! purpose ( ensur+ t ! grantee is comply+ ) all ( ! requirem5ts ( ! grant4 7j7 ,reports to ,congress 7#a7 ,prelim9>y report ,n lat] ?an #b ye>s aft] ! end ( ! fir/ ye> ( ! grant p]iod "u ?is section1 ! ,secret>y %all submit to ,congress a prelim9>y report t analyzes reports submitt$ "u subsection 7i74 7#b7 ,f9al report ,n lat] ?an #b ye>s aft] submitt+ ! prelim9>y report requir$ "u p>agraph 7#a71 ! ,secret>y %all submit to ,congress a f9al report t includes-- 7,a7 a description ( h[ ! grant fund+ 0 us$1 includ+ ! numb] ( individuals :o receiv$ s]vices "u subsection 7g77#c7 & an evaluation ( ! effectiv5ess ( ! activities conduct$ by ! grantee ) respect to outcomes ( ! population ( individuals ) sub/ance use disord] :o receive s]vices f ! grantee2 & 7,b7 recomm5dations relat$ to be/ practices = heal? c>e pr(essionals to support individuals 9 sub/ance use disord] treatm5t or recov]y to live indep5d5tly & p>ticipate 9 ! work=ce4 7k7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ #e1jjj1jjj = ea* ( fiscal ye>s #bjai ?r\gh #bjbc = purposes ( c>ry+ out ?is section4 ,,viii ,miscellane\s ,a ,syn!tics ,traffick+ & ,ov]dose ,prev5tion #hjja4 ,%ort title ,?is subtitle may be cit$ z ! ,syn!tics ,traffick+ & ,ov]dose ,prev5tion ,act ( #bjah or ,,/op ,act ( #bjah4 #hjjb4 ,cu/oms fees 7a7 ,9 g5]al ,section #acjca7;b77#i7 ( ! ,consolidat$ ,omnibus ,budget ,reconciliation ,act ( #aihe 7#ai ,u4,s4,c4 #eh;c7b77#i77 is am5d$ by add+ at ! end ! foll[+3 7,d7 7i7 ,) respect to ! process+ ( items t are s5t to ! ,unit$ ,/ates ?r\gh ! int]national po/al network by ,inb\nd ,express ,mail s]vice or ,inb\nd ,,ems 7z t s]vice is describ$ 9 ! mail classification s*$ule ref]r$ to 9 section #cfca ( title #ci1 ,unit$ ,/ates ,code71 ! foll[+ paym5ts are requir$3 7,i7 #a p] ,inb\nd ,,ems item4 7,,ii7 ,if an ,inb\nd ,,ems item is =mally ent]$1 ! fee provid$ = "u subsection 7a77#i71 if applicable4 7ii7 ,not)/&+ section #dea ( ! ,t>iff ,act ( #aicj 7#ai ,u4,s4,c4 #adea71 ! paym5ts requir$ by clause 7i71 z allocat$ pursuant to clause 7iii77,i71 %all be ! only paym5ts requir$ = reimbursem5t ( ,u4,s4 ,cu/oms & ,bord] ,protection = cu/oms s]vices provid$ 9 connection ) ! process+ ( an ,inb\nd ,,ems item4 7iii7 7,i7 ,! paym5ts requir$ by clause 7i77,i7 %all be allocat$ z foll[s3 7aa7 #ej p]c5t ( ! am\nt ( ! paym5ts %all be paid on a qu>t]ly basis by ! ,unit$ ,/ates ,po/al ,s]vice to ! ,commission] ( ,u4,s4 ,cu/oms & ,bord] ,protection 9 accordance ) regulations prescrib$ by ! ,secret>y ( ! ,treasury to reimburse ,u4,s4 ,cu/oms & ,bord] ,protection = cu/oms s]vices provid$ 9 connection ) ! process+ ( ,inb\nd ,,ems items4 7bb7 #ej p]c5t ( ! am\nt ( ! paym5ts %all be reta9$ by ! ,po/al ,s]vice to reimburse ! ,po/al ,s]vice = s]vices provid$ 9 connection ) ! cu/oms process+ ( ,inb\nd ,,ems items4 7,,ii7 ,paym5ts receiv$ by ,u4,s4 ,cu/oms & ,bord] ,protection "u subclause 7,i77aa7 %all1 9 accordance ) section #ebd ( ! ,t>iff ,act ( #aicj 7#ai ,u4,s4,c4 #aebd71 be deposit$ 9 ! ,cu/oms ,us] ,fee ,acc\nt & 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 ( su* s]vices4 7,,iii7 ,paym5ts reta9$ by ! ,po/al ,s]vice "u subclause 7,i77bb7 %all be us$ to directly reimburse ! ,po/al ,s]vice = ! co/s incurr$ 9 provid+ s]vices 9 connection ) ! cu/oms process+ ( ,inb\nd ,,ems items4 7iv7 ,beg9n+ 9 fiscal ye> #bjba1 ! ,secret>y1 9 consultation ) ! ,po/ma/] ,g5]al1 may adju/1 n m frequ5tly ?an once ea* fiscal ye>1 ! am\nt describ$ 9 clause 7i77,i7 to an am\nt comm5surate ) ! co/s ( s]vices provid$ 9 connection ) ! cu/oms process+ ( ,inb\nd ,,ems items1 consi/5t ) ! obligations ( ! ,unit$ ,/ates "u int]national agreem5ts4 4 7b7 ,con=m+ am5dm5ts ,section #acjca7;a7 ( ! ,consolidat$ ,omnibus ,budget ,reconciliation ,act ( #aihe 7#ai ,u4,s4,c4 #eh;c7a77 is am5d$-- 7#a7 9 p>agraph 7#f71 by ins]t+ 7o!r ?an an item subject to a fee "u subsection 7b77#i77;,d77 aft] cu/oms (fic]2 & 7#b7 9 p>agraph 7#aj7-- 7,a7 9 subp>agraph 7,c71 9 ! matt] prec$+ clause 7i71 by ins]t+ 7o!r ?an ,inb\nd ,,ems items describ$ 9 subsection 7b77#i77;,d77 aft] release2 & 7,b7 9 ! flu% at ! end1 by ins]t+ or ( ,inb\nd ,,ems items describ$ 9 subsection 7b77#i77;,d71 aft] 7,c714 7c7 ,effective date ,! am5dm5ts made by ?is section %all take effect on ,janu>y #a1 #bjbj4 #hjjc4 ,m&atory advance electronic in=mation = po/al %ipm5ts 7a7 ,m&atory advance electronic in=mation 7#a7 ,9 g5]al ,section #cdc7;a77#c77,k7 ( ! ,trade ,act ( #bjjb 7,public ,law #ajg-baj2 #ai ,u4,s4,c4 #bjga note7 is am5d$ to read z foll[s3 7,k7 7i7 ,! ,secret>y %all prescribe regulations requir+ ! ,unit$ ,/ates ,po/al ,s]vice to transmit ! in=mation describ$ 9 p>agraphs 7#a7 & 7#b7 to ! ,commission] ( ,u4,s4 ,cu/oms & ,bord] ,protection = int]national mail %ipm5ts by ! ,po/al ,s]vice 7includ+ %ipm5ts to ! ,po/al ,s]vice f =eign po/al op]ators t are transport$ by private c>ri]7 consi/5t ) ! requirem5ts ( ?is subp>agraph4 7ii7 ,9 prescrib+ regulations "u clause 7i71 ! ,secret>y %all impose requirem5ts = ! transmission to ! ,commission] ( in=mation describ$ 9 p>agraphs 7#a7 & 7#b7 = mail %ipm5ts describ$ 9 clause 7i7 t are comp>able to ! requirem5ts = ! transmission ( su* in=mation impos$ on simil> non-mail %ipm5ts ( c>go1 tak+ into acc\nt ! p>amet]s set =? 9 subp>agraphs 7,a7 ?r\gh 7,j74 7iii7 ,! regulations prescrib$ "u clause 7i7 %all require ! transmission ( ! in=mation describ$ 9 p>agraphs 7#a7 & 7#b7 ) respect to a %ipm5t z soon z practicable 9 relation to ! transportation ( ! %ipm5t1 consi/5t ) subp>agraph 7,h74 7iv7 ,regulations prescrib$ "u clause 7i7 %all all[ = ! requirem5ts = ! transmission to ! ,commission] ( in=mation describ$ 9 p>agraphs 7#a7 & 7#b7 = mail %ipm5ts describ$ 9 clause 7i7 to be implem5t$ 9 phases1 z appropriate1 by-- 7,i7 sett+ increm5tal t>gets = increas+ ! p]c5tage ( su* %ipm5ts = :i* in=mation is requir$ to be transmitt$ to ! ,commission]2 & 7,,ii7 tak+ into consid]ation-- 7aa7 ! risk pos$ by su* %ipm5ts2 7bb7 ! volume ( mail %ipp$ to ! ,unit$ ,/ates by or ?r\gh a p>ticul> c\ntry2 & 7cc7 ! capacities ( =eign po/al op]ators to provide t in=mation to ! ,po/al ,s]vice4 7v7 7,i7 ,not)/&+ clause 7iv71 ! ,po/al ,s]vice %all1 n lat] ?an ,decemb] #ca1 #bjah1 arrange = ! transmission to ! ,commission] ( ! in=mation describ$ 9 p>agraphs 7#a7 & 7#b7 = n less ?an #gj p]c5t ( ! aggregate numb] ( mail %ipm5ts1 includ+ #ajj p]c5t ( mail %ipm5ts f ! ,p's ,republic ( ,*9a1 describ$ 9 clause 7i74 7,,ii7 ,if ! requirem5ts ( subclause 7,i7 are n met1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all submit to ! appropriate congressional committees1 n lat] ?an ,june #cj1 #bjai1 a report-- 7aa7 assess+ ! reasons = ! failure to meet ^? requirem5ts2 & 7bb7 id5tify+ recomm5dations to improve ! collection by ! ,po/al ,s]vice ( ! in=mation describ$ 9 p>agraphs 7#a7 & 7#b74 7vi77,i7 ,not)/&+ clause 7iv71 ! ,po/al ,s]vice %all1 n lat] ?an ,decemb] #ca1 #bjbj1 arrange = ! transmission to ! ,commission] ( ! in=mation describ$ 9 p>agraphs 7#a7 & 7#b7 = #ajj p]c5t ( ! aggregate numb] ( mail %ipm5ts describ$ 9 clause 7i74 7,,ii7 ,! ,commission]1 9 consultation ) ! ,po/ma/] ,g5]al1 may det]m9e to exclude a c\ntry f ! requirem5t describ$ 9 subclause 7,i7 to transmit in=mation = mail %ipm5ts describ$ 9 clause 7i7 f ! c\ntry if ! ,commission] det]m9es t ! c\ntry-- 7aa7 does n h ! capacity to collect & transmit su* in=mation2 7bb7 repres5ts a l[ risk = mail %ipm5ts t violate relevant ,unit$ ,/ates laws & regulations2 & 7cc7 acc\nts = l[ volumes ( mail %ipm5ts t c be effectively scre5$ = compliance ) relevant ,unit$ ,/ates laws & regulations ?r\gh an alt]nate means4 7,,iii7 ,! ,commission] %all1 at a m9imum on an annual basis1 re-evaluate any det]m9ation made "u subclause 7,,ii7 to exclude a c\ntry f ! requirem5t describ$ 9 subclause 7,i74 ,if1 at any "t1 ! ,commission] det]m9es t a c\ntry no long] meets ! requirem5ts "u subclause 7,,ii71 ! ,commission] may n fur!r exclude ! c\ntry f ! requirem5t describ$ 9 subclause 7,i74 7,,iv7 ,! ,commission] %all1 on an annual basis1 submit to ! appropriate congressional committees-- 7aa7 a li/ ( c\ntries ) respect to :i* ! ,commission] has made a det]m9ation "u subclause 7,,ii7 to exclude ! c\ntries f ! requirem5t describ$ 9 subclause 7,i72 & 7bb7 in=mation us$ to support su* det]m9ation ) respect to su* c\ntries4 7vii7 7,i7 ,! ,po/ma/] ,g5]al %all1 9 consultation ) ! ,commission]1 refuse any %ipm5ts receiv$ aft] ,decemb] #ca1 #bjbj1 = :i* ! in=mation describ$ 9 p>agraphs 7#a7 & 7#b7 is n transmitt$ z requir$ "u ?is subp>agraph1 except z provid$ 9 subclause 7,,ii74 7,,ii7 ,if rem$ial action is w>rant$ 9 lieu ( refusal ( %ipm5ts pursuant to subclause 7,i71 ! ,po/ma/] ,g5]al & ! ,commission] %all take rem$ial action ) respect to ! %ipm5ts1 includ+ de/ruction1 seizure1 controll$ deliv]y or o!r law en=cem5t initiatives1 or correction ( ! failure to provide ! in=mation describ$ 9 p>agraphs 7#a7 & 7#b7 ) respect to ! %ipm5ts4 7viii7 ,no?+ 9 ?is subp>agraph %all be con/ru$ to limit ! au?ority ( ! ,secret>y to obta9 in=mation relat+ to int]national mail %ipm5ts f private c>ri]s or o!r appropriate p>ties4 7ix7 ,9 ?is subp>agraph1 ! t]m appropriate congressional committees means-- 7,i7 ! ,committee on ,f9ance & ! ,committee on ,homel& ,security & ,gov]nm5tal ,affairs ( ! ,s5ate2 & 7,,ii7 ! ,committee on ,ways & ,means1 ! ,committee on ,ov]sight & ,gov]nm5t ,re=m1 & ! ,committee on ,homel& ,security ( ! ,h\se ( ,repres5tatives4 4 7#b7 ,jo9t /rategic plan on m&atory advance in=mation ,n lat] ?an #fj days aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,homel& ,security & ! ,po/ma/] ,g5]al %all develop & submit to ! appropriate congressional committees a jo9t /rategic plan detail+ specific p]=mance measures = a*iev+-- 7,a7 ! transmission ( in=mation z requir$ by section #cdc7;a77#c77,k7 ( ! ,trade ,act ( #bjjb1 z am5d$ by p>agraph 7#a72 & 7,b7 ! pres5tation by ! ,po/al ,s]vice to ,u4,s4 ,cu/oms & ,bord] ,protection ( all mail t>get$ by ,u4,s4 ,cu/oms & ,bord] ,protection = inspection4 7b7 ,capacity build+ 7#a7 ,9 g5]al ,section #cdc7;a7 ( ! ,trade ,act ( #bjjb 7,public ,law #ajg-baj2 #ai ,u4,s4,c4 #bjga note7 is am5d$ by add+ at ! end ! foll[+3 7#e7 ,capacity build+ 7,a7 ,9 g5]al ,! ,secret>y1 ) ! concurr5ce ( ! ,secret>y ( ,/ate1 & 9 coord9ation ) ! ,po/ma/] ,g5]al & ! heads ( o!r ,f$]al ag5cies1 z appropriate1 may provide te*nical assi/ance1 equipm5t1 te*nology1 & tra9+ to enhance ! capacity ( =eign po/al op]ators-- 7i7 to ga!r & provide ! in=mation requir$ by p>agraph 7#c77,k72 & 7ii7 to o!rwise ga!r & provide po/al %ipm5t in=mation relat$ to-- 7,i7 t]rorism2 7,,ii7 items ! importation or introduction ( :i* into ! ,unit$ ,/ates is prohibit$ or re/rict$1 includ+ controll$ sub/ances2 & 7,,iii7 su* o!r conc]ns z ! ,secret>y det]m9es appropriate4 7,b7 ,provision ( equipm5t & te*nology ,) respect to ! provision ( equipm5t & te*nology "u subp>agraph 7,a71 ! ,secret>y may lease1 loan1 provide1 or o!rwise assi/ 9 ! deploym5t ( su* equipm5t & te*nology "u su* t]ms & conditions z ! ,secret>y may prescribe1 includ+ nonreimbursable loans or ! transf] ( own]%ip ( equipm5t & te*nology4 4 7#b7 ,jo9t /rategic plan on capacity build+ ,n lat] ?an #a ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,homel& ,security & ! ,po/ma/] ,g5]al %all1 9 consultation ) ! ,secret>y ( ,/ate1 jo9tly develop & submit to ! appropriate congressional committees a jo9t /rategic plan-- 7,a7 detail+ ! ext5t to :i* ,u4,s4 ,cu/oms & ,bord] ,protection & ! ,unit$ ,/ates ,po/al ,s]vice are engag$ 9 capacity build+ ef=ts "u section #cdc7;a77#e7 ( ! ,trade ,act ( #bjjb1 z add$ by p>agraph 7#a72 7,b7 describ+ plans = future capacity build+ ef=ts2 & 7,c7 assess+ h[ capacity build+ has increas$ ! ability ( ,u4,s4 ,cu/oms & ,bord] ,protection & ! ,po/al ,s]vice to advance ! goals ( ?is subtitle & ! am5dm5ts made by ?is subtitle4 7c7 ,report & consultations by ,secret>y ( ,homel& ,security & ,po/ma/] ,g5]al 7#a7 ,report ,n lat] ?an #ahj days aft] ! date ( ! enactm5t ( ?is ,act1 & annually !reaft] until #c ye>s aft] ! ,po/ma/] ,g5]al has met ! requirem5t "u clause 7vi7 ( subp>agraph 7,k7 ( section #cdc7;a77#c7 ( ! ,trade ,act ( #bjjb1 z am5d$ by subsection 7a77#a71 ! ,secret>y ( ,homel& ,security & ! ,po/ma/] ,g5]al %all1 9 consultation ) ! ,secret>y ( ,/ate1 jo9tly submit to ! appropriate congressional committees a report on compliance ) t subp>agraph t includes ! foll[+3 7,a7 ,an assessm5t ( ! /atus ( ! regulations requir$ to be promulgat$ "u t subp>agraph4 7,b7 ,an update reg>d+ new & exi/+ agreem5ts rea*$ ) =eign po/al op]ators = ! transmission ( ! in=mation requir$ by t subp>agraph4 7,c7 ,a summ>y ( delib]ations betwe5 ! ,unit$ ,/ates ,po/al ,s]vice & =eign po/al op]ators ) respect to issues relat+ to ! transmission ( t in=mation4 7,d7 ,a summ>y ( ! progress made 9 a*iev+ ! transmission ( t in=mation = ! p]c5tage ( %ipm5ts requir$ by t subp>agraph4 7,e7 ,an assessm5t ( ! quality ( t in=mation be+ receiv$ by =eign po/al op]ators1 z det]m9$ by ! ,secret>y ( ,homel& ,security1 & actions tak5 to improve ! quality ( t in=mation4 7,f7 ,a summ>y ( policies e/abli%$ by ! ,univ]sal ,po/al ,union t may affect ! ability ( ! ,po/ma/] ,g5]al to obta9 ! transmission ( t in=mation4 7,g7 ,a summ>y ( ! use ( te*nology to detect illicit syn!tic opioids & o!r illegal sub/ances 9 int]national mail p>cels & plann$ acquisitions & advancem5ts 9 su* te*nology4 7,h7 ,su* o!r in=mation z ! ,secret>y ( ,homel& ,security & ! ,po/ma/] ,g5]al consid] appropriate ) respect to obta9+ ! transmission ( in=mation requir$ by t subp>agraph4 7#b7 ,consultations ,n lat] ?an #ahj days aft] ! date ( ! enactm5t ( ?is ,act1 & e #ahj days !reaft] until ! ,po/ma/] ,g5]al has met ! requirem5t "u clause 7vi7 ( section #cdc7;a77#c77,k7 ( ! ,trade ,act ( #bjjb1 z am5d$ by subsection 7a77#a71 to arrange = ! transmission ( in=mation ) respect to #ajj p]c5t ( ! aggregate numb] ( mail %ipm5ts describ$ 9 clause 7i7 ( t section1 ! ,secret>y ( ,homel& ,security & ! ,po/ma/] ,g5]al %all provide brief+s to ! appropriate congressional committees on ! progress made 9 a*iev+ ! transmission ( t in=mation = t p]c5tage ( %ipm5ts4 7d7 ,gov]nm5t ,acc\ntability ,(fice report ,n lat] ?an ,june #cj1 #bjai1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all submit to ! appropriate congressional committees a report-- 7#a7 assess+ ! progress ( ! ,unit$ ,/ates ,po/al ,s]vice 9 a*iev+ ! transmission ( ! in=mation requir$ by subp>agraph 7,k7 ( section #cdc7;a77#c7 ( ! ,trade ,act ( #bjjb1 z am5d$ by subsection 7a77#a71 = ! p]c5tage ( %ipm5ts requir$ by t subp>agraph2 7#b7 assess+ ! quality ( ! in=mation receiv$ f =eign po/al op]ators = t>get+ purposes2 7#c7 assess+ ! specific p]c5tage ( t>get$ mail pres5t$ by ! ,po/al ,s]vice to ,u4,s4 ,cu/oms & ,bord] ,protection = inspection2 7#d7 describ+ ! co/s ( collect+ ! in=mation requir$ by su* subp>agraph 7,k7 f =eign po/al op]ators & ! co/s ( implem5t+ ! use ( t in=mation2 7#e7 assess+ ! b5efits ( receiv+ t in=mation ) respect to int]national mail %ipm5ts2 7#f7 assess+ ! feasibility ( assess+ a cu/oms fee "u section #acjca7;b77#i7 ( ! ,consolidat$ ,omnibus ,budget ,reconciliation ,act ( #aihe1 z am5d$ by section #hjjb1 on int]national mail %ipm5ts o!r ?an ,inb\nd ,express ,mail s]vice 9 a mann] consi/5t ) ! obligations ( ! ,unit$ ,/ates "u int]national agreem5ts2 & 7#g7 id5tify+ recomm5dations1 includ+ recomm5dations = legislation1 to improve ! compliance ( ! ,po/al ,s]vice ) su* subp>agraph 7,k71 includ+ an assessm5t ( :e!r ! detection ( illicit syn!tic opioids 9 ! int]national mail w\ld be improv$ by-- 7,a7 requir+ ! ,po/al ,s]vice to s]ve z ! consignee = int]national mail %ipm5ts conta9+ goods2 or 7,b7 designat+ a cu/oms brok] to act z an import] ( record = int]national mail %ipm5ts conta9+ goods4 7e7 ,te*nical correction ,section #cdc ( ! ,trade ,act ( #bjjb 7,public ,law #ajg-baj2 #ai ,u4,s4,c4 #bjga note7 is am5d$ 9 ! section head+ by /rik+ advanc$ & ins]t+ advance4 7f7 ,appropriate congressional committees def9$ ,9 ?is section1 ! t]m appropriate congressional committees means-- 7#a7 ! ,committee on ,f9ance & ! ,committee on ,homel& ,security & ,gov]nm5tal ,affairs ( ! ,s5ate2 & 7#b7 ! ,committee on ,ways & ,means1 ! ,committee on ,ov]sight & ,gov]nm5t ,re=m1 & ! ,committee on ,homel& ,security ( ! ,h\se ( ,repres5tatives4 #hjjd4 ,int]national po/al agreem5ts 7a7 ,exi/+ agreem5ts 7#a7 ,9 g5]al ,9 ! ev5t t any provision ( ?is subtitle1 or any am5dm5t made by ?is subtitle1 is det]m9$ to be 9 violation ( obligations ( ! ,unit$ ,/ates "u any po/al treaty1 conv5tion1 or o!r int]national agreem5t relat$ to int]national po/al s]vices1 or any am5dm5t to su* an agreem5t1 ! ,secret>y ( ,/ate %\ld negotiate to am5d ! relevant provisions ( ! agreem5t s t ! ,unit$ ,/ates is no long] 9 violation ( ! agreem5t4 7#b7 ,rule ( con/ruction ,no?+ 9 ?is subsection %all be con/ru$ to p]mit delay 9 ! implem5tation ( ?is subtitle or any am5dm5t made by ?is subtitle4 7b7 ,future agreem5ts 7#a7 ,consultations ,be=e ent]+ into1 on or aft] ! date ( ! enactm5t ( ?is ,act1 any po/al treaty1 conv5tion1 or o!r int]national agreem5t relat$ to int]national po/al s]vices1 or any am5dm5t to su* an agreem5t1 t is relat$ to ! ability ( ! ,unit$ ,/ates to secure ! provision ( advance electronic in=mation by =eign po/al op]ators1 ! ,secret>y ( ,/ate %\ld consult ) ! appropriate congressional committees 7z def9$ 9 section #hjjc7;f774 7#b7 ,exp$it$ negotiation ( new agreem5t ,to ! ext5t t any new po/al treaty1 conv5tion1 or o!r int]national agreem5t relat$ to int]national po/al s]vices w\ld improve ! ability ( ! ,unit$ ,/ates to secure ! provision ( advance electronic in=mation by =eign po/al op]ators z requir$ by regulations prescrib$ "u section #cdc7;a77#c77,k7 ( ! ,trade ,act ( #bjjb1 z am5d$ by section #hjjc7;a77#a71 ! ,secret>y ( ,/ate %\ld exp$iti\sly conclude su* an agreem5t4 #hjje4 ,co/ rec\pm5t 7a7 ,9 g5]al ,! ,unit$ ,/ates ,po/al ,s]vice %all1 to ! ext5t practicable & o!rwise recov]able by law1 ensure t all co/s associat$ ) comply+ ) ?is subtitle & am5dm5ts made by ?is subtitle are *>g$ directly to =eign %ipp]s or =eign po/al op]ators4 7b7 ,co/s n consid]$ rev5ue ,! recov]y ( co/s "u subsection 7a7 %all n be deem$ rev5ue = purposes ( sub*apt] ,i & ,,ii ( *apt] #cf ( title #ci1 ,unit$ ,/ates ,code1 or regulations prescrib$ "u t *apt]4 #hjjf4 ,developm5t ( te*nology to detect illicit n>cotics 7a7 ,9 g5]al ,! ,po/ma/] ,g5]al & ! ,commission] ( ,u4,s4 ,cu/oms & ,bord] ,protection1 9 coord9ation ) ! heads ( o!r ag5cies z appropriate1 %all collaborate to id5tify & develop te*nology = ! detection ( illicit f5tanyl1 o!r syn!tic opioids1 & o!r n>cotics & psy*oactive sub/ances ent]+ ! ,unit$ ,/ates by mail4 7b7 ,outrea* to private sector ,! ,po/ma/] ,g5]al & ! ,commission] %all conduct outrea* to private sector entities to ga!r in=mation reg>d+ ! curr5t /ate ( te*nology to id5tify areas = innovation relat+ to ! detection ( illicit f5tanyl1 o!r syn!tic opioids1 & o!r n>cotics & psy*oactive sub/ances ent]+ ! ,unit$ ,/ates4 #hjjg4 ,civil p5alties = po/al %ipm5ts ,section #dcf ( ! ,t>iff ,act ( #aicj 7#ai ,u4,s4,c4 #adcf7 is am5d$ by add+ at ! end ! foll[+ new subsection3 7e7 ,civil p5alties = po/al %ipm5ts 7#a7 ,civil p5alty ,a civil p5alty %all be impos$ aga9/ ! ,unit$ ,/ates ,po/al ,s]vice if ! ,po/al ,s]vice accepts a %ipm5t 9 violation ( section #cdc7;a77#c77,k77vii77,i7 ( ! ,trade ,act ( #bjjb4 7#b7 ,modification ( civil p5alty 7,a7 ,9 g5]al ,u4,s4 ,cu/oms & ,bord] ,protection %all r$uce or dismiss a civil p5alty impos$ pursuant to p>agraph 7#a7 if ,u4,s4 ,cu/oms & ,bord] ,protection det]m9es t ! ,unit$ ,/ates ,po/al ,s]vice-- 7i7 has a l[ error rate 9 compliance ) section #cdc7;a77#c77,k7 ( ! ,trade ,act ( #bjjb2 7ii7 is coop]at+ ) ,u4,s4 ,cu/oms & ,bord] ,protection ) respect to ! violation ( section #cdc7;a77#c77,k77vii77,i7 ( ! ,trade ,act ( #bjjb2 or 7iii7 has tak5 rem$ial action to prev5t future violations ( section #cdc7;a77#c77,k77vii77,i7 ( ! ,trade ,act ( #bjjb4 7,b7 ,writt5 notification ,u4,s4 ,cu/oms & ,bord] ,protection %all issue a writt5 notification to ! ,po/al ,s]vice ) respect to ea* ex]cise ( ! au?ority ( subp>agraph 7,a7 to r$uce or dismiss a civil p5alty impos$ pursuant to p>agraph 7#a74 7#c7 ,ongo+ lack ( compliance ,if ,u4,s4 ,cu/oms & ,bord] ,protection det]m9es t ! ,unit$ ,/ates ,po/al ,s]vice-- 7,a7 has repeat$ly committ$ violations ( section #cdc7;a77#c77,k77vii77,i7 ( ! ,trade ,act ( #bjjb1 7,b7 has fail$ to coop]ate ) ,u4,s4 ,cu/oms & ,bord] ,protection ) respect to violations ( section #cdc7;a77#c77,k77vii77,i7 ( ! ,trade ,act ( #bjjb1 & 7,c7 has an increas+ error rate 9 compliance ) section #cdc7;a77#c77,k7 ( ! ,trade ,act ( #bjjb1 civil p5alties may be impos$ aga9/ ! ,unit$ ,/ates ,po/al ,s]vice until corrective action1 satisfactory to ,u4,s4 ,cu/oms & ,bord] ,protection1 is tak54 4 #hjjh4 ,report on violations ( arrival1 report+1 entry1 & cle>ance requirem5ts & falsity or lack ( manife/ 7a7 ,9 g5]al ,! ,commission] ( ,u4,s4 ,cu/oms & ,bord] ,protection %all submit to ! appropriate congressional committees an annual report t conta9s ! in=mation describ$ 9 subsection 7b7 ) respect to ea* violation ( section #dcf ( ! ,t>iff ,act ( #aicj 7#ai ,u4,s4,c4 #adcf71 z am5d$ by section #hjjg1 & section #ehd ( su* ,act 7#ai ,u4,s4,c4 #aehd7 t occurr$ dur+ ! previ\s ye>4 7b7 ,in=mation describ$ ,! in=mation describ$ 9 ?is subsection is ! foll[+3 7#a7 ,! "n & address ( ! violator4 7#b7 ,! specific violation t 0 committ$4 7#c7 ,! location or port ( entry ?r\gh :i* ! items 7 transport$4 7#d7 ,an inv5tory ( ! items seiz$1 includ+ a description ( ! items & ! quantity seiz$4 7#e7 ,! location f :i* ! items orig9at$4 7#f7 ,! entity responsible = ! appreh5sion or seizure1 organiz$ by location or port ( entry4 7#g7 ,! am\nt ( p5alties assess$ by ,u4,s4 ,cu/oms & ,bord] ,protection1 organiz$ by "n ( ! violator & location or port ( entry4 7#h7 ,! am\nt ( p5alties t ,u4,s4 ,cu/oms & ,bord] ,protection c\ld h levi$1 organiz$ by "n ( ! violator & location or port ( entry4 7#i7 ,! rationale = negotiat+ l[] p5alties1 organiz$ by "n ( ! violator & location or port ( entry4 7c7 ,appropriate congressional committees def9$ ,9 ?is section1 ! t]m appropriate congressional committees means-- 7#a7 ! ,committee on ,f9ance & ! ,committee on ,homel& ,security & ,gov]nm5tal ,affairs ( ! ,s5ate2 & 7#b7 ! ,committee on ,ways & ,means1 ! ,committee on ,ov]sight & ,gov]nm5t ,re=m1 & ! ,committee on ,homel& ,security ( ! ,h\se ( ,repres5tatives4 #hjji4 ,effective date2 regulations 7a7 ,effective date ,?is subtitle & ! am5dm5ts made by ?is subtitle 7o!r ?an ! am5dm5ts made by section #hjjb7 %all take effect on ! date ( ! enactm5t ( ?is ,act4 7b7 ,regulations ,n lat] ?an #a ye> aft] ! date ( ! enactm5t ( ?is ,act1 su* regulations z are necess>y to c>ry out ?is subtitle & ! am5dm5ts made by ?is subtitle %all be prescrib$4 ,b ,opioid ,addiction ,recov]y ,fraud ,prev5tion #hjba4 ,%ort title ,?is subtitle may be cit$ z ! ,opioid ,addiction ,recov]y ,fraud ,prev5tion ,act ( #bjah4 #hjbb4 ,def9itions ,= purposes ( ?is subtitle only1 & n be con/ru$ or appli$ z to *all5ge or affect ! *>act]ization1 def9ition1 or treatm5t "u any o!r /atute1 regulation1 or rule3 7#a7 ,sub/ance use disord] treatm5t product ,! t]m sub/ance use disord] treatm5t product means a product = use or m>ket$ = use 9 ! treatm5t1 cure1 or prev5tion ( a sub/ance use disord]1 includ+ an opioid use disord]4 7#b7 ,sub/ance use disord] treatm5t s]vice ,! t]m sub/ance use disord] treatm5t s]vice means a s]vice t purports to provide ref]rals to treatm5t1 treatm5t1 or recov]y h\s+ = p diagnos$ )1 hav+1 or purport+ to h a sub/ance use disord]1 includ+ an opioid use disord]4 #hjbc4 ,unfair or deceptive acts or practices ) respect to sub/ance use disord] treatm5t s]vice & products 7a7 ,unlawful activity ,x is unlawful to engage 9 an unfair or deceptive act or practice ) respect to any sub/ance use disord] treatm5t s]vice or sub/ance use disord] treatm5t product4 7b7 ,en=cem5t by ! ,f$]al ,trade ,commission 7#a7 ,unfair or deceptive acts or practices ,a violation ( subsection 7a7 %all be treat$ z a violation ( a rule "u section #ah ( ! ,f$]al ,trade ,commission ,act 7#ae ,u4,s4,c4 #eg;a7 reg>d+ unfair or deceptive acts or practices4 7#b7 ,p[]s ( ! ,f$]al ,trade ,commission 7,a7 ,9 g5]al ,! ,f$]al ,trade ,commission %all en=ce ?is section 9 ! same mann]1 by ! same means1 & ) ! same jurisdiction1 p[]s1 & duties z ?\gh all applicable t]ms & provisions ( ! ,f$]al ,trade ,commission ,act 7#ae ,u4,s4,c4 #da et seq47 7 incorporat$ into & made a "p ( ?is section4 7,b7 ,privileges & immunities ,any p]son :o violates subsection 7a7 %all be subject to ! p5alties & entitl$ to ! privileges & immunities provid$ 9 ! ,f$]al ,trade ,commission ,act z ?\gh all applicable t]ms & provisions ( ! ,f$]al ,trade ,commission ,act 7#ae ,u4,s4,c4 #da et seq47 7 incorporat$ & made "p ( ?is section4 7c7 ,au?ority pres]v$ ,no?+ 9 ?is subtitle %all be con/ru$ to limit ! au?ority ( ! ,f$]al ,trade ,commission or ! ,food & ,drug ,adm9i/ration "u any o!r provision ( law4 ,c ,address+ economic & work=ce impacts ( ! opioid crisis #hjda4 ,address+ economic & work=ce impacts ( ! opioid crisis 7a7 ,def9itions ,except z o!rwise expressly provid$1 9 ?is section3 7#a7 ,,wioa def9itions ,! t]ms core program1 individual ) a b>ri] to employm5t1 local area1 local bo>d1 "o-/op op]ator1 outly+ area1 ,/ate1 ,/ate bo>d1 & supportive s]vices h ! mean+s giv5 ! t]ms 9 section #c ( ! ,work=ce ,innovation & ,opportunity ,act 7#bi ,u4,s4,c4 #cajb74 7#b7 ,education provid] ,! t]m education provid] means-- 7,a7 an in/itution ( high] education1 z def9$ 9 section #aja ( ! ,high] ,education ,act ( #aife 7#bj ,u4,s4,c4 #ajja72 or 7,b7 a po/second>y vocational in/itution1 z def9$ 9 section #ajb7;c7 ( su* ,act 7#bj ,u4,s4,c4 #ajjb7;c774 7#c7 ,eligible entity ,! t]m eligible entity means-- 7,a7 a ,/ate work=ce ag5cy2 7,b7 an outly+ area2 or 7,c7 a ,tribal entity4 7#d7 ,p>ticipat+ p>tn]%ip ,! t]m p>ticipat+ p>tn]%ip means a p>tn]%ip-- 7,a7 evid5c$ by a writt5 contract or agreem5t2 & 7,b7 includ+1 z memb]s ( ! p>tn]%ip1 a local bo>d receiv+ a subgrant "u subsection 7d7 & #a or m ( ! foll[+3 7i7 ,! eligible entity4 7ii7 ,a treatm5t provid]4 7iii7 ,an employ] or indu/ry organization4 7iv7 ,an education provid]4 7v7 ,a legal s]vice or law en=cem5t organization4 7vi7 ,a fai?-bas$ or community-bas$ organization4 7vii7 ,o!r ,/ate or local ag5cies1 includ+ c\nties or local gov]nm5ts4 7viii7 ,o!r organizations1 z det]m9$ to be necess>y by ! local bo>d4 7ix7 ,indian ,tribes or tribal organizations4 7#e7 ,program p>ticipant ,! t]m program p>ticipant means an individual :o-- 7,a7 is a memb] ( a population ( work]s describ$ 9 subsection 7e77#b7 t is s]v$ by a p>ticipat+ p>tn]%ip ?r\gh ! pilot program "u ?is section2 & 7,b7 enrolls ) ! applicable p>ticipat+ p>tn]%ip to receive any ( ! s]vices describ$ 9 subsection 7e77#c74 7#f7 ,provid] ( pe] recov]y support s]vices ,! t]m provid] ( pe] recov]y support s]vices means a provid] t deliv]s pe] recov]y support s]vices ?r\gh an organization describ$ 9 section #edg7;a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;ee-#b7;a774 7#g7 ,secret>y ,! t]m ,secret>y means ! ,secret>y ( ,labor4 7#h7 ,/ate work=ce ag5cy ,! t]m ,/ate work=ce ag5cy means ! lead ,/ate ag5cy ) responsibility = ! adm9i/ration ( a program "u *apt] #b or #c ( subtitle ,b ( title ,i ( ! ,work=ce ,innovation & ,opportunity ,act 7#bi ,u4,s4,c4 #cafa et seq41 #caga et seq474 7#i7 ,sub/ance use disord] ,! t]m sub/ance use disord] has ! mean+ giv5 su* t]m by ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use4 7#aj7 ,treatm5t provid] ,! t]m treatm5t provid]-- 7,a7 means a heal? c>e provid] t-- 7i7 (f]s s]vices = treat+ sub/ance use disord]s & is lic5s$ 9 accordance ) applicable ,/ate law to provide su* s]vices2 & 7ii7 accepts heal? insurance = su* s]vices1 includ+ cov]age "u title ,,xix ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq472 & 7,b7 may include-- 7i7 a nonpr(it provid] ( pe] recov]y support s]vices2 7ii7 a community heal? c>e provid]2 7iii7 a ,f$]ally qualifi$ heal? c5t] 7z def9$ 9 section #ahfa7;aa7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex772 7iv7 an ,indian heal? program 7z def9$ 9 section #c ( ! ,indian ,heal? ,c>e ,improvem5t ,act 7#be ,u4,s4,c4 #afjc771 includ+ an ,indian heal? program t s]ves an urban c5t] 7z def9$ 9 su* section72 & 7v7 a ,native ,hawaiian heal? c5t] 7z def9$ 9 section #ab ( ! ,native ,hawaiian ,heal? ,c>e ,improvem5t ,act 7#db ,u4,s4,c4 #aagaa774 7#aa7 ,tribal entity ,! t]m ,tribal entity includes any ,indian ,tribe1 tribal organization1 ,indian-controll$ organization s]v+ ,indians1 ,native ,hawaiian organization1 or ,alaska ,native entity1 z su* t]ms are def9$ or us$ 9 section #aff ( ! ,work=ce ,innovation & ,opportunity ,act 7#bi ,u4,s4,c4 #cbba74 7b7 ,pilot program & grants au?oriz$ 7#a7 ,9 g5]al ,! ,secret>y1 9 consultation ) ! ,secret>y ( ,heal? & ,human ,s]vices1 %all c>ry out a pilot program to address economic & work=ce impacts associat$ ) a high rate ( a sub/ance use disord]4 ,9 c>ry+ out ! pilot program1 ! ,secret>y %all make grants1 on a competitive basis1 to eligible entities to enable su* entities to make subgrants to local bo>ds to address ! economic & work=ce impacts associat$ ) a high rate ( a sub/ance use disord]4 7#b7 ,grant am\nts ,! ,secret>y %all make ea* su* grant 9 an am\nt t is n less ?an #ejj1jjj1 & n m ?an #e1jjj1jjj1 = a fiscal ye>4 7c7 ,grant applications 7#a7 ,9 g5]al ,an eligible entity apply+ = a grant "u ?is section %all submit an application to ! ,secret>y at su* "t & 9 su* =m & mann] z ! ,secret>y may reasonably require1 includ+ ! in=mation describ$ 9 ?is subsection4 7#b7 ,significant impact on community by opioid & sub/ance use disord]-relat$ problems 7,a7 ,demon/ration ,an eligible entity %all include 9 ! application-- 7i7 in=mation t demon/rates significant impact on ! community by problems relat$ to opioid abuse or ano!r sub/ance use disord]1 by-- 7,i7 id5tify+ ! c\nties1 communities1 regions1 or local areas t h be5 significantly impact$ & w be s]v$ ?r\gh ! grant 7ea* ref]r$ to 9 ?is section z a s]vice area72 & 7,,ii7 demon/rat+ = ea* su* s]vice area1 an increase equal to or great] ?an ! national increase 9 su* problems1 betwe5-- 7aa7 #aiii2 & 7bb7 #bjaf or ! late/ ye> = :i* data are available2 & 7ii7 a description ( h[ ! eligible entity w prioritize support = significantly impact$ s]vice areas describ$ 9 clause 7i77,i74 7,b7 ,in=mation ,to meet ! requirem5ts describ$ 9 subp>agraph 7,a77i77,,ii71 ! eligible entity may use in=mation includ+ data on-- 7i7 ! incid5ce or preval5ce ( opioid abuse & o!r sub/ance use disord]s2 7ii7 ! age-adju/$ rate ( drug ov]dose dea?s1 z det]m9$ by ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion2 7iii7 ! rate ( non-fatal hospitalizations relat$ to opioid abuse or o!r sub/ance use disord]s2 7iv7 ! numb] ( arre/s or convictions1 or a relevant law en=cem5t /ati/ic1 t reasonably %[s an increase 9 opioid abuse or ano!r sub/ance use disord]2 or 7v7 9 ! case ( an eligible entity describ$ 9 subsection 7a77#c77;,c71 o!r alt]native relevant data z det]m9$ appropriate by ! ,secret>y4 7,c7 ,support = /ate /rategy ,! eligible entity may include 9 ! application in=mation describ+ h[ ! propos$ s]vices & activities are align$ ) ! ,/ate1 outly+ area1 or ,tribal /rategy1 z applicable1 = address+ problems describ$ 9 subp>agraph 7,a7 9 specific s]vice areas or across ! ,/ate1 outly+ area1 or ,tribal l&4 7#c7 ,economic & employm5t conditions demon/rate additional ,f$]al support ne$$ 7,a7 ,demon/ration ,an eligible entity %all include 9 ! application in=mation t demon/rates t a high rate ( a sub/ance use disord] has caus$1 or is co9cid5t to-- 7i7 an economic or employm5t d[nturn 9 ! s]vice area2 or 7ii7 p]si/5t economically depress$ conditions 9 su* s]vice area4 7,b7 ,in=mation ,to meet ! requirem5ts ( subp>agraph 7,a71 an eligible entity may use in=mation includ+-- 7i7 docum5tation ( any lay(f1 ann\nc$ future lay(f1 legacy indu/ry decl9e1 decrease 9 an employm5t or labor m>ket p>ticipation rate1 or economic impact1 :e!r or n ! result describ$ 9 ?is clause is ov]tly relat$ to a high rate ( a sub/ance use disord]2 7ii7 docum5tation %[+ decreas$ economic activity relat$ to1 caus$ by1 or contribut+ to a high rate ( a sub/ance use disord]1 includ+ a description ( h[ ! s]vice area has be5 impact$1 or w be impact$1 by su* a decrease2 7iii7 in=mation on economic indicators1 labor m>ket analyses1 in=mation f public ann\ncem5ts1 & demographic & indu/ry data2 7iv7 in=mation on rapid response activities 7z def9$ 9 section #c ( ! ,work=ce ,innovation & ,opportunity ,act 7#bi ,u4,s4,c4 #cajb77 t h be5 or w be conduct$1 includ+ demographic data ga!r$ by employ] or work] surveys or ?r\gh o!r me?ods2 7v7 data or docum5tation1 beyond anecdotal evid5ce1 %[+ t employ]s face *all5ges fill+ job vacancies due to a lack ( skill$ work]s able to pass a drug te/2 or 7vi7 any additional relevant data or in=mation on ! economy1 work=ce1 or ano!r aspect ( ! s]vice area to support ! application4 7d7 ,subgrant au?orization & application process 7#a7 ,subgrants au?oriz$ 7,a7 ,9 g5]al ,an eligible entity receiv+ a grant "u subsection 7b7-- 7i7 may use n m ?an #e p]c5t ( ! grant funds = ! adm9i/rative co/s ( c>ry+ out ! grant2 7ii7 9 ! case ( an eligible entity describ$ 9 subp>agraph 7,a7 or 7,b7 ( subsection 7a77#c71 %all use ! rema9+ grant funds to make subgrants to local entities 9 ! s]vice area to c>ry out ! s]vices & activities describ$ 9 subsection 7e72 & 7iii7 9 ! case ( an eligible entity describ$ 9 subsection 7a77#c77;,c71 %all use ! rema9+ grant funds to c>ry out ! s]vices & activities describ$ 9 subsection 7e74 7,b7 ,equitable di/ribution ,9 mak+ subgrants "u ?is subsection1 an eligible entity %all ensure1 to ! ext5t practicable1 ! equitable di/ribution ( subgrants1 bas$ on-- 7i7 geography 7su* z urban & rural di/ribution72 & 7ii7 significantly impact$ s]vice areas z describ$ 9 subsection 7c77#b74 7,c7 ,tim+ ( subgrant funds di/ribution ,an eligible entity mak+ subgrants "u ?is subsection %all disburse subgrant funds to a local bo>d receiv+ a subgrant f ! eligible entity by ! lat] (-- 7i7 ! date t is #ij days aft] ! date on :i* ! ,secret>y makes ! funds available to ! eligible entity2 or 7ii7 ! date t is #ae days aft] ! date t ! eligible entity makes ! subgrant "u subp>agraph 7,a77ii74 7#b7 ,subgrant application 7,a7 ,9 g5]al ,a local bo>d desir+ to receive a subgrant "u ?is subsection f an eligible entity %all submit an application at su* "t & 9 su* mann] z ! eligible entity may reasonably require1 includ+ ! in=mation describ$ 9 ?is p>agraph4 7,b7 ,cont5ts ,ea* application describ$ 9 subp>agraph 7,a7 %all include-- 7i7 an analysis ( ! e/imat$ p]=mance ( ! local bo>d 9 c>ry+ out ! propos$ s]vices & activities "u ! subgrant-- 7,i7 bas$ on-- 7aa7 prim>y indicators ( p]=mance describ$ 9 section #aaf7;c77#a77;,a77i7 ( ! ,work=ce ,innovation & ,opportunity ,act 7#bi ,u4,s4,c4 #cada7;c77#a77;,a77i71 to assess e/imat$ effectiv5ess ( ! propos$ s]vices & activities1 includ+ ! e/imat$ numb] ( individuals ) a sub/ance use disord] :o may be s]v$ by ! propos$ s]vices & activities2 7bb7 ! record ( ! local bo>d 9 s]v+ individuals ) a b>ri] to employm5t2 & 7cc7 ! ability ( ! local bo>d to e/abli% a p>ticipat+ p>tn]%ip2 & 7,,ii7 :i* may include or utilize-- 7aa7 data f ! ,national ,c5t] = ,heal? ,/ati/ics ( ! ,c5t]s = ,disease ,control & ,prev5tion2 7bb7 data f ! ,c5t] = ,behavioral ,heal? ,/ati/ics & ,quality ( ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration2 7cc7 ,/ate vital /ati/ics2 7dd7 municipal police dep>tm5t records2 7ee7 reports f local coron]s2 or 7ff7 o!r relevant data2 & 7ii7 9 ! case ( a local bo>d propos+ to s]ve a population describ$ 9 subsection 7e77#b77;,b71 a demon/ration ( ! work=ce %ortage 9 ! pr(essional area to be address$ "u ! subgrant 7:i* may include sub/ance use disord] treatm5t & relat$ s]vices1 non-addictive pa9 !rapy & pa9 managem5t s]vices1 m5tal heal? c>e treatm5t s]vices1 em]g5cy response s]vices1 or m5tal heal? c>e71 :i* %all include in=mation t c demon/rate su* a %ortage1 su* z-- 7,i7 ! di/ance betwe5-- 7aa7 communities affect$ by opioid abuse or ano!r sub/ance use disord]2 & 7bb7 facilities or pr(essionals (f]+ s]vices 9 ! pr(essional area2 or 7,,ii7 ! maximum capacity ( facilities or pr(essionals to s]ve individuals 9 an affect$ community1 or increases 9 arre/s relat$ to opioid or ano!r sub/ance use disord]1 ov]dose dea?s1 or nonfatal ov]dose em]g5cies 9 ! community4 7e7 ,subgrant s]vices & activities 7#a7 ,9 g5]al ,ea* local bo>d t receives a subgrant "u subsection 7d7 %all c>ry out ! s]vices & activities describ$ 9 ?is subsection ?r\gh a p>ticipat+ p>tn]%ip4 7#b7 ,selection ( ,population to be s]v$ ,a p>ticipat+ p>tn]%ip %all elect to provide s]vices & activities "u ! subgrant to "o or bo? ( ! foll[+ populations ( work]s3 7,a7 ,work]s1 includ+ dislocat$ work]s1 individuals ) b>ri]s to employm5t1 new entrants 9 ! work=ce1 or incumb5t work]s 7employ$ or und]employ$71 ea* ( :om-- 7i7 is directly or indirectly affect$ by a high rate ( a sub/ance use disord]2 & 7ii7 volunt>ily confirms t ! work]1 or a fri5d or family memb] ( ! work]1 has a hi/ory ( opioid abuse or ano!r sub/ance use disord]4 7,b7 ,work]s1 includ+ dislocat$ work]s1 individuals ) b>ri]s to employm5t1 new entrants 9 ! work=ce1 or incumb5t work]s 7employ$ or und]employ$71 :o-- 7i7 seek to transition to pr(essions t support individuals ) a sub/ance use disord] or at risk = develop+ su* disord]1 su* z pr(essions t provide-- 7,i7 sub/ance use disord] treatm5t & relat$ s]vices2 7,,ii7 s]vices (f]$ ?r\gh provid]s ( pe] recov]y support s]vices2 7,,iii7 non-addictive pa9 !rapy & pa9 managem5t s]vices2 7,,iv7 em]g5cy response s]vices2 or 7,v7 m5tal heal? c>e2 & 7ii7 ne$ new or upgrad$ skills to bett] s]ve su* a population ( /ruggl+ or at-risk individuals4 7#c7 ,s]vices & activities ,ea* p>ticipat+ p>tn]%ip %all use funds available ?r\gh a subgrant "u ?is subsection to c>ry out #a or m ( ! foll[+3 7,a7 ,engag+ employ]s ,engag+ ) employ]s to-- 7i7 le>n ab\t ! skill & hir+ requirem5ts ( employ]s2 7ii7 le>n ab\t ! support ne$$ by employ]s to hire & reta9 program p>ticipants1 & o!r individuals ) a sub/ance use disord]1 & ! support ne$$ by su* employ]s to obta9 _! commitm5t to te/+ creative solutions to employ+ program p>ticipants & su* individuals2 7iii7 connect employ]s & work]s to on-!-job or cu/omiz$ tra9+ programs be=e or aft] lay(f to help facilitate reemploym5t2 7iv7 connect employ]s ) an education provid] to develop classroom in/ruction to complem5t on-!-job le>n+ = program p>ticipants & su* individuals2 7v7 help employ]s develop ! curriculum design ( a "w-bas$ le>n+ program = program p>ticipants & su* individuals2 7vi7 help employ]s employ program p>ticipants or su* individuals engag+ 9 a "w-bas$ le>n+ program = a transitional p]iod be=e hir+ su* a program p>ticipant or individual = full-"t employm5t ( n less ?an #cj h\rs a week2 or 7vii7 connect employ]s to program p>ticipants receiv+ concurr5t outpati5t treatm5t & job tra9+ s]vices4 7,b7 ,scre5+ s]vices ,provid+ scre5+ s]vices1 :i* may include-- 7i7 us+ an evid5ce-bas$ scre5+ me?od to scre5 ea* individual seek+ p>ticipation 9 ! pilot program to det]m9e :e!r ! individual has a sub/ance use disord]2 7ii7 conduct+ an assessm5t ( ea* su* individual to det]m9e ! s]vices ne$$ = su* individual to obta9 or reta9 employm5t1 includ+ an assessm5t ( /r5g?s & g5]al "w read9ess2 or 7iii7 accept+ walk-ins or ref]rals f employ]s1 labor organizations1 or o!r entities recomm5d+ individuals to p>ticipate 9 su* program4 7,c7 ,individual treatm5t & employm5t plan ,develop+ an individual treatm5t & employm5t plan = ea* program p>ticipant-- 7i7 9 coord9ation1 z appropriate1 ) o!r programs s]v+ ! p>ticipant su* z ! core programs )9 ! work=ce developm5t sy/em "u ! ,work=ce ,innovation & ,opportunity ,act 7#bi ,u4,s4,c4 #caja et seq472 & 7ii7 :i* %all include provid+ a case manag] to "w ) ea* p>ticipant to develop ! plan1 :i* may include-- 7,i7 id5tify+ employm5t & c>e] goals2 7,,ii7 explor+ c>e] pa?ways t lead to 9-dem& indu/ries & sectors1 z det]m9$ by ! ,/ate bo>d & ! head ( ! ,/ate work=ce ag5cy or1 z applicable1 ! ,tribal entity2 7,,iii7 sett+ appropriate a*ievem5t objectives to atta9 ! employm5t & c>e] goals id5tifi$ "u subclause 7,i72 or 7,,iv7 develop+ ! appropriate comb9ation ( s]vices to enable ! p>ticipant to a*ieve ! employm5t & c>e] goals id5tifi$ "u subclause 7,i74 7,d7 ,outpati5t treatm5t & recov]y c>e ,9 ! case ( a p>ticipat+ p>tn]%ip s]v+ program p>ticipants describ$ 9 p>agraph 7#b77;,a7 ) a sub/ance use disord]1 provid+ individualiz$ & gr\p outpati5t treatm5t & recov]y s]vices = su* program p>ticipants t are (f]$ dur+ ! day & ev5+1 & on week5ds4 ,su* treatm5t & recov]y s]vices-- 7i7 %all be bas$ on a model t utilizes comb9$ behavioral int]v5tions & o!r evid5ce-bas$ or evid5ce-in=m$ int]v5tions2 & 7ii7 may include additional s]vices su* z-- 7,i7 heal?1 m5tal heal?1 addiction1 or o!r =ms ( outpati5t treatm5t t may impact a sub/ance use disord] & co-occurr+ conditions2 7,,ii7 drug te/+ = a curr5t sub/ance use disord] prior to enrollm5t 9 c>e] or tra9+ s]vices or prior to employm5t2 7,,iii7 l9kages to community s]vices1 includ+ s]vices (f]$ by p>tn] organizations design$ to support program p>ticipants2 or 7,,iv7 ref]rals to heal? c>e1 includ+ ref]rals to sub/ance use disord] treatm5t & m5tal heal? s]vices4 7,e7 ,supportive s]vices ,provid+ supportive s]vices1 :i* %all include s]vices su* z-- 7i7 coord9at$ wrap>\nd s]vices to provide maximum support = program p>ticipants to assi/ ! program p>ticipants 9 ma9ta9+ employm5t & recov]y = n less ?an #ab mon?s1 z appropriate2 7ii7 assi/ance 9 e/abli%+ eligibility = assi/ance "u ,f$]al1 ,/ate1 ,tribal1 & local programs provid+ heal? s]vices1 m5tal heal? s]vices1 vocational s]vices1 h\s+ s]vices1 transportation s]vices1 social s]vices1 or s]vices ?r\gh e>ly *ildhood education programs 7z def9$ 9 section #ajc ( ! ,high] ,education ,act ( #aife 7#bj ,u4,s4,c4 #ajjc772 7iii7 s]vices (f]$ ?r\gh provid]s ( pe] recov]y support s]vices2 7iv7 network+ & m5tor%ip opportunities2 or 7v7 any supportive s]vices det]m9$ necess>y by ! local bo>d4 7,f7 ,c>e] & job tra9+ s]vices ,(f]+ c>e] s]vices & tra9+ s]vices1 & relat$ s]vices1 concurr5tly or sequ5tially ) ! s]vices provid$ "u subp>agraphs 7,b7 ?r\gh 7,e74 ,su* s]vices %all include ! foll[+3 7i7 ,s]vices provid$ to program p>ticipants :o are 9 a pre-employm5t /age ( ! program1 :i* may include-- 7,i7 initial education & skills assessm5ts2 7,,ii7 traditional classroom tra9+ fund$ ?r\gh individual tra9+ acc\nts "u *apt] #c ( subtitle ,b ( title ,i ( ! ,work=ce ,innovation & ,opportunity ,act 7#bi ,u4,s4,c4 #caga et seq472 7,,iii7 s]vices to promote employability skills su* z punctuality1 p]sonal ma9t5ance skills1 & pr(essional conduct2 7,,iv7 9-dep? int]view+ & evaluation to id5tify employm5t b>ri]s & to develop individual employm5t plans2 7,v7 c>e] plann+ t includes-- 7aa7 c>e] pa?ways lead+ to 9-dem&1 high-wage jobs2 & 7bb7 job coa*+1 job mat*+1 & job placem5t s]vices2 7,,vi7 provision ( paym5ts & fees = employm5t & tra9+-relat$ applications1 te/s1 & c]tifications2 or 7,,vii7 any o!r appropriate c>e] s]vice or tra9+ s]vice describ$ 9 section #acd7;c7 ( ! ,work=ce ,innovation & ,opportunity ,act 7#bi ,u4,s4,c4 #cagd7;c774 7ii7 ,s]vices provid$ to program p>ticipants dur+ _! fir/ #f mon?s ( employm5t to ensure job ret5tion1 :i* may include-- 7,i7 case managem5t & support s]vices1 includ+ a cont9uation ( ! s]vices describ$ 9 clause 7i72 7,,ii7 a cont9uation ( skills tra9+1 & c>e] & te*nical education1 describ$ 9 clause 7i7 t is conduct$ 9 collaboration ) ! employ]s ( su* p>ticipants2 7,,iii7 m5tor%ip s]vices & job ret5tion support = su* p>ticipants2 or 7,,iv7 t>get$ tra9+ = manag]s & work]s work+ ) su* p>ticipants 7su* z m5tors71 & human res\rce repres5tatives 9 ! bus9ess 9 :i* su* p>ticipants are employ$4 7iii7 ,s]vices to assi/ program p>ticipants 9 ma9ta9+ employm5t = n less ?an #ab mon?s1 z appropriate4 7,g7 ,prov5 & promis+ practices ,lead+ ef=ts 9 ! s]vice area to id5tify & promote prov5 & promis+ /rategies & initiatives = meet+ ! ne$s ( employ]s & program p>ticipants4 7#d7 ,limitations ,a p>ticipat+ p>tn]%ip may n use-- 7,a7 m ?an #aj p]c5t ( ! funds receiv$ "u a subgrant "u subsection 7d7 = ! adm9i/rative co/s ( ! p>tn]%ip2 7,b7 m ?an #aj p]c5t ( ! funds receiv$ "u su* subgrant = ! provision ( treatm5t & recov]y s]vices1 z describ$ 9 p>agraph 7#c77;,d72 & 7,c7 m ?an #aj p]c5t ( ! funds receiv$ "u su* subgrant = ! provision ( supportive s]vices describ$ 9 p>agraph 7#c77;,e7 to program p>ticipants4 7f7 ,p]=mance acc\ntability 7#a7 ,reports ,! ,secret>y %all e/abli% qu>t]ly report+ requirem5ts = recipi5ts ( grants & subgrants "u ?is section t1 to ! ext5t practicable1 are bas$ on ! p]=mance acc\ntability sy/em "u section #aaf ( ! ,work=ce ,innovation & ,opportunity ,act 7#bi ,u4,s4,c4 #cada7 &1 9 ! case ( a grant aw>d$ to an eligible entity describ$ 9 subsection 7a77#c77;,c71 section #aff7;h7 ( su* ,act 7#bi ,u4,s4,c4 #cbba7;h771 includ+ ! indicators describ$ 9 subsection 7c77#a77;,a77i7 ( su* section #aaf & ! requirem5ts = local area p]=mance reports "u subsection 7d7 ( su* section #aaf4 7#b7 ,evaluations 7,a7 ,au?ority to ent] into agreem5ts ,! ,secret>y %all ensure t an indep5d5t evaluation is conduct$ on ! pilot program c>ri$ out "u ?is section to det]m9e ! impact ( ! program on employm5t ( individuals ) sub/ance use disord]s4 ,! ,secret>y %all ent] into an agreem5t ) eligible entities receiv+ grants "u ?is section to pay = all or "p ( su* evaluation4 7,b7 ,me?odologies to be us$ ,! indep5d5t evaluation requir$ "u ?is p>agraph %all use exp]im5tal designs us+ r&om assignm5t or1 :5 r&om assignm5t is n feasible1 o!r reliable1 evid5ce-bas$ rese>* me?odologies t all[ = ! /ronge/ possible causal inf]5ces4 7g7 ,fund+ 7#a7 ,cov]$ fiscal ye> ,9 ?is subsection1 ! t]m cov]$ fiscal ye> means any ( fiscal ye>s #bjai ?r\gh #bjbc4 7#b7 ,us+ fund+ = national dislocat$ work] grants ,subject to p>agraph 7#d7 & not)/&+ section #acb7;a77#b77;,a7 & subtitle ,d ( ! ,work=ce ,innovation & ,opportunity ,act 7#bi ,u4,s4,c4 #cagb7;a77#b77;,a71 #cbba et seq471 ! ,secret>y may use1 to c>ry out ! pilot program "u ?is section = a cov]$ fiscal ye>-- 7,a7 funds made available to c>ry out section #agj ( su* ,act 7#bi ,u4,s4,c4 #cbbe7 = t fiscal ye>2 7,b7 funds made available to c>ry out section #agj ( su* ,act t rema9 available = t fiscal ye>2 & 7,c7 funds t rema9 available "u section #agb7;f7 ( su* ,act 7#bi ,u4,s4,c4 #cbbg7;f774 7#c7 ,availability ( funds ,funds appropriat$ "u section #acf7;c7 ( su* ,act 7#bi ,u4,s4,c4 #caha7;c77 & made available to c>ry out section #agj ( su* ,act = a fiscal ye> %all rema9 available = use "u p>agraph 7#b7 = a subsequ5t fiscal ye> until exp5d$4 7#d7 ,limitation ,! ,secret>y may n use m ?an #ajj1jjj1jjj ( ! funds describ$ 9 p>agraph 7#b7 = any cov]$ fiscal ye> "u ?is section4 ,d ,pe] support c\nsel+ program = wom5 vet]ans #hjea4 ,pe] support c\nsel+ program = wom5 vet]ans 7a7 ,9 g5]al ,section #agbj;,f7j7 ( title #ch1 ,unit$ ,/ates ,code1 is am5d$ by add+ at ! end ! foll[+ new p>agraph3 7#d7 7,a7 ,z "p ( ! c\nsel+ program "u ?is subsection1 ! ,secret>y %all emphasize appo9t+ pe] support c\nselors = wom5 vet]ans4 ,to ! degree practicable1 ! ,secret>y %all seek to recruit wom5 pe] support c\nselors ) exp]tise 9-- 7i7 female g5d]-specific issues & s]vices2 7ii7 ! provision ( in=mation ab\t s]vices & b5efits provid$ "u laws adm9i/]$ by ! ,secret>y2 or 7iii7 employm5t m5tor+4 7,b7 ,to ! degree practicable1 ! ,secret>y %all emphasize facilitat+ pe] support c\nsel+ = wom5 vet]ans :o are eligible = c\nsel+ & s]vices "u section #agbj;,d ( ?is title1 h po/-traumatic /ress disord] or suff] f ano!r m5tal heal? condition1 are homeless or at risk ( becom+ homeless1 or are o!rwise at increas$ risk ( suicide1 z det]m9$ by ! ,secret>y4 7,c7 ,! ,secret>y %all conduct outrea* to in=m wom5 vet]ans ab\t ! program & ! assi/ance available "u ?is p>agraph4 7,d7 ,9 c>ry+ out ?is p>agraph1 ! ,secret>y %all coord9ate ) su* community organizations1 ,/ate & local gov]nm5ts1 in/itutions ( high] education1 *amb]s ( comm]ce1 local bus9ess organizations1 organizations t provide legal assi/ance1 & o!r organizations z ! ,secret>y consid]s appropriate4 7,e7 ,9 c>ry+ out ?is p>agraph1 ! ,secret>y %all provide adequate tra9+ = pe] support c\nselors1 includ+ tra9+ c>ri$ out "u ! national program ( tra9+ requir$ by section #cjd7;c7 ( ! ,c>egiv]s & ,vet]ans ,omnibus ,heal? ,s]vices ,act ( #bjaj 7#ch ,u4,s4,c4 #agab;,a note74 4 7b7 ,fund+ ,! ,secret>y ( ,vet]ans ,affairs %all c>ry out p>agraph 7#d7 ( section #agbj;,f7j7 ( title #ch1 ,unit$ ,/ates ,code1 z add$ by subsection 7a71 us+ funds o!rwise made available to ! ,secret>y4 ,no additional funds are au?oriz$ to be appropriat$ by reason ( su* p>agraph4 7c7 ,report to ,congress ,n lat] ?an #b ye>s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,vet]ans ,affairs %all submit to ! ,committees on ,vet]ans' ,affairs ( ! ,s5ate & ,h\se ( ,repres5tatives a report on ! pe] support c\nsel+ program "u section #agbj;,f7j7 ( title #ch1 ,unit$ ,/ates ,code1 z am5d$ by ?is section4 ,su* report %all include-- 7#a7 ! numb] ( pe] support c\nselors 9 ! program2 7#b7 an assessm5t ( ! effectiv5ess ( ! program2 & 7#c7 a description ( ! ov]sight ( ! program4 ,e ,treat+ ,b>ri]s to ,prosp]ity #hjfa4 ,%ort title ,?is subtitle may be cit$ z ! ,treat+ ,b>ri]s to ,prosp]ity ,act ( #bjah4 #hjfb4 ,drug abuse mitigation initiative 7a7 ,9 g5]al ,*apt] #ade ( title #dj1 ,unit$ ,/ates ,code1 is am5d$ by ins]t+ aft] section #adeji ! foll[+3 #adeaj4 ,drug abuse mitigation initiative 7a7 ,9 g5]al ,! ,appala*ian ,regional ,commission may provide te*nical assi/ance to1 make grants to1 ent] into contracts )1 or o!rwise provide am\nts to individuals or entities 9 ! ,appala*ian region = projects & activities to address drug abuse1 includ+ opioid abuse1 9 ! region1 includ+ projects & activities-- 7#a7 to facilitate ! %>+ ( be/ practices among ,/ates1 c\nties1 & o!r exp]ts 9 ! region ) respect to r$uc+ su* abuse2 7#b7 to initiate or exp& programs design$ to elim9ate or r$uce ! h>m to ! work=ce & economic gr[? ( ! region t results f su* abuse2 7#c7 to attract & reta9 relevant heal? c>e s]vices1 bus9esses1 & work]s2 & 7#d7 to develop relevant infra/ructure1 includ+ broadb& infra/ructure t supports ! use ( telem$ic9e4 7b7 ,limitation on available am\nts ,( ! co/ ( any activity eligible = a grant "u ?is section-- 7#a7 n m ?an #ej p]c5t may be provid$ f am\nts appropriat$ to c>ry out ?is section2 & 7#b7 not)/&+ p>agraph 7#a7-- 7,a7 9 ! case ( a project to be c>ri$ out 9 a c\nty = :i* a di/ress$ c\nty designation is 9 effect "u section #adebf1 n m ?an #hj p]c5t may be provid$ f am\nts appropriat$ to c>ry out ?is section2 & 7,b7 9 ! case ( a project to be c>ri$ out 9 a c\nty = :i* an at-risk designation is 9 effect "u section #adebf1 n m ?an #gj p]c5t may be provid$ f am\nts appropriat$ to c>ry out ?is section4 7c7 ,s\rces ( assi/ance ,subject to subsection 7b71 a grant provid$ "u ?is section may be provid$ f am\nts made available to c>ry out ?is section 9 comb9ation ) am\nts made available-- 7#a7 "u any o!r ,f$]al program 7subject to ! availability ( subsequ5t appropriations72 or 7#b7 f any o!r s\rce4 7d7 ,f$]al %>e ,not)/&+ any provision ( law limit+ ! ,f$]al %>e "u any o!r ,f$]al program1 am\nts made available to c>ry out ?is section may be us$ to increase t ,f$]al %>e1 z ! ,appala*ian ,regional ,commission det]m9es to be appropriate4 4 7b7 ,cl]ical am5dm5t ,! analysis = *apt] #ade ( title #dj1 ,unit$ ,/ates ,code1 is am5d$ by ins]t+ aft] ! item relat+ to section #adeji ! foll[+3 #adeaj4 ,drug abuse mitigation initiative4 4 ,f ,pilot program to help individuals 9 recov]y f a sub/ance use disord] become /ably h\s$ #hjga4 ,pilot program to help individuals 9 recov]y f a sub/ance use disord] become /ably h\s$ 7a7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ "u ?is section su* sums z may be necess>y = ea* ( fiscal ye>s #bjai ?r\gh #bjbc = assi/ance to ,/ates to provide individuals 9 recov]y f a sub/ance use disord] /able1 tempor>y h\s+ = a p]iod ( n m ?an #b ye>s or until ! individual secures p]man5t h\s+1 :i*ev] is e>li]4 7b7 ,allocation ( appropriat$ am\nts 7#a7 ,9 g5]al ,! am\nts appropriat$ or o!rwise made available to ,/ates "u ?is section %all be allocat$ bas$ on a fund+ =mula e/abli%$ by ! ,secret>y ( ,h\s+ & ,urban ,developm5t 7ref]r$ to 9 ?is section z ! ,secret>y7 n lat] ?an #fj days aft] ! date ( enactm5t ( ?is ,act4 7#b7 ,crit]ia 7,a7 ,9 g5]al ,! fund+ =mula requir$ "u p>agraph 7#a7 %all ensure t any am\nts appropriat$ or o!rwise made available "u ?is section are allocat$ to ,/ates ) an age-adju/$ rate ( drug ov]dose dea?s t is above ! national ov]dose mortality rate1 accord+ to ! ,c5t]s = ,disease ,control & ,prev5tion4 7,b7 ,priority 7i7 ,9 g5]al ,among su* ,/ates1 priority %all be giv5 to ,/ates ) ! greate/ ne$1 z su* ne$ is det]m9$ by ! ,secret>y bas$ on ! foll[+ factors1 & weight+ su* factors z describ$ 9 clause 7ii73 7,i7 ,! highe/ av]age rates ( unemploym5t bas$ on data provid$ by ! ,bureau ( ,labor ,/ati/ics = cal5d> ye>s #bjac ?r\gh #bjag4 7,,ii7 ,! l[e/ av]age labor =ce p>ticipation rates bas$ on data provid$ by ! ,bureau ( ,labor ,/ati/ics = cal5d> ye>s #bjac ?r\gh #bjag4 7,,iii7 ,! highe/ age-adju/$ rates ( drug ov]dose dea?s bas$ on data f ! ,c5t]s = ,disease ,control & ,prev5tion4 7ii7 ,weight+ ,! factors describ$ 9 clause 7i7 %all be weight$ z foll[s3 7,i7 ,! rate describ$ 9 clause 7i77,i7 %all be weight$ at #ae p]c5t4 7,,ii7 ,! rate describ$ 9 clause 7i77,,ii7 %all be weight$ at #ae p]c5t4 7,,iii7 ,! rate describ$ 9 clause 7i77,,iii7 %all be weight$ at #gj p]c5t4 7#c7 ,di/ribution ,am\nts appropriat$ or o!rwise made available "u ?is section %all be di/ribut$ accord+ to ! fund+ =mula e/abli%$ by ! ,secret>y "u p>agraph 7#a7 n lat] ?an #cj days aft] ! e/abli%m5t ( su* =mula4 7c7 ,use ( funds 7#a7 ,9 g5]al ,any ,/ate t receives am\nts pursuant to ?is section %all exp5d at lea/ #cj p]c5t ( su* funds )9 "o ye> ( ! date funds become available to ! grantee = obligation4 7#b7 ,priority ,any ,/ate t receives am\nts pursuant to ?is section %all di/ribute su* am\nts giv+ priority to entities ) ! greate/ ne$ & ability to deliv] effective assi/ance 9 a timely mann]4 7#c7 ,adm9i/rative co/s ,any ,/ate t receives am\nts pursuant to ?is section may use up to #e p]c5t ( any grant = adm9i/rative co/s4 7d7 ,rules ( con/ruction 7#a7 ,9 g5]al ,except z o!rwise provid$ by ?is section1 am\nts appropriat$1 or am\nts o!rwise made available to ,/ates "u ?is section %all be treat$ z ?\gh su* funds 7 community developm5t block grant funds "u title ,i ( ! ,h\s+ & ,community ,developm5t ,act ( #aigd 7#db ,u4,s4,c4 #ecja et seq474 7#b7 ,no mat* ,no mat*+ funds %all be requir$ 9 ord] = a ,/ate to receive any am\nts "u ?is section4 7e7 ,au?ority to waive or specify alt]native requirem5ts 7#a7 ,9 g5]al ,9 adm9i/]+ any am\nts appropriat$ or o!rwise made available "u ?is section1 ! ,secret>y may waive or specify alt]native requirem5ts to any provision "u title ,i ( ! ,h\s+ & ,community ,developm5t ,act ( #aigd 7#db ,u4,s4,c4 #ecja et seq47 except = requirem5ts relat$ to fair h\s+1 nondiscrim9ation1 labor /&>ds1 ! environm5t1 & requirem5ts t activities b5efit p]sons ( l[- & mod]ate-income1 ^u a f9d+ t su* a waiv] is necess>y to exp$ite or facilitate ! use ( su* funds4 7#b7 ,notice ( int5t ,! ,secret>y %all provide writt5 notice ( its int5t to ex]cise ! au?ority to specify alt]native requirem5ts "u p>agraph 7#a7 to ! ,committee on ,bank+1 ,h\s+1 & ,urban ,affairs ( ! ,s5ate & ! ,committee on ,f9ancial ,s]vices ( ! ,h\se ( ,repres5tatives n lat] ?an #ae bus9ess days be=e su* ex]cise ( au?ority occurs4 7#c7 ,notice to ! public ,! ,secret>y %all provide writt5 notice ( its int5t to ex]cise ! au?ority to specify alt]native requirem5ts "u p>agraph 7#a7 to ! public via notice1 on ! int]net website ( ! ,dep>tm5t ( ,h\s+ & ,urban ,developm5t1 & by o!r appropriate means1 n lat] ?an #ae bus9ess days be=e su* ex]cise ( au?ority occurs4 7f7 ,te*nical assi/ance ,= ! #b-ye> p]iod foll[+ ! date ( enactm5t ( ?is ,act1 ! ,secret>y may use n m ?an #b p]c5t ( ! funds made available "u ?is section = te*nical assi/ance to grantees4 7g7 ,/ate ,= purposes ( ?is section ! t]m ,/ate includes any ,/ate z def9$ 9 section #ajb ( ! ,h\s+ & ,community ,developm5t ,act ( #aigd 7#db ,u4,s4,c4 #ecjb7 & ! ,di/rict ( ,columbia4 ,g ,human ,s]vices #hjha4 ,support+ family-focus$ resid5tial treatm5t 7a7 ,def9itions ,9 ?is section3 7#a7 ,family-focus$ resid5tial treatm5t program ,! t]m family-focus$ resid5tial treatm5t program means a trauma-in=m$ resid5tial program prim>ily = sub/ance use disord] treatm5t = pregnant & po/p>tum wom5 & p>5ts & gu>dians t all[s *ildr5 to reside ) su* wom5 or _! p>5ts or gu>dians dur+ treatm5t to ! ext5t appropriate & applicable4 7#b7 ,m$icaid program ,! t]m ,m$icaid program means ! program e/abli%$ "u title ,,xix ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq474 7#c7 ,secret>y ,! t]m ,secret>y means ! ,secret>y ( ,heal? & ,human ,s]vices4 7#d7 ,title ,,iv-,e program ,! t]m title ,,iv-,e program means ! program = fo/] c>e1 prev5tion1 & p]man5cy e/abli%$ "u "p ,e ( title ,,iv ( ! ,social ,security ,act 7#db ,u4,s4,c4 #fgj et seq474 7b7 ,guidance on family-focus$ resid5tial treatm5t programs 7#a7 ,9 g5]al ,n lat] ?an #ahj days aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y1 9 consultation ) divisions ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices adm9i/]+ sub/ance use disord] or *ild welf>e programs1 %all develop & issue guidance to ,/ates id5tify+ opportunities to support family-focus$ resid5tial treatm5t programs = ! provision ( sub/ance use disord] treatm5t4 ,be=e issu+ su* guidance1 ! ,secret>y %all solicit input f repres5tatives ( ,/ates1 heal? c>e provid]s ) exp]tise 9 addiction m$ic9e1 ob/etrics & gynecology1 neonatology1 *ild trauma1 & *ild developm5t1 heal? plans1 recipi5ts ( family-focus$ treatm5t s]vices1 & o!r relevant /akehold]s4 7#b7 ,additional requirem5ts ,! guidance requir$ "u p>agraph 7#a7 %all include descriptions ( ! foll[+3 7,a7 ,exi/+ opportunities & flexibilities "u ! ,m$icaid program1 includ+ "u waiv]s au?oriz$ "u section #aaae or #aiae ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acae1 #acifn71 = ,/ates to receive ,f$]al ,m$icaid fund+ = ! provision ( sub/ance use disord] treatm5t = pregnant & po/p>tum wom5 & p>5ts & gu>dians &1 to ! ext5t applicable1 _! *ildr51 9 family-focus$ resid5tial treatm5t programs4 7,b7 ,h[ ,/ates c employ & coord9ate fund+ provid$ "u ! ,m$icaid program1 ! title ,,iv-,e program1 & o!r programs adm9i/]$ by ! ,secret>y to support ! provision ( treatm5t & s]vices provid$ by a family-focus$ resid5tial treatm5t facility su* z sub/ance use disord] treatm5t & s]vices1 includ+ m$ication-assi/$ treatm5t1 family1 gr\p1 & individual c\nsel+1 case managem5t1 p>5t+ education & skills developm5t1 ! provision1 assessm5t1 or coord9ation ( c>e & s]vices = *ildr51 includ+ necess>y assessm5ts & appropriate int]v5tions1 non-em]g5cy transportation = necess>y c>e provid$ at or away f a program site1 transitional s]vices & supports = families leav+ treatm5t1 & o!r s]vices4 7,c7 ,h[ ,/ates c employ & coord9ate fund+ provid$ "u ! ,m$icaid program & ! title ,,iv-,e program 7includ+ z am5d$ by ! ,family ,fir/ ,prev5tion ,s]vices ,act enact$ "u title ,,vii ( division ,e ( ,public ,law #aae-abc1 & p>ticul>ly ) respect to ! au?ority "u subsections 7a77#b77;,c7 & 7j7 ( section #dgb & section #dgd7;a77#a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #fgb1 #fgd7;a77#a77 7z am5d$ by section #ejgab ( ,public ,law #aae-abc7 to provide fo/] c>e ma9t5ance paym5ts = a *ild plac$ ) a p>5t :o is receiv+ treatm5t 9 a lic5s$ resid5tial family-bas$ treatm5t facility = a sub/ance use disord]7 to support plac+ *ildr5 ) _! p>5ts 9 family-focus$ resid5tial treatm5t programs4 #hjhb4 ,improv+ recov]y & reunify+ families 7a7 ,family ,recov]y & ,reunification ,program ,replication ,project ,section #dce ( ! ,social ,security ,act 7#db ,u4,s4,c4 #fbi;e7 is am5d$ by add+ at ! end ! foll[+3 7e7 ,family ,recov]y & ,reunification ,program ,replication ,project 7#a7 ,purpose ,! purpose ( ?is subsection is to provide res\rces to ! ,secret>y to support ! conduct & evaluation ( a family recov]y & reunification program replication project 7ref]r$ to 9 ?is subsection z ! project7 & to det]m9e ! ext5t to :i* su* programs may be appropriate = use at diff]5t int]v5tion po9ts 7su* z :5 a *ild is at risk ( ent]+ fo/] c>e or :5 a *ild is liv+ ) a gu>dian :ile a p>5t is 9 treatm5t74 ,! family recov]y & reunification program conduct$ "u ! project %all use a recov]y coa* model t is design$ to help reunify families & protect *ildr5 by work+ ) p>5ts or gu>dians ) a sub/ance use disord] :o h tempor>ily lo/ cu/ody ( _! *ildr54 7#b7 ,program compon5ts ,! family recov]y & reunification program conduct$ "u ! project %all adh]e closely to ! elem5ts & protocol det]m9$ to be mo/ effective 9 o!r recov]y coa*+ programs t h be5 rigor\sly evaluat$ & %[n to increase family reunification & protect *ildr5 &1 consi/5t ) su* elem5ts & protocol1 %all provide su* items & s]vices z-- 7,a7 assessm5ts to evaluate ! ne$s ( ! p>5t or gu>dian2 7,b7 assi/ance 9 receiv+ ! appropriate b5efits to aid ! p>5t or gu>dian 9 recov]y2 7,c7 s]vices to assi/ ! p>5t or gu>dian 9 prioritiz+ issues id5tifi$ 9 assessm5ts1 e/abli%+ goals = resolv+ su* issues t are consi/5t ) ! goals ( ! treatm5t provid]1 *ild welf>e ag5cy1 c\rts1 & o!r ag5cies involv$ ) ! p>5t or gu>dian or _! *ildr51 & mak+ a coord9at$ plan = a*iev+ su* goals2 7,d7 home visit+ s]vices coord9at$ ) ! *ild welf>e ag5cy & treatm5t provid] involv$ ) ! p>5t or gu>dian or _! *ildr52 7,e7 case managem5t s]vices to remove b>ri]s = ! p>5t or gu>dian to p>ticipate & cont9ue 9 treatm5t1 z well z to re-engage a p>5t or gu>dian :o is n p>ticipat+ or progress+ 9 treatm5t2 7,f7 access to s]vices ne$$ to monitor ! p>5t's or gu>dian's compliance ) program requirem5ts2 7,g7 frequ5t report+ betwe5 ! treatm5t provid]1 *ild welf>e ag5cy1 c\rts1 & o!r ag5cies involv$ ) ! p>5t or gu>dian or _! *ildr5 to ensure appropriate in=mation on ! p>5t's or gu>dian's /atus is available to in=m decision-mak+2 & 7,h7 assessm5ts & recomm5dations provid$ by a recov]y coa* to ! *ild welf>e casework] responsible = docum5t+ ! p>5t's or gu>dian's progress 9 treatm5t & recov]y z well z ! /atus ( o!r areas id5tifi$ 9 ! treatm5t plan = ! p>5t or gu>dian1 includ+ a recomm5dation reg>d+ ! expect$ safety ( ! *ild if ! *ild is return$ to ! cu/ody ( ! p>5t or gu>dian t c be us$ by ! casework] & a c\rt to make p]man5cy decisions reg>d+ ! *ild4 7#c7 ,responsibilities ( ! secret>y 7,a7 ,9 g5]al ,! ,secret>y %all1 ?r\gh a grant or contract ) #a or m entities1 conduct & evaluate ! family recov]y & reunification program "u ! project4 7,b7 ,requirem5ts ,9 id5tify+ #a or m entities to conduct ! evaluation ( ! family recov]y & reunification program1 ! ,secret>y %all-- 7i7 det]m9e t ! area or areas 9 :i* ! program w be conduct$ h suffici5t sub/ance use disord] treatm5t provid]s & o!r res\rces 7o!r ?an ^? provid$ ) funds made available to c>ry out ! project7 to successfully conduct ! program2 7ii7 det]m9e t ! area or areas 9 :i* ! program w be conduct$ h en\gh pot5tial program p>ticipants1 & w s]ve a suffici5t numb] ( p>5ts or gu>dians & _! *ildr51 s z to all[ = ! =mation ( a control gr\p1 evaluation results to be adequately p[]$1 & prelim9>y results ( ! evaluation to be available )9 #d ye>s ( ! program's implem5tation2 7iii7 provide ! entity or entities ) te*nical assi/ance = ! program design1 includ+ by work+ ) #a or m entities t are or h be5 involv$ 9 recov]y coa*+ programs t h be5 rigor\sly evaluat$ & %[n to increase family reunification & protect *ildr5 s z to make sure ! program conduct$ "u ! project adh]es closely to ! elem5ts & protocol det]m9$ to be mo/ effective 9 su* o!r recov]y coa*+ programs2 7iv7 assi/ ! entity or entities 9 secur+ adequate coa*+1 treatm5t1 *ild welf>e1 c\rt1 & o!r res\rces ne$$ to successfully conduct ! family recov]y & reunification program "u ! project2 & 7v7 ensure ! entity or entities w be able to monitor ! impacts ( ! program 9 ! area or areas 9 :i* x is conduct$ = at lea/ #e ye>s aft] p>5ts or gu>dians & _! *ildr5 are r&omly assign$ to p>ticipate 9 ! program or to be "p ( ! program's control gr\p4 7#d7 ,evaluation requirem5ts 7,a7 ,9 g5]al ,! ,secret>y1 9 consultation ) ! entity or entities conduct+ ! family recov]y & reunification program "u ! project1 %all conduct an evaluation to det]m9e :e!r ! program has be5 implem5t$ effectively & result$ 9 improvem5ts = *ildr5 & families4 ,! evaluation %all h #c compon5ts3 a pilot phase1 an impact /udy1 & an implem5tation /udy4 7,b7 ,pilot phase ,! pilot phase compon5t ( ! evaluation %all consi/ ( ! ,secret>y provid+ te*nical assi/ance to ! entity or entities conduct+ ! family recov]y & reunification program "u ! project to ensure-- 7i7 ! program's implem5tation adh]es closely to ! elem5ts & protocol det]m9$ to be mo/ effective 9 o!r recov]y coa*+ programs t h be5 rigor\sly evaluat$ & %[n to increase family reunification & protect *ildr52 & 7ii7 r&om assignm5t ( p>5ts or gu>dians & _! *ildr5 to be p>ticipants 9 ! program or to be "p ( ! program's control gr\p is be+ c>ri$ out4 7,c7 ,impact /udy ,! impact /udy compon5t ( ! evaluation %all det]m9e ! impacts ( ! family recov]y & reunification program conduct$ "u ! project on ! p>5ts & gu>dians & _! *ildr5 p>ticipat+ 9 ! program4 ,! impact /udy compon5t %all-- 7i7 be conduct$ us+ an exp]im5tal design t uses a r&om assignm5t rese>* me?odology2 7ii7 consi/5t ) previ\s /udies ( o!r recov]y coa*+ programs t h be5 rigor\sly evaluat$ & %[n to increase family reunification & protect *ildr51 measure outcomes = p>5ts & gu>dians & _! *ildr5 ov] multiple "t p]iods1 includ+ = a p]iod ( #e ye>s2 & 7iii7 include measurem5ts ( family /ability & p>5t1 gu>dian1 & *ild safety = program p>ticipants & ! program control gr\p t are consi/5t ) measurem5ts ( su* factors = p>ticipants & control gr\ps f previ\s /udies ( o!r recov]y coa*+ programs s z to all[ results ( ! impact /udy to be comp>$ ) ! results ( su* prior /udies1 includ+ ) respect to comp>isons betwe5 program p>ticipants & ! program control gr\p reg>d+-- 7,i7 safe family reunification2 7,,ii7 "t to reunification2 7,,iii7 p]man5cy 7su* z ?r\gh measures ( reunification1 adoption1 or placem5t ) gu>dians72 7,,iv7 safety 7su* z ?r\gh measures ( subsequ5t maltreatm5t72 7,v7 p>5tal or gu>dian treatm5t p]si/5ce & engagem5t2 7,,vi7 p>5tal or gu>dian sub/ance use2 7,,vii7 juv5ile del9qu5cy2 7,,viii7 co/2 & 7,,ix7 o!r measurem5ts agre$ ^u by ! ,secret>y & ! entity or entities op]at+ ! family recov]y & reunification program "u ! project4 7,d7 ,implem5tation /udy ,! implem5tation /udy compon5t ( ! evaluation %all be conduct$ concurr5tly ) ! conduct ( ! impact /udy compon5t & %all include1 9 addition to su* o!r in=mation z ! ,secret>y may det]m9e1 descriptions & analyses (-- 7i7 ! adh]5ce ( ! family recov]y & reunification program conduct$ "u ! project to o!r recov]y coa*+ programs t h be5 rigor\sly evaluat$ & %[n to increase family reunification & protect *ildr52 & 7ii7 ! diff]5ce 9 s]vices receiv$ or propos$ to be receiv$ by ! program p>ticipants & ! program control gr\p4 7,e7 ,report ,! ,secret>y %all publi% on an int]net website ma9ta9$ by ! ,secret>y ! foll[+ in=mation3 7i7 ,a report on ! pilot phase compon5t ( ! evaluation4 7ii7 ,a report on ! impact /udy compon5t ( ! evaluation4 7iii7 ,a report on ! implem5tation /udy compon5t ( ! evaluation4 7iv7 ,a report t includes-- 7,i7 analyses ( ! ext5t to :i* ! program has result$ 9 increas$ reunifications1 increas$ p]man5cy1 case closures1 net sav+s to ! ,/ate or ,/ates involv$ 7tak+ into acc\nt bo? co/s borne by ,/ates & ! ,f$]al gov]nm5t71 or o!r outcomes1 or if ! program did n produce su* outcomes1 an analysis ( :y ! replication ( ! program did n yield su* results2 7,,ii7 if1 bas$ on su* analyses1 ! ,secret>y det]m9es ! program %\ld be replicat$1 a replication plan2 & 7,,iii7 su* recomm5dations = legislation & adm9i/rative action z ! ,secret>y det]m9es appropriate4 7#e7 ,appropriation ,9 addition to any am\nts o!rwise made available to c>ry out ?is subp>t1 out ( any money 9 ! ,treasury ( ! ,unit$ ,/ates n o!rwise appropriat$1 !re are appropriat$ #ae1jjj1jjj = fiscal ye> #bjai to c>ry out ! project1 :i* %all rema9 available ?r\gh fiscal ye> #bjbf4 4 7b7 ,cl>ification ( pay] ( la/ resort application to *ild welf>e prev5tion & family s]vices ,section #dga7;e77#aj7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #fga7;e77#aj771 z add$ by section #ejgaa7;a77#b7 ( division ,e ( ,public ,law #aae-abc1 is am5d$-- 7#a7 9 subp>agraph 7,a71 by ins]t+ 1 nor %all ! provision ( su* s]vices or programs be con/ru$ to p]mit ! ,/ate to r$uce m$ical or o!r assi/ance available to a recipi5t ( su* s]vices or programs aft] "u ?is ,act2 & 7#b7 by add+ at ! end ! foll[+3 7,c7 ,pay] ( la/ resort ,9 c>ry+ out its responsibilities to ensure access to s]vices or programs "u ?is subsection1 ! ,/ate ag5cy %all n be consid]$ to be a legally liable ?ird p>ty = purposes ( satisfy+ a f9ancial commitm5t = ! co/ ( provid+ su* s]vices or programs ) respect to any individual = :om su* co/ w\ld h be5 paid = f ano!r public or private s\rce b = ! enactm5t ( ?is subsection 7except t :5ev] consid]$ necess>y to prev5t a delay 9 ! receipt ( appropriate e>ly int]v5tion s]vices by a *ild or family 9 a timely fa%ion1 funds provid$ "u section #dgd7;a77#f7 may be us$ to pay ! provid] ( s]vices or programs p5d+ reimbursem5t f ! public or private s\rce t has ultimate responsibility = ! paym5t74 4 7c7 ,effective date ,! am5dm5ts made by subsection 7b7 %all take effect z if includ$ 9 section #ejgaa ( division ,e ( ,public ,law #aae-abc4 #hjhc4 ,build+ capacity = family-focus$ resid5tial treatm5t 7a7 ,def9itions ,9 ?is section3 7#a7 ,eligible entity ,! t]m eligible entity means a ,/ate1 c\nty1 local1 or tribal heal? or *ild welf>e ag5cy1 a private nonpr(it organization1 a rese>* organization1 a treatm5t s]vice provid]1 an in/itution ( high] education 7z def9$ "u section #aja ( ! ,high] ,education ,act ( #aife 7#bj ,u4,s4,c4 #ajja771 or ano!r entity specifi$ by ! ,secret>y4 7#b7 ,family-focus$ resid5tial treatm5t program ,! t]m family-focus$ resid5tial treatm5t program means a trauma-in=m$ resid5tial program prim>ily = sub/ance use disord] treatm5t = pregnant & po/p>tum wom5 & p>5ts & gu>dians t all[s *ildr5 to reside ) su* wom5 or _! p>5ts or gu>dians dur+ treatm5t to ! ext5t appropriate & applicable4 7#c7 ,secret>y ,! t]m ,secret>y means ! ,secret>y ( ,heal? & ,human ,s]vices4 7b7 ,support = ! developm5t ( evid5ce-bas$ family-focus$ resid5tial treatm5t programs 7#a7 ,au?ority to aw>d grants ,! ,secret>y %all aw>d grants to eligible entities = purposes ( develop+1 enhanc+1 or evaluat+ family-focus$ resid5tial treatm5t programs to increase ! availability ( su* programs t meet ! requirem5ts = promis+1 support$1 or well-support$ practices specifi$ 9 section #dga7;e77#d77;,c7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #fga7;e77#d77;,c777 7z add$ by ! ,family ,fir/ ,prev5tion ,s]vices ,act enact$ "u title ,,vii ( division ,e ( ,public ,law #aae-abc74 7#b7 ,evaluation requirem5t ,! ,secret>y %all require any evaluation ( a family-focus$ resid5tial treatm5t program by an eligible entity t uses funds aw>d$ "u ?is section = all or "p ( ! co/s ( ! evaluation be design$ to assi/ 9 ! det]m9ation ( :e!r ! program may qualify z a promis+1 support$1 or well-support$ practice 9 accordance ) ! requirem5ts ( su* section #dga7;e77#d77;,c74 7c7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to ! ,secret>y to c>ry out ?is section1 #bj1jjj1jjj = fiscal ye> #bjai1 :i* %all rema9 available ?r\gh fiscal ye> #bjbc4 ,h ,reau?oriz+ & ,ext5d+ ,grants = ,recov]y f ,opioid ,use ,programs #hjia4 ,%ort title ,?is subtitle may be cit$ z ! ,reau?oriz+ & ,ext5d+ ,grants = ,recov]y f ,opioid ,use ,programs ,act ( #bjah or ! ,,regr\p ,act ( #bjah4 #hjib4 ,reau?orization ( ! compreh5sive opioid abuse grant program ,section #ajja7;a77#bg7 ( ! ,omnibus ,crime ,control & ,safe ,/reets ,act ( #aifh 7#cd ,u4,s4,c4 #ajbfa7;a77#bg77 is am5d$ by /rik+ ?r\gh #bjba & ins]t+ & #bjah1 & #ccj1jjj1jjj = ea* ( fiscal ye>s #bjai ?r\gh #bjbc4 ,i ,fight+ ,opioid ,abuse 9 ,transportation #haja4 ,%ort title ,?is subtitle may be cit$ z ! ,fight+ ,opioid ,abuse 9 ,transportation ,act4 #hajb4 ,alcohol & controll$ sub/ance te/+ ( me*anical employees 7a7 ,9 g5]al ,n lat] ?an #b ye>s aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,transportation %all publi% a rule 9 ! ,f$]al ,regi/] revis+ ! regulations promulgat$ "u section #bjadj ( title #di1 ,unit$ ,/ates ,code1 to cov] all employees ( railroad c>ri]s :o p]=m me*anical activities4 7b7 ,def9ition ( me*anical activities ,= ! purposes ( ! rule "u subsection 7a71 ! ,secret>y %all def9e ! t]m me*anical activities by regulation4 #hajc4 ,dep>tm5t ( ,transportation public drug & alcohol te/+ database 7a7 ,9 g5]al ,subject to subsection 7c71 ! ,secret>y ( ,transportation %all-- 7#a7 n lat] ?an ,m>* #ca1 #bjai1 e/abli% & make publicly available on its website a database ( ! drug & alcohol te/+ data report$ by employ]s = ea* mode ( transportation2 & 7#b7 update ! database annually4 7b7 ,cont5ts ,! database "u subsection 7a7 %all include1 = ea* mode ( transportation-- 7#a7 ! total numb] ( drug & alcohol te/s by type ( sub/ance te/$2 7#b7 ! drug & alcohol te/ results by type ( sub/ance te/$2 7#c7 ! reason = ! drug or alcohol te/1 su* z pre-employm5t1 r&om1 po/-accid5t1 reasonable suspicion or cause1 return-to-duty1 or foll[-up1 by type ( sub/ance te/$2 & 7#d7 ! numb] ( individuals :o refus$ te/+4 7c7 ,comm]cially s5sitive data ,! ,dep>tm5t ( ,transportation %all n release any comm]cially s5sitive data or p]sonally id5tifiable data furni%$ by an employ] "u ?is section unless ! data is aggregat$ or o!rwise 9 a =m t does n id5tify ! employ] provid+ ! data4 7d7 ,sav+s clause ,no?+ 9 ?is section may be con/ru$ z limit+ or o!rwise affect+ ! requirem5ts ( ! ,secret>y ( ,transportation to adh]e to requirem5ts applicable to confid5tial bus9ess in=mation & s5sitive security in=mation1 consi/5t ) applicable law4 #hajd4 ,,gao report on ,dep>tm5t ( ,transportation's collection & use ( drug & alcohol te/+ data 7a7 ,9 g5]al ,n lat] ?an #b ye>s aft] ! date ! ,dep>tm5t ( ,transportation public drug & alcohol te/+ database is e/abli%$ "u section #hajc1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all-- 7#a7 review ! ,dep>tm5t ( ,transportation ,drug & ,alcohol ,te/+ ,managem5t ,in=mation ,sy/em2 & 7#b7 submit to ! ,committee on ,comm]ce1 ,sci5ce1 & ,transportation ( ! ,s5ate & ! ,committee on ,transportation & ,infra/ructure ( ! ,h\se ( ,repres5tatives a report on ! review1 includ+ recomm5dations "u subsection 7c74 7b7 ,cont5ts ,! report "u subsection 7a7 %all include-- 7#a7 a description ( ! process ! ,dep>tm5t ( ,transportation uses to collect & record drug & alcohol te/+ data submitt$ by employ]s = ea* mode ( transportation2 7#b7 an assessm5t ( :e!r &1 if s1 h[ ! ,dep>tm5t ( ,transportation uses ! data describ$ 9 p>agraph 7#a7 9 c>ry+ out its responsibilities2 & 7#c7 an assessm5t ( ! ,dep>tm5t ( ,transportation public drug & alcohol te/+ database "u section #hajc4 7c7 ,recomm5dations ,! report "u subsection 7a7 may include recomm5dations reg>d+-- 7#a7 h[ ! ,dep>tm5t ( ,transportation c be/ use ! data describ$ 9 subsection 7b77#a72 7#b7 any improvem5ts t c\ld be made to ! process describ$ 9 subsection 7b77#a72 7#c7 :e!r &1 if s1 h[ ! ,dep>tm5t ( ,transportation public drug & alcohol te/+ database "u section #hajc c\ld be made m effective2 & 7#d7 su* o!r recomm5dations z ! ,comptroll] ,g5]al consid]s appropriate4 #haje4 ,transportation ,workplace ,drug & ,alcohol ,te/+ ,program2 addition ( f5tanyl & o!r sub/ances 7a7 ,m&atory ,guidel9es = ,f$]al ,workplace ,drug ,te/+ ,programs 7#a7 ,9 g5]al ,n lat] ?an #ahj days aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all-- 7,a7 det]m9e :e!r a revision ( ! ,m&atory ,guidel9es = ,f$]al ,workplace ,drug ,te/+ ,programs to exp& ! opiate category on ! li/ ( au?oriz$ sub/ance te/+ to include f5tanyl is ju/ifi$1 bas$ on ! reliability & co/-effectiv5ess ( available te/+2 & 7,b7 consid] :e!r to include ) ! det]m9ation "u subp>agraph 7,a7 a sep>ate det]m9ation on :e!r a revision ( ! ,m&atory ,guidel9es = ,f$]al ,workplace ,drug ,te/+ ,programs to exp& ! li/ ( sub/ances au?oriz$ = te/+ to include any o!r drugs or o!r sub/ances li/$ 9 s*$ule ,i & ,,ii ( section #bjb ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hab7 is ju/ifi$ bas$ on ! crit]ia describ$ 9 subp>agraph 7,a74 7#b7 ,revision ( guidel9es ,if an expansion ( ! sub/ance li/ is det]m9$ to be ju/ifi$ "u p>agraph 7#a71 ! ,secret>y ( ,heal? & ,human ,s]vices %all-- 7,a7 notify ! ,committee on ,comm]ce1 ,sci5ce1 & ,transportation ( ! ,s5ate & ! ,committee on ,transportation & ,infra/ructure ( ! ,h\se ( ,repres5tatives ( ! det]m9ation2 & 7,b7 publi% 9 ! ,f$]al ,regi/]1 n lat] ?an #ah mon?s aft] ! date ( ! det]m9ation "u t p>agraph1 a f9al notice ( ! revision ( ! ,m&atory ,guidel9es = ,f$]al ,workplace ,drug ,te/+ ,programs to exp& ! li/ ( sub/ances au?oriz$ to be te/$ to include ! sub/ance or sub/ances det]m9$ to be ju/ifi$ = inclusion4 7#c7 ,report ,if an expansion ( ! sub/ance li/ is det]m9$ n to be ju/ifi$ "u p>agraph 7#a71 ! ,secret>y ( ,heal? & ,human ,s]vices %all submit to ! ,committee on ,comm]ce1 ,sci5ce1 & ,transportation ( ! ,s5ate & ! ,committee on ,transportation & ,infra/ructure ( ! ,h\se ( ,repres5tatives a report expla9+1 9 detail1 ! reasons ! expansion ( ! li/ ( au?oriz$ sub/ances is n ju/ifi$4 7b7 ,dep>tm5t ( ,transportation drug-te/+ panel ,if an expansion is det]m9$ to be ju/ifi$ "u subsection 7a77#a71 ! ,secret>y ( ,transportation %all publi% 9 ! ,f$]al ,regi/]1 n lat] ?an #ah mon?s aft] ! date ! f9al notice is publi%$ "u subsection 7a77#b71 a f9al rule revis+ "p #dj ( title #di1 ,code ( ,f$]al ,regulations1 to include su* sub/ances 9 ! ,dep>tm5t ( ,transportation's drug-te/+ panel1 consi/5t ) ! ,m&atory ,guidel9es = ,f$]al ,workplace ,drug ,te/+ ,programs z revis$ by ! ,secret>y ( ,heal? & ,human ,s]vices "u subsection 7a74 7c7 ,sav+s provision ,no?+ 9 ?is section may be con/ru$ z-- 7#a7 delay+ ! publication ( ! notices describ$ 9 sections #hajf & #hajg ( ?is ,act until ! ,secret>y ( ,heal? & ,human ,s]vices makes a det]m9ation or publi%es a notice "u ?is section2 or 7#b7 limit+ or o!rwise affect+ any au?ority ( ! ,secret>y ( ,heal? & ,human ,s]vices or ! ,secret>y ( ,transportation to exp& ! li/ ( au?oriz$ sub/ance te/+ to include an additional sub/ance4 #hajf4 ,/atus reports on hair te/+ guidel9es 7a7 ,9 g5]al ,n lat] ?an #fj days aft] ! date ( enactm5t ( ?is ,act1 & annually !reaft] until ! date t ! ,secret>y ( ,heal? & ,human ,s]vices publi%es 9 ! ,f$]al ,regi/] a f9al notice ( sci5tific & te*nical guidel9es = hair te/+ 9 accordance ) section #edjb7;b7 ( ! ,fix+ ,am]ica's ,surface ,transportation ,act 7,public ,law #aad-id2 #abi ,/at4 #acab71 ! ,secret>y ( ,heal? & ,human ,s]vices %all submit to ! ,committee on ,comm]ce1 ,sci5ce1 & ,transportation ( ! ,s5ate & ! ,committee on ,transportation & ,infra/ructure ( ! ,h\se ( ,repres5tatives a report on-- 7#a7 ! /atus ( ! hair te/+ guidel9es2 7#b7 an explanation = :y ! hair te/+ guidel9es h n be5 issu$2 & 7#c7 an e/imat$ date ( completion ( ! hair te/+ guidel9es4 7b7 ,requirem5t ,to ! ext5t practicable & consi/5t ) ! objective ( ! hair te/+ describ$ 9 subsection 7a7 to detect illegal or unau?oriz$ use ( sub/ances by ! individual be+ te/$1 ! f9al notice ( sci5tific & te*nical guidel9es "u t subsection1 z det]m9$ by ! ,secret>y ( ,heal? & ,human ,s]vices1 %all elim9ate ! risk ( positive te/ results1 ( ! individual be+ te/$1 caus$ solely by ! drug use ( o!rs & n caus$ by ! drug use ( ! individual be+ te/$4 #hajg4 ,m&atory ,guidel9es = ,f$]al ,workplace ,drug ,te/+ ,programs us+ ,oral ,fluid 7a7 ,deadl9e ,n lat] ?an ,decemb] #ca1 #bjah1 ! ,secret>y ( ,heal? & ,human ,s]vices %all publi% 9 ! ,f$]al ,regi/] a f9al notice ( ! ,m&atory ,guidel9es = ,f$]al ,workplace ,drug ,te/+ ,programs us+ ,oral ,fluid1 bas$ on ! notice ( propos$ m&atory guidel9es publi%$ 9 ! ,f$]al ,regi/] on ,may #ae1 #bjae 7#id ,,fr #bhjed74 7b7 ,requirem5t ,to ! ext5t practicable & consi/5t ) ! objective ( ! te/+ describ$ 9 subsection 7a7 to detect illegal or unau?oriz$ use ( sub/ances by ! individual be+ te/$1 ! f9al notice ( sci5tific & te*nical guidel9es "u t subsection1 z det]m9$ by ! ,secret>y ( ,heal? & ,human ,s]vices1 %all elim9ate ! risk ( positive te/ results1 ( ! individual be+ te/$1 caus$ solely by ! drug use ( o!rs & n caus$ by ! drug use ( ! individual be+ te/$4 7c7 ,rule ( con/ruction ,no?+ 9 ?is section may be con/ru$ z requir+ ! ,secret>y ( ,heal? & ,human ,s]vices to reissue a notice ( propos$ m&atory guidel9es to c>ry out subsection 7a74 #hajh4 ,electronic recordkeep+ 7a7 ,deadl9e ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all-- 7#a7 ensure t ea* c]tifi$ laboratory t reque/s approval = ! use ( completely pap]less electronic ,f$]al ,drug ,te/+ ,cu/ody & ,control ,=ms f ! ,national ,laboratory ,c]tification ,program's ,electronic ,cu/ody & ,control ,=m sy/ems receives approval = ^? completely pap]less electronic =ms in/ead ( =ms t include any comb9ation ( electronic traditional h&writt5 signatures execut$ on pap] =ms2 & 7#b7 e/abli% a deadl9e = a c]tifi$ laboratory to reque/ approval "u p>agraph 7#a74 7b7 ,sav+s clause ,no?+ 9 ?is section may be con/ru$ z limit+ or o!rwise affect+ any au?ority ( ! ,secret>y ( ,heal? & ,human ,s]vices to grant approval to a c]tifi$ laboratory = use ( completely pap]less electronic ,f$]al ,drug ,te/+ ,cu/ody & ,control ,=ms1 includ+ to grant approval outside ( ! process "u subsection 7a74 7c7 ,electronic signatures ,n lat] ?an #ah mon?s aft] ! date ( ! deadl9e "u subsection 7a77#b71 ! ,secret>y ( ,transportation %all issue a f9al rule revis+ "p #dj ( title #di1 ,code ( ,f$]al ,regulations1 to au?orize1 to ! ext5t practicable1 ! use ( electronic signatures or digital signatures execut$ to electronic =ms in/ead ( traditional h&writt5 signatures execut$ on pap] =ms4 #haji4 ,/atus reports on ,comm]cial ,driv]'s ,lic5se ,drug & ,alcohol ,cle>+h\se 7a7 ,9 g5]al ,n lat] ?an #fj days aft] ! date ( enactm5t ( ?is ,act1 & annually !reaft] until ! compliance date1 ! ,adm9i/rator ( ! ,f$]al ,motor ,c>ri] ,safety ,adm9i/ration %all submit to ! ,committee on ,comm]ce1 ,sci5ce1 & ,transportation ( ! ,s5ate & ! ,committee on ,transportation & ,infra/ructure ( ! ,h\se ( ,repres5tatives a /atus report on implem5tation ( ! f9al rule = ! ,comm]cial ,driv]'s ,lic5se ,drug & ,alcohol ,cle>+h\se 7#ha ,,fr #hgfhf71 includ+-- 7#a7 an updat$ s*$ule1 includ+ b5*m>ks1 = implem5t+ ! f9al rule z soon z practicable1 b n lat] ?an ! compliance date2 & 7#b7 a description ( ea* action ! ,f$]al ,motor ,c>ri] ,safety ,adm9i/ration is tak+ to implem5t ! f9al rule be=e ! compliance date4 7b7 ,def9ition ( compliance date ,9 ?is section1 ! t]m compliance date means ! e>li] (-- 7#a7 ,janu>y #f1 #bjbj2 or 7#b7 ! date t ! national cle>+h\se requir$ "u section #cacjf;a ( title #di1 ,unit$ ,/ates ,code1 is op]ational4 ,j ,elim9at+ ,kickbacks 9 ,recov]y #haba4 ,%ort title ,?is subtitle may be cit$ z ! ,elim9at+ ,kickbacks 9 ,recov]y ,act ( #bjah4 #habb4 ,crim9al p5alties 7a7 ,9 g5]al ,*apt] #aa ( title #ah1 ,unit$ ,/ates ,code1 is am5d$ by ins]t+ aft] section #bai ! foll[+3 #bbj4 ,illegal remun]ations = ref]rals to recov]y homes1 cl9ical treatm5t facilities1 & laboratories 7a7 ,(f5se ,except z provid$ 9 subsection 7b71 :oev]1 ) respect to s]vices cov]$ by a heal? c>e b5efit program1 9 or affect+ int]/ate or =eign comm]ce1 kn[+ly & willfully-- 7#a7 solicits or receives any remun]ation 7includ+ any kickback1 bribe1 or rebate7 directly or indirectly1 ov]tly or cov]tly1 9 ca% or 9 k9d1 9 return = ref]r+ a pati5t or patronage to a recov]y home1 cl9ical treatm5t facility1 or laboratory2 or 7#b7 pays or (f]s any remun]ation 7includ+ any kickback1 bribe1 or rebate7 directly or indirectly1 ov]tly or cov]tly1 9 ca% or 9 k9d-- 7,a7 to induce a ref]ral ( an individual to a recov]y home1 cl9ical treatm5t facility1 or laboratory2 or 7,b7 9 ex*ange = an individual us+ ! s]vices ( t recov]y home1 cl9ical treatm5t facility1 or laboratory1 %all be f9$ n m ?an #bjj1jjj1 imprison$ n m ?an #aj ye>s1 or bo?1 = ea* occurr5ce4 7b7 ,applicability ,subsection 7a7 %all n apply to-- 7#a7 a disc\nt or o!r r$uction 9 price obta9$ by a provid] ( s]vices or o!r entity "u a heal? c>e b5efit program if ! r$uction 9 price is prop]ly disclos$ & appropriately reflect$ 9 ! co/s claim$ or *>ges made by ! provid] or entity2 7#b7 a paym5t made by an employ] to an employee or indep5d5t contractor 7:o has a bona fide employm5t or contractual relation%ip ) su* employ]7 = employm5t1 if ! employee's paym5t is n det]m9$ by or does n v>y by-- 7,a7 ! numb] ( individuals ref]r$ to a p>ticul> recov]y home1 cl9ical treatm5t facility1 or laboratory2 7,b7 ! numb] ( te/s or proc$ures p]=m$2 or 7,c7 ! am\nt bill$ to or receiv$ f1 9 "p or 9 :ole1 ! heal? c>e b5efit program f ! individuals ref]r$ to a p>ticul> recov]y home1 cl9ical treatm5t facility1 or laboratory2 7#c7 a disc\nt 9 ! price ( an applicable drug ( a manufactur] t is furni%$ to an applicable b5efici>y "u ! ,m$ic>e cov]age gap disc\nt program "u section #ahfj;,d-#ad;,a7g7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#aad;a7g772 7#d7 a paym5t made by a pr9cipal to an ag5t z comp5sation = ! s]vices ( ! ag5t "u a p]sonal s]vices & managem5t contract t meets ! requirem5ts ( section #ajja4ieb7;d7 ( title #db1 ,code ( ,f$]al ,regulations1 z 9 effect on ! date ( enactm5t ( ?is section2 7#e7 a waiv] or disc\nt 7z def9$ 9 section #ajja4ieb7;h77#e7 ( title #db1 ,code ( ,f$]al ,regulations1 or any successor regulation7 ( any co9surance or copaym5t by a heal? c>e b5efit program if-- 7,a7 ! waiv] or disc\nt is n r\t9ely provid$2 & 7,b7 ! waiv] or disc\nt is provid$ 9 good fai?2 7#f7 a remun]ation describ$ 9 section #aabh;,b7b77#c77;,i7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acbj;a-#g;b7b77#c77;,i772 7#g7 a remun]ation made pursuant to an alt]native paym5t model 7z def9$ 9 section #ahcc7z77#c77;,c7 ( ! ,social ,security ,act7 or pursuant to a paym5t arrangem5t us$ by a ,/ate1 heal? insurance issu]1 or gr\p heal? plan if ! ,secret>y ( ,heal? & ,human ,s]vices has det]m9$ t su* arrangem5t is necess>y = c>e coord9ation or value-bas$ c>e2 or 7#h7 any o!r paym5t1 remun]ation1 disc\nt1 or r$uction z det]m9$ by ! ,attorney ,g5]al1 9 consultation ) ! ,secret>y ( ,heal? & ,human ,s]vices1 by regulation4 7c7 ,regulations ,! ,attorney ,g5]al1 9 consultation ) ! ,secret>y ( ,heal? & ,human ,s]vices1 may promulgate regulations to cl>ify ! exceptions describ$ 9 subsection 7b74 7d7 ,preemption 7#a7 ,f$]al law ,?is section %all n apply to conduct t is prohibit$ "u section #aabh;,b ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acbj;a-#g;b74 7#b7 ,/ate law ,no?+ 9 ?is section %all be con/ru$ to occupy ! field 9 :i* any provisions ( ?is section op]ate to ! exclusion ( ,/ate laws on ! same subject matt]4 7e7 ,def9itions ,9 ?is section-- 7#a7 ! t]ms applicable b5efici>y & applicable drug h ! mean+s giv5 ^? t]ms 9 section #ahfj;,d-#ad;,a7g7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#aad;a7g772 7#b7 ! t]m cl9ical treatm5t facility means a m$ical sett+ 1 o!r ?an a hospital1 t provides detoxification1 risk r$uction1 outpati5t treatm5t & c>e1 resid5tial treatm5t1 or rehabilitation = sub/ance use1 pursuant to lic5sure or c]tification "u ,/ate law2 7#c7 ! t]m heal? c>e b5efit program has ! mean+ giv5 ! t]m 9 section #bd7;b72 7#d7 ! t]m laboratory has ! mean+ giv5 ! t]m 9 section #cec ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bfc;a72 & 7#e7 ! t]m recov]y home means a %>$ liv+ environm5t t is1 or purports to be1 free f alcohol & illicit drug use & c5t]$ on pe] support & connection to s]vices t promote su/a9$ recov]y f sub/ance use disord]s4 4 7b7 ,cl]ical am5dm5t ,! table ( sections = *apt] #aa ( title #ah1 ,unit$ ,/ates ,code1 is am5d$ by ins]t+ aft] ! item relat$ to section #bai ! foll[+3 #bbj4 ,illegal remun]ations = ref]rals to recov]y homes1 cl9ical treatm5t facilities1 & laboratories4 4 ,k ,sub/ance ,abuse ,prev5tion #hbja4 ,%ort title ,?is subtitle may be cit$ z ! ,sub/ance ,abuse ,prev5tion ,act ( #bjah4 #hbjb4 ,reau?orization ( ! ,(fice ( ,national ,drug ,control ,policy 7a7 ,(fice ( ,national ,drug ,control ,policy ,reau?orization ,act ( #aiih 7#a7 ,9 g5]al ,! ,(fice ( ,national ,drug ,control ,policy ,reau?orization ,act ( #aiih 7#ba ,u4,s4,c4 #agja et seq471 z 9 effect on ,septemb] #bi1 #bjjc1 & z am5d$ by ! laws describ$ 9 p>agraph 7#b71 is reviv$ & re/or$4 7#b7 ,laws describ$ ,! laws describ$ 9 ?is p>agraph are3 7,a7 ,! ,(fice ( ,national ,drug ,control ,policy ,reau?orization ,act ( #bjjf 7,public ,law #aji-dfi2 #abj ,/at4 #cejb74 7,b7 ,! ,presid5tial ,appo9tm5t ,effici5cy & ,/reaml9+ ,act ( #bjaa 7,public ,law #aab-aff2 #abf ,/at4 #abhc74 7b7 ,reau?orization 7#a7 ,9 g5]al ,section #gad ( ! ,(fice ( ,national ,drug ,control ,policy ,reau?orization ,act ( #aiih 7#ba ,u4,s4,c4 #agaa7 is am5d$ by /rik+ su* sums z may be necess>y = ea* ( fiscal ye>s #bjjf ?r\gh #bjaj & ins]t+ #ah1djj1jjj = ea* ( fiscal ye>s #bjah ?r\gh #bjbc4 7#b7 ,repeal ( t]m9ation ,! ,(fice ( ,national ,drug ,control ,policy ,reau?orization ,act ( #aiih 7#ba ,u4,s4,c4 #agja et seq47 is am5d$ by /rik+ section #gae 7#ba ,u4,s4,c4 #agab74 #hbjc4 ,reau?orization ( ! ,drug-,free ,communities ,program 7a7 ,revival ( national n>cotics lead]%ip act ( #aihh 7#a7 ,9 g5]al ,*apt] #b ( ! ,national ,n>cotics ,lead]%ip ,act ( #aihh 7#ba ,u4,s4,c4 #aeba et seq471 except = sub*apt] ,,ii 7#ba ,u4,s4,c4 #aeda et seq471 z 9 effect on ,septemb] #bi1 #aiig1 & z am5d$ by ! laws describ$ 9 p>agraph 7#b71 is reviv$ & re/or$4 7#b7 ,laws describ$ ,! laws describ$ 9 ?is p>agraph are3 7,a7 ,public ,law #ajg-hb 7#aae ,/at4 #had74 7,b7 ,! ,(fice ( ,national ,drug ,control ,policy ,reau?orization ,act ( #bjjf 7,public ,law #aji-dfi3 #abj ,/at4 #cejb71 z am5d$ by p>agraph 7#d74 7#c7 ,am5dm5t to t]m9ation provision ,section #ajji ( ! ,national ,n>cotics ,lead]%ip ,act ( #aihh 7#ba ,u4,s4,c4 #ajef7 is am5d$ by ins]t+ & sections #ajba ?r\gh #ajce aft] section #ajjg4 7#d7 ,te*nical correction 7,a7 ,9 g5]al ,title ,,viii ( ! ,(fice ( ,national ,drug ,control ,policy ,reau?orization ,act ( #bjjf 7,public ,law #aji-dfi2 #abj ,/at4 #cece7 is am5d$ by /rik+ ,drug-,free ,communities ,act ( #aiig ea* place x appe>s & ins]t+ ,national ,n>cotics ,lead]%ip ,act ( #aihh4 7,b7 ,effective date ,! am5dm5ts made by subp>agraph 7,a7 %all take effect z ?\gh enact$ z "p ( ! ,(fice ( ,national ,drug ,control ,policy ,reau?orization ,act ( #bjjf 7,public ,law #aji-dfi2 #abj ,/at4 #cejb74 7b7 ,am5dm5t to ,national ,n>cotics ,lead]%ip ,act ( #aihh ,*apt] #b ( subtitle ,a ( title ,i ( ! ,national ,n>cotics ,lead]%ip ,act ( #aihh 7#ba ,u4,s4,c4 #aeba et seq47 is am5d$-- 7#a7 9 section #ajbb 7#ba ,u4,s4,c4 #aebb71 by /rik+ sub/ance abuse ea* place x appe>s & ins]t+ sub/ance use & misuse2 7#b7 9 section #ajbc 7#ba ,u4,s4,c4 #aebc71 by /rik+ p>agraph 7#i7 & ins]t+ ! foll[+3 7#i7 ,sub/ance use & misuse ,! t]m sub/ance use & misuse means-- 7,a7 ! illegal use or misuse ( drugs1 includ+ sub/ances = :i* a li/+ is effect "u any ( s*$ules ,i ?r\gh ,v "u section #bjb ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hab72 7,b7 ! misuse ( inhalants or ov]-!-c\nt] drugs2 or 7,c7 ! use ( alcohol1 tobacco1 or o!r relat$ product z su* use is prohibit$ by ,/ate or local law4 2 7#c7 9 section #ajbd 7#ba ,u4,s4,c4 #aebd71 by /rik+ subsections 7a7 & 7b7 & ins]t+ ! foll[+3 7a7 ,9 g5]al ,!re is au?oriz$ to be appropriat$ to ! ,(fice ( ,national ,drug ,control ,policy to c>ry out ?is *apt] #ii1jjj1jjj = ea* ( fiscal ye>s #bjah ?r\gh #bjbc4 7b7 ,adm9i/rative co/s ,n m ?an #h p]c5t ( ! funds appropriat$ to c>ry out ?is *apt] may be us$ by ! ,(fice ( ,national ,drug ,control ,policy to pay adm9i/rative co/s associat$ ) ! responsibilities ( ! ,(fice "u ?is *apt]4 2 7#d7 9 sub*apt] ,i 7#ba ,u4,s4,c4 #aeca et seq47-- 7,a7 by /rik+ sub/ance abuse ea* place x appe>s & ins]t+ sub/ance use & misuse2 & 7,b7 9 section #ajcb7;b77#a77;,a7 7#ba ,u4,s4,c4 #aecb7;b77#a77;,a771 by /rik+ clause 7iii7 & ins]t+ ! foll[+3 7iii7 ,r5ewal grants ,subject to clause 7iv71 ! ,adm9i/rator may aw>d a r5ewal grant to a grant recipi5t "u ?is subp>agraph = ea* fiscal ye> ( ! #d-;fiscal-ye> p]iod foll[+ ! fir/ fiscal ye> = :i* ! initial additional grant is aw>d$ 9 an am\nt n to exce$ ! foll[+3 7,i7 ,= ! fir/ & second fiscal ye>s ( ! #d-;fiscal-ye> p]iod1 ! am\nt ( ! non-,f$]al funds1 includ+ 9-k9d contributions1 rais$ by ! coalition = ! applicable fiscal ye> is n less ?an #abe p]c5t ( ! am\nt aw>d$4 7,,ii7 ,= ! ?ird & f\r? fiscal te>s ( ! #d-;fiscal-ye> p]iod1 ! am\nt ( ! non-,f$]al funds1 includ+ 9-k9d contributions1 rais$ by ! coalition = ! applicable fiscal ye> is n less ?an #aej p]c5t ( ! am\nt aw>d$4 2 & 7#e7 by /rik+ sub*apt] ,,ii 7#ba ,u4,s4,c4 #aeda et seq474 #hbjd4 ,reau?orization ( ! ,national ,community ,anti-,drug ,coalition ,in/itute ,section #d ( ,public ,law #ajg-hb 7#ba ,u4,s4,c4 #aeba note7 is am5d$ to read z foll[s3 #d4 ,au?orization = ,national ,community ,antidrug ,coalition ,in/itute 7a7 ,9 g5]al ,! ,director %all1 us+ am\nts au?oriz$ to be appropriat$ by subsection 7d71 make a competitive grant to provide = ! cont9uation ( ! ,national ,community ,anti-drug ,coalition ,in/itute4 7b7 ,eligible organizations ,an organization eligible = ! grant "u subsection 7a7 is any national nonpr(it organization t repres5ts1 provides te*nical assi/ance & tra9+ to1 & has special exp]tise & broad1 national-level exp]i5ce 9 community antidrug coalitions "u ?is sub*apt]4 7c7 ,use ( grant am\nt ,! organization t receives ! grant "u subsection 7a7 %all cont9ue a ,national ,community ,anti-,drug ,coalition ,in/itute to-- 7#a7 provide education1 tra9+1 & te*nical assi/ance = coalition lead]s & community teams1 ) emphasis on ! developm5t ( coalitions s]v+ economically disadvantag$ areas2 7#b7 develop & dissem9ate evaluation tools1 me*anisms1 & measures to bett] assess & docum5t coalition p]=mance measures & outcomes2 & 7#c7 bridge ! gap betwe5 rese>* & practice by translat+ k f rese>* into practical in=mation4 7d7 ,au?orization ( appropriations ,! ,director %all1 us+ am\nts au?oriz$ to be appropriat$ by section #ajcb ( ! ,national ,n>cotics ,lead]%ip ,act ( #aihh 7#ae ,u4,s4,c4 #aecb71 make a grant ( #b million "u subsection 7a71 = ea* ( ! fiscal ye>s #bjah ?r\gh #bjbc4 4 #hbje4 ,reau?orization ( ! ,high-,int5sity ,drug ,traffick+ ,area ,program ,section #gjg ( ! ,(fice ( ,national ,drug ,control ,policy ,reau?orization ,act ( #aiih 7#ba ,u4,s4,c4 #agjf7 is am5d$-- 7#a7 9 subsection 7f71 by /rik+ no ,f$]al & all t foll[s ?r\gh programs4 & ins]t+ ! foll[+3 n m ?an a total ( #e p]c5t ( ,f$]al funds appropriat$ = ! ,program are exp5d$ = sub/ance use disord] treatm5t programs & drug prev5tion programs42 7#b7 9 subsection 7p7-- 7,a7 9 p>agraph 7#d71 by /rik+ & at ! end2 7,b7 9 p>agraph 7#e71 by /rik+ ! p]iod at ! end & ins]t+ 2 &2 & 7,c7 by add+ at ! end ! foll[+3 7#f7 #bhj1jjj1jjj = ea* ( fiscal ye>s #bjah ?r\gh #bjbc4 2 & 7#c7 9 subsection 7q7-- 7,a7 by /rik+ p>agraph 7#b7 & ins]t+ ! foll[+3 7#b7 ,requir$ uses ,! funds us$ "u p>agraph 7#a7 %all be us$ to ensure ! safety ( neighborhoods & ! protection ( communities1 includ+ ! prev5tion ( ! intimidation ( witnesses ( illegal drug di/ribution & relat$ activities & ! e/abli%m5t (1 or support =1 programs t provide protection or assi/ance to witnesses 9 c\rt proce$+s4 2 & 7,b7 by add+ at ! end ! foll[+3 7#c7 ,be/ practice models ,! ,director %all "w ) ,h,i,d,t,as to develop & ma9ta9 be/ practice models to assi/ ,/ate1 local1 & ,tribal gov]nm5ts 9 address+ witness safety1 relocation1 f9ancial & h\s+ assi/ance1 or any o!r s]vices relat$ to witness protection or assi/ance 9 cases ( illegal drug di/ribution & relat$ activities4 ,! ,director %all ensure dissem9ation ( ! be/ practice models to ea* ,,hidta4 4 #hbjf4 ,reau?orization ( drug c\rt program ,section #ajja7;a77#be77;,a7 ( title ,i ( ! ,omnibus ,crime ,control & ,safe ,/reets ,act ( #aifh 7#cd ,u4,s4,c4 #ajbfa7;a77#be77;,a77 is am5d$ by /rik+ ,except z provid$ & all t foll[s & ins]t+ ! foll[+3 ,except z provid$ 9 subp>agraph 7,c71 !re is au?oriz$ to be appropriat$ to c>ry out "p ,,ee #ge1jjj1jjj = ea* ( fiscal ye>s #bjah ?r\gh #bjbc44 #hbjg4 ,drug c\rt tra9+ & te*nical assi/ance ,section #gje ( ! ,(fice ( ,national ,drug ,control ,policy ,reau?orization ,act ( #aiih 7#ba ,u4,s4,c4 #agjd7 is am5d$ by add+ at ! end ! foll[+3 7e7 ,drug c\rt tra9+ & te*nical assi/ance program 7#a7 ,grants au?oriz$ ,! ,director may make a grant to a nonpr(it organization = ! purpose ( provid+ tra9+ & te*nical assi/ance to drug c\rts4 7#b7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is subsection #b1jjj1jjj = ea* ( fiscal ye>s #bjah ?r\gh #bjbc4 4 #hbjh4 ,drug ov]dose response /rategy ,section #gjg ( ! ,(fice ( ,national ,drug ,control ,policy ,reau?orization ,act ( #aiih 7#ba ,u4,s4,c4 #agjf7 is am5d$ by add+ at ! end ! foll[+3 7r7 ,drug ov]dose response /rategy implem5tation ,! ,director may use funds appropriat$ to c>ry out ?is section to implem5t a drug ov]dose response /rategy 9 high int5sity drug traffick+ areas on a nationwide basis by-- 7#a7 coord9at+ multi-discipl9>y ef=ts to prev5t1 r$uce1 & respond to drug ov]doses1 includ+ ! uni=m report+ ( fatal & non-fatal ov]doses to public heal? & safety (ficials2 7#b7 increas+ data %>+ among public safety & public heal? (ficials conc]n+ drug-relat$ abuse tr5ds1 includ+ new psy*oactive sub/ances1 & relat$ crime2 & 7#c7 enabl+ collaborative deploym5t ( prev5tion1 int]v5tion1 & en=cem5t res\rces to address sub/ance use addiction & n>cotics traffick+4 4 #hbji4 ,protect+ law en=cem5t (fic]s f accid5tal exposure ,section #gjg ( ! ,(fice ( ,national ,drug ,control ,policy ,reau?orization ,act ( #aiih 7#ba ,u4,s4,c4 #agjf71 z am5d$ by section #hbjh1 is am5d$ by add+ at ! end ! foll[+3 7s7 ,supplem5tal grants ,! ,director is au?oriz$ to use n m ?an #aj1jjj1jjj ( ! am\nts o!rwise appropriat$ to c>ry out ?is section to provide supplem5tal competitive grants to high int5sity drug traffick+ areas t h exp]i5c$ high seizures ( f5tanyl & new psy*oactive sub/ances = ! purposes (-- 7#a7 pur*as+ portable equipm5t to te/ = f5tanyl & o!r sub/ances2 7#b7 tra9+ law en=cem5t (fic]s & o!r fir/ respond]s on be/ practices = h&l+ f5tanyl & o!r sub/ances2 & 7#c7 pur*as+ protective equipm5t1 includ+ ov]dose rev]sal drugs4 4 #hbaj4 ,,cops ,anti-,me? ,program ,section #agja ( title ,i ( ! ,omnibus ,crime ,control & ,safe ,/reets ,act ( #aifh 7#cd ,u4,s4,c4 #ajcha7 is am5d$-- 7#a7 by r$esignat+ subsection 7k7 z subsection 7l72 & 7#b7 by ins]t+ aft] subsection 7j7 ! foll[+3 7k7 ,,cops ,anti-,me? ,program ,! ,attorney ,g5]al %all use am\nts o!rwise appropriat$ to c>ry out ?is section = a fiscal ye> 7beg9n+ ) fiscal ye> #bjai7 to make competitive grants1 9 am\nts ( n less ?an #a1jjj1jjj = su* fiscal ye>1 to ,/ate law en=cem5t ag5cies ) high seizures ( precursor *emicals1 f9i%$ me?amphetam9e1 laboratories1 & laboratory dump seizures = ! purpose ( locat+ or inve/igat+ illicit activities1 su* z precursor div]sion1 laboratories1 or me?amphetam9e traffick]s4 4 #hbaa4 ,,cops anti-h]o9 task =ce program ,section #agja ( title ,i ( ! ,omnibus ,crime ,control & ,safe ,/reets ,act ( #aifh 7#cd ,u4,s4,c4 #ajcha7 is am5d$-- 7#a7 by r$esignat+ subsection 7l71 z s r$esignat$ by section #hbaj1 z subsection 7m72 & 7#b7 by ins]t+ aft] subsection 7k71 z add$ by section #hbaj1 ! foll[+3 7l7 ,cops anti-h]o9 task =ce program ,! ,attorney ,g5]al %all use am\nts o!rwise appropriat$ to c>ry out ?is section1 or o!r am\nts z appropriat$1 = a fiscal ye> 7beg9n+ ) fiscal ye> #bjai7 to make competitive grants to ,/ate law en=cem5t ag5cies 9 ,/ates ) high p] capita rates ( prim>y treatm5t admissions1 = ! purpose ( locat+ or inve/igat+ illicit activities1 ?r\gh ,/atewide collaboration1 relat+ to ! di/ribution ( h]o91 f5tanyl1 or c>f5tanil or relat+ to ! unlawful di/ribution ( prescription opioids4 4 #hbab4 ,compreh5sive ,addiction & ,recov]y ,act education & aw>5ess ,title ,,vii ( ! ,compreh5sive ,addiction & ,recov]y ,act ( #bjaf 7,public ,law #aad-aih2 #acj ,/at4 #gce7 is am5d$ by add+ at ! end ! foll[+3 #gji4 ,s]vices = families & pati5ts 9 crisis 7a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices may make grants to entities t focus on addiction & sub/ance use disord]s & specialize 9 family & pati5t s]vices1 advocacy = pati5ts & families1 & educational in=mation4 7b7 ,all[able uses ,a grant aw>d$ "u ?is section may be us$ = nonpr(it national1 ,/ate1 or local organizations t engage 9 ! foll[+ activities3 7#a7 ,expansion ( res\rce c5t] s]vices ) pr(essional1 cl9ical /aff t provide1 = families & individuals impact$ by a sub/ance use disord]1 support1 access to treatm5t res\rces1 brief assessm5ts1 m$ication & ov]dose prev5tion education1 compassionate li/5+ s]vices1 recov]y support or pe] speciali/s1 b]eavem5t & grief support1 & case managem5t4 7#b7 ,cont9u$ developm5t ( heal? in=mation te*nology sy/ems t lev]age new & upcom+ te*nology & te*niques = prev5tion1 int]v5tion1 & fill+ res\rce gaps 9 communities t are und]s]v$4 7#c7 ,enhancem5t & op]ation ( treatm5t & recov]y res\rces1 easy-to-read sci5tific & evid5ce-bas$ education on addiction & sub/ance use disord]s1 & o!r in=mational tools = families & individuals impact$ by a sub/ance use disord] & community /akehold]s1 su* z law en=cem5t ag5cies4 7#d7 ,provision ( tra9+ & te*nical assi/ance to ,/ate & local gov]nm5ts1 law en=cem5t ag5cies1 heal? c>e sy/ems1 rese>* in/itutions1 & o!r /akehold]s4 7#e7 ,exp&+ ^u & implem5t+ educational in=mation us+ evid5ce-bas$ in=mation on sub/ance use disord]s4 7#f7 ,expansion ( tra9+ ( community /akehold]s1 law en=cem5t (fic]s1 & families across a broad-range ( addiction1 heal?1 & relat$ topics on sub/ance use disord]s1 local issues & community-specific issues relat$ to ! drug epidemic4 7#g7 ,program evaluation4 4 #hbac4 ,reimbursem5t ( sub/ance use disord] treatm5t pr(essionals ,n lat] ?an ,janu>y #a1 #bjbj1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all submit to ,congress a report exam9+ h[ sub/ance use disord] s]vices are reimburs$4 #hbad4 ,sobriety ,treatm5t & ,recov]y ,teams 7,,/>t7 ,title ,v ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;dd et seq47 is am5d$ by add+ at ! end ! foll[+3 #eej4 ,sobriety ,treatm5t & ,recov]y ,teams 7a7 ,9 g5]al ,! ,secret>y may make grants to ,/ates1 units ( local gov]nm5t1 or tribal gov]nm5ts to e/abli% or exp& ,sobriety ,treatm5t ,& ,recov]y ,team 7ref]r$ to 9 ?is section z ,,/>t7 or o!r simil> programs to det]m9e ! effectiv5ess ( pair+ social work]s or m5tors ) families t are /ruggl+ ) a sub/ance use disord] & *ild abuse or neglect 9 ord] to help provide pe] support1 int5sive treatm5t1 & *ild welf>e s]vices to su* families4 7b7 ,all[able uses ,a grant aw>d$ "u ?is section may be us$ = "o or m ( ! foll[+ activities3 7#a7 ,tra9+ eligible /aff1 includ+ social work]s1 social s]vices coord9ators1 *ild welf>e speciali/s1 sub/ance use disord] treatm5t pr(essionals1 & m5tors4 7#b7 ,exp&+ access to sub/ance use disord] treatm5t s]vices & drug te/+4 7#c7 ,enhanc+ data %>+ ) law en=cem5t ag5cies1 *ild welf>e ag5cies1 sub/ance use disord] treatm5t provid]s1 judges1 & c\rt p]sonnel4 7#d7 ,program evaluation & te*nical assi/ance4 7c7 ,program requirem5ts ,a ,/ate1 unit ( local gov]nm5t1 or tribal gov]nm5t receiv+ a grant "u ?is section %all-- 7#a7 s]ve only families = :i*-- 7,a7 !re is an op5 record ) ! *ild welf>e ag5cy2 & 7,b7 sub/ance use disord] 0 a reason = ! record or f9d+ describ$ 9 p>agraph 7#a72 & 7#b7 coord9ate any grants aw>d$ "u ?is section ) any grant aw>d$ "u section #dcg7;f7 ( ! ,social ,security ,act focus$ on improv+ outcomes = *ildr5 affect$ by sub/ance abuse4 7d7 ,te*nical assi/ance ,! ,secret>y may res]ve n m ?an #e p]c5t ( funds provid$ "u ?is section to provide te*nical assi/ance on ! e/abli%m5t or expansion ( programs fund$ "u ?is section f ! ,national ,c5t] on ,sub/ance ,abuse & ,*ild ,welf>e4 4 #hbae4 ,provid] education ,n lat] ?an #fj days aft] ! date ( enactm5t ( ?is ,act1 ! ,attorney ,g5]al1 9 consultation ) ! ,secret>y ( ,heal? & ,human ,s]vices1 %all complete ! plan relat$ to m$ical regi/ration coord9ation requir$ by ,s5ate ,report #aad-bci1 :i* accompani$ ! ,vet]ans ,c>e ,f9ancial ,protection ,act ( #bjag 7,public ,law #aae-aca2 #acb ,/at4 #ccd74 #hbaf4 ,def9itions ,section #gjb ( ! ,(fice ( ,national ,drug ,control ,policy ,reau?orization ,act ( #aiih 7#ba ,u4,s4,c4 #agja7 is am5d$-- 7#a7 by /rik+ p>agraphs 7#e71 7#ab71 & 7#ac72 7#b7 by r$esignat+ p>agraph 7#aa7 z p>agraph 7#ag72 7#c7 by r$esignat+ p>agraphs 7#i7 & 7#aj7 z p>agraphs 7#ad7 & 7#ae71 respectively2 7#d7 by r$esignat+ p>agraphs 7#f71 7#g71 & 7#h7 z p>agraphs 7#aj71 7#aa71 & 7#ab71 respectively2 7#e7 by r$esignat+ p>agraphs 7#a71 7#b71 7#c71 & 7#d7 z p>agraphs 7#c71 7#d71 7#e71 & 7#f71 respectively2 7#f7 by ins]t+ be=e p>agraph 7#c71 z s r$esignat$1 ! foll[+3 7#a7 ,ag5cy ,! t]m ag5cy has ! mean+ giv5 ! t]m executive ag5cy 9 section #ajb ( title #ca1 ,unit$ ,/ates ,code4 7#b7 ,appropriate congressional committees 7,a7 ,9 g5]al ,! t]m appropriate congressional committees means-- 7i7 ! ,committee on ! ,judici>y1 ! ,committee on ,appropriations1 & ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate2 & 7ii7 ! ,committee on ,ov]sight & ,gov]nm5t ,re=m1 ! ,committee on ! ,judici>y1 ! ,committee on ,en]gy & ,comm]ce1 & ! ,committee on ,appropriations ( ! ,h\se ( ,repres5tatives4 7,b7 ,submission to ,congress ,any submission to ,congress %all mean submission to ! appropriate congressional committees4 2 7#g7 by am5d+ p>agraph 7#c71 z s r$esignat$1 to read z foll[s3 7#c7 ,dem& r$uction ,! t]m dem& r$uction means any activity conduct$ by a ,national ,drug ,control ,program ,ag5cy1 o!r ?an an en=cem5t activity1 t is int5d$ to r$uce or prev5t ! use ( drugs or support1 exp&1 or provide treatm5t & recov]y ef=ts1 includ+-- 7,a7 education ab\t ! dang]s ( illicit drug use2 7,b7 s]vices1 programs1 or /rategies to prev5t sub/ance use disord]1 includ+ evid5ce-bas$ education campaigns1 community-bas$ prev5tion programs1 collection & disposal ( unus$ prescription drugs1 & s]vices to at-risk populations to prev5t or delay initial use ( an illicit drug2 7,c7 sub/ance use disord] treatm5t2 7,d7 support = long-t]m recov]y f sub/ance use disord]s2 7,e7 drug-free workplace programs2 7,f7 drug te/+1 includ+ ! te/+ ( employees2 7,g7 int]v5tions = illicit drug use & dep5d5ce2 7,h7 exp&+ availability ( access to heal? c>e s]vices = ! treatm5t ( sub/ance use disord]s2 7,i7 int]national drug control coord9ation & coop]ation ) respect to activities describ$ 9 ?is p>agraph2 7,j7 pre- & po/-arre/ crim9al ju/ice int]v5tions su* z div]sion programs1 drug c\rts1 & ! provision ( evid5ce-bas$ treatm5t to individuals ) sub/ance use disord]s :o are arre/$ or "u "s =m ( crim9al ju/ice sup]vision1 includ+ m$ication assi/$ treatm5t2 7,k7 o!r coord9at$ & jo9t initiatives among ,f$]al1 ,/ate1 local1 & ,tribal ag5cies to promote compreh5sive drug control /rategies design$ to r$uce ! dem& =1 & ! availability (1 illegal drugs2 7,l7 int]national illicit drug use education1 prev5tion1 treatm5t1 recov]y1 rese>*1 rehabilitation activities1 & int]v5tions = illicit drug use & dep5d5ce2 & 7,m7 rese>* relat$ to illicit drug use & any ( ! activities describ$ 9 ?is p>agraph4 2 7#h7 by ins]t+ aft] p>agraph 7#f71 z s r$esignat$1 ! foll[+3 7#g7 ,em]g+ drug ?reat ,! t]m em]g+ drug ?reat means ! occurr5ce ( a new & gr[+ tr5d 9 ! use ( an illicit drug or class ( drugs1 includ+ rapid expansion 9 ! supply ( or dem& = su* drug4 7#h7 ,illicit drug use2 illicit drugs2 illegal drugs ,! t]ms illicit drug use1 illicit drugs1 & illegal drugs include ! illegal or illicit use ( prescription drugs4 7#i7 ,law en=cem5t ,! t]m law en=cem5t or drug law en=cem5t means all ef=ts by a ,f$]al1 ,/ate1 local1 or ,tribal gov]nm5t ag5cy to en=ce ! drug laws ( ! ,unit$ ,/ates or any ,/ate1 includ+ inve/igation1 arre/1 prosecution1 & inc>c]ation or o!r puni%m5ts or p5alties4 2 7#i7 by am5d+ p>agraph 7#aa71 z s r$esignat$1 to read z foll[s3 7#aa7 ,national drug control program ag5cy ,! t]m ,national ,drug ,control ,program ,ag5cy means any ag5cy 7or bureau1 (fice1 indep5d5t ag5cy1 bo>d1 division1 commission1 subdivision1 unit1 or o!r compon5t !re(7 t is responsible = implem5t+ any aspect ( ! ,national ,drug ,control ,/rategy1 includ+ any ag5cy t receives ,f$]al funds to implem5t any aspect ( ! ,national ,drug ,control ,/rategy1 b does n include any ag5cy t receives funds = drug control activity solely "u ! ,national ,intellig5ce ,program or ! ,jo9t ,milit>y ,intellig5ce ,program4 2 7#aj7 9 p>agraph 7#ab71 z s r$esignat$-- 7,a7 by ins]t+ or ,/rategy be=e means2 & 7,b7 by ins]t+ 1 includ+ any report1 plan1 or /rategy requir$ to be incorporat$ into or issu$ concurr5tly ) su* /rategy be=e ! p]iod at ! end2 7#aa7 by ins]t+ aft] p>agraph 7#ab71 z s r$esignat$1 ! foll[+3 7#ac7 ,nonpr(it organization ,! t]m nonpr(it organization means an organization t is describ$ 9 section #eja7;c77#c7 ( ! ,int]nal ,rev5ue ,code ( #aihf & exempt f tax "u section #eja7;a7 ( su* ,code4 2 7#ab7 9 p>agraph 7#ad71 z s r$esignat$1 by /rik+ ,unless ! context cle>ly indicates o!rwise1 ! & ins]t+ ,!2 7#ac7 by ins]t+ aft] p>agraph 7#ae71 z s r$esignat$1 ! foll[+3 7#af7 ,sub/ance use disord] treatm5t ,! t]m sub/ance use disord] treatm5t means an evid5ce-bas$1 pr(essionally direct$1 delib]ate1 & plann$ regim5 includ+ evaluation1 obs]vation1 m$ical monitor+1 & rehabilitative s]vices & int]v5tions su* z ph>maco!rapy1 behavioral !rapy1 & individual & gr\p c\nsel+1 on an inpati5t or outpati5t basis1 to help pati5ts ) sub/ance use disord] rea* recov]y4 2 & 7#ad7 9 p>agraph 7#ag71 z s r$esignat$-- 7,a7 by r$esignat+ subp>agraphs 7,b71 7,c71 7,d71 & 7,e71 z subp>agraphs 7,c71 7,d71 7,e71 & 7,f71 respectively2 7,b7 by ins]t+ aft] subp>agraph 7,a7 ! foll[+3 7,b7 dome/ic law en=cem5t2 2 7,c7 9 subp>agraph 7,e71 z s r$esignat$1 by /rik+ & at ! end2 7,d7 9 subp>agraph 7,f71 z s r$esignat$1 by /rik+ ! p]iod at ! end & ins]t+ a semicolon2 & 7,e7 by add+ at ! end ! foll[+3 7,g7 activities to prev5t ! div]sion ( drugs = _! illicit use2 & 7,h7 rese>* relat$ to any ( ! activities describ$ 9 ?is p>agraph4 4 #hbag4 ,am5dm5ts to adm9i/ration ( ! ,(fice 7a7 ,responsibilities ( ,(fice ,section #gjc7;a7 ( ! ,(fice ( ,national ,drug ,control ,policy ,reau?orization ,act ( #aiih 7#ba ,u4,s4,c4 #agjb7;a77 is am5d$-- 7#a7 by /rik+ p>agraph 7#a7 & ins]t+ ! foll[+3 7#a7 lead ! national drug control ef=t1 includ+ coord9at+ ) ! ,national ,drug ,control ,program ,ag5cies2 2 7#b7 9 p>agraph 7#b71 by ins]t+ be=e ! semicolon ! foll[+3 1 includ+ ! ,national ,drug ,control ,/rategy2 7#c7 9 p>agraph 7#c71 by /rik+ & at ! end2 & 7#d7 by /rik+ p>agraph 7#d7 & all t foll[s ?r\gh ! ,national ,academy ( ,sci5ces4 & ins]t+ ! foll[+3 7#d7 evaluate ! effectiv5ess ( national drug control policy ef=ts1 includ+ ! ,national ,drug ,control ,program ,ag5cies' program1 by develop+ & apply+ specific goals & p]=mance measurem5ts & monitor+ ! ag5cies' program-level sp5d+2 7#e7 id5tify & respond to em]g+ drug ?reats relat$ to illicit drug use2 7#f7 adm9i/] ! ,drug-,free ,communities ,program1 ! ,high-,int5sity ,drug ,traffick+ ,areas ,program1 & o!r grant programs directly au?oriz$ to be adm9i/]$ by ! ,(fice 9 fur!rance ( ! ,national ,drug ,control ,/rategy2 & 7#g7 facilitate broad-scale in=mation %>+ & data /&>dization among ,f$]al1 ,/ate1 & local entities to support ! national drug control ef=ts4 4 7b7 ,e?ics guidel9es ,section #gjc7;d7 ( ! ,(fice ( ,national ,drug ,control ,policy ,reau?orization ,act ( #aiih 7#ba ,u4,s4,c4 #agjb7;d77 is am5d$ by add+ at ! end ! foll[+3 7#d7 ,e?ics guidel9es ,! ,director %all e/abli% writt5 guidel9es sett+ =? ! crit]ia to be us$ 9 det]m9+ :e!r a gift or donation %\ld be decl9$ "u ?is subsection because ! acceptance ( ! gift or donation w\ld-- 7,a7 reflect unfavorably ^u ! ability ( ! ,director or ! ,(fice1 or any employee ( ! ,(fice1 to c>ry out responsibilities or (ficial duties "u ?is *apt] 9 a fair & objective mann]2 or 7,b7 compromise ! integrity or ! appe>ance ( integrity ( programs or s]vices provid$ "u ?is *apt] or ( any (ficial involv$ 9 ^? programs or s]vices4 7#e7 ,regi/ry ( gifts ,! ,director %all ma9ta9 a li/ (-- 7,a7 ! s\rce & am\nt ( ea* gift or donation accept$ by ! ,(fice2 & 7,b7 ! s\rce & am\nt ( ea* gift or donation accept$ by a contractor to be us$ 9 its p]=mance ( a contract = ! ,(fice4 7#f7 ,report to ,congress ,! ,director %all include 9 ! annual assessm5t "u section #gjf7;g7 a copy ( ! regi/ry ma9ta9$ "u p>agraph 7#e74 4 7c7 ,appo9tm5t ( ,director & ,deputy ,director ,section #gjd7;a7 ( ! ,(fice ( ,national ,drug ,control ,policy ,reau?orization ,act ( #aiih 7#ba ,u4,s4,c4 #agjc7;a77 is am5d$-- 7#a7 9 p>agraph 7#a71 by /rik+ subp>agraphs 7,a71 7,b71 & 7,c71 & ins]t+ ! foll[+3 7,a7 ,director 7i7 ,9 g5]al ,!re %all be at ! head ( ! ,(fice a ,director :o %all hold ! same rank & /atus z ! head ( an executive dep>tm5t li/$ 9 section #aja ( title #e1 ,unit$ ,/ates ,code4 7ii7 ,appo9tm5t ,! ,director %all be appo9t$ by ! ,presid5t1 by & ) ! advice & cons5t ( ! ,s5ate1 & %all s]ve at ! pleasure ( ! ,presid5t4 7,b7 ,deputy ,director ,!re %all be a ,deputy ,director :o %all report directly to ! ,director1 & :o %all be appo9t$ by ! ,presid5t1 & %all s]ve at ! pleasure ( ! ,presid5t4 7,c7 ,coord9ators ,! foll[+ coord9ators %all be appo9t$ by ! ,director3 7i7 ,p]=mance ,budget ,coord9ator1 z describ$ 9 section #gjd7;c77#d74 7ii7 ,int]diction ,coord9ator1 z describ$ 9 section #gaa4 7iii7 ,em]g+ & ,cont9u+ ,?reats ,coord9ator1 z describ$ 9 section #gji4 7iv7 ,/ate1 ,local1 & ,tribal ,affairs ,coord9ator1 to c>ry out ! activities describ$ 9 section #gjd7;j74 7v7 ,dem& ,r$uction ,coord9ator1 z describ$ 9 subp>agraph 7,d74 7,d7 ,dem& ,r$uction ,coord9ator ,! ,director %all designate or appo9t a ,unit$ ,/ates ,dem& ,r$uction ,coord9ator to be responsible = ! activities describ$ 9 section #gjb7c74 ,! ,director %all det]m9e :e!r ! coord9ator position is a nonc>e] appo9tee 9 ! ,s5ior ,executive ,s]vice or a c>e] appo9tee 9 a position at level #ae ( ! ,g5]al ,s*$ule 7or equival5t74 2 7#b7 9 p>agraph 7#e71 by /rik+ su* (ficial & ins]t+ su* (fic] or employee2 & 7#c7 by add+ at ! end ! foll[+3 7#f7 ,prohibition on ! use ( funds = ballot initiatives ,no funds au?oriz$ "u ?is title may be obligat$ = ! purpose ( expressly advocat+ ! passage or defeat ( a ,/ate or local ballot initiative4 4 7d7 ,consultation ,section #gjd7;b7 ( ! ,(fice ( ,national ,drug ,control ,policy ,reau?orization ,act ( #aiih 7#ba ,u4,s4,c4 #agjc7;b77 is am5d$-- 7#a7 9 p>agraph 7#ai71 by /rik+ 2 & & ins]t+ a semicolon2 7#b7 9 p>agraph 7#bj71 by /rik+ ! p]iod at ! end & ins]t+ 2 &2 & 7#c7 by add+ at ! end ! foll[+3 7#ba7 9 ord] to =mulate ! national drug control policies1 goals1 objectives1 & priorities-- 7,a7 %all consult ) & assi/-- 7i7 ,/ate & local gov]nm5ts2 7ii7 ,national ,drug ,control ,program ,ag5cies2 7iii7 ea* committee1 work+ gr\p1 c\ncil1 or o!r entity e/abli%$ "u ?is *apt]1 z appropriate2 7iv7 ! public2 7v7 appropriate congressional committees2 & 7vi7 any o!r p]son 9 ! discretion ( ! ,director2 & 7,b7 may-- 7i7 e/abli% advisory c\ncils2 7ii7 acquire data f ag5cies2 & 7iii7 reque/ data f any o!r entity4 4 7e7 ,national ,drug ,control ,program ,budget ,section #gjd7;c7 ( ! ,(fice ( ,national ,drug ,control ,policy ,reau?orization ,act ( #aiih 7#ba ,u4,s4,c4 #agjc7;c77 is am5d$-- 7#a7 9 p>agraph 7#b7-- 7,a7 9 subp>agraph 7,a71 by /rik+ p>agraph 7#a77;,c72 & ins]t+ ! foll[+3 p>agraph 7#a77;,c7 & include-- 7i7 ! fund+ level = ea* ,national ,drug ,control ,program ag5cy2 & 7ii7 alt]native fund+ /ructures t c\ld improve progress on a*iev+ ! goals fo ! ,national ,drug ,control ,/rategy2 & 2 7,b7 9 subp>agraph 7,b71 /rike ! ,presid5t2 & & ins]t+ ! ,presid5t & ,congress42 & 7,c7 by /rik+ subp>agraph 7,c72 7#b7 9 p>agraph 7#c77;,e71 by /rik+ clause 7ii7 & ins]t+ ! foll[+3 7ii7 ,c]tification ,! ,director %all-- 7,i7 review ea* budget submission submitt$ "u subp>agraph 7,a72 7,,ii7 bas$ on ! review "u clause 7i71 make a det]m9ation z to :e!r ! budget submission ( a ,national ,drug ,control ,program ag5cy includes ! fund+ levels & initiatives describ$ 9 subp>agraph 7,b72 & 7,,iii7 submit to ! appropriate congressional committees-- 7aa7 a writt5 /atem5t t ei!r-- 7,,aa7 c]tifies t ! budget submission includes suffici5t fund+2 or 7,,bb7 dec]tifies ! budget submission z n includ+ suffici5t fund+2 7bb7 a copy ( ! description made "u subp>agraph 7,b72 & 7cc7 ! budget recomm5dations made "u subsection 7b77#h74 2 & 7#c7 by add+ at ! end ! foll[+3 7#e7 ,p]=mance-budget coord9ator 7,a7 ,designation ,! ,director %all designate or appo9t a ,unit$ ,/ates ,p]=mance-,budget ,coord9ator to-- 7i7 ensure ! ,director has suffici5t in=mation necess>y to analyze ! p]=mance ( ea* ,national ,drug ,control ,program ,ag5cy1 ! impact ,f$]al fund+ has _h on ! goals 9 ! ,/rategy1 & ! likely contributions to ! goals ( ! ,/rategy bas$ on fund+ levels ( ea* ,national ,drug ,control ,program ,ag5cy1 to make an indep5d5t assessm5t ( ! budget reque/ ( ea* ag5cy "u ?is subsection2 7ii7 advise ! ,director on ag5cy budgets1 p]=mance measures & t>gets1 & additional data & rese>* ne$$ to make in=m$ policy decisions "u ?is section & section #gjf2 & 7iii7 o!r duties z may be det]m9$ by ! ,director ) respect to measur+ or assess+ p]=mance or ag5cy budgets4 7,b7 ,det]m9ation ( position ,! ,director %all det]m9e :e!r ! coord9ator position is a nonc>e] appo9tee 9 ! ,s5ior ,executive ,s]vice or a c>e] appo9tee 9 a position at level #ae ( ! ,g5]al ,s*$ule 7or equival5t74 7#f7 ,budget e/imate or reque/ submission to ,congress ,:5ev] ! ,director submits any budget e/imate or reque/ to ! ,presid5t or ! ,(fice ( ,managem5t & ,budget1 ! ,director %all concurr5tly transmit to ! appropriate congressional committees a detail$ /atem5t ( ! budget>y ne$s ( ! ,(fice to execute its mission bas$ on ! good-fai? assessm5t ( ! ,director4 4 7f7 ,p[]s & responsibilities ( ! ,director ,section #gjd ( ! ,(fice ( ,national ,drug ,control ,policy ,reau?orization ,act ( #aiih 7#ba ,u4,s4,c4 #agjc7 is am5d$-- 7#a7 9 subsection 7d77#h7-- 7,a7 9 subp>agraph 7,d71 by /rik+ & at ! end2 7,b7 9 subp>agraph 7,e7-- 7i7 9 clause 7i7-- 7,i7 by /rik+ ,congress1 includ+ to ! ,committees on ,appropriations ( ! ,s5ate & ! ,h\se ( ,repres5tatives1 ! au?oriz+ committees = ! ,(fice1 & ins]t+ ! appropriate congressional committees2 & 7,,ii7 by /rik+ or ag5cies2 7ii7 9 clause 7ii7-- 7,i7 by /rik+ ,congress & ins]t+ ! appropriate congressional committees2 & 7,,ii7 by add+ & at ! end2 & 7iii7 by add+ at ! end ! foll[+3 7iii7 funds may only be us$ =-- 7,i7 expansion ( dem& r$uction activities2 7,,ii7 int]diction ( illicit drugs on ! high seas1 9 ,unit$ ,/ates t]ritorial wat]s1 & at ,unit$ ,/ates ports ( entry by (fic]s & employees ( ,national ,drug ,control ,program ,ag5cies & dome/ic & =eign law en=cem5t (fic]s2 7,,iii7 accurate assessm5t & monitor+ ( int]national drug production & int]diction programs & policies2 7,,iv7 activities to facilitate & enhance ! %>+ ( dome/ic & =eign intellig5ce in=mation among ,national ,drug ,control ,program ,ag5cies relat$ to ! production & traffick+ ( drugs 9 ! ,unit$ ,/ates & =eign c\ntries2 & 7,v7 rese>* relat$ to any ( ^! activities4 2 7#b7 9 subsection 7e77#b77;,a71 by /rik+ ,not)/&+ any o!r provision ( law & ins]t+ ,subject to ! availability ( appropriations2 & 7#c7 by add+ at ! end ! foll[+3 7i7 ,model ,acts ,program 7#a7 ,9 g5]al ,! ,director %all provide = or %all ent] into an agreem5t ) a nonpr(it organization to-- 7,a7 advise ,/ates on e/abli%+ laws & policies to address illicit drug use issues2 & 7,b7 revise su* model ,/ate drug laws & draft supplem5t>y model ,/ate laws to take into consid]ation *anges 9 illicit drug use issues 9 ! ,/ate involv$4 7#b7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is subsection #a1bej1jjj = ea* ( fiscal ye>s #bjah ?r\gh #bjbc4 7j7 ,/ate1 ,local1 & ,tribal ,affairs ,coord9ator ,! ,director %all designate or appo9t a ,unit$ ,/ates ,/ate1 ,local1 & ,tribal ,affairs ,coord9ator to p]=m ! duties ( ! ,(fice outl9$ 9 ?is section & #gjf & su* o!r duties z may be det]m9$ by ! ,director ) respect to coord9ation ( drug control ef=ts betwe5 ag5cies & ,/ate1 local1 & ,tribal gov]nm5ts4 ,! ,director %all det]m9e :e!r ! coord9ator position is a nonc>e] appo9tee 9 ! ,s5ior ,executive ,s]vice or a c>e] appo9tee 9 a position at level #ae ( ! ,g5]al ,s*$ule 7or equival5t74 7k7 ,h>m r$uction programs ,:5 develop+ ! national drug control policy1 any policy ( ! ,director1 includ+ policies relat+ to syr+e ex*ange programs = intrav5\s drug us]s1 %all be bas$ on ! be/ available m$ical & sci5tific evid5ce reg>d+ ! effectiv5ess ( su* policy 9 promot+ individual heal? & prev5t+ ! spread ( infecti\s disease & ! impact ( su* policy on drug addiction & use4 ,9 mak+ any policy relat+ to h>m r$uction programs1 ! ,director %all consult ) ! ,national ,in/itutes ( ,heal? & ! ,national ,academy ( ,sci5ces4 4 7g7 ,acc\nt+ ( funds exp5d$ ,section #gje ( ! ,(fice ( ,national ,drug ,control ,policy ,reau?orization ,act ( #aiih 7#ba ,u4,s4,c4 #agjd7;d771 z am5d$ by section #hbjg is fur!r am5d$-- 7#a7 by am5d+ subsection 7d7 to read z foll[s3 7d7 ,acc\nt+ ( ,funds ,exp5d$ 7#a7 ,9 g5]al ,n lat] ?an ,febru>y #a ( ea* ye>1 9 accordance ) guidance issu$ by ! ,director1 ! head ( ea* ,national ,drug ,control ,program ,ag5cy %all submit to ! ,director a detail$ acc\nt+ ( all funds exp5d$ by ! ag5cy = ,national ,drug ,control ,program activities dur+ ! previ\s fiscal ye> & %all ensure su* detail$ acc\nt+ is au!nticat$ = ! previ\s fiscal ye> by ! ,inspector ,g5]al = su* ag5cy prior to ! submission to ! ,director z frequ5tly z det]m9$ by ! ,inspector ,g5]al b n less frequ5tly t e #c ye>s4 7#b7 ,submission to ,congress ,! ,director %all submit to ,congress n lat] ?an ,april #a ( ea* ye> ! in=mation submitt$ to ! ,director "u p>agraph 7#a74 2 & 7#b7 by add+ at ! end ! foll[+3 7f7 ,track+ sy/em = f$]ally fund$ grant programs 7#a7 ,e/abli%m5t ,! ,director1 or ! head ( an ag5cy designat$ by ! ,director1 9 coord9ation ) ! ,secret>y ( ,heal? & ,human ,s]vices1 %all track f$]ally-fund$ grant programs to-- 7,a7 ensure ! public has electronic access to in=mation id5tify+3 7i7 all drug control grants & p]t95t id5tify+ in=mation = ea* grant2 7ii7 any available p]=mance metrics1 evaluations1 or o!r in=mation indicat+ ! effectiv5ess ( su* programs2 7,b7 facilitate ef=ts to id5tify duplication1 ov]lap1 or gaps 9 fund+ to provide increas$ acc\ntability ( ,f$]ally-fund$ grants = sub/ance use disord] treatm5t1 prev5tion1 & en=cem5t2 & 7,c7 id5tify b>ri]s 9 ! grant application process imp$im5ts t applicants curr5tly h 9 ! grant application process ) applicable ag5cies4 7#b7 ,national ,drug ,control ,ag5cies ,! head ( ea* ,national ,drug ,control ,program ,ag5cy %all provide to ! ,director a complete li/ ( all drug control program grant programs & any o!r relevant in=mation = inclusion 9 ! sy/em develop$ "u p>agraph 7#a7 & annually update su* li/4 7#c7 ,updat+ exi/+ sy/ems ,! ,director may meet ! requirem5ts ( ?is subsection by utiliz+1 updat+1 or improv+ exi/+ ,f$]al in=mation sy/ems to ensure !y meet ! requirem5ts ( ?is subsection4 7#d7 ,report ,n lat] ?an #c ye>s aft] ! date ( enactm5t ( ?is subsection1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all submit to ,congress a report exam9+ implem5tation ( ?is subsection4 4 7h7 ,te*nical & con=m+ am5dm5t ,section #aaje ( ! ,(fice ( ,national ,drug ,control ,policy ,reau?orization ,act ( #bjjf 7#ba ,u4,s4,c4 #agja note7 is repeal$4 #hbah4 ,em]g+ ?reats committee1 plan1 & m$ia campaign 7a7 ,9 g5]al ,section #gji ( ! ,(fice ( ,national ,drug ,control ,policy ,reau?orization ,act ( #aiih 7#ba ,u4,s4,c4 #agjh7 is am5d$ to read z foll[s3 #gji4 ,em]g+ ?reats committee1 plan1 & m$ia campaign 7a7 ,em]g+ ?reats coord9ator ,! ,director %all designate or appo9t a ,unit$ ,/ates ,em]g+ & ,cont9u+ ,?reats ,coord9ator to p]=m ! duties ( t position describ$ 9 ?is section & su* o!r duties z may be det]m9$ by ! ,director4 ,! ,director %all det]m9e :e!r ! coord9ator position is a nonc>e] appo9tee 9 ! ,s5ior ,executive ,s]vice or a c>e] appo9tee 9 a position at level #ae ( ! ,g5]al ,s*$ule 7or equival5t74 7b7 ,em]g+ ?reats committee 7#a7 ,9 g5]al ,! ,em]g+ ,?reats ,committee %all-- 7,a7 monitor evolv+ & em]g+ drug ?reats 9 ! ,unit$ ,/ates2 7,b7 id5tify & discuss evolv+ & em]g+ drug tr5ds 9 ! ,unit$ ,/ates us+ ! crit]ia requir$ to be e/abli%$ "u p>agraph 7#f72 7,c7 assi/ 9 ! =mulation ( & ov]see implem5tation ( any plan describ$ 9 subsection 7d72 7,d7 provide su* o!r advice to ! ,coord9ator & ,director conc]n+ /rategy & policies = em]g+ drug ?reats & tr5ds z ! ,committee det]m9es to be appropriate2 & 7,e7 dissem9ate & facilitate ! %>+ ) ,f$]al1 ,/ate1 local1 & ,tribal (ficials & o!r entities z det]m9$ by ! ,director ( p]t95t in=mation & data relat+ to-- 7i7 rec5t tr5ds 9 drug supply & dem&2 7ii7 fatal & nonfatal ov]doses2 7iii7 dem& = & availability ( evid5ce-bas$ sub/ance use disord] treatm5t1 includ+ ! ext5t ( ! unmet treatm5t ne$1 & treatm5t admission tr5ds2 7iv7 rec5t tr5ds 9 drug int]diction1 supply1 & dem& f ,/ate1 local1 & ,tribal law en=cem5t ag5cies2 & 7v7 o!r subject matt] z det]m9$ necess>y by ! ,director4 7#b7 ,*airp]son ,! ,director %all designate "o ( ! memb]s ( ! ,em]g+ ,?reats ,committee to s]ve z ,*airp]son4 7#c7 ,memb]s ,! ,director %all appo9t o!r memb]s ( ! ,committee1 :i* %all include-- 7,a7 repres5tatives f ,national ,drug ,control ,program ,ag5cies or o!r ag5cies2 7,b7 repres5tatives f ,/ate1 local1 & ,tribal gov]nm5ts2 & 7,c7 repres5tatives f o!r entities z designat$ by ! ,director4 7#d7 ,meet+s ,! memb]s ( ! ,em]g+ ,?reats ,committee %all meet1 9 p]son & n ?r\gh any delegate or repres5tative1 n less frequ5tly ?an once p] cal5d> ye>1 be=e ,june #a4 ,at ! call ( ! ,director or ! ,*airp]son1 ! ,em]g+ ,?reats ,committee may hold additional meet+s z ! memb]s may *oose4 7#e7 ,contract1 agreem5t1 & o!r au?ority ,! ,director may aw>d contracts1 ent] into int]ag5cy agreem5ts1 manage individual projects1 & conduct o!r activities 9 support ( ! id5tification ( em]g+ drug ?reats & 9 support ( ! developm5t1 implem5tation1 & assessm5t ( any ,em]g+ ,?reat ,response ,plan4 7#f7 ,crit]ia to id5tify em]g+ drug ?reats ,n lat] ?an #ahj days aft] ! date on :i* ! ,committee fir/ meets1 ! ,committee %all develop & recomm5d to ! ,director crit]ia to be us$ to id5tify an em]g+ drug ?reat or ! t]m9ation ( an em]g+ drug ?reat designation bas$ on in=mation ga!r$ by ! ,committee1 /ati/ical data1 & o!r evid5ce4 7c7 ,designation 7#a7 ,9 g5]al ,! ,director1 9 consultation ) ! ,coord9ator1 ! ,committee1 & ! head ( ea* ,national ,drug ,control ,program ,ag5cy1 may designate an em]g+ drug ?reat 9 ! ,unit$ ,/ates4 7#b7 ,/&>ds = designation ,! ,director1 9 consultation ) ! ,coord9ator1 %all promulgate & make publicly available /&>ds by :i* a designation "u p>agraph 7#a7 & ! t]m9ation ( su* designation may be made4 ,9 develop+ su* /&>ds1 ! ,director %all consid] ! recomm5dations ( ! committee & o!r crit]ia ! ,director consid]s to be appropriate4 7#c7 ,public /atem5t requir$ ,! ,director %all publi% a public writt5 /atem5t on ! portal ( ! ,(fice expla9+ ! designation ( an em]g+ drug ?reat or ! t]m9ation ( su* designation & %all notify ! appropriate congressional committees ( ! availability ( su* /atem5t :5 a designation or t]m9ation ( su* designation has be5 made4 7d7 ,plan 7#a7 ,public availability ( plan ,n lat] ?an #ij days aft] mak+ a designation "u subsection 7c71 ! ,director %all publi% & make publicly available an ,em]g+ ,?reat ,response ,plan & notify ! ,presid5t & ! appropriate congressional committees ( su* plan's availability4 7#b7 ,tim+ ,concurr5tly ) ! annual submissions "u section #gjf7;g71 ! ,director %all update ! plan & report on implem5tation ( ! plan1 until ! ,director issues ! public /atem5t requir$ "u subsection 7c77#c7 to t]m9ate ! em]g+ drug ?reat designation4 7#c7 ,cont5ts ( an em]g+ ?reat response plan ,! ,director %all include 9 ! plan requir$ "u ?is subsection-- 7,a7 a compreh5sive /rategic assessm5t ( ! em]g+ drug ?reat1 includ+ ! curr5t availability (1 dem& =1 & effectiv5ess ( evid5ce-bas$ prev5tion1 treatm5t1 & en=cem5t programs & ef=ts to respond to ! em]g+ drug ?reat2 7,b7 compreh5sive1 rese>*-bas$1 %ort- & long-t]m1 quantifiable goals = address+ ! em]g+ drug ?reat1 includ+ = r$uc+ ! supply ( ! drug designat$ z ! em]g+ drug ?reat & = exp&+ ! availability & effectiv5ess ( evid5ce-bas$ sub/ance use disord] treatm5t & prev5tion programs to r$uce ! dem& = ! em]g+ drug ?reat2 7,c7 p]=mance measures p]ta9+ to ! plan's goals1 includ+ quantifiable & measurable objectives & specific t>gets2 7,d7 ! level ( fund+ ne$$ to implem5t ! plan1 includ+ :e!r fund+ is available to be reprogramm$ or transf]r$ to support implem5tation ( ! plan or :e!r additional appropriations are necess>y to implem5t ! plan2 7,e7 an implem5tation /rategy = ! m$ia campaign "u subsection 7f71 includ+ goals z describ$ "u subp>agraph 7,b7 ( ?is p>agraph & p]=mance measures1 objectives1 & t>gets1 z describ$ "u subp>agraph 7,c7 ( ?is p>agraph2 & 7,f7 any o!r in=mation necess>y to in=m ! public ( ! /atus1 progress1 or response ( an em]g+ drug ?reat4 7#d7 ,implem5tation 7,a7 ,9 g5]al ,n lat] ?an #abj days aft] ! date on :i* a designation is made "u subsection 7c71 ! ,director1 9 consultation ) ! ,presid5t1 ! appropriate congressional committees1 & ! head ( ea* ,national ,drug ,control ,program ,ag5cy1 %all issue guidance on implem5tation ( ! plan describ$ 9 ?is subsection to ! ,national ,drug ,control ,program ,ag5cies & any o!r relevant ag5cy det]m9$ to be necess>y by ! ,director4 7,b7 ,coord9ator's responsibilities ,! ,coord9ator %all-- 7i7 direct ! implem5tation ( ! plan among ! ag5cies id5tifi$ 9 ! plan1 ,/ate1 local1 & ,tribal gov]nm5ts1 & o!r relevant entities2 7ii7 facilitate in=mation-%>+ betwe5 ag5cies id5tifi$ 9 ! plan1 ,/ate1 local1 & ,tribal gov]nm5ts1 & o!r relevant entities2 & 7iii7 monitor implem5tation ( ! plan by coord9at+ ! developm5t & implem5tation ( collection & report+ sy/ems to support p]=mance measurem5t & adh]5ce to ! plan by ag5cies id5tifi$ 9 plan1 :]e appropriate4 7,c7 ,report+ ,n lat] ?an #ahj days aft] ! date on :i* a designation is made "u subsection 7c7 & 9 accordance ) subp>agraph 7,a71 ! head ( ea* ag5cy id5tifi$ 9 ! plan %all submit to ! ,coord9ator a report on implem5tation ( ! plan4 7e7 ,evaluation ( m$ia campaign ,^u designation ( an em]g+ drug ?reat1 ! ,director %all evaluate :e!r a m$ia campaign w\ld be appropriate to address t ?reat4 7f7 ,national anti-drug m$ia campaign 7#a7 ,9 g5]al ,! ,director %all1 to ! ext5t feasible & appropriate1 conduct a national anti-drug m$ia campaign 7ref]r$ to 9 ?is subtitle z ! national m$ia campaign7 9 accordance ) ?is subsection = ! purposes (-- 7,a7 prev5t+ sub/ance abuse among p 9 ! ,unit$ ,/ates2 7,b7 educat+ ! public ab\t ! dang]s & negative consequ5ces ( sub/ance use & abuse1 includ+ pati5t & family education ab\t ! *>act]i/ics & haz>ds ( sub/ance abuse & me?ods to safegu>d aga9/ sub/ance use1 to include ! safe disposal ( prescription m$ications2 7,c7 support+ evid5ce-bas$ prev5tion programs t>get+ ! attitudes1 p]ception1 & beliefs ( p]sons conc]n+ sub/ance use & int5tions to initiate or cont9ue su* use2 7,d7 enc\rag+ individuals affect$ by sub/ance use disord]s to seek treatm5t & provid+ su* individuals ) in=mation on-- 7i7 h[ to recognize addiction issues2 7ii7 :at =ms ( evid5ce-bas$ treatm5t options are available2 & 7iii7 h[ to access su* treatm5t2 7,e7 combat+ ! /igma ( addiction & sub/ance use disord]s1 includ+ ! /igma ( treat+ su* disord]s ) m$ication-assi/$ treatm5t !rapies2 & 7,f7 in=m+ ! public ab\t ! dang]s ( any drug id5tifi$ by ! ,director z an em]g+ drug ?reat z appropriate4 7#b7 ,use ( funds 7,a7 ,9 g5]al ,am\nts made available to c>ry out ?is subsection = ! national m$ia campaign may only be us$ = ! foll[+3 7i7 ,! pur*ase ( m$ia "t & space1 includ+ ! /rategic plann+ =1 track+1 & acc\nt+ (1 su* pur*ases4 7ii7 ,creative & tal5t co/s1 consi/5t ) subp>agraph 7,b77i74 7iii7 ,adv]tis+ production co/s1 :i* may include television1 radio1 int]net1 social m$ia1 & o!r comm]cial m>ket+ v5ues4 7iv7 ,te/+ & evaluation ( adv]tis+4 7v7 ,evaluation ( ! effectiv5ess ( ! national m$ia campaign4 7vi7 ,co/s ( contracts to c>ry out activities au?oriz$ by ?is subsection4 7vii7 ,p>tn]%ips ) pr(essional & civic gr\ps1 community-bas$ organizations1 includ+ fai?-bas$ organizations1 & gov]nm5t organizations relat$ to ! national m$ia campaign4 7viii7 ,ent]ta9m5t indu/ry outrea*1 int]active outrea*1 m$ia projects & activities1 public in=mation1 news m$ia outrea*1 & corporate sponsor%ip & p>ticipation4 7ix7 ,op]ational & managem5t exp5ses4 7,b7 ,specific requirem5ts 7i7 ,creative s]vices ,9 us+ am\nts = creative & tal5t co/s "u subp>agraph 7,a77ii71 ! ,director %all use creative s]vices donat$ at no co/ to ! ,gov]nm5t :]ev] feasible & may only procure creative s]vices = adv]tis+-- 7,i7 respond+ to high-priority or em]g5t campaign ne$s t _c timely be obta9$ at no co/2 or 7,,ii7 int5d$ to rea* a m9ority1 e?nic1 or o!r special audi5ce t _c reasonably be obta9$ at no co/4 7ii7 ,te/+ & evaluation ( adv]tis+ ,9 us+ am\nts = te/+ & evaluation ( adv]tis+ "u subp>agraph 7,a77iv71 ! ,director %all te/ all adv]tisem5ts prior to use 9 ! national m$ia campaign to ensure t ! adv]tisem5ts are effective ) ! t>get audi5ce & meet indu/ry-accept$ /&>ds4 ,! ,director may waive ?is requirem5t = adv]tisem5ts us+ no m ?an #aj p]c5t ( ! pur*ase ( adv]tis+ "t pur*as$ "u ?is subsection 9 a fiscal ye> & no m ?an #aj p]c5t ( ! adv]tis+ space pur*as$ "u ?is subsection 9 a fiscal ye>1 if ! adv]tisem5ts respond to em]g5t & "t-s5sitive campaign ne$s or ! adv]tisem5ts w n be widely utiliz$ 9 ! national m$ia campaign4 7iii7 ,consultation ,= ! plann+ ( ! campaign "u p>agraph 7#a71 ! ,director may consult )-- 7,i7 ! head ( any appropriate ,national ,drug ,control ,program ,ag5cy2 7,,ii7 exp]ts on ! designat$ drug2 7,,iii7 ,/ate1 local1 & ,tribal gov]nm5t (ficials & relevant ag5cies2 7,,iv7 communications pr(essionals2 7,v7 ! public2 & 7,,vi7 appropriate congressional committees4 7iv7 ,evaluation ( effectiv5ess ( national m$ia campaign ,9 us+ am\nts = ! evaluation ( ! effectiv5ess ( ! national m$ia campaign "u subp>agraph 7,a77v71 ! ,director %all-- 7,i7 designate an indep5d5t entity to evaluate by ,april #bj ( ea* ye> ! effectiv5ess ( ! national m$ia campaign bas$ on data f-- 7aa7 ! ,monitor+ ! ,future ,/udy publi%$ by ! ,dep>tm5t ( ,heal? & ,human ,s]vices2 7bb7 ! ,national ,survey on ,drug ,use & ,heal?2 & 7cc7 o!r relevant /udies or publications1 z det]m9$ by ! ,director1 includ+ track+ & evaluation data collect$ accord+ to m>ket+ & adv]tis+ indu/ry /&>ds2 & 7,,ii7 ensure t ! effectiv5ess ( ! national m$ia campaign is evaluat$ 9 a mann] t enables consid]ation ( :e!r ! national m$ia campaign has contribut$ to *anges 9 attitude or behaviors among ! t>get audi5ce ) respect to sub/ance use & su* o!r measures ( evaluation z ! ,director det]m9es are appropriate4 7#c7 ,adv]tis+ ,9 c>ry+ out ?is subsection1 ! ,director %all ensure t suffici5t funds are allocat$ to meet ! /at$ goals ( ! national m$ia campaign4 7#d7 ,responsibilities & functions "u ! program 7,a7 ,9 g5]al ,! ,director %all det]m9e ! ov]all purposes & /rategy ( ! national m$ia campaign4 7,b7 ,director 7i7 ,9 g5]al ,! ,director %all approve-- 7,i7 ! /rategy ( ! national m$ia campaign2 7,,ii7 all adv]tis+ & promotional mat]ial us$ 9 ! national m$ia campaign2 & 7,,iii7 ! plan = ! pur*ase ( adv]tis+ "t & space = ! national m$ia campaign4 7ii7 ,implem5tation ,! ,director %all be responsible = implem5t+ a focus$ national m$ia campaign to meet ! purposes set =? 9 p>agraph 7#a7 & %all ensure-- 7,i7 in=mation dissem9at$ ?r\gh ! campaign is accurate & sci5tifically valid2 & 7,,ii7 ! campaign is design$ us+ /rategies demon/rat$ to be ! mo/ effective at a*iev+ ! goals & requirem5ts ( p>agraph 7#a71 :i* may include-- 7aa7 a m$ia campaign1 z describ$ 9 p>agraph 7#b72 7bb7 local1 regional1 or population specific messag+2 7cc7 ! developm5t ( websites to publicize & dissem9ate in=mation2 7dd7 conduct+ outrea* & provid+ educational res\rces = p>5ts2 7ee7 collaborat+ ) law en=cem5t ag5cies2 & 7ff7 provid+ support = s*ool-bas$ public heal? education classes to improve te5 k ab\t ! effects ( sub/ance use4 7#e7 ,prohibitions ,none ( ! am\nts made available "u p>agraph 7#b7 may be obligat$ or exp5d$ = any ( ! foll[+3 7,a7 ,to supplant curr5t anti-drug community-bas$ coalitions4 7,b7 ,to supplant pro bono public s]vice "t donat$ by national & local broadca/+ networks = o!r public s]vice campaigns4 7,c7 ,= p>tisan political purposes1 or to express advocacy 9 support ( or to defeat any cle>ly id5tifi$ c&idate1 cle>ly id5tifi$ ballot initiative1 or cle>ly id5tifi$ legislative or regulatory proposal4 7,d7 ,to fund adv]tis+ t features any elect$ (ficials1 p]sons seek+ elect$ (fice1 cab9et level (ficials1 or o!r ,f$]al (ficials employ$ pursuant to section #bac ( ,s*$ule ,c ( title #e1 ,code ( ,f$]al ,regulations4 7,e7 ,to fund adv]tis+ t does n conta9 a prim>y message int5d$ to r$uce or prev5t sub/ance use4 7,f7 ,to fund adv]tis+ conta9+ a prim>y message int5d$ to promote support = ! national m$ia campaign or private sector contributions to ! national m$ia campaign4 7#f7 ,mat*+ requirem5t 7,a7 ,9 g5]al ,am\nts made available "u p>agraph 7#b7 = m$ia "t & space %all be mat*$ by an equal am\nt ( non-,f$]al funds = ! national m$ia campaign1 or be mat*$ ) 9-k9d contributions ( ! same value4 7,b7 ,no-co/ mat* adv]tis+ direct relation%ip requirem5t ,! ,director %all ensure t n less ?an #he p]c5t ( no-co/ mat* adv]tis+ directly relates to sub/ance abuse prev5tion consi/5t ) ! specific purposes ( ! national m$ia campaign4 7,c7 ,no-co/ mat* adv]tis+ n directly relat$ ,! ,director %all ensure t no-co/ mat* adv]tis+ t does n directly relate to sub/ance abuse prev5tion consi/5t ) ! purposes ( ! national m$ia campaign includes a cle> anti-drug message4 ,su* message is n requir$ to be ! prim>y message ( ! mat* adv]tis+4 7#g7 ,f9ancial & p]=mance acc\ntability ,! ,director %all cause to be p]=m$-- 7,a7 audits & reviews ( co/s ( ! national m$ia campaign pursuant to section #dgjf ( title #da1 ,unit$ ,/ates ,code2 & 7,b7 an audit to det]m9e :e!r ! co/s ( ! national m$ia campaign are all[able "u *apt] #dc ( title #da1 ,unit$ ,/ates ,code4 7#h7 ,report to congress ,! ,director %all submit on an annual basis a report to ,congress t describes-- 7,a7 ! /rategy ( ! national m$ia campaign & :e!r specific objectives ( ! national m$ia campaign 7 accompli%$2 7,b7 /eps tak5 to ensure t ! national m$ia campaign op]ates 9 an effective & effici5t mann] consi/5t ) ! ov]all /rategy & focus ( ! national m$ia campaign2 7,c7 plans to pur*ase adv]tis+ "t & space2 7,d7 policies & practices implem5t$ to ensure t ,f$]al funds are us$ responsibly to pur*ase adv]tis+ "t & space & elim9ate ! pot5tial = wa/e1 fraud1 & abuse2 7,e7 all contracts ent]$ into ) a corporation1 p>tn]%ip1 or individual work+ on behalf ( ! national m$ia campaign2 7,f7 ! results ( any f9ancial audit ( ! national m$ia campaign2 7,g7 a description ( any evid5ce us$ to develop ! national m$ia campaign2 7,h7 specific policies & /eps implem5t$ to ensure compliance ) ?is section2 7,i7 a detail$ acc\nt+ ( ! am\nt ( funds obligat$ dur+ ! previ\s fiscal ye> = c>ry+ out ! national m$ia campaign1 includ+ ea* recipi5t ( funds1 ! purpose ( ea* exp5diture1 ! am\nt ( ea* exp5diture1 any available outcome in=mation1 & any o!r in=mation necess>y to provide a complete acc\nt+ ( ! funds exp5d$2 & 7,j7 a review & evaluation ( ! effectiv5ess ( ! national m$ia campaign /rategy = ! pa/ ye>4 7#i7 ,requir$ notice = communication f ! (fice ,any communication1 includ+ an adv]tisem5t1 paid = or o!rwise dissem9at$ by ! ,(fice directly or ?r\gh a contract aw>d$ by ! ,(fice %all include a prom95t notice in=m+ ! audi5ce t ! communication 0 paid = by ! ,(fice4 7g7 ,au?orization ( ,appropriations ,!re is au?oriz$ to be appropriat$ to ! ,(fice to c>ry out ?is section1 #be1jjj1jjj = ea* ( fiscal ye>s #bjah ?r\gh #bjbc4 4 7b7 ,te*nical & con=m+ am5dm5t ,subsection 7a7 ( section #bjc ( ! ,(fice ( ,national ,drug ,control ,policy ,reau?orization ,act ( #bjjf 7#ba ,u4,s4,c4 #agjh;a7 is repeal$4 #hbai4 ,drug int]diction 7a7 ,repeal ,?is fir/ section #gaa ( ! ,(fice ( ,national ,drug ,control ,policy ,reau?orization ,act ( #aiih 7#ba ,u4,s4,c4 #agaj7 is repeal$4 7b7 ,am5dm5ts ,section #gaa ( ! ,(fice ( ,national ,drug ,control ,policy ,reau?orization ,act ( #aiih 7#ba ,u4,s4,c4 #agaj71 z add$ by ,public ,law #aji-dfi 7#abj ,/at4 #cejg71 is am5d$-- 7#a7 9 subsection 7a7-- 7,a7 9 p>agraph 7#a7-- 7i7 by /rik+ ,! ,unit$ & ins]t+ ,! ,director %all designate or appo9t an appo9tee 9 ! ,s5ior ,executive ,s]vice or an appo9tee 9 a position at level #ae ( ! ,g5]al ,s*$ule 7or equival5t7 z ! ,unit$2 & 7ii7 by /rik+ %all & ins]t+ to2 7,b7 9 p>agraph 7#b77;,b7-- 7i7 by /rik+ ,m>* #a & ins]t+ ,septemb] #a2 & 7ii7 by /rik+ p>agraph 7#c7 & ins]t+ p>agraph 7#d72 7,c7 9 p>agraph 7#c7-- 7i7 by /rik+ also1 at 8 discretion12 & 7ii7 by /rik+ ! ,(fice ( ,supply ,r$uction = t purpose & ins]t+ assi/ 9 c>ry+ out su* responsibilities2 & 7,d7 9 p>agraph 7#d7-- 7i7 9 subp>agraph 7,b71 by /rik+ ,! ,unit$ & ins]t+ ,be=e submission ( ! ,national ,drug ,control ,/rategy or annual assessm5t requir$ "u section #gjf1 z applicable1 ! ,unit$2 7ii7 by /rik+ subp>agraphs 7,c7 & 7,e72 7iii7 by r$esignat+ subp>agraph 7,d7 z subp>agraph 7,c72 7iv7 9 subp>agraph 7,c71 z s r$esignat$-- 7,i7 9 ! matt] prec$+ clause 7i7-- 7aa7 by /rik+ ,m>* #a & ins]t+ ,septemb] #a2 7bb7 by ins]t+ ! ,director1 act+ ?r\gh be=e ! ,unit$ ,/ates2 7cc7 by ins]t+ a comma aft] ,coord9ator2 7dd7 by /rik+ a report on behalf ( ! ,director2 & 7ee7 by /rik+ 1 :i* %all include & ins]t+ a report t2 7,,ii7 by r$esignat+ clauses 7i71 7ii71 & 7iii7 z subclauses 7,i71 7,,ii71 & 7,,iii71 & adju/+ ! m>g9s accord+ly2 7,,iii7 by ins]t+ be=e subclause 7,i71 z s r$esignat$1 ! foll[+3 7i7 includes-- 2 7,,iv7 9 clause 7i71 z s r$esignat$-- 7aa7 9 subclause 7,i71 z s r$esignat$1 by ins]t+ 1 includ+ in=mation ab\t h[ ea* ,national ,drug ,control ,program ag5cy conduct+ drug int]diction activities is engag+ ) relevant int]national p>tn]s aft] ,plan2 7bb7 9 subclause 7,,ii71 z s r$esignat$1 by /rik+ 1 z well z & ins]t+ &2 7cc7 9 subclause ,,iii1 z s r$esignat$-- 7,,aa7 by /rik+ 1 z well z & ins]t+ &2 & 7,,bb7 by /rik+ ! p]iod at ! end & ins]t+ 2 &2 & 7,v7 by add+ at ! end ! foll[+3 7ii7 may include recomm5dations = *anges to exi/+ ag5cy au?orities or laws gov]n+ int]ag5cy relation%ips4 2 & 7v7 by add+ at ! end ! foll[+3 7,d7 ,classifi$ annex ,ea* report requir$ to be submitt$ "u subp>agraph 7,c7 %all be 9 unclassifi$ =m1 b may include a classifi$ annex4 2 7#b7 9 subsection 7b7-- 7,a7 9 p>agraph 7#a77;,b71 by ins]t+ & h[ to /r5g!n int]national p>tn]%ips to bett] a*ieve ! goals ( t plan aft] t plan2 7,b7 9 p>agraph 7#b7-- 7i7 9 ! p>agraph head+1 by /rik+ ,*airman & ins]t+ ,*airp]son2 & 7ii7 by /rik+ *airman & ins]t+ ,*airp]son2 7,c7 9 p>agraph 7#c7-- 7i7 by /rik+ prior to ,m>* #a & ins]t+ be=e ,june #a2 7ii7 by /rik+ ei!r ea* place x appe>s2 7iii7 by /rik+ curr5t *airman & ins]t+ ,*airp]son2 & 7iv7 by /rik+ !y & ins]t+ ! memb]s2 & 7,d7 9 p>agraph 7#d7-- 7i7 by /rik+ *airman ea* place x appe>s & ins]t+ ,*airp]son2 7ii7 9 ! fir/ s5t5ce1 by /rik+ a report2 7iii7 by ins]t+ a report aft] committees2 & 7iv7 by /rik+ ! second s5t5ce & ins]t+ ! foll[+3 ,! report requir$ "u ?is p>agraph %all be 9 unclassifi$ =m1 b may include a classifi$ annex42 & 7#c7 by add+ at ! end ! foll[+3 7c7 ,int]national coord9ation ,! ,director may facilitate int]national drug control coord9ation ef=ts4 4 #hbbj4 ,,gao ,audit ,n lat] ?an #d ye>s aft] ! date ( enactm5t ( ?is ,act1 & e #d ye>s !reaft]1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all-- 7#a7 conduct an audit relat+ to ! programs & op]ations (-- 7,a7 ! ,(fice2 & 7,b7 c]ta9 programs )9 ! ,(fice1 includ+-- 7i7 ! ,high ,int5sity ,drug ,traffick+ ,areas ,program2 7ii7 ! ,drug-,free ,communities ,program2 & 7iii7 ! campaign "u section #gji7;f7 ( ! ,(fice ( ,national ,drug ,control ,policy ,reau?orization ,act ( #aiih 7#ba ,u4,s4,c4 #agjh7;f772 & 7#b7 submit to ! ,director & ! appropriate congressional committees a report conta9+ an evaluation ( & recomm5dations on !-- 7,a7 policies & activities ( ! programs & op]ations subject to ! audit2 7,b7 economy1 effici5cy1 & effectiv5ess 9 ! adm9i/ration ( ! review$ programs & op]ations2 & 7,c7 policy or managem5t *anges ne$$ to prev5t & detect fraud & abuse 9 su* programs & op]ations4 #hbba4 ,national ,drug ,control ,/rategy 7a7 ,9 g5]al ,section #gjf ( ! ,(fice ( ,national ,drug ,control ,policy ,reau?orization ,act ( #aiih 7#ba ,u4,s4,c4 #agje7 is am5d$ to read z foll[s3 #gjf4 ,national drug control /rategy 7a7 ,9 g5]al 7#a7 ,/atem5t ( drug policy priorities ,! ,director %all release a /atem5t ( drug control policy priorities 9 ! cal5d> ye> ( a ,presid5tial inauguration foll[+ ! inauguration1 b n lat] ?an ,april #a4 7#b7 ,national drug control /rategy submitt$ by ! presid5t ,n lat] ?an ! fir/ ,monday 9 ,febru>y foll[+ ! ye> 9 :i* ! t]m ( ! ,presid5t comm5ces1 & e #b ye>s !reaft]1 ! ,presid5t %all submit to ,congress a ,national ,drug ,control ,/rategy4 7b7 ,developm5t ( ! national drug control /rategy 7#a7 ,promulgation ,! ,director %all promulgate ! ,national ,drug ,control ,/rategy1 :i* %all set =? a compreh5sive plan to r$uce illicit drug use & ! consequ5ces ( su* illicit drug use 9 ! ,unit$ ,/ates by limit+ ! availability ( & r$uc+ ! dem& = illegal drugs & promot+ prev5tion1 e>ly int]v5tion1 treatm5t1 & recov]y support = individuals ) sub/ance use disord]s4 7#b7 ,/ate & local commitm5t ,! ,director %all seek ! support & commitm5t ( ,/ate1 local1 & ,tribal (ficials 9 ! =mulation & implem5tation ( ! ,national ,drug ,control ,/rategy4 7#c7 ,/rategy bas$ on evid5ce ,! ,director %all ensure ! ,national ,drug ,control ,/rategy is bas$ on ! be/ available evid5ce reg>d+ ! policies t are mo/ effective 9 r$uc+ ! dem& = & supply ( illegal drugs4 7#d7 ,process = developm5t & submission ( national drug control /rategy ,9 develop+ & effectively implem5t+ ! ,national ,drug ,control ,/rategy1 ! ,director-- 7,a7 %all consult )-- 7i7 ! heads ( ! ,national ,drug ,control ,program ,ag5cies2 7ii7 ea* ,coord9ator li/$ 9 section #gjd2 7iii7 ! ,int]diction ,committee & ! ,em]g+ ,?reats ,committee2 7iv7 ! appropriate congressional committees & any o!r committee ( jurisdiction2 7v7 ,/ate1 local1 & ,tribal (ficials2 7vi7 private citiz5s & organizations1 includ+ community & fai?-bas$ organizations1 ) exp]i5ce & exp]tise 9 dem& r$uction2 7vii7 private citiz5s & organizations ) exp]i5ce & exp]tise 9 supply r$uction2 & 7viii7 appropriate repres5tatives ( =eign gov]nm5ts2 & 7,b7 9 satisfy+ ! requirem5ts ( subp>agraph 7,a71 %all ensure1 to ! maximum ext5t possible1 t ,/ate1 local1 & ,tribal (ficials & relevant private organizations commit to support & take /eps to a*ieve ! goals & objectives ( ! ,national ,drug ,control ,/rategy4 7c7 ,cont5ts ( ! national drug control /rategy 7#a7 ,9 g5]al ,! ,national ,drug ,control ,/rategy submitt$ "u subsection 7a77#b7 %all include ! foll[+3 7,a7 ,a mission /atem5t detail+ ! major functions ( ! ,national ,drug ,control ,program4 7,b7 ,compreh5sive1 rese>*-bas$1 long-range1 quantifiable goals = r$uc+ illicit drug use1 & ! consequ5ces ( illicit drug use 9 ! ,unit$ ,/ates4 7,c7 ,annual quantifiable & measurable objectives & specific t>gets to accompli% long-t]m quantifiable goals t ! ,director det]m9es may be a*iev$ dur+ ea* ye> beg9n+ on ! date on :i* ! ,national ,drug ,control ,/rategy is submitt$4 7,d7 ,a #e-ye> projection = ! ,national ,drug ,control ,program & budget priorities4 7,e7 ,a review ( int]national1 ,/ate1 local1 & private sector drug control activities to ensure t ! ,unit$ ,/ates pursues coord9at$ & effective drug control at all levels ( gov]nm5t4 7,f7 ,a description ( h[ ea* goal e/abli%$ "u subp>agraph 7,b7 w be a*iev$1 includ+ = ea* goal-- 7i7 a li/ ( ea* relevant ,national ,drug ,control ,program ,ag5cy & ea* su* ag5cy's relat$ programs1 activities1 & available assets & ! role ( ea* su* program1 activity1 & asset 9 a*iev+ su* goal2 7ii7 a li/ ( relevant /akehold]s & ea* su* /akehold]'s role 9 a*iev+ su* goal2 7iii7 an e/imate ( ,f$]al fund+ & o!r res\rces ne$$ to a*ieve su* goal2 7iv7 a li/ ( ea* exi/+ or new coord9at+ me*anism ne$$ to a*ieve su* goal2 & 7v7 a description ( ! ,(fice's role 9 facilitat+ ! a*ievem5t ( su* goal4 7,g7 ,= ea* ye> cov]$ by ! ,/rategy1 a p]=mance evaluation plan = ea* goal e/abli%$ "u subp>agraph 7,b7 = ea* ,national ,drug ,control ,program ,ag5cy1 includ+-- 7i7 specific p]=mance measures = ea* ,national ,drug ,control ,program ,ag5cy2 7ii7 annual &1 to ! ext5t practicable1 qu>t]ly objectives & t>gets = ea* p]=mance measure2 & 7iii7 an e/imate ( ,f$]al fund+ & o!r res\rces ne$$ to a*ieve ea* p]=mance objective & t>get4 7,h7 ,a li/ id5tify+ exi/+ data s\rces or a description ( data collection ne$$ to evaluate p]=mance1 includ+ a description ( h[ ! ,director w obta9 su* data4 7,i7 ,a li/ ( any anticipat$ *all5ges to a*iev+ ! ,national ,drug ,control ,/rategy goals & plann$ actions to address su* *all5ges4 7,j7 ,a description ( h[ ea* goal e/abli%$ "u subp>agraph 7,b7 0 det]m9$1 includ+-- 7i7 a description ( ea* requir$ consultation & a description ( h[ su* consultation 0 incorporat$2 & 7ii7 data1 rese>*1 or o!r in=mation us$ to in=m ! det]m9ation to e/abli% ! goal4 7,k7 ,a description ( ! curr5t preval5ce ( illicit drug use 9 ! ,unit$ ,/ates1 includ+ bo? ! availability ( illicit drugs & ! preval5ce ( sub/ance use disord]s4 7,l7 ,su* o!r /ati/ical data & in=mation z ! ,director consid]s appropriate to demon/rate & assess tr5ds relat+ to illicit drug use1 ! effects & consequ5ces ( illicit drug use 7includ+ ! effects on *ildr571 supply r$uction1 dem& r$uction1 drug-relat$ law en=cem5t1 & ! implem5tation ( ! ,national ,drug ,control ,/rategy4 7,m7 ,a sy/ematic plan = increas+ data collection to enable real "t surveillance ( drug control ?reats1 develop+ analysis & monitor+ capabilities1 & id5tify+ & address+ policy que/ions relat$ to ! ,national ,drug ,control ,/rategy & ,program1 :i* %all include-- 7i7 a li/ ( policy-relevant que/ions = :i* ! ,director & ea* ,national ,drug ,control ,program ,ag5cy int5ds to develop evid5ce to support ! ,national ,drug ,control ,program & ,/rategy2 7ii7 a li/ ( data ! ,director & ea* ,national ,drug ,control ,program ,ag5cy int5ds to collect1 use1 or acquire to facilitate ! use ( evid5ce 9 drug control policymak+ & monitor+2 7iii7 a li/ ( me?ods & analytical approa*es t may be us$ to develop evid5ce to support ! ,national ,drug ,control ,program & ,/rategy & relat$ policy2 7iv7 a li/ ( any *all5ges to develop+ evid5ce to support policymak+1 includ+ any b>ri]s to access+1 collect+1 or us+ relevant data2 7v7 a description ( ! /eps ! ,director & ! head ( ea* ,national ,drug ,control ,program ,ag5cy w take to effectuate ! plan2 & 7vi7 any o!r relevant in=mation z det]m9$ by ! ,director4 7,n7 ,a plan to exp& treatm5t ( sub/ance use disord]s1 :i* %all-- 7i7 id5tify unmet ne$s = treatm5t = sub/ance use disord]s & a /rategy = clos+ ! gap betwe5 available & ne$$ treatm5t2 7ii7 describe ! specific roles & responsibilities ( ! relevant ,national ,drug ,control ,programs = implem5t+ ! plan2 7iii7 id5tify ! specific res\rces requir$ to enable ! relevant ,national ,drug ,control ,ag5cies to implem5t t /rategy2 & 7iv7 id5tify ! res\rces1 includ+ private s\rces1 requir$ to elim9ate ! unmet ne$ = evid5ce-bas$ sub/ance use disord] treatm5t4 7#b7 ,consultation ,9 develop+ ! plan requir$ "u p>agraph 7#a71 ! ,director %all consult ) ! foll[+3 7,a7 ,! public4 7,b7 ,any evaluation or analysis units & p]sonnel ( ! ,(fice4 7,c7 ,(fice (ficials responsible = implem5t+ privacy policy4 7,d7 ,(fice (ficials responsible = data gov]nance4 7,e7 ,! appropriate congressional committees4 7,f7 ,any o!r individual or entity z det]m9$ by ! ,director4 7#c7 ,additional /rategies 7,a7 ,9 g5]al ,! ,director %all include 9 ! ,national ,drug ,control ,/rategy ! additional /rategies describ$ "u ?is p>agraph & %all comply ) ! foll[+3 7i7 ,provide a copy ( ! additional /rategies to ! appropriate congressional committees & to ! ,committee on ,arm$ ,s]vices & ! ,committee on ,homel& ,security ( ! ,h\se ( ,repres5tatives1 & ! ,committee on ,homel& ,security & ,gov]nm5tal ,affairs & ! ,committee on ,arm$ ,s]vices ( ! ,s5ate4 7ii7 ,issue ! additional /rategies 9 consultation ) ! head ( ea* relevant ,national ,drug ,control ,program ,ag5cy1 any relevant (ficial ( a ,/ate1 local1 or ,tribal gov]nm5t1 & ! gov]nm5t ( o!r relevant c\ntries4 7iii7 ,n *ange any exi/+ ag5cy au?ority or con/rue any /rategy describ$ "u ?is p>agraph to am5d or modify any law gov]n+ int]ag5cy relation%ip b may include recomm5dations ab\t *anges to su* au?ority or law4 7iv7 ,pres5t sep>ately f ! re/ ( any /rategy describ$ "u ?is p>agraph any in=mation classifi$ "u crit]ia e/abli%$ by an ,executive ord]1 or ^: public disclosure1 z det]m9$ by ! ,director or ! head ( any relevant ,national ,drug ,control ,program ,ag5cy1 w\ld be detrim5tal to ! law en=cem5t or national security activities ( any ,f$]al1 ,/ate1 local1 or ,tribal ag5cy4 7,b7 ,requirem5t = s\?we/ bord] c\nt]n>cotics /rategy 7i7 ,purposes ,! ,s\?we/ ,bord] ,c\nt]n>cotics ,/rategy %all-- 7,i7 set =? ! ,gov]nm5t's /rategy = prev5t+ ! illegal traffick+ ( drugs across ! int]national bord] betwe5 ! ,unit$ ,/ates & ,mexico1 includ+ ?r\gh ports ( entry & betwe5 ports ( entry on t bord]2 7,,ii7 /ate ! specific roles & responsibilities ( ! relevant ,national ,drug ,control ,program ,ag5cies = implem5t+ t /rategy2 & 7,,iii7 id5tify ! specific res\rces requir$ to enable ! relevant ,national ,drug ,control ,program ,ag5cies to implem5t t /rategy4 7ii7 ,specific cont5t relat$ to drug tunnels betwe5 ! ,unit$ ,/ates & ,mexico ,! ,s\?we/ ,bord] ,c\nt]n>cotics ,/rategy %all include-- 7,i7 a /rategy to end ! con/ruction & use ( tunnels & subt]ranean passages t cross ! int]national bord] betwe5 ! ,unit$ ,/ates & ,mexico = ! purpose ( illegal traffick+ ( drugs across su* bord]2 & 7,,ii7 recomm5dations = crim9al p5alties = p]sons :o con/ruct or use su* a tunnel or subt]ranean passage = su* a purpose4 7,c7 ,requirem5t = ,nor!rn ,bord] ,c\nt]n>cotics ,/rategy 7i7 ,purposes ,! ,nor!rn ,bord] ,c\nt]n>cotics ,/rategy %all-- 7,i7 set =? ! /rategy ( ! ,f$]al ,gov]nm5t = prev5t+ ! illegal traffick+ ( drugs across ! int]national bord] betwe5 ! ,unit$ ,/ates & ,canada1 includ+ ?r\gh ports ( entry & betwe5 ports ( entry on ! bord]2 7,,ii7 /ate ! specific roles & responsibilities ( ea* relevant ,national ,drug ,control ,program ,ag5cy = implem5t+ ! /rategy2 7,,iii7 id5tify ! specific res\rces requir$ to enable ! relevant ,national ,drug ,control ,program ,ag5cies to implem5t ! /rategy2 7,,iv7 be design$ to promote1 & n h9d]1 legitimate trade & travel2 & 7,v7 reflect ! unique nature ( small communities along ! int]national bord] betwe5 ! ,unit$ ,/ates & ,canada1 ongo+ coop]ation & coord9ation ) ,canadian law1 en=cem5t au?orities1 & v>iations 9 ! volumes ( vehicles & p$e/rians cross+ ?r\gh ports ( entry along ! int]national bord] betwe5 ! ,unit$ ,/ates & ,canada4 7ii7 ,specific cont5t relat$ to cross-bord] ,indian res]vations ,! ,nor!rn ,bord] ,c\nt]n>cotics ,/rategy %all include-- 7,i7 a /rategy to end ! illegal traffick+ ( drugs to or ?r\gh ,indian res]vations on or ne> ! int]national bord] betwe5 ! ,unit$ ,/ates & ,canada2 & 7,,ii7 recomm5dations = additional assi/ance1 if any1 ne$$ by ,tribal law en=cem5t ag5cies relat+ to ! /rategy1 includ+ an evaluation ( ,f$]al te*nical & f9ancial assi/ance1 infra/ructure capacity build+1 & int]op]ability defici5cies4 7#d7 ,classifi$ in=mation ,any cont5ts ( ! ,national ,drug ,control ,/rategy t involve in=mation prop]ly classifi$ "u crit]ia e/abli%$ by an ,executive ord] %all be pres5t$ to ,congress sep>ately f ! re/ ( ! ,national ,drug ,control ,/rategy4 7#e7 ,selection ( data & in=mation ,9 select+ data & in=mation = inclusion 9 ! ,/rategy1 ! ,director %all ensure-- 7,a7 ! inclusion ( data & in=mation t w p]mit analysis ( curr5t tr5ds aga9/ previ\sly compil$ data & in=mation :]e ! ,director believes su* analysis enhances long-t]m assessm5t ( ! ,national ,drug ,control ,/rategy2 & 7,b7 ! inclusion ( data & in=mation to p]mit a /&>diz$ & uni=m assessm5t ( ! effectiv5ess ( drug treatm5t programs 9 ! ,unit$ ,/ates4 7d7 ,submission ( revis$ /rategy ,! ,presid5t may submit to ,congress a revis$ ,national ,drug ,control ,/rategy t meets ! requirem5ts ( ?is section-- 7#a7 at any "t1 ^u a det]m9ation ( ! ,presid5t1 9 consultation ) ! ,director1 t ! ,national ,drug ,control ,/rategy 9 effect is n suffici5tly effective2 or 7#b7 if a new ,presid5t or ,director takes (fice4 7e7 ,failure ( ,director to submit ,national ,drug ,control ,/rategy ,if ! ,director does n submit a ,national ,drug ,control ,/rategy to ,congress 9 accordance ) subsection 7a77#b71 n lat] ?an five days aft] ! fir/ ,monday 9 ,febru>y foll[+ ! ye> 9 :i* ! t]m ( ! ,presid5t comm5ces1 ! ,director %all s5d a notification to ! appropriate congressional committees-- 7#a7 expla9+ :y ! ,/rategy 0 n submitt$2 & 7#b7 specify+ ! date by :i* ! ,/rategy w be submitt$4 7f7 ,drug control data da%bo>d 7#a7 ,9 g5]al ,! ,director %all collect & dissem9ate1 z appropriate1 su* in=mation z ! ,director det]m9es is appropriate1 b n less ?an ! in=mation describ$ 9 ?is subsection4 ,! data %all be publicly available 9 a ma*9e-readable =mat on ! onl9e portal ( ! ,(fice1 & to ! ext5t practicable on ! ,drug ,control ,data ,da%bo>d4 7#b7 ,e/abli%m5t ,! ,director %all publi% to ! onl9e portal ( ! (fice 9 a ma*9e-readable1 sortable1 & se>*able =mat1 or to ! ext5t practicable1 e/abli% & ma9ta9 a data da%bo>d on ! onl9e portal ( ! ,(fice to be kn[n z ! ,drug ,control ,data ,da%bo>d4 ,to ! ext5t practicable1 :5 e/abli%+ ! ,drug ,control ,da%bo>d1 ! ,director %all ensure ! us] int]face ( ! da%bo>d is con/ruct$ ) mod]n design /&>ds4 ,to ! ext5t practicable1 ! data made available on ! da%bo>d %all be publicly available 9 a ma*9e-readable =mat & se>*able by ye>1 ag5cy1 drug1 & location4 7#c7 ,data ,! data includ$ 9 ! ,drug ,control ,data ,da%bo>d %all be updat$ qu>t]ly to ! ext5t practicable1 b n less frequ5tly ?an annually & %all include1 at a m9imum1 ! foll[+3 7,a7 ,= ea* sub/ance id5tifi$ by ! ,director z hav+ a significant impact on ! preval5ce ( illicit drug use-- 7i7 data suffici5t to %[ ! quantities ( su* sub/ance available 9 ! ,unit$ ,/ates1 includ+-- 7,i7 ! total am\nt seiz$ & disrupt$ 9 ! cal5d> ye> & ea* ( ! previ\s #c cal5d> ye>s1 includ+ to ! ext5t practicable ! am\nt seiz$ by ,/ate1 local1 & ,tribal gov]nm5ts2 7,,ii7 ! kn[n & e/imat$ fl[s into ! ,unit$ ,/ates f all s\rces 9 ! cal5d> ye> & ea* ( ! previ\s #c cal5d> ye>s2 7,,iii7 ! total am\nt ( kn[n fl[s t c\ld n be int]dict$ or disrupt$ 9 ! cal5d> ye> & ea* ( ! previ\s #c cal5d> ye>s2 7,,iv7 ! kn[n & e/imat$ levels ( dome/ic production 9 ! cal5d> ye> & ea* ( ! previ\s ?ree cal5d> ye>s1 includ+ ! levels ( dome/ic production if ! drug is a prescription drug1 z det]m9$ "u ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act1 = :i* a li/+ is 9 effect "u section #bjb ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hab72 7,v7 ! av]age /reet price = ! cal5d> ye> & ! highe/ kn[n /reet price dur+ ! prec$+ #aj-ye> p]iod2 & 7,,vi7 to ! ext5t practicable1 relat$ prosecutions by ,/ate1 local1 & ,tribal gov]nm5ts2 7ii7 data suffici5t to %[ ! frequ5cy ( use ( su* sub/ance1 includ+-- 7,i7 use ( su* sub/ance 9 ! workplace & productivity lo/ by su* use2 7,,ii7 use ( su* sub/ance by arre/ees1 probation]s1 & p>olees2 7,,iii7 crime & crim9al activity relat$ to su* sub/ance2 7,,iv7 to ! ext5t practicable1 relat$ prosecutions by ,/ate1 local1 & ,tribal gov]nm5ts2 7,b7 ,= ! cal5d> ye> & ea* ( ! previ\s ?ree ye>s data suffici5t to %[1 disaggregat$ by ,/ate &1 to ! ext5t feasible1 by region )9 a ,/ate1 c\nty1 or city1 ! foll[+3 7i7 ,! numb] ( fatal & non-fatal ov]doses caus$ by ea* drug id5tifi$ "u subp>agraph 7,a77i74 7ii7 ,! preval5ce ( sub/ance use disord]s4 7iii7 ,! numb] ( individuals :o h receiv$ sub/ance use disord] treatm5t1 includ+ m$ication assi/$ treatm5t1 = a sub/ance use disord]1 includ+ treatm5t provid$ ?r\gh publicly-f9anc$ heal? c>e programs4 7iv7 ,! ext5t ( ! unmet ne$ = sub/ance use disord] treatm5t1 includ+ ! unmet ne$ = m$ication-assi/$ treatm5t4 7,c7 ,data suffici5t to %[ ! ext5t ( prescription drug div]sion1 traffick+1 & misuse 9 ! cal5d> ye> & ea* ( ! previ\s #c cal5d> ye>s4 7,d7 ,any quantifiable measures ! ,director det]m9es to be appropriate to detail progress t[>d ! a*ievem5t ( ! goals ( ! ,national ,drug ,control ,/rategy4 7g7 ,developm5t ( an annual national drug control assessm5t 7#a7 ,tim+ ,n lat] ?an ! fir/ ,monday 9 ,febru>y ( ea* ye>1 ! ,director %all submit to ! ,presid5t1 ,congress1 & ! appropriate congressional committees1 a report assess+ ! progress ( ea* ,national ,drug ,control ,program ,ag5cy t[>d a*iev+ ea* goal1 objective1 & t>get conta9$ 9 ! ,national ,drug ,control ,/rategy applicable to ! prior fiscal ye>4 7#b7 ,process = developm5t ( ! annual assessm5t ,n lat] ?an ,novemb] #a ( ea* ye>1 ! head ( ea* ,national ,drug ,control ,program ,ag5cy %all submit1 9 accordance ) guidance issu$ by ! ,director1 to ! ,director an evaluation ( progress by ! ag5cy ) respect to ! ,national ,drug ,control ,/rategy goals us+ ! p]=mance measures = ! ag5cy develop$ "u ?is title1 includ+ progress ) respect to-- 7,a7 success 9 a*iev+ ! goals ( ! ,national ,drug ,control ,/rategy2 7,b7 success 9 r$uc+ dome/ic & =eign s\rces ( illegal drugs2 7,c7 success 9 exp&+ access to & increas+ ! effectiv5ess ( sub/ance use disord] treatm5t2 7,d7 success 9 protect+ ! bord]s ( ! ,unit$ ,/ates 7& 9 p>ticul> ! ,s\?we/]n bord] ( ! ,unit$ ,/ates7 f p5etration by illegal n>cotics2 7,e7 success 9 r$uc+ crime associat$ ) drug use 9 ! ,unit$ ,/ates2 7,f7 success 9 r$uc+ ! negative heal? & social consequ5ces ( drug use 9 ! ,unit$ ,/ates2 7,g7 implem5tation ( evid5ce-bas$ sub/ance use disord] treatm5t & prev5tion programs 9 ! ,unit$ ,/ates & improvem5ts 9 ! adequacy & effectiv5ess ( su* programs2 & 7,h7 success 9 increas+ ! prev5tion ( illicit drug use4 7#c7 ,cont5ts ( ! annual assessm5t ,! ,director %all include 9 ! annual assessm5t requir$ "u p>agraph 7#a7-- 7,a7 a summ>y ( ea* evaluation receiv$ by ! ,director "u p>agraph 7#b72 7,b7 a summ>y ( ! progress ( ea* ,national ,drug ,control ,program ,ag5cy t[>d ! ,national ,drug ,control ,/rategy goals ( ! ag5cy us+ ! p]=mance measures = ! ag5cy develop$ "u ?is *apt]2 7,c7 an assessm5t ( ! effectiv5ess ( ea* ,national ,drug ,control ,program ,ag5cy & program 9 a*iev+ ! ,national ,drug ,control ,/rategy = ! previ\s ye>1 includ+ a specific evaluation ( :e!r ! applicable goals1 measures1 objectives1 & t>gets = ! previ\s ye> 7 met2 & 7,d7 ! assessm5ts requir$ "u ?is subsection %all be bas$ on ! ,p]=mance ,measurem5t ,sy/em4 4 7b7 ,te*nical & con=m+ am5dm5ts 7#a7 ,section #gjd7;b7 ( ! ,(fice ( ,national ,drug ,control ,policy ,reau?orization ,act ( #aiih 7#ba ,u4,s4,c4 #agjc7;b77 is am5d$-- 7,a7 by /rik+ p>agraphs 7#ac7 & 7#ag72 & 7,b7 9 p>agraph 7#ad77;,a71 by /rik+ p>agraph 7#ac7 & ins]t+ section #gjf7;g77#b74 7#b7 ,! ,(fice ( ,national ,drug ,control ,policy ,reau?orization ,act ( #bjjf 7,public ,law #aji-dfi2 #abj ,/at4 #cejb7 is am5d$ by /rik+ sections #aaaj & #aaaj;,a4 #hbbb4 ,te*nical & con=m+ am5dm5ts to ! ,(fice ( ,national ,drug ,control ,policy ,reau?orization ,act ( #aiih ,! ,(fice ( ,national ,drug ,control ,policy ,reau?orization ,act ( #aiih 7#ba ,u4,s4,c4 #agja et seq47 is am5d$-- 7#a7 by /rik+ section #gjc7;b7 7#ba ,u4,s4,c4 #agjb7;b772 7#b7 9 section #gjd 7#ba ,u4,s4,c4 #agjc7-- 7,a7 9 subsection 7c7-- 7i7 9 p>agraph 7#c77;,c7-- 7,i7 9 ! matt] be=e clause 7i71 by ins]t+ reque/s a level ( fund+ t w n enable a*ievem5t ( ! goals ( ! ,national ,drug ,control ,/rategy1 includ+ aft] reque/ t2 7,,ii7 9 clause 7iii7-- 7aa7 by /rik+ drug treatm5t & ins]t+ sub/ance use disord] prev5tion & treatm5t2 & 7bb7 by /rik+ ! semicolon at ! end & ins]t+ 2 &2 7,,iii7 by /rik+ clauses 7iv71 7vi71 & 7vii72 7,,iv7 by r$esignat+ clause 7v7 z clause 7iv72 & 7,v7 9 clause 7iv71 z s r$esignat$1 by /rik+ ! semicolon & ins]t+ a p]iod2 7ii7 9 p>agraph 7#d77;,a71 by /rik+ #a1jjj1jjj & ins]t+ #e1jjj1jjj or #aj p]c5t ( a specific program or acc\nt2 & 7,b7 9 subsection 7f7-- 7i7 by /rik+ ! fir/ p>agraph 7#e72 & 7ii7 by /rik+ ! second p>agraph 7#d72 & 7#c7 by /rik+ section #gjh 7#ba ,u4,s4,c4 #agjg74 ,l ,budget>y effects #hbca4 ,budget>y effect 7a7 ,9 ,g5]al ,! budget>y effects ( ?is ,act %all n be ent]$ on ei!r ,,paygo scorec>d ma9ta9$ pursuant to section #d7;d7 ( ! ,/atutory ,pay-,z-,y-,g ,act ( #bjaj 7#b ,u4,s4,c4 #icc7;d774 7b7 ,s5ate ,,paygo ,scorec>ds ,! budget>y effects ( ?is ,act %all n be ent]$ on any ,,paygo scorec>d ma9ta9$ = purposes ( section #dajf ( ,h4 ,con4 ,res4 #ga 7#aae? ,congress74 ,cl]k4