,9 ! ,s5ate ( ! ,unit$ ,/ates1 ,septemb] #ag1 #bjah4 ,am5dm5t3 ,t ! bill f ! ,h\se ( ,repres5tatives 7,h4,r4 #f7 entitl$ ,an ,act to provide = opioid use disord] prev5tion1 recov]y1 & treatm5t1 & = o!r purposes41 d pass ) ! foll[+ ,/rike all aft] ! enact+ clause & ins]t ! foll[+3 #a4 ,%ort title2 table ( cont5ts 7a7 ,%ort title ,?is ,act may be cit$ z ! ,opioid ,crisis ,response ,act ( #bjah4 7b7 ,table ( cont5ts ,! table ( cont5ts = ?is ,act is z foll[s3 ,sec4 #a4 ,%ort title2 table ( cont5ts4,,title ,i--,opioid ,crisis ,response ,act,sec4 #ajja4 ,def9itions4,subtitle ,a--,reau?orization ( ,cures ,funding,sec4 #aaja4 ,/ate response to ! opioid abuse crisis4,subtitle ,b--,rese>* & ,innovation,sec4 #abja4 ,advanc+ cutt+-edge rese>*4,sec4 #abjb4 ,pa9 rese>*4,sec4 #abjc4 ,report on syn!tic drug use4,subtitle ,c--,m$ical ,products & ,controll$ ,sub/ances ,safety,sec4 #acja4 ,cl>ify+ ,,fda regulation ( non-addictive pa9 products4,sec4 #acjb4 ,cl>ify+ ,,fda packag+ au?orities4,sec4 #acjc4 ,/r5g!n+ ,,fda & ,,cbp coord9ation & capacity4,sec4 #acjd4 ,cl>ify+ ,,fda po/-m>ket au?orities4,sec4 #acje4 ,re/rict+ entrance ( illicit drugs4,sec4 #acjf4 ,fir/ respond] tra9+4,sec4 #acjg4 ,disposal ( controll$ sub/ances ( hospice pati5ts4,sec4 #acjh4 ,,gao /udy & report on hospice safe drug managem5t4,sec4 #acji4 ,deliv]y ( a controll$ sub/ance by a ph>macy to be adm9i/]$ by injection or implantation4,subtitle ,d--,treatm5t & ,recovery,sec4 #adja4 ,compreh5sive opioid recov]y c5t]s4,sec4 #adjb4 ,program to support coord9ation & cont9uation ( c>e = drug ov]dose pati5ts4,sec4 #adjc4 ,alt]natives to opioids4,sec4 #adjd4 ,build+ communities ( recov]y4,sec4 #adje4 ,pe] support te*nical assi/ance c5t]4,sec4 #adjf4 ,m$ication-assi/$ treatm5t = recov]y f addiction4,sec4 #adjg4 ,grant program4,sec4 #adjh4 ,all[+ = m flexibility ) respect to m$ication-assi/$ treatm5t = opioid use disord]s4,sec4 #adji4 ,national recov]y h\s+ be/ practices4,sec4 #adaj4 ,address+ economic & work=ce impacts ( ! opioid crisis4,sec4 #adaa4 ,c>e] ,act4,sec4 #adab4 ,pilot program to help individuals 9 recov]y f a sub/ance use disord] become /ably h\s$4,sec4 #adac4 ,y\? prev5tion & recov]y4,sec4 #adad4 ,plans ( safe c>e4,sec4 #adae4 ,regulations relat+ to special regi/ration = telem$ic9e4,sec4 #adaf4 ,national ,heal? ,s]vice ,corps behavioral & m5tal heal? pr(essionals provid+ obligat$ s]vice 9 s*ools & o!r community-bas$ sett+s4,sec4 #adag4 ,loan repaym5t = sub/ance use disord] treatm5t provid]s4,sec4 #adah4 ,protect+ moms & infants4,sec4 #adai4 ,e>ly int]v5tions = pregnant wom5 & infants4,sec4 #adbj4 ,report on inve/igations reg>d+ p>ity 9 m5tal heal? & sub/ance use disord] b5efits4,subtitle ,e--,prevention,sec4 #aeja4 ,/udy on prescrib+ limits4,sec4 #aejb4 ,programs = heal? c>e work=ce4,sec4 #aejc4 ,education & aw>5ess campaigns4,sec4 #aejd4 ,enhanc$ controll$ sub/ance ov]doses data collection1 analysis1 & dissem9ation4,sec4 #aeje4 ,prev5t+ ov]doses ( controll$ sub/ances4,sec4 #aejf4 ,,cdc surveillance & data collection = *ild1 y\?1 & adult trauma4,sec4 #aejg4 ,reau?orization ( ,,nasp]4,sec4 #aejh4 ,jessie's law4,sec4 #aeji4 ,developm5t & dissem9ation ( model tra9+ programs = sub/ance use disord] pati5t records4,sec4 #aeaj4 ,communication ) families dur+ em]g5cies4,sec4 #aeaa4 ,pr5atal & po/natal heal?4,sec4 #aeab4 ,surveillance & education reg>d+ infections associat$ ) illicit drug use & o!r risk factors4,sec4 #aeac4 ,task =ce to develop be/ practices = trauma-in=m$ id5tification1 ref]ral1 & support4,sec4 #aead4 ,grants to improve trauma support s]vices & m5tal heal? c>e = *ildr5 & y\? 9 educational sett+s4,sec4 #aeae4 ,national ,*ild ,traumatic ,/ress ,initiative4,sec4 #aeaf4 ,national mile/ones to measure success 9 curtail+ ! opioid crisis4,,title ,,ii--,finance,sec4 #bjja4 ,%ort title4,subtitle ,a--,medicare,sec4 #baja4 ,m$ic>e opioid safety education4,sec4 #bajb4 ,exp&+ ! use ( teleheal? s]vices = ! treatm5t ( opioid use disord] & o!r sub/ance use disord]s4,sec4 #bajc4 ,compreh5sive scre5+s = s5iors4,sec4 #bajd4 ,e prescription convey$ securely4,sec4 #baje4 ,/&>diz+ electronic prior au?orization = safe prescrib+4,sec4 #bajf4 ,/r5g!n+ p>tn]%ips to prev5t opioid abuse4,sec4 #bajg4 ,commit to opioid m$ical prescrib] acc\ntability & safety = s5iors4,sec4 #bajh4 ,fight+ ! opioid epidemic ) sun%9e4,sec4 #baji4 ,demon/ration te/+ cov]age ( c]ta9 s]vices furni%$ by opioid treatm5t programs4,sec4 #baaj4 ,enc\rag+ appropriate prescrib+ "u ,m$ic>e = victims ( opioid ov]dose4,sec4 #baaa4 ,automatic escalation to ext]nal review "u a ,m$ic>e "p ,d drug managem5t program = at-risk b5efici>ies4,sec4 #baab4 ,te/+ ( inc5tive paym5ts = behavioral heal? provid]s = adoption & use ( c]tifi$ electronic heal? record te*nology4,sec4 #baac4 ,m$ic>e ,improvem5t ,fund4,subtitle ,b--,medicaid,sec4 #bbja4 ,c>+ recov]y = infants & babies4,sec4 #bbjb4 ,pe] support enhancem5t & evaluation review4,sec4 #bbjc4 ,m$icaid sub/ance use disord] treatm5t via teleheal?4,sec4 #bbjd4 ,enhanc+ pati5t access to non-opioid treatm5t options4,sec4 #bbje4 ,assess+ b>ri]s to opioid use disord] treatm5t4,sec4 #bbjf4 ,help = moms & babies4,sec4 #bbjg4 ,secur+ flexibility to treat sub/ance use disord]s4,sec4 #bbjh4 ,,macpac /udy & report on ,,mat utilization controls "u ,/ate ,m$icaid programs4,sec4 #bbji4 ,opioid addiction treatm5t programs enhancem5t4,sec4 #bbaj4 ,bett] data %>+ to combat ! opioid crisis4,sec4 #bbaa4 ,m&atory report+ ) respect to adult behavioral heal? measures4,sec4 #bbab4 ,report on innovative ,/ate initiatives & /rategies to provide h\s+-relat$ s]vices & supports to individuals /ruggl+ ) sub/ance use disord]s "u ,m$icaid4,sec4 #bbac4 ,te*nical assi/ance & support = innovative ,/ate /rategies to provide h\s+-relat$ supports "u ,m$icaid4,subtitle ,c--,human ,services,sec4 #bcja4 ,support+ family-focus$ resid5tial treatm5t4,sec4 #bcjb4 ,improv+ recov]y & reunify+ families4,sec4 #bcjc4 ,build+ capacity = family-focus$ resid5tial treatm5t4,subtitle ,d--,syn!tics ,traffick+ & ,ov]dose ,prevention,sec4 #bdja4 ,%ort title4,sec4 #bdjb4 ,cu/oms fees4,sec4 #bdjc4 ,m&atory advance electronic in=mation = po/al %ipm5ts4,sec4 #bdjd4 ,int]national po/al agreem5ts4,sec4 #bdje4 ,co/ rec\pm5t4,sec4 #bdjf4 ,developm5t ( te*nology to detect illicit n>cotics4,sec4 #bdjg4 ,civil p5alties = po/al %ipm5ts4,sec4 #bdjh4 ,report on violations ( arrival1 report+1 entry1 & cle>ance requirem5ts & falsity or lack ( manife/4,sec4 #bdji4 ,effective date2 regulations4,,title ,,iii--,judiciary,subtitle ,a--,access to ,increas$ ,drug ,disposal,sec4 #caja4 ,%ort title4,sec4 #cajb4 ,def9itions4,sec4 #cajc4 ,au?ority to make grants4,sec4 #cajd4 ,application4,sec4 #caje4 ,use ( grant funds4,sec4 #cajf4 ,eligibility = grant4,sec4 #cajg4 ,duration ( grants4,sec4 #cajh4 ,acc\ntability & ov]sight4,sec4 #caji4 ,duration ( program4,sec4 #caaj4 ,au?orization ( appropriations4,subtitle ,b--,us+ ,data ,to ,prev5t ,opioid ,diversion,sec4 #cbja4 ,%ort title4,sec4 #cbjb4 ,purpose4,sec4 #cbjc4 ,am5dm5ts4,sec4 #cbjd4 ,report4,subtitle ,c--,sub/ance ,abuse ,prevention,sec4 #ccja4 ,%ort title4,sec4 #ccjb4 ,reau?orization ( ! ,(fice ( ,national ,drug ,control ,policy4,sec4 #ccjc4 ,reau?orization ( ! ,drug-,free ,communities ,program4,sec4 #ccjd4 ,reau?orization ( ! ,national ,community ,anti-,drug ,coalition ,in/itute4,sec4 #ccje4 ,reau?orization ( ! ,high-,int5sity ,drug ,traffick+ ,area ,program4,sec4 #ccjf4 ,reau?orization ( drug c\rt program4,sec4 #ccjg4 ,drug c\rt tra9+ & te*nical assi/ance4,sec4 #ccjh4 ,drug ov]dose response /rategy4,sec4 #ccji4 ,protect+ law en=cem5t (fic]s f accid5tal exposure4,sec4 #ccaj4 ,,cops ,anti-,me? ,program4,sec4 #ccaa4 ,,cops anti-h]o9 task =ce program4,sec4 #ccab4 ,compreh5sive ,addiction & ,recov]y ,act education & aw>5ess4,sec4 #ccac4 ,protect+ *ildr5 ) addict$ p>5ts4,sec4 #ccad4 ,reimbursem5t ( sub/ance use disord] treatm5t pr(essionals4,sec4 #ccae4 ,sobriety ,treatm5t & ,recov]y ,teams 7,,/>t74,sec4 #ccaf4 ,provid] education4,sec4 #ccag4 ,dem& r$uction4,sec4 #ccah4 ,anti-drug m$ia campaign4,sec4 #ccai4 ,te*nical corrections to ! (fice ( national drug control policy reau?orization act ( #aiih4,subtitle ,d--,syn!tic ,abuse & ,label+ ( ,toxic ,substances,sec4 #cdja4 ,%ort title4,sec4 #cdjb4 ,controll$ sub/ance analogues4,subtitle ,e--,opioid ,quota ,reform,sec4 #ceja4 ,%ort title4,sec4 #cejb4 ,/r5g!n+ consid]ations = ,,dea opioid quotas4,subtitle ,f--,prev5t+ ,drug ,diversion,sec4 #cfja4 ,%ort title4,sec4 #cfjb4 ,improvem5ts to prev5t drug div]sion4,subtitle ,g--,s5se ( ,congress,sec4 #cgja4 ,s5se ( ,congress4,,title ,,iv--,commerce,subtitle ,a--,fight+ ,opioid ,abuse 9 ,transportation,sec4 #daja4 ,%ort title4,sec4 #dajb4 ,rail me*anical employee controll$ sub/ances & alcohol te/+4,sec4 #dajc4 ,rail y>dma/] controll$ sub/ances & alcohol te/+4,sec4 #dajd4 ,dep>tm5t ( ,transportation public drug & alcohol te/+ database4,sec4 #daje4 ,,gao report on ,dep>tm5t ( ,transportation's collection & use ( drug & alcohol te/+ data4,sec4 #dajf4 ,transportation ,workplace ,drug & ,alcohol ,te/+ ,program2 addition ( f5tanyl4,sec4 #dajg4 ,/atus reports on hair te/+ guidel9es4,sec4 #dajh4 ,m&atory ,guidel9es = ,f$]al ,workplace ,drug ,te/+ ,programs ,us+ ,oral ,fluid4,sec4 #daji4 ,electronic recordkeep+4,sec4 #daaj4 ,/atus reports on ,comm]cial ,driv]'s ,lic5se ,drug & ,alcohol ,cle>+h\se4,subtitle ,b--,opioid ,addiction ,recov]y ,fraud ,prevention,sec4 #dbja4 ,%ort title4,sec4 #dbjb4 ,def9itions4,sec4 #dbjc4 ,false or mislead+ repres5tations ) respect to opioid treatm5t programs & products4 ,i ,opioid ,crisis ,response ,act #ajja4 ,def9itions ,9 ?is title-- 7#a7 ! 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 #ecjd72 & 7#b7 ! t]m ,secret>y means ! ,secret>y ( ,heal? & ,human ,s]vices1 unless o!rwise specifi$4 ,a ,reau?orization ( ,cures ,fund+ #aaja4 ,/ate response to ! opioid abuse crisis 7a7 ,9 g5]al ,section #ajjc ( ! #ba/ ,c5tury ,cures ,act 7,public ,law #aad-bee7 is am5d$-- 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+ & ,indian ,tribe 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$+ subp>agraph 7,a71 by /rik+ to a ,/ate2 7ii7 9 subp>agraph 7,a71 by /rik+ ,/ate2 7iii7 9 subp>agraph 7,c71 by ins]t+ prev5t+ div]sion ( controll$ 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 ! ,/ate1 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 ( ! ,opioid ,crisis ,response ,act ( #bjah1 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 ,b ,rese>* & ,innovation #abja4 ,advanc+ cutt+-edge rese>* ,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 #abjb4 ,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 or *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]s2 & 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$esignat+ p>agraph 7#f7 z p>agraph 7#g72 & 7#c7 by ins]t+ aft] p>agraph 7#e7 ! foll[+3 7#f7 ,report ,! ,director ( ,,nih %all ensure t recomm5dations & actions tak5 by ! ,director ) respect to ! topics discuss$ at ! meet+s describ$ 9 p>agraph 7#d7 are includ$ 9 appropriate reports to ,congress4 4 #abjc4 ,report on syn!tic drug use 7a7 ,9 g5]al ,n lat] ?an #c ye>s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y %all submit to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate & ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives a report on ! heal? effects ( new psy*oactive sub/ances1 includ+ syn!tic drugs1 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 #hjb7cb7774 ,c ,m$ical ,products & ,controll$ ,sub/ances ,safety #acja4 ,cl>ify+ ,,fda regulation ( non-addictive pa9 products 7a7 ,public ,meet+s ,n lat] ?an "o ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y1 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 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 #hjb7 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$ical products2 & 7#d7 ! application ( eligibility crit]ia "u sections #ejf & #eae;,b ( ! ,f$]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 pa91 includ+-- 7,a7 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$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cee;g771 z appropriate1 to support product label+2 7,b7 e?ical consid]ations ( expos+ subjects to controll$ 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 #hjb7 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/ances4 #acjb4 ,cl>ify+ ,,fda packag+ au?orities 7a7 ,additional pot5tial 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$]al ag5cies ) au?orities ov] drug packag+1 :i* may include requir+ t-- 7,a7 ! drug be made available = disp5s+ to c]ta9 pati5ts 9 unit dose packag+1 packag+ t provides a set duration1 or ano!r packag+ sy/em t ! ,secret>y det]m9es may mitigate su* s]i\s risk2 or 7,b7 ! drug be disp5s$ to c]ta9 pati5ts ) a safe disposal packag+ or safe disposal sy/em = purposes ( r5d]+ drugs non-retrievable 7z def9$ 9 section #acjj4je ( title #ba1 ,code ( ,f$]al ,regulations 7or any successor regulation77 if ! ,secret>y has det]m9es t su* safe disposal packag+ or sy/em may mitigate su* s]i\s risk & exi/s 9 suffici5t quantities4 4 7b7 ,assur+ access & m9imiz+ burd5 ,section #eje-a7;f77#b77;,c7 ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cee-a7;f77#b77;,c77 is am5d$-- 7#a7 9 clause 7i7 by /rik+ & at ! end2 & 7#b7 by add+ at ! end ! foll[+3 7iii7 pati5ts ) functional ne$s2 & 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 #acjc4 ,/r5g!n+ ,,fda & ,,cbp coord9ation & capacity 7a7 ,9 g5]al ,! ,secret>y1 act+ ?r\gh ! ,commission] ( ,food & ,drugs1 %all coord9ate ) ! ,secret>y ( ,homel& ,security to c>ry out activities relat$ to cu/oms & bord] protection & response to illegal controll$ sub/ances & drug imports1 includ+ at sites ( import 7su* z int]national mail facilities74 ,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$]al ag5cies2 7ii7 ! con/ruction (1 or upgrades to1 laboratory capacity = purposes ( detection & te/+ ( import$ goods2 7iii7 upgrades to ! security ( import facilities2 & 7iv7 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$]al ag5cies1 includ+ ! ,u4,s4 ,cu/oms & ,bord] ,protection1 z ! ,secret>y det]m9es appropriate4 7c7 ,report ,n lat] ?an #f mon?s aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y1 9 consultation ) ! ,secret>y ( ,homel& ,security & ! ,po/ma/] ,g5]al ( ! ,unit$ ,/ates ,po/al ,s]vice1 %all report to ! relevant committees ( ,congress on ! implem5tation ( ?is section1 includ+ a summ>y ( progress made t[>ds ne>-real-"t in=mation %>+ & ! int]op]ability ( su* te*nologies4 7d7 ,au?orization ( appropriations ,out ( am\nts o!rwise available to ! ,secret>y1 ! ,secret>y may allocate su* sums z may be necess>y = purposes ( c>ry+ out ?is section4 #acjd4 ,cl>ify+ ,,fda po/-m>ket au?orities ,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 #acje4 ,re/rict+ entrance ( illicit drugs 7a7 ,9 g5]al ,! ,secret>y1 act+ ?r\gh ! ,commission] ( ,food & ,drugs1 ^u discov]+ or receiv+1 9 a package be+ (f]$ = import1 a controll$ sub/ance t is (f]$ = import 9 violation ( any requirem5t ( ! ,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$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cja et seq471 or any o!r applicable law1 %all transf] su* package to ! ,u4,s4 ,cu/oms & ,bord] ,protection4 ,if ! ,secret>y id5tifies additional packages t appe> to be ! same z su* package conta9+ a controll$ 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 7b7 ,deb>m5t1 tempor>y d5ial ( approval1 & susp5sion 7#a7 ,9 g5]al ,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 /rik+ ,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 4 7#b7 ,prohibit$ act ,section #cja7;cc7 ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cca7;cc77 is am5d$ by ins]t+ or a drug aft] food4 7c7 ,imports & exports ,section #hja7;a7 ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cha7;a77 is am5d$-- 7#a7 by /rik+ ! second s5t5ce2 7#b7 by /rik+ ,if x appe>s & ins]t+ ,subject to subsection 7b71 if x appe>s2 7#c7 by /rik+ reg>d+ su* article1 !n su* article %all be refus$ & ins]t+ ! foll[+3 reg>d+ su* article1 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 may be refus$ admission4 ,if x appe>s f ! exam9ation ( su* samples or o!rwise t ! article is a c\nt]feit drug1 su* article %all be refus$ admission42 7#d7 by /rik+ ?is ,act1 !n su* article %all be refus$ admission & ins]t+ ?is ,act1 !n su* article may be refus$ admission2 & 7#e7 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 ( ! second 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$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cha7 is am5d$ by add+ at ! end ! foll[+-- 7t7 ,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 or a diet>y supplem5t2 & 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 is 9 effect "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 #acjf4 ,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$esignat+ subsection 7g7 z subsection 7h72 7#e7 by ins]t+ aft] subsection 7f7 ! foll[+3 7g7 ,o!r key community sectors ,9 ?is section1 ! t]m o!r key community sectors includes sub/ance abuse treatm5t provid]s1 em]g5cy m$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$1 by /rik+ #ab1jjj1jjj = ea* ( fiscal ye>s #bjag ?r\gh #bjba & ins]t+ #cf1jjj1jjj = ea* ( fiscal ye>s #bjai ?r\gh #bjbc4 #acjg4 ,disposal ( controll$ sub/ances ( hospice pati5ts 7a7 ,9 g5]al ,section #cjb7;g7 ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hbb7;g77 is am5d$ by add+ at ! end ! foll[+3 7#e7 7,a7 ,an employee ( a qualifi$ hospice program act+ )9 ! scope ( employm5t may h&le1 9 ! place ( resid5ce ( a hospice pati5t1 any controll$ sub/ance t 0 lawfully disp5s$ to ! hospice pati5t1 = ! purpose ( assi/+ 9 ! disposal ( ! controll$ sub/ance-- 7i7 aft] ! hospice pati5t's dea?2 7ii7 if ! controll$ sub/ance is expir$2 or 7iii7 if-- 7,i7 ! employee is-- 7aa7 ! physician ( ! hospice pati5t2 & 7bb7 regi/]$ "u section #cjc7;f72 & 7,,ii7 ! hospice pati5t no long] requires ! controll$ sub/ance because ! plan ( c>e ( ! hospice pati5t has be5 modifi$4 7,b7 ,9 ?is p>agraph3 7i7 ,! t]m employee ( a qualifi$ hospice program means a physician1 physician assi/ant1 regi/]$ nurse1 or nurse practition] :o-- 7,i7 is employ$ by1 or is act+ pursuant to arrangem5ts made )1 a qualifi$ hospice program2 & 7,,ii7 is lic5s$ or c]tifi$ to p]=m su* employm5t1 or su* activities arrang$ by ! qualifi$ hospice program1 9 accordance ) applicable ,/ate law4 7ii7 ,! t]ms hospice c>e & hospice program h ! mean+s giv5 ^? t]ms 9 section #ahfa7;dd7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex7dd774 7iii7 ,! t]m hospice pati5t means an individual receiv+ hospice c>e4 7iv7 ,! t]m qualifi$ hospice program means a hospice program t-- 7,i7 has writt5 policies & proc$ures = employees ( ! hospice program to use :5 assi/+ 9 ! disposal ( ! controll$ sub/ances ( a hospice pati5t 9 a circum/ance describ$ 9 clause 7i71 7ii71 or 7iii7 ( subp>agraph 7,a72 7,,ii7 at ! "t :5 ! controll$ sub/ances are fir/ ord]$-- 7aa7 provides a copy ( ! writt5 policies & proc$ures to ! hospice pati5t or hospice pati5t repres5tative & ! family ( ! hospice pati5t2 7bb7 discusses ! policies & proc$ures ) ! hospice pati5t or hospice pati5t's repres5tative & ! hospice pati5t's family 9 a language & mann] t su* individuals und]/& to ensure t su* individuals are in=m$ reg>d+ ! safe disposal ( controll$ sub/ances2 & 7cc7 docum5ts 9 ! cl9ical record ( ! hospice pati5t t ! writt5 policies & proc$ures 7 provid$ & discuss$ ) ! hospice pati5t or hospice pati5t's repres5tative2 & 7,,iii7 at ! "t :5 an employee ( ! hospice program assi/s 9 ! disposal ( controll$ sub/ances ( a hospice pati5t1 docum5ts 9 ! cl9ical record ( ! hospice pati5t a li/ ( all controll$ sub/ances dispos$ (4 7,c7 ,! ,attorney ,g5]al may1 by regulation1 include additional types ( lic5s$ m$ical pr(essionals 9 ! def9ition ( ! t]m employee ( a qualifi$ hospice program "u subp>agraph 7,b74 4 7b7 ,no regi/ration requir$ ,section #cjb7;c7 ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hbb7;c77 is am5d$ by add+ at ! end ! foll[+3 7#d7 ,an employee ( a qualifi$ hospice program = ! purpose ( assi/+ 9 ! disposal ( a controll$ sub/ance 9 accordance ) subsection 7g77#e71 except z provid$ 9 subp>agraph 7,a77iii7 ( t subsection4 4 7c7 ,guidance ,! ,attorney ,g5]al may issue guidance to qualifi$ hospice programs to assi/ ! programs 9 satisfy+ ! requirem5ts "u p>agraph 7#e7 ( section #cjb7;g7 ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hbb7;g771 z add$ by subsection 7a74 7d7 ,/ate & local au?ority ,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 #acjh4 ,,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 to & *all5ges ( 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 ( *all5ges enc\nt]$ by 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 #acji4 ,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 9 ! case ( adm9i/]+ ( ! controll$ sub/ance = ! 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 subsection 7c7 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 ,d ,treatm5t & ,recov]y #adja4 ,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 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] ( grants ,! ,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 locat$ 9 a ,/ate or ,indian ,tribe ) 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 & ,prev5tion4 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 intake & evaluations meet ! individualiz$ cl9ical ne$s ( pati5ts1 includ+ by (f]+ assessm5ts = s]vices & c>e recomm5dations ?r\gh indep5d5t1 evid5ce-bas$ v]ification processes = review+ pati5t placem5t 9 treatm5t sett+s2 7,b7 provide ! full cont9uum ( treatm5t s]vices1 includ+-- 7i7 all drugs approv$ by ! ,food & ,drug ,adm9i/ration to treat sub/ance use disord]s1 pursuant to ,f$]al & ,/ate law2 7ii7 m$ically sup]vis$ )drawal managem5t 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>y2 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]vice2 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 ,use2 7,e7 adm9i/] an onsite ph>macy & provide toxicology s]vices1 = purposes ( c>ry+ out ?is section2 & 7,f7 op]ate a secure1 confid5tial1 & int]op]able electronic heal? in=mation sy/em4 7#b7 ,outrea* ,ea* ,c5t] %all c>ry out outrea* activities to publicize ! 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 7k7 ,reports to ,congress 7#a7 ,prelim9>y report ,n lat] ?an #c ye>s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y %all submit to ,congress a prelim9>y report t analyzes data submitt$ "u subsection 7h74 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 an evaluation ( ! effectiv5ess ( ! compreh5sive s]vices provid$ by ! ,c5t]s e/abli%$ or op]at$ pursuant to ?is section ) 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 #adjb4 ,program to support coord9ation & cont9uation ( c>e = drug ov]dose pati5ts 7a7 ,9 g5]al ,! ,secret>y %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] an opioid ov]dose2 & 7#d7 ! provision ( ov]dose rev]sal m$ication1 z appropriate4 7b7 ,grant e/abli%m5t & p>ticipation 7#a7 ,9 g5]al ,! ,secret>y %all aw>d grants on a competitive basis to eligible entities to support implem5tation ( volunt>y programs = c>e & treatm5t ( individuals aft] an opioid ov]dose1 z appropriate1 :i* may include implem5tation ( ! be/ practices describ$ 9 subsection 7a74 7#b7 ,eligible entity ,9 ?is section1 ! t]m eligible entity means-- 7,a7 a ,/ate alcohol or drug 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 9 consultation ) a ,/ate alcohol & drug 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$ication1 ! adm9i/ration ( all drugs approv$ by ! ,food & ,drug ,adm9i/ration 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$1 directly or ?r\gh contractual arrangem5ts1 to provide-- 7,a7 all drugs approv$ by ! ,food & ,drug ,adm9i/ration to treat sub/ance use disord]s1 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 program c\nselor1 social work]1 !rapi/1 or o!r 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 or a sole community hospital 7z def9$ 9 section #ahhf7;d77#e77;,d77iii7 ( su* ,act 7#db ,u4,s4,c4 #acieww7d77#e77;,d77iii7774 7,b7 ,! eligible entity is locat$ 9 a ,/ate1 or "u ! jurisdiction ( an ,indian ,tribe1 ) 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 & ,prev5tion4 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 ,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#b7 ,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 7#c7 ,/ate alcohol & drug ag5cy ,! t]m ,/ate alcohol & drug ag5cy means ! pr9cipal ag5cy ( a ,/ate t is responsible = c>ry+ out ! block grant = prev5tion & treatm5t ( sub/ance abuse "u subp>t ,,ii ( "p ,b ( title ,,xix ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx-#ba et seq47 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 su* sums z may be necess>y = ea* ( fiscal ye>s #bjai ?r\gh #bjbc4 #adjc4 ,alt]natives to opioids 7a7 ,9 g5]al ,! ,secret>y %all1 directly or ?r\gh grants to1 or contracts )1 public & private entities1 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 acute c>e provid]s includ+ em]g5cy dep>tm5ts & o!r provid]s t h successfully implem5t$ alt]natives to opioids programs1 promot+ non-addictive protocols & m$ications :ile appropriately limit+ ! use ( opioids2 7#b7 id5tify+ or facilitat+ ! developm5t ( be/ practices on ! use ( alt]natives to opioids1 :i* may include pa9-managem5t /rategies t involve non-addictive m$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 hospitals2 & 7#e7 collect+ data & report+ on heal? outcomes associat$ ) ! use ( alt]natives to opioids4 7b7 ,pa9 managem5t & fund+ 7#a7 ,9 g5]al ,! ,secret>y %all aw>d grants to hospitals & o!r acute c>e sett+s relat+ to alt]natives to opioids = pa9 managem5t4 7#b7 ,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 #adjd4 ,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 #adje4 ,pe] support te*nical assi/ance c5t] 7a7 ,e/abli%m5t ,! ,secret>y1 act+ ?r\gh ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,abuse1 %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 subsection 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 organizations 7z def9$ 9 section #edg ( ! ,public ,heal? ,s]vice ,act74 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 #edg ( ! ,public ,heal? ,s]vice ,act4 7e7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section su* sums z may be necess>y = ea* ( fiscal ye>s #bjai ?r\gh #bjbc4 #adjf4 ,m$ication-assi/$ treatm5t = recov]y f addiction 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 #bd 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 %all consid] ways to ensure t an adequate numb] ( physicians :o meet ! requirem5ts "u ! am5dm5t made by subsection 7a7 & h a specialty 9 p$iatrics1 or ! treatm5t ( *ildr5 or ( adolesc5ts1 are grant$ a waiv] "u section #cjc7;g77#b7 ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hbc7;g77#b77 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 #adjg4 ,grant program 7a7 ,9 g5]al ,! ,secret>y %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 #adjf7;a7 ( ?is ,act4 7b7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ = grants "u subsection 7a71 #d1jjj1jjj = ea* ( fiscal ye>s #bjai ?r\gh #bjbc4 #adjh4 ,all[+ = m flexibility ) respect to m$ication-assi/$ treatm5t = opioid use disord]s ,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 or 7bb7 #bge if ! practition] meets ! requirem5ts specifi$ 9 section #h4faj ( title #db1 ,code ( ,f$]al ,regulations 7or successor regulations74 4 #adji4 ,national recov]y h\s+ be/ practices 7a7 ,be/ practices = op]at+ recov]y h\s+ 7#a7 ,9 g5]al ,! ,secret>y1 9 consultation ) ! individuals & entities describ$ 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#a7 ! ,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 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 ! ,attorney ,g5]al2 7,c7 ! ,secret>y ( ,h\s+ & ,urban ,developm5t2 7,d7 directors or commission]s1 z applicable1 ( ,/ate heal? dep>tm5ts1 tribal heal? dep>tm5ts1 ,/ate ,m$icaid programs1 & ,/ate insurance ag5cies2 7,e7 repres5tatives ( heal? insurance issu]s2 7,f7 national accr$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,g7 individuals ) a hi/ory ( sub/ance use disord]2 & 7,h7 o!r /akehold]s id5tifi$ by ! ,secret>y4 7#c7 ,requirem5ts 7,a7 ,practices = id5tification & report+ ,9 c>ry+ out ! activities describ$ 9 ?is subsection1 ! ,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 ?is subsection1 ! ,secret>y %all consid] id5tify+ or develop+ indicators reg>d+-- 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 ( recidivism2 & 7v7 any o!r factors id5tifi$ by ! ,secret>y4 7c7 ,dissem9ation ,! ,secret>y %all1 z appropriate1 dissem9ate ! be/ practices id5tifi$ or develop$ "u subsection 7a71 & ! common indicators id5tifi$ or develop$ "u subsection 7b71 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]al2 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 "u subsections 7a7 & 7b71 ! ,secret>y1 9 consultation ) appropriate /akehold]s z describ$ 9 ea* su* subsection1 %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 section-- 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]s2 & 7#b7 ! t]m tribally designat$ h\s+ entity has ! mean+ giv5 su* t]m 9 section #d ( ! ,native ,am]ican ,h\s+ ,assi/ance & ,self-,det]m9ation ,act ( #aiif 7#be ,u4,s4,c4 #dajc74 #adaj4 ,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 #bjah ?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 #adaa4 ,c>e] ,act 7a7 ,9 g5]al ,! ,secret>y1 9 consultation ) ! ,secret>y ( ,labor1 %all cont9ue or e/abli% a program to support individuals 9 recov]y f a sub/ance use disord] transition to indep5d5t liv+ & ! 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 recov]y f a sub/ance use disord] transition f treatm5t to indep5d5t liv+ & ! 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 ,9 aw>d+ grants "u ?is section1 ! ,secret>y %all give priority to entities locat$ 9 a ,/ate )-- 7#a7 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 7#b7 a rate ( unemploym5t1 bas$ on data provid$ by ! ,bureau ( ,labor ,/ati/ics = cal5d> ye>s #bjac ?r\gh #bjag1 t is above ! national av]age2 & 7#c7 a rate ( labor =ce p>ticipation1 bas$ on data provid$ by ! ,bureau ( ,labor ,/ati/ics = cal5d> ye>s #bjac ?r\gh #bjag1 t is bel[ ! national av]age4 7d7 ,pref]5ce ,9 aw>d+ grants "u ?is section1 ! ,secret>y %all1 z appropriate1 give pref]5ce to entities locat$ 9 an area ) an age-adju/$ rate ( drug ov]dose dea?s t is above ! national ov]dose mortality rate4 7e7 ,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 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 #adaj1 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 7f7 ,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 ( 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 7g7 ,support = ,/ate /rategy ,an eligible entity %all include 9 its application "u subsection 7e7 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 7h7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ su* sums z may be necess>y = ea* ( fiscal ye>s #bjai ?r\gh #bjbc = purposes ( c>ry+ out ?is section4 #adab4 ,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 ,! 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 ,among su* ,/ates1 priority %all be giv5 to ,/ates ) ! greate/ ne$1 z su* ne$ is det]m9$ by ! ,secret>y bas$ on-- 7,a7 ! highe/ av]age rates ( unemploym5t bas$ on data provid$ by ! ,bureau ( ,labor ,/ati/ics = cal5d> ye>s #bjac ?r\gh #bjag2 7,b7 ! l[e/ av]age labor =ce p>ticipation rates bas$ on data provid$ by ! ,bureau ( ,labor ,/ati/ics = cal5d> ye>s #bjac ?r\gh #bjag2 & 7,c7 ! highe/ preval5ce ( opioid use disord] bas$ on data provid$ by ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration = cal5d> ye>s #bjac ?r\gh #bjag4 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 = any provision ( any /atute or regulation 9 connection ) ! obligation by ! ,secret>y or ! use ( funds except = requirem5ts relat$ to fair h\s+1 nondiscrim9ation1 labor /&>ds1 & ! environm5t1 ^u a f9d+ t su* a waiv] is necess>y to exp$ite or facilitate ! use ( su* funds4 7#b7 ,notice ,! ,secret>y %all provide writt5 notice ( its int5t to ex]cise ! au?ority to specify alt]native requirem5ts "u p>agraph 7#a7 to ! ,committee on ,bank+1 ,h\s+1 & ,urban ,affairs ( ! ,s5ate & ! ,committee on ,f9ancial ,s]vices ( ! ,h\se ( ,repres5tatives n lat] ?an #e bus9ess days be=e su* ex]cise ( au?ority occurs4 7f7 ,te*nical assi/ance ,= ! #b-ye> p]iod foll[+ ! date ( enactm5t ( ?is ,act1 ! ,secret>y may use n m ?an #b p]c5t ( ! funds made available "u ?is section = te*nical assi/ance to grantees4 7g7 ,/ate ,= purposes ( ?is section ! t]m ,/ate includes any ,/ate z def9$ 9 section #ajb ( ! ,h\s+ & ,community ,developm5t ,act ( #aigd 7#db ,u4,s4,c4 #ecjb7 & ! ,di/rict ( ,columbia4 #adac4 ,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$-- 7#a7 9 ! section head+1 by /rik+ *ildr5 & adolesc5ts & ins]t+ *ildr51 adolesc5ts1 & "y adults2 7#b7 9 subsection 7a77#b71 by /rik+ *ildr51 includ+ & ins]t+ *ildr51 adolesc5ts1 & "y adults1 includ+2 & 7#c7 by /rik+ *ildr5 & adolesc5ts ea* place x appe>s & ins]t+ *ildr51 adolesc5ts1 & "y adults4 7b7 ,res\rce c5t] ,! ,secret>y1 act+ ?r\gh ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use &1 z appropriate1 9 consultation ) ! ,secret>y ( ,education & o!r ag5cies1 %all e/abli% a res\rce c5t] to provide te*nical support to recipi5ts ( grants "u subsection 7c74 7c7 ,y\? prev5tion & recov]y initiative 7#a7 ,9 g5]al ,! ,secret>y1 9 consultation ) ! ,secret>y ( ,education1 %all adm9i/] a program to provide support = communities to support ! prev5tion (1 treatm5t (1 & recov]y f1 sub/ance use disord]s = *ildr51 adolesc5ts1 & "y adults4 7#b7 ,def9itions ,9 ?is subsection3 7,a7 ,eligible entity ,! t]m eligible entity means-- 7i7 a local educational ag5cy t is seek+ to e/abli% or exp& sub/ance use prev5tion or recov]y support s]vices at "o or m high s*ools2 7ii7 a ,/ate educational ag5cy2 7iii7 an in/itution ( high] education 7or consortia ( su* in/itutions71 :i* may include a recov]y program at an in/itution ( high] education2 7iv7 a local bo>d or "o-/op op]ator2 7v7 a nonpr(it organization ) appropriate exp]tise 9 provid+ s]vices or programs = *ildr51 adolesc5ts1 or "y adults1 exclud+ a s*ool2 7vi7 a ,/ate1 political subdivision ( a ,/ate1 ,indian ,tribe1 or tribal organization2 or 7vii7 a high s*ool or dormitory s]v+ high s*ool /ud5ts t receives fund+ f ! ,bureau ( ,indian ,education4 7,b7 ,evid5ce-bas$ ,! t]m evid5ce-bas$ has ! mean+ giv5 su* t]m 9 section #haja ( ! ,elem5t>y & ,second>y ,education ,act 7#bj ,u4,s4,c4 #ghja74 7,c7 ,fo/] c>e ,! t]m fo/] c>e has ! mean+ giv5 su* t]m 9 section #acee4bj7;a7 ( title #de1 ,code ( ,f$]al ,regulations 7or any successor regulations74 7,d7 ,high s*ool ,! t]m high s*ool has ! mean+ giv5 su* t]m 9 section #haja ( ! ,elem5t>y & ,second>y ,education ,act ( #aife 7#bj ,u4,s4,c4 #ghja74 7,e7 ,homeless y\? ,! t]m homeless y\? has ! mean+ giv5 ! t]m homeless *ildr5 or y\?s 9 section #gbe ( ! ,mc,kinney-,v5to ,homeless ,assi/ance ,act 7#db ,u4,s4,c4 #aadcd;a72 7,f7 ,in/itution ( high] education ,! t]m in/itution ( high] education has ! mean+ giv5 su* t]m 9 section #aja ( ! ,high] ,education ,act ( #aife 7#bj ,u4,s4,c4 #ajja7 & includes a po/second>y vocational in/itution z def9$ 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 ! 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 ! 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#h77;,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 prev5tion & treatm5t 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 ,priority ,9 aw>d+ grants "u ?is subsection1 ! ,secret>y %all give priority to eligible entities t propose to use grant funds = activities t meet ! crit]ia describ$ 9 subclauses 7,i7 & 7,,ii7 ( section #haja7ba77;,a77i7 ( ! ,elem5t>y & ,second>y ,education ,act 7#bj ,u4,s4,c4 #ghja7ba77;,a77i774 7#h7 ,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 dur+ ! grant p]iod2 & 7iii7 o!r indicators1 z ! ,secret>y det]m9es appropriate4 7#i7 ,report to ,congress ,! ,secret>y %all1 n lat] ?an ,octob] #a1 #bjbb1 submit a report to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate1 & ! ,committee on ,en]gy & ,comm]ce & ! ,committee on ,education & ! ,work=ce ( ! ,h\se ( ,repres5tatives1 a report summ>iz+ ! effectiv5ess ( ! grant program "u ?is subsection1 bas$ on ! in=mation submitt$ 9 reports requir$ "u p>agraph 7#h74 7#aj7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ su* sums z may be necess>y to c>ry out ?is subsection = ea* ( fiscal ye>s #bjai ?r\gh #bjbc4 #adad4 ,plans ( safe c>e ,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 %all 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 7,b7 ,di/ribution ( funds 7i7 ,res]vations ,( ! am\nts appropriat$ "u subp>agraph 7,h71 ! ,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 appropriat$ "u subp>agraph 7,h7 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 appropriat$ "u subp>agraph 7,h7 & 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$uction ,if ! am\nt appropriat$ "u subp>agraph 7,h7 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 appropriate2 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 h[ ! ,/ate meets ! requirem5ts ( section #aibg ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx-#bg72 7,,vi7 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,,vii7 an assessm5t ( ! treatm5t & o!r s]vices & programs available 9 ! ,/ate1 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 & 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-- 7,i7 comply ) ?is ,act & p>ts ,b & ,e ( title ,,iv ( ! ,social ,security ,act 7#db ,u4,s4,c4 #fba et seq41 #fgj et seq472 & 7,,ii7 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 date4 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]2 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 & ! 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 & 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(essionals1 includ+ home visit+ provid]s1 pe]-to-pe] recov]y programs su* z p>5t m5tor+ programs1 & h\s+ ag5cies to facilitate ! implem5tation (1 & compliance ) 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 ,res]vation ( funds ,! ,secret>y %all use ! am\nt res]v$ "u subp>agraph 7,b77i77,i7 = ! purposes (-- 7i7 provid+ 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 issu+ 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 cl>ify+ key t]ms2 & 7,,ii7 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 populations2 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 ,au?orization ( appropriations ,to c>ry out ! program "u ?is p>agraph1 !re is au?oriz$ to be appropriat$ #fj1jjj1jjj = ea* ( fiscal ye>s #bjai ?r\gh #bjbc4 4 #adae4 ,regulations relat+ to special regi/ration = telem$ic9e ,section #caa7;h7 ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hca7;h77 is am5d$ by /rik+ p>agraph 7#b7 & ins]t+ ! foll[+3 7#b7 ,regulations 7,a7 ,9 g5]al ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ! ,opioid ,crisis ,response ,act ( #bjah1 9 consultation ) ! ,secret>y1 & 9 accordance ) ! proc$ure describ$ 9 subp>agraph 7,b71 ! ,attorney ,g5]al %all promulgate f9al regulations specify+-- 7i7 ! limit$ circum/ances 9 :i* a special regi/ration "u ?is subsection may be issu$2 & 7ii7 ! proc$ure = obta9+ a special regi/ration "u ?is subsection4 7,b7 ,proc$ure ,9 promulgat+ f9al regulations "u subp>agraph 7,a71 ! ,attorney ,g5]al %all-- 7i7 issue a notice ( propos$ rulemak+ t includes a copy ( ! propos$ regulations2 7ii7 provide a p]iod ( n less ?an #fj days = comm5ts on ! propos$ regulations2 7iii7 f9alize ! propos$ regulation n lat] ?an #f mon?s aft] ! close ( ! comm5t p]iod2 & 7iv7 publi% ! f9al regulations n lat] ?an #cj days be=e ! effective date ( ! f9al regulations4 4 #adaf4 ,national ,heal? ,s]vice ,corps behavioral & m5tal heal? pr(essionals provid+ obligat$ 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 ,behavioral & m5tal heal? pr(essionals provid+ obligat$ 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 #adag4 ,loan repaym5t = sub/ance use disord] treatm5t provid]s 7a7 ,loan repaym5t = sub/ance use treatm5t provid]s ,! ,secret>y %all ent] into contracts "u section #cch;,b ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bedl-#a7 ) eligible heal? pr(essionals provid+ sub/ance use disord] treatm5t s]vices 9 sub/ance use disord] treatm5t facilities1 z def9$ by ! ,secret>y4 7b7 ,provision ( sub/ance use disord] treatm5t ,9 c>ry+ out ! activities describ$ 9 subsection 7a7-- 7#a7 ea* su* facility %all be locat$ 9 or s]v+ a m5tal heal? pr(essional %ortage area designat$ "u section #ccb ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bed;e71 or1 z ! ,secret>y det]m9es appropriate1 an area ) an age-adju/$ rate ( drug ov]dose dea?s t is above ! national ov]dose mortality rate2 7#b7 section #cca7;a77#c77;,d7 ( su* ,act 7#db ,u4,s4,c4 #bed;d7a77#c77;,d77 %all be appli$ z if ! t]m prim>y heal? s]vices includes heal? s]vices reg>d+ sub/ance use disord] treatm5t & infections associat$ ) illicit drug use2 7#c7 section #cca7;a77#c77;,e77i7 ( su* ,act 7#db ,u4,s4,c4 #bed;d7a77#c77;,e77i77 %all be appli$ z if ! t]m behavioral & m5tal heal? pr(essionals includes ma/]'s level1 lic5s$ sub/ance use disord] treatm5t c\nselors1 & o!r relevant pr(essionals or p>apr(essionals1 z ! ,secret>y det]m9es appropriate2 & 7#d7 su* pr(essionals & facilities %all provide-- 7,a7 directly1 or ?r\gh ! use ( teleheal? te*nology1 & pursuant to ,f$]al & ,/ate law1 c\nsel+ 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 progress2 & 7,b7 m$ication-assi/$ treatm5t1 includ+1 to ! ext5t practicable1 all drugs approv$ by ! ,food & ,drug ,adm9i/ration to treat sub/ance use disord]s1 pursuant to ,f$]al & ,/ate law4 7c7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section #be1jjj1jjj = ea* ( fiscal ye>s #bjai ?r\gh #bjbc4 #adah4 ,protect+ moms & infants 7a7 ,report 7#a7 ,9 g5]al ,n lat] ?an #fj days aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y %all submit to ! appropriate committees ( ,congress & make available to ! public on ! int]net website ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices 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 #adai4 ,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$-- 7#a7 9 p>agraph 7#ac71 by /rik+ & at ! end2 7#b7 9 p>agraph 7#ad71 by /rik+ ! p]iod at ! end & ins]t+ 2 &2 & 7#c7 by add+ at ! end ! foll[+3 7#ae7 9 coop]ation ) relevant /akehold]s & ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 develop educational mat]ials = cl9icians to use ) pregnant wom5 = %>$ decisionmak+ reg>d+ pa9 managem5t 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 support public-private p>tn]%ips to assi/ ) education ab\t1 & support ) respect to1 sub/ance use disord] = pregnant wom5 & heal? c>e provid]s :o treat pregnant wom5 & babies4 4 #adbj4 ,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$-- 7#a7 9 subsection 7a71 by /rik+ ) f9d+s ( any s]i\s violation reg>d+ & ins]t+ conc]n+2 & 7#b7 9 subsection 7b77#a7-- 7,a7 by ins]t+ compla9ts receiv$ & 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 ,e ,prev5tion #aeja4 ,/udy on prescrib+ limits ,n lat] ?an #b ye>s aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y1 9 consultation ) ! ,attorney ,g5]al1 %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 #aejb4 ,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 #gef7;a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bid;e-#a7;a77 is am5d$-- 7#a7 9 p>agraph 7#a71 by ins]t+ 1 trauma1 aft] focus on *ild & adolesc5t m5tal heal?2 & 7#b7 9 p>agraphs 7#b7 & 7#c71 by ins]t+ trauma-in=m$ c>e & be=e sub/ance use disord] prev5tion & treatm5t s]vices4 #aejc4 ,education & aw>5ess campaigns ,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]s2 7#b7 pati5ts1 consum]s1 & o!r appropriate memb]s ( ! public1 reg>d+ su* risks relat$ to unus$ opioids & ! disp5s+ options "u section #cji7;f7 ( ! ,controll$ ,sub/ances ,act1 z applicable2 7#c7 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#d7 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 #aejd4 ,enhanc$ controll$ sub/ance ov]doses data collection1 analysis1 & dissem9ation ,"p ,j ( title ,,iii ( ! ,public ,heal? ,s]vice ,act is am5d$ by ins]t+ aft] section #cib 7#db ,u4,s4,c4 #bhj;b-#a7 ! foll[+3 #cib;,a4 ,enhanc$ controll$ sub/ance ov]doses data collection1 analysis1 & dissem9ation 7a7 ,9 g5]al ,! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 us+ ! au?ority provid$ to ! ,director "u section #cib1 may-- 7#a7 to ! ext5t practicable1 c>ry out & exp& any controll$ sub/ance ov]dose data collection1 analysis1 & dissem9ation activity describ$ 9 subsection 7b72 7#b7 provide tra9+ & te*nical assi/ance to ,/ates1 localities1 & ,indian ,tribes = ! purpose ( c>ry+ out any su* activity2 & 7#c7 aw>d grants to ,/ates1 localities1 & ,indian ,tribes = ! purpose ( c>ry+ out any su* activity4 7b7 ,controll$ sub/ance ov]dose data collection & analysis activities ,a controll$ sub/ance ov]dose data collection1 analysis1 & dissem9ation activity describ$ 9 ?is subsection is any ( ! foll[+ activities3 7#a7 ,improv+ ! timel9ess ( report+ aggregate data to ! public1 includ+ data on fatal & nonfatal controll$ sub/ance ov]doses4 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>tm5t s]vices4 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]doses1 includ+ ! deliv]y ( c]ta9 heal? c>e s]vices4 7#e7 ,support+ entities involv$ 9 report+ in=mation on controll$ sub/ance ov]doses1 su* z coron]s & m$ical exam9]s1 to improve accurate te/+ & /&>diz$ report+ ( causes & contribut+ factors ( su* ov]doses1 & analysis ( v>i\s opioid analogues to controll$ sub/ance ov]doses4 7#f7 ,work+ to enable & enc\rage ! access1 ex*ange1 & use ( data reg>d+ controll$ sub/ances ov]doses among data s\rces & entities4 7c7 ,def9itions ,9 ?is section-- 7#a7 ! t]m controll$ sub/ance has ! mean+ giv5 t t]m 9 section #ajb ( ! ,controll$ ,sub/ances ,act2 & 7#b7 ! t]m ,indian ,tribe has ! mean+ giv5 ! t]m ,indian tribe 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act4 4 #aeje4 ,prev5t+ ov]doses ( controll$ sub/ances ,"p ,j ( title ,,iii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bhj;b et seq471 z am5d$ by section #ejd1 is fur!r am5d$ by ins]t+ aft] section #cib;,a ! foll[+3 #cib;,b4 ,prev5t+ ov]doses ( controll$ sub/ances 7a7 ,prev5tion activities 7#a7 ,9 g5]al ,! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion 7ref]r$ to 9 ?is section z ! ,director71 us+ ! au?ority provid$ to ! ,director "u section #cib1 may-- 7,a7 to ! ext5t practicable1 c>ry out & exp& any prev5tion activity describ$ 9 p>agraph 7#b72 7,b7 provide tra9+ & te*nical assi/ance to ,/ates1 localities1 & ,indian ,tribes to c>ry out any su* activity2 & 7,c7 aw>d grants to ,/ates1 localities1 & ,indian ,tribes = ! purpose ( c>ry+ out any su* activity4 7#b7 ,prev5tion activities ,a prev5tion activity describ$ 9 ?is p>agraph is an activity to improve ! effici5cy & use ( a new or curr5tly op]at+ prescription drug monitor+ program1 su* z-- 7,a7 enc\rag+ all au?oriz$ us]s 7z specifi$ by ! ,/ate or o!r entity7 to regi/] ) & use ! program2 7,b7 enabl+ su* us]s to access any data updates 9 z close to real-"t z practicable2 7,c7 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 7,d7 enc\rag+ ! analysis ( prescription drug monitor+ data = purposes ( provid+ de-id5tifi$1 aggregate reports bas$ on su* analysis to ,/ate public heal? ag5cies1 ,/ate alcohol & drug 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 7,e7 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 7,f7 updat+ program capabilities to respond to te*nological innovation = purposes ( appropriately address+ ! occurr5ce & evolution ( controll$ sub/ance ov]doses2 7,g7 develop+ or enhanc+ data ex*ange ) o!r s\rces su* z ! ,m$icaid ag5cy1 ! ,m$ic>e program1 ph>macy b5efit manag]s1 coron]s' reports1 & work]s' comp5sation data2 7,h7 facilitat+ & enc\rag+ data ex*ange betwe5 ! program & ! prescription drug monitor+ programs ( o!r ,/ates2 7,i7 enhanc+ data collection & quality1 includ+ improv+ pati5t mat*+ & proactively monitor+ data quality2 & 7,j7 provid+ prescrib] & disp5s] practice tools1 includ+ prescrib] practice insight reports = practition]s to review _! prescrib+ patt]ns 9 comp>ison to su* patt]s ( o!r practition]s 9 ! specialty4 7b7 ,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 7c7 ,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 7d7 ,public & prescrib] education ,pursuant to section #ajb ( ! ,compreh5sive ,addiction & ,recov]y ,act ( #bjaf1 ! ,director may advance ! education & aw>5ess ( prescrib]s & ! public reg>d+ ! risk ( abuse & misuse ( prescription opioids4 7e7 ,def9itions ,9 ?is section-- 7#a7 ! t]m controll$ sub/ance has ! mean+ giv5 t t]m 9 section #ajb ( ! ,controll$ ,sub/ances ,act2 & 7#b7 ! t]m ,indian ,tribe has ! mean+ giv5 ! t]m ,indian tribe 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act4 7f7 ,au?orization ( appropriations ,= purposes ( c>ry+ out ?is section1 section #cib;,a ( ?is ,act1 & section #ajb ( ! ,compreh5sive ,addiction & ,recov]y ,act ( #bjaf1 !re is au?oriz$ to be appropriat$ #dhf1jjj1jjj = ea* ( fiscal ye>s #bjai ?r\gh #bjbd4 4 #aejf4 ,,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 9 fiscal ye> #bjai & e #b ye>s !reaft]4 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 tribal & 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 & 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$ su* sums z may be necess>y = ! p]iod ( fiscal ye>s #bjai ?r\gh #bjba4 #aejg4 ,reau?orization ( ,,nasp] ,section #cii,o ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bhj;g-#c7 is am5d$-- 7#a7 9 subsection 7a7-- 7,a7 9 p>agraph 7#a71 9 ! matt] prec$+ subp>agraph 7,a71 by /rik+ 9 consultation ) ! ,adm9i/rator ( ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration & ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion & ins]t+ 9 coord9ation ) ! ,director ( ! ,c5t]s = ,disease ,control & ! heads ( o!r dep>tm5ts & ag5cies z appropriate2 & 7,b7 by add+ at ! end ! foll[+3 7#d7 ,/ates & local gov]nm5ts 7,a7 ,9 g5]al ,9 ! case ( a ,/ate t does n h a prescription drug monitor+ program1 a c\nty or o!r unit ( local gov]nm5t )9 ! ,/ate t has a prescription drug monitor+ program %all be treat$ z a ,/ate = purposes ( ?is section1 includ+ = purposes ( eligibility = grants "u p>agraph 7#a74 7,b7 ,plan = int]op]ability ,= purposes ( meet+ ! int]op]ability requirem5ts "u subsection 7c77#c71 a c\nty or o!r unit ( local gov]nm5t %all submit a plan outl9+ ! me?ods su* c\nty or unit ( local gov]nm5t w use to ensure ! capability ( data %>+ ) o!r c\nties & units ( local gov]nm5t )9 ! ,/ate & ) o!r ,/ates1 z applicable4 2 7#b7 9 subsection 7c7-- 7,a7 9 p>agraph 7#a77;,a77iii7-- 7i7 by ins]t+ z su* /&>ds become available1 aft] int]op]ability /&>ds12 & 7ii7 by /rik+ g5]at$ or id5tifi$ by ! ,secret>y or 8 or h] designee & ins]t+ recogniz$ by ! ,(fice ( ! ,national ,coord9ator = ,heal? ,in=mation ,te*nology2 & 7,b7 9 p>agraph 7#c77;,a71 by ins]t+ includ+ electronic heal? records1 aft] te*nology sy/ems12 7#c7 9 subsection 7d77#a71 by /rik+ n lat] ?an #a week aft] ! date ( su* disp5s+ & ins]t+ 9 z close to real "t z practicable2 7#d7 9 subsection 7f7-- 7,a7 9 p>agraph 7#a77;,d71 by /rik+ m$icaid & ins]t+ ,m$icaid2 & 7,b7 9 p>agraph 7#b7-- 7i7 9 subp>agraph 7,a71 by /rik+ & at ! end2 7ii7 9 subp>agraph 7,b71 by /rik+ ! p]iod & ins]t+ a semicolon2 & 7iii7 by add+ at ! end ! foll[+3 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 2 7#e7 9 subsection 7i71 by ins]t+ 1 9 collaboration ) ! ,national ,coord9ator = ,heal? ,in=mation ,te*nology & ! ,director ( ! ,national ,in/itute ( ,/&>ds & ,te*nology1 aft] ,! ,secret>y2 & 7#f7 9 subsection 7n71 by /rik+ #bjba & ins]t+ #bjbf4 #aejh4 ,jessie's law 7a7 ,be/ practices 7#a7 ,9 g5]al ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y1 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$]al & ,/ate laws & regulations4 #aeji4 ,developm5t & dissem9ation ( model tra9+ programs = sub/ance use disord] pati5t records 7a7 ,initial programs & mat]ials ,n lat] ?an #a ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y1 9 consultation ) appropriate exp]ts1 %all id5tify ! foll[+ model programs & mat]ials 7or if no su* programs or mat]ials exi/1 recognize private or public entities to develop & dissem9ate su* programs & mat]ials73 7#a7 ,model programs & mat]ials = tra9+ heal? c>e provid]s 7includ+ physicians1 em]g5cy m$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 section1 su* sums z may be necess>y = ea* ( fiscal ye>s #bjai ?r\gh #bjbc4 #aeaj4 ,communication ) families dur+ em]g5cies 7a7 ,promot+ ,aw>5ess ( ,au?oriz$ ,disclosures dur+ ,em]g5cies ,! ,secret>y %all annually notify heal? c>e provid]s reg>d+ p]mitt$ disclosures dur+ em]g5cies1 includ+ ov]doses1 ( c]ta9 heal? in=mation to families & c>egiv]s "u ,f$]al heal? c>e privacy laws & regulations4 7b7 ,use ( mat]ial ,= ! purposes ( c>ry+ out subsection 7a71 ! ,secret>y may use mat]ial produc$ "u section #aeji ( ?is ,act or "u section #aajjd ( ! #ba/ ,c5tury ,cures ,act 7#db ,u4,s4,c4 #acbj;d-#b note74 #aeaa4 ,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 & 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 to in=m su* analysis1 additional in=mation or data 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 z appropriate2 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+ 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+ 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 #aeab4 ,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$-- 7#a7 by am5d+ ! section head+ to read z foll[s3 ,surveillance & education reg>d+ infections associat$ ) illicit drug use & o!r risk factors2 7#b7 9 subsection 7a7-- 7,a7 9 ! matt] prec$+ p>agraph 7#a71 by ins]t+ activities be=e ! colon2 7,b7 9 p>agraph 7#a7-- 7i7 by ins]t+ or ma9ta9+ aft] implem5t+2 7ii7 by /rik+ hepatitis ,c virus infection 79 ?is section ref]r$ to z ,,hcv infection7 & ins]t+ infections commonly associat$ ) illicit drug use1 :i* may include viral hepatitis1 human immunodefici5cy virus1 & infective endoc>ditis12 & 7iii7 by /rik+ su* infection & all t foll[s ?r\gh ! p]iod at ! end & ins]t+ su* infections1 :i* may include ! report+ ( cases ( su* infections42 7,c7 9 p>agraph 7#b71 by /rik+ ,,hcv infection & all t foll[s ?r\gh ! p]iod at ! end & ins]t+ infections z a result ( illicit drug use1 receiv+ blood transfusions prior to ,july #aiib1 or o!r risk factors42 7,d7 9 p>agraphs 7#d7 & 7#e71 by /rik+ ,,hcv infection ea* place su* t]m appe>s & ins]t+ infections describ$ 9 p>agraph 7#a72 & 7,e7 9 p>agraph 7#e71 by /rik+ p$iatricians & o!r prim>y c>e physicians1 & ob/etricians & gynecologi/s & ins]t+ sub/ance use disord] treatm5t provid]s1 p$iatricians1 o!r prim>y c>e provid]s1 & ob/etrician-gynecologi/s2 7#c7 9 subsection 7b7-- 7,a7 by /rik+ directly & & ins]t+ directly or2 & 7,b7 by /rik+ hepatitis ,c1 & all t foll[s ?r\gh ! p]iod at ! end & ins]t+ infections describ$ 9 subsection 7a77#a742 & 7#d7 9 subsection 7c71 by /rik+ su* sums z may be necess>y = ea* ( ! fiscal ye>s #bjja ?r\gh #bjje & ins]t+ #dj1jjj1jjj = ea* ( fiscal ye>s #bjai ?r\gh #bjbc4 #aeac4 ,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+ be/ practices ) respect to *ildr5 & y\?1 & _! families z appropriate1 :o h exp]i5c$ or are at risk ( exp]i5c+ 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?4 7,l7 ,! ,adm9i/ration = ,*ildr5 & ,families4 7,m7 ,! ,(fice ( ! ,assi/ant ,secret>y = ,plann+ & ,evaluation4 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 #f mon?s aft] ! date ( enactm5t ( ?is ,act4 7#c7 ,*airp]son ,! task =ce %all be *air$ by ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use4 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 ! id5tification ( infants1 *ildr5 & y\?1 & _! families z appropriate1 :o h exp]i5c$ or are at risk ( exp]i5c+ trauma2 & 7ii7 ! exp$iti\s ref]ral to & implem5tation ( trauma-in=m$ practices & supports t prev5t & mitigate ! effects ( trauma2 7,b7 a national /rategy on h[ ! task =ce & memb] ag5cies w collaborate1 prioritize options =1 & implem5t a coord9at$ approa* :i* may include data %>+ & ! aw>d+ ( grants t support infants1 *ildr51 & y\?1 & _! families z appropriate1 :o h exp]i5c$ or are at risk ( exp]i5c+ trauma2 & 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 = 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+ processes2 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+ & support1 includ+ 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 heal? c>e s]vice provid]s ) exp]tise 9 provid+ support s]vices 7includ+ age-appropriate trauma-in=m$ & evid5ce-bas$ treatm5t7 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 & improve processes = trauma-in=m$ support & outcomes 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+ trauma4 7e7 ,op]at+ plan ,n lat] ?an #a ye> 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 o!r in=mation t ! task =ce det]m9es appropriate4 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 & ,congress1 a f9al report conta9+ all ( ! f9d+s & recomm5dations requir$ "u ?is section4 7g7 ,def9ition ,9 ?is section1 ! 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 #ajjc74 7h7 ,au?orization ( appropriations ,to c>ry out ?is section1 !re is au?oriz$ to be appropriat$ su* sums z may be necess>y = ea* ( fiscal ye>s #bjai ?r\gh #bjbb4 7i7 ,sunset ,! task =ce %all on ! date t is #fj days aft] ! submission ( ! f9al report "u subsection 7f71 b n lat] ?an ,septemb] #cj1 #bjbb4 #aead4 ,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 ,head ,/>t ag5cies 7includ+ ,e>ly ,head ,/>t ag5cies71 ,/ate or local ag5cies t adm9i/] public pres*ool programs1 ,indian ,tribes or _! tribal educational ag5cies1 a s*ool op]at$ by ! ,bureau ( ,indian ,education1 a ,regional ,corporation 7z def9$ 9 section #c ( ! ,alaska ,native ,claims ,settlem5t ,act 7#dc ,u4,s4,c4 #afjb771 or a ,native ,hawaiian educational organization 7z def9$ 9 section #fbjg ( ! ,elem5t>y & ,second>y ,education ,act ( #aife 7#bj ,u4,s4,c4 #geag771 = ! 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 by provid+ univ]sal trauma scre5+s to id5tify /ud5ts 9 ne$ ( specializ$ support4 7#b7 ,to implem5t s*oolwide multi-ti]$ 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 develop$ by ! ,int]ag5cy ,task ,=ce on ,trauma-,in=m$ ,c>e e/abli%$ "u section #eac4 7#d7 ,to create or enhance s]vices at a full-s]vice community s*ool t focuses on trauma-in=m$ supports1 :i* may include e/abli%+ a s*ool-site advisory team1 manag+1 coord9at+1 or deliv]+ pipel9e s]vices1 hir+ 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 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 7e7 ,int]ag5cy agreem5ts 7#a7 ,designation ( lead ag5cy ,a recipi5t ( a grant1 contract1 or coop]ative agreem5t "u ?is section %all designate a lead ag5cy to direct ! e/abli%m5t ( an int]ag5cy agreem5t among local educational ag5cies1 ag5cies responsible = e>ly *ildhood education programs1 juv5ile ju/ice au?orities1 m5tal heal? ag5cies1 *ild welf>e ag5cies1 & o!r relevant entities 9 ! ,/ate or ,indian ,tribe1 9 collaboration ) local entities4 7#b7 ,cont5ts ,! int]ag5cy agreem5t %all ensure ! provision ( ! s]vices describ$ 9 subsection 7c71 specify+ ) respect to ea* ag5cy1 au?ority1 or entity-- 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 ! ag5cies1 au?orities1 or entities t are p>ties to ! int]ag5cy agreem5t1 includ+ proc$ures = dispute resolution4 7f7 ,evaluation ,! ,secret>y %all res]ve n to exce$ #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 consult1 engage1 & coop]ate ) ,indian ,tribes & _! repres5tatives to ensure notice ( eligibility4 7k7 ,def9itions ,9 ?is section3 7#a7 ,elem5t>y or second>y s*ool ,! t]m elem5t>y or second>y s*ool means a public elem5t>y & second>y s*ool z su* t]m is def9$ 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 ,pipel9e s]vices ,! t]m pipel9e s]vices has ! mean+ giv5 su* t]m 9 section #dfbb ( ! ,elem5t>y & ,second>y ,education ,act ( #aife 7#bj ,u4,s4,c4 #geag74 7#e7 ,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#f7 ,secret>y ,! t]m ,secret>y means ! ,secret>y ( ,education4 7#g7 ,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 7l7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section1 su* sums z may be necess>y = ea* ( fiscal ye>s #bjai ?r\gh #bjbc4 #aeae4 ,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+ #ec1hhg1jjj = ea* ( fiscal ye>s #bjai ?r\gh #bjbc4 #aeaf4 ,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>y1 9 consultation ) ! ,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 misuse & abuse 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] ! 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 ,,ii ,f9ance #bjja4 ,%ort title ,?is title may be cit$ z ! ,help+ to ,end ,addiction & ,less5 ,sub/ance ,use ,disord]s ,act ( #bjah or ! ,,heal ,act ( #bjah4 ,a ,m$ic>e #baja4 ,m$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$ic>e op5 enrollm5t p]iod beg9n+ aft] ,janu>y #a1 #bjai4 #bajb4 ,exp&+ ! use ( teleheal? s]vices = ! treatm5t ( opioid use disord] & o!r sub/ance use disord]s 7a7 ,9 g5]al ,section #ahcd7m7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciem7m77 is am5d$-- 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] ,janu>y #a1 #bjai1 to an eligible teleheal? individual ) a sub/ance use disord] diagnosis = purposes ( treatm5t ( su* 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 ,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 #bajc4 ,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] #8#8^u ! agreem5t ) ! individual102 & 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 pa9 managem5t 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 ,effective date ,! am5dm5ts made by ?is section %all apply to exam9ations & visits furni%$ on or aft] ,janu>y #a1 #bjai4 #bajd4 ,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+ su* z1 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 oral 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 #baje4 ,/&>diz+ electronic prior au?orization = safe prescrib+ ,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 transmittal (-- 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 #bajf4 ,/r5g!n+ p>tn]%ips to prev5t opioid abuse 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 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$ic>e drug integrity contractor or any successor entity to a ,m$ic>e drug integrity contractor71 9 accordance ) subsection 7j77#c7 ( su* section1 = ! purpose ( enabl+ ?r\gh su* portal-- 7i7 ! ref]ral by su* plans ( suspici\s activities ( 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 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 ) respect to suspici\s activities ( a provid] ( s]vices 7includ+ a prescrib]7 or suppli]1 if su* provid] 7or 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 suspici\s activities relat$ to fraud1 wa/e1 & abuse1 us+ guidance su* z :at is provid$ 9 ! ,m$ic>e ,program ,integrity ,manual #d4g4a4 7#b7 ,qu>t]ly reports ,beg9n+ n lat] ?an #b ye>s aft] ! date ( ! enactm5t ( ?is subsection1 ! ,secret>y %all make available to ,,ma plans "u ?is "p & prescription drug plans "u "p ,d 9 a timely mann] 7b no less frequ5tly ?an qu>t]ly7 & us+ in=mation submitt$ to an entity describ$ 9 p>agraph 7#a7 ?r\gh ! portal 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;e77#d77;,c7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#bg7;e77#d77;,c77 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 cr$ible evid5ce ( suspici\s activities ( a provid] ( s]vices 7includ+ a prescrib]7 or suppli] relat$ to fraud & 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+ ( opioids & a me?od = det]m9+ if a provid] ( s]vices prescribes su* a high volume2 & 7ii7 e/abli% ! process describ$ 9 subp>agraph 7,b7 & ! types ( in=mation t may 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 #bajg4 ,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 /ati/ical 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 a /ati/ical 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 ( /ati/ical 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 /ati/ical 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 &1 z det]m9$ appropriate by ! ,secret>y1 geographic area1 = id5tify+ :e!r a prescrib] 9 a specialty & geographic area is a /ati/ical 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+ /ati/ical 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 &1 if det]m9$ appropriate by ! ,secret>y1 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 /ati/ical outli] prescrib]s ,9 ! case ( a prescrib] :o ! ,secret>y det]m9es is p]si/5tly id5tifi$ "u clause 7ii7 z a /ati/ical outli] prescrib] ( opioids1 ! foll[+ %all apply3 7,i7 ,! ,secret>y %all provide an opportunity = su* prescrib] to receive te*nical assi/ance or educational res\rces on opioid prescrib+ guidel9es 7su* z ! guidel9es describ$ 9 clause 7iii77,,ii77 f an entity t furni%es su* assi/ance or res\rces1 :i* may include a quality improvem5t organization "u "p ,b ( title ,,xi1 z available & appropriate4 7,,ii7 ,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 enroll4 ,! ,secret>y %all det]m9e ! l5g? ( ! p]iod = :i* su* prescrib] is requir$ to ma9ta9 su* enrollm5t4 7,,iii7 ,n less frequ5tly ?an annually 7& 9 a =m & mann] det]m9$ appropriate by ! ,secret>y71 ! ,secret>y %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 #bajh4 ,fight+ ! opioid epidemic ) sun%9e 7a7 ,inclusion ( in=mation reg>d+ paym5ts to advance practice nurses 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;,c77viii777 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 #baji4 ,demon/ration te/+ cov]age ( c]ta9 s]vices furni%$ by opioid treatm5t programs ,title ,,xviii ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie et seq47 is am5d$ by ins]t+ aft] section #ahff;,e ! foll[+3 #ahff;,f4 ,demon/ration te/+ cov]age ( c]ta9 s]vices furni%$ by opioid treatm5t programs 7a7 ,e/abli%m5t 7#a7 ,9 g5]al ,! ,secret>y %all conduct a demon/ration 79 ?is section ref]r$ to z ! demon/ration7 to te/ cov]age ( & paym5t = opioid use disord] treatm5t s]vices 7z def9$ 9 p>agraph 7#b77;,b77 furni%$ by opioid treatm5t programs 7z def9$ 9 p>agraph 7#b77;,a77 to individuals "u "p ,b us+ a bundl$ paym5t z describ$ 9 p>agraph 7#c74 7#b7 ,def9itions ,9 ?is section3 7,a7 ,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$]al ,regulations1 or any successor regulation7 t-- 7i7 is select$ = p>ticipation 9 ! demon/ration2 7ii7 has 9 effect a c]tification by ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration = su* a program2 7iii7 is accr$it$ by an accr$it+ body approv$ by ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration2 7iv7 submits to ! ,secret>y data & in=mation ne$$ to monitor ! quality ( s]vices furni%$ & conduct ! evaluation describ$ 9 subsection 7c72 & 7v7 meets su* additional requirem5ts z ! ,secret>y may f9d necess>y4 7,b7 ,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+-- 7i7 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 ,drug & ,cosmetic ,act = use 9 ! treatm5t ( opioid use disord]2 7ii7 disp5s+ & adm9i/ration ( su* m$ications1 if applicable2 7iii7 sub/ance use c\nsel+ by a pr(essional to ! ext5t au?oriz$ "u ,/ate law to furni% su* s]vices2 7iv7 individual & gr\p !rapy ) a physician or psy*ologi/ 7or o!r m5tal heal? pr(essional to ! ext5t au?oriz$ "u ,/ate law72 7v7 toxicology te/+2 & 7vi7 o!r items & s]vices t ! ,secret>y det]m9es are appropriate 7b 9 no case to include meals or transportation74 7#c7 ,bundl$ paym5t "u "p ,b 7,a7 ,9 g5]al ,! ,secret>y %all pay1 f ! ,f$]al ,supplem5t>y ,m$ical ,insurance ,tru/ ,fund "u section #ahda1 to an opioid treatm5t program p>ticipat+ 9 ! demon/ration a bundl$ paym5t z det]m9$ by ! ,secret>y = opioid use disord] treatm5t s]vices t are furni%$ by su* treatm5t program to an individual "u "p ,b dur+ an episode ( c>e 7z def9$ by ! ,secret>y74 7,b7 ,consid]ations ,! ,secret>y may implem5t ?is p>agraph ?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]vices furni%$1 ! scope ( s]vices furni%$1 *>act]i/ics ( ! individuals furni%$ su* s]vices1 or o!r factors z ! ,secret>y det]m9es 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 7b7 ,implem5tation 7#a7 ,duration ,! demon/ration %all be conduct$ = a p]iod ( #e ye>s1 beg9n+ n lat] ?an ,janu>y #a1 #bjba4 7#b7 ,scope ,9 c>ry+ out ! demon/ration1 ! ,secret>y %all limit ! numb] ( b5efici>ies t may p>ticipate at any "o "t 9 ! demon/ration to #b1jjj4 7#c7 ,waiv] ,! ,secret>y may waive su* provisions ( ?is title & title ,,xi z ! ,secret>y det]m9es necess>y 9 ord] to implem5t ! demon/ration4 7#d7 ,adm9i/ration ,*apt] #ce ( title #dd1 ,unit$ ,/ates ,code1 %all n apply to ?is section4 7c7 ,evaluation & report 7#a7 ,evaluation ,! ,secret>y %all conduct an evaluation ( ! demon/ration4 ,su* evaluation %all include analyses (-- 7,a7 ! impact ( ! demon/ration on-- 7i7 utilization ( heal? c>e items & s]vices relat$ to opioid use disord]1 includ+ hospitalizations & em]g5cy dep>tm5t visits2 7ii7 b5efici>y heal? outcomes relat$ to opioid use disord]1 includ+ opioid ov]dose dea?s2 & 7iii7 ov]all exp5ditures "u ?is title2 & 7,b7 ! p]=mance ( opioid treatm5t programs p>ticipat+ 9 ! demon/ration ) respect to applicable quality & co/ metrics1 includ+ :e!r any additional quality measures relat$ to opioid use disord] treatm5t are ne$$ ) respect to su* programs "u ?is title4 7#b7 ,report ,n lat] ?an #b ye>s aft] ! completion ( ! demon/ration1 ! ,secret>y %all submit to ,congress a report conta9+ ! results ( ! evaluation conduct$ "u p>agraph 7#a71 toge!r ) recomm5dations = su* legislation & adm9i/rative action z ! ,secret>y det]m9es appropriate4 7d7 ,fund+ ,= purposes ( adm9i/]+ & c>ry+ out ! demon/ration1 9 addition to funds o!rwise appropriat$1 !re %all be transf]r$ to ! ,secret>y = ! ,c5t] = ,m$ic>e ,m$icaid ,s]vices ,program ,managem5t ,acc\nt f ! ,f$]al ,supplem5t>y ,m$ical ,insurance ,tru/ ,fund "u section #ahda #e1jjj1jjj1 to rema9 available until exp5d$4 4 #baaj4 ,enc\rag+ appropriate prescrib+ "u ,m$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 #baaa4 ,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 #baab4 ,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+ inc5tive paym5ts to behavioral heal? provid]s = ! adoption & use ( c]tifi$ electronic heal? record te*nology 7z def9$ 9 section #ahdh7o77#d77 to improve ! quality & coord9ation ( c>e ?r\gh ! electronic docum5tation & ex*ange ( heal? in=mation4 ,behavioral heal? provid]s may include-- 7,i7 psy*iatric hospitals 7z def9$ 9 section #ahfa7;f772 7,,ii7 community m5tal heal? c5t]s 7z def9$ 9 section #ahfa7;ff77#c77;,b772 7,,iii7 cl9ical psy*ologi/s 7z def9$ 9 section #ahfa7;ii772 7,,iv7 cl9ical social work]s 7z def9$ 9 section #ahfa7;hh77#a772 & 7,v7 hospitals1 treatm5t facilities1 & m5tal heal? or sub/ance use disord] provid]s t p>ticipate 9 a ,/ate plan "u title ,,xix or a waiv] ( su* plan4 4 #baac4 ,m$ic>e ,improvem5t ,fund ,section #ahih7;b77#a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie;iii7b77#a77 is am5d$ by /rik+ fiscal ye> #bjba1 #j & ins]t+ fiscal ye> #bjbd1 #fe1jjj1jjj4 ,b ,m$icaid #bbja4 ,c>+ recov]y = infants & babies 7a7 ,/ate plan am5dm5t ,section #aijb7;a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;a7a77 is am5d$-- 7#a7 9 p>agraph 7#hb71 by /rik+ & aft] ! semicolon2 7#b7 9 p>agraph 7#hc71 by /rik+ ! p]iod at ! end & ins]t+ 2 &2 & 7#c7 by ins]t+ aft] p>agraph 7#hc71 ! foll[+ new p>agraph3 7#hd7 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 7nn77 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;a7 is am5d$ by add+ at ! end ! foll[+ new subsection3 7nn7 ,resid5tial p$iatric recov]y c5t] def9$ 7#a7 ,9 g5]al ,= purposes ( section #aijb7;a77#hd71 ! 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 #bbjb4 ,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 ,labor1 & ,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 #bbjc4 ,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 ,telehea? s]vices ,! t]m teleheal? s]vices includes remote pati5t monitor+ & o!r key modalities su* z live video or syn*ron\s teleheal?1 /ore-&-=w>d or asyn*ron\s teleheal?1 mobile heal?1 telephonic consultation1 & electronic consult includ+ provid]-to-provid] e-consults4 7#e7 ,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+ teleheal? s]vices1 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$ication managem5t1 us+ teleheal? s]vices4 ,su* guidance %all also include guidance on furni%+ s]vices & treatm5ts t address ! ne$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 ( nonfatal ov]dose4 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+ teleheal? s]vices4 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+ teleheal? s]vices1 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$uc+ b>ri]s to us+ teleheal? s]vices & remote pati5t monitor+ = p$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$icaid ,s]vices1 %all issue a report to ! ,committee on ,f9ance ( ! ,s5ate & ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tative id5tify+ be/ practices & pot5tial solutions = r$uc+ b>ri]s to us+ teleheal? s]vices 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+ teleheal? s]vices 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+ teleheal? s]vices & 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 #bbjd4 ,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$ non-opioid ph>macological !rapies & non-ph>macological !rapies4 #bbje4 ,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 #bbjf4 ,help = moms & babies 7a7 ,m$icaid /ate plan ,section #aije7;a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7a77 is am5d$ 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#bi7 ( ! 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 #bbjg4 ,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$]al ,regulations 7or any successor regulation74 4 #bbjh4 ,,macpac /udy & report on ,,mat utilization controls "u ,/ate ,m$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 #bbji4 ,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 ! ,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 & 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 & community-bas$ sett+ aft] receiv+ treatm5t 9 an inpati5t or resid5tial sett+1 & ! numb] ( s]vices receiv$ by su* individuals 9 ! outpati5t or home & 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 ! ,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 #bbaj4 ,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 #bbjg1 is 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$]al security & privacy protections & laws %all apply to any ,/ate ag5cy1 individual1 or entity access+ #a or m prescription drug monitor+ program databases or obta9+ in=mation 9 su* databases 9 accordance ) section #aijc7m77#h7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;b7m77#h77 7z add$ by subsection 7a774 7c7 ,effective date ,! am5dm5t made by subsection 7a7 %all take effect on ! date ( enactm5t ( ?is ,act4 #bbaa4 ,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 #bbab4 ,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 & 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 #bbac4 ,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$icaid to individuals ) sub/ance use disord]s4 7b7 ,report ,n lat] ?an #ahj days aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y %all issue a report to ,congress detail+ a plan ( action to c>ry out ! requirem5ts ( subsection 7a74 ,c ,human ,s]vices #bcja4 ,support+ family-focus$ 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 #bcjb4 ,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 #bcjc4 ,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 ,d ,syn!tics ,traffick+ & ,ov]dose ,prev5tion #bdja4 ,%ort title ,?is subtitle may be cit$ z ! ,syn!tics ,traffick+ & ,ov]dose ,prev5tion ,act ( #bjah or ,,/op ,act ( #bjah4 #bdjb4 ,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 #bdjc4 ,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 7vi7 7,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 ! %ipm5t4 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 "o 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 #bdjb1 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 #bdjd4 ,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 #bdjc7;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 #bdjc7;a77#a71 ! ,secret>y ( ,/ate %\ld exp$iti\sly conclude su* an agreem5t4 #bdje4 ,co/ rec\pm5t 7a7 ,9 g5]al ,! ,unit$ ,/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 #bdjf4 ,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 #bdjg4 ,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 #bdjh4 ,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 #g1 & 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 #bdji4 ,effective date2 regulations 7a7 ,effective date ,?is subtitle & ! am5dm5ts made by ?is subtitle 7o!r ?an ! am5dm5ts made by section #bdjb7 %all take effect on ! date ( ! enactm5t ( ?is ,act4 7b7 ,regulations ,n lat] ?an "o 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$4 ,,iii ,judici>y ,a ,access to ,increas$ ,drug ,disposal #caja4 ,%ort title ,?is subtitle may be cit$ z ! ,access to ,increas$ ,drug ,disposal ,act ( #bjah4 #cajb4 ,def9itions ,9 ?is subtitle-- 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 #cajc4 ,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 #cajd4 ,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 #caje4 ,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 #cajf4 ,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 #cajg4 ,duration ( grants ,! ,attorney ,g5]al %all det]m9e ! p]iod ( ye>s = :i* a cov]$ grant is made to a ,/ate4 #cajh4 ,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 #caji4 ,duration ( program ,! ,attorney ,g5]al may aw>d cov]$ grants = ea* ( ! fir/ #e fiscal ye>s beg9n+ aft] ! date ( enactm5t ( ?is ,act4 #caaj4 ,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 subtitle4 ,b ,us+ ,data ,to ,prev5t ,opioid ,div]sion #cbja4 ,%ort title ,?is subtitle may be cit$ z ! ,us+ ,data to ,prev5t ,opioid ,div]sion ,act ( #bjah4 #cbjb4 ,purpose 7a7 ,9 g5]al ,! purpose ( ?is subtitle 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$uce div]sion rates4 7b7 ,rule ( con/ruction ,no?+ 9 ?is subtitle %\ld be con/ru$ 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 #cbjc4 ,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 ! #ae? 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$-- 7#a7 by /rik+ subsection 7c7 & ins]t+ ! foll[+3 7c7 7#a7 ,! ,attorney ,g5]al %all1 once e #f mon?s1 prep>e & make available to regulatory1 lic5s+1 attorneys g5]al1 & law en=cem5t ag5cies ( ,/ates a /&>diz$ 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 ! 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 #cbjd4 ,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 ,c ,sub/ance ,abuse ,prev5tion #ccja4 ,%ort title ,?is subtitle may be cit$ z ! ,sub/ance ,abuse ,prev5tion ,act ( #bjah4 #ccjb4 ,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 ,section #gae7;a7 ( ! ,(fice ( ,national ,drug ,control ,policy ,reau?orization ,act ( #aiih 7#ba ,u4,s4,c4 #agab7;a77 is am5d$ by /rik+ #bjaj & ins]t+ #bjbb4 #ccjc4 ,reau?orization ( ! ,drug-,free ,communities ,program ,section #ajbd ( ! ,national ,n>cotics ,lead]%ip ,act ( #aihh 7#ba ,u4,s4,c4 #aebd7;a77 is am5d$ 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 #bjbb4 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 4 #ccjd4 ,reau?orization ( ! ,national ,community ,anti-,drug ,coalition ,in/itute ,section #d7;c77#d7 ( ,public ,law #ajg-hb 7#ba ,u4,s4,c4 #aeba note7 is am5d$ by /rik+ #bjjh ?r\gh #bjab & ins]t+ #bjah ?r\gh #bjbb4 #ccje4 ,reau?orization ( ! ,high-,int5sity ,drug ,traffick+ ,area ,program ,section #gjg7p7 ( ! ,(fice ( ,national ,drug ,control ,policy ,reau?orization ,act ( #aiih 7#ba ,u4,s4,c4 #agjf7p77 is am5d$-- 7#a7 9 p>agraph 7#d71 by /rik+ & at ! end2 7#b7 9 p>agraph 7#e71 by /rik+ ! p]iod at ! end & ins]t+ 2 &2 & 7#c7 by add+ at ! end ! foll[+3 7#f7 #bhj1jjj1jjj = ea* ( fiscal ye>s #bjah ?r\gh #bjbb4 4 #ccjf4 ,reau?orization ( drug c\rt program ,section #ajja7;a77#be77;,a7 ( title ,i ( ! ,omnibus ,crime ,control & ,safe ,/reets ,act ( #aifh 7#cd ,u4,s4,c4 #ajbfa7;a77#be77;,a77 is am5d$ 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 #bjbb44 #ccjg4 ,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[+-- 7e7 ,drug ,c\rt ,tra9+ & ,te*nical ,assi/ance ,program ,us+ funds appropriat$ to c>ry out ?is title1 ! ,director may make grants to nonpr(it organizations = ! purpose ( provid+ tra9+ & te*nical assi/ance to drug c\rts4 4 #ccjh4 ,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 #ccji4 ,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 #ccjh1 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 #ccaj4 ,,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 to make competitive grants1 9 am\nts ( n less ?an #a1jjj1jjj = a 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 #ccaa4 ,,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 #ccaj1 z subsection 7m72 & 7#b7 by ins]t+ aft] subsection 7k71 z add$ by section #ccaj1 ! 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$1 to make competitive grants to ,/ate law en=cem5t ag5cies 9 ,/ates ) high p] capita rates ( prim>y treatm5t admissions1 = ! purpose ( locat+ or inve/igat+ illicit activities1 ?r\gh ,/atewide collaboration1 relat+ to ! di/ribution ( h]o91 f5tanyl1 or c>f5tanil or relat+ to ! unlawful di/ribution ( prescription opioids4 4 #ccab4 ,compreh5sive ,addiction & ,recov]y ,act education & aw>5ess ,title ,,vii ( ! ,compreh5sive ,addiction & ,recov]y ,act ( #bjaf 7,public ,law #aad-aih2 #acj ,/at4 #gce7 is am5d$ by add+ at ! end ! foll[+3 #gji4 ,s]vices = families & pati5ts 9 crisis 7a7 ,9 g5]al ,! ,attorney ,g5]al 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$ = private1 nonpr(it national organizations t engage 9 all ( ! foll[+ activities3 7#a7 ,expansion ( phone l9e or call 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 7c7 ,au?orization ( appropriations ,= ea* ( fiscal ye>s #bjah ?r\gh #bjbb1 ! ,attorney ,g5]al is au?oriz$ to aw>d n m ?an #aj1jjj1jjj ( am\nts o!rwise appropriat$ to ! ,attorney ,g5]al = compreh5sive opioid abuse r$uction activities = purposes ( c>ry+ out ?is section4 4 #ccac4 ,protect+ *ildr5 ) addict$ p>5ts ,"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[+3 #eej4 ,protect+ *ildr5 ) addict$ p>5ts 7a7 ,be/ practices ,! ,secret>y1 act+ ?r\gh ! ,assi/ant ,secret>y & 9 coop]ation ) ! ,commission] ( ! ,adm9i/ration on ,*ildr51 ,y\? & ,families1 %all collect & dissem9ate be/ practices = ,/ates reg>d+ int]v5tions & /rategies to keep families affect$ by a sub/ance use disord] toge!r1 :5 x c be done safely4 ,su* be/ practices %all-- 7#a7 utilize compreh5sive family-c5t]$ approa*es2 7#b7 ensure t families h access to drug scre5+1 sub/ance use disord] treatm5t1 m$ication-assi/$ treatm5t approv$ by ! ,food & ,drug ,adm9i/ration1 & p>5tal support2 & 7#c7 build ^u lessons le>n$ f-- 7,a7 programs su* z ! mat]nal1 infant1 & e>ly *ildhood home visit+ program "u section #eaa ( ! ,social ,security ,act2 & 7,b7 id5tify+ sub/ance abuse prev5tion & treatm5t s]vices t meet ! requirem5ts = promis+1 support$1 or well-support$ practices specifi$ 9 section #dga7;e77#d77;,c7 ( ! ,social ,security ,act 7z su* section %all be 9 effect beg9n+ on ,octob] #a1 #bjah74 7b7 ,grant program ,! ,secret>y %all aw>d grants to ,/ates1 units ( local gov]nm5t1 & tribal gov]nm5ts to-- 7#a7 develop programs & models design$ to keep pregnant & po/-p>tum wom5 :o h a sub/ance use disord] toge!r ) _! newborns1 includ+ programs & models t provide = scre5+s ( pregnant & po/-p>tum wom5 = sub/ance use disord]s1 treatm5t int]v5tions1 supportive h\s+1 nonph>macological int]v5tions = *ildr5 born ) neonatal ab/95ce syndrome1 m$ication assi/$ treatm5t1 & o!r recov]y supports2 & 7#b7 support ! att5dance ( *ildr5 :o h a family memb] liv+ ) a sub/ance use disord] at !rapeutic camps or o!r !rapeutic programs aim$ at addiction prev5tion education & delay+ ! onset ( fir/ use1 provid+ tru/$ m5tors & education on cop+ /rategies t ^! *ildr5 c use 9 _! daily lives1 & family support initiatives aim$ at keep+ ^! families toge!r4 4 #ccad4 ,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$4 #ccae4 ,sobriety ,treatm5t & ,recov]y ,teams 7,,/>t7 ,title ,v ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;dd et seq471 z am5d$ by section #ccac1 is fur!r am5d$ by add+ at ! end ! foll[+3 #eea4 ,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 7e7 ,au?orization ( appropriations ,= ea* ( fiscal ye>s #bjah ?r\gh #bjbb1 ! ,secret>y is au?oriz$ to aw>d n m ?an #aj1jjj1jjj ( am\nts o!rwise appropriat$ to ! ,secret>y = compreh5sive opioid abuse r$uction activities = purposes ( c>ry+ out ?is section4 4 #ccaf4 ,provid] education ,n lat] ?an #fj days aft] ! date ( enactm5t ( ?is ,act1 ! ,attorney ,g5]al1 9 consultation ) ! ,secret>y ( ,heal? & ,human ,s]vices1 %all complete ! plan relat$ 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 #ccag4 ,dem& r$uction ,section #gjb7a7 ( ! ,(fice ( ,national ,drug ,control ,policy ,reau?orization ,act ( #aiih 7#ba ,u4,s4,c4 #agja7a77 is am5d$-- 7#a7 by r$esignat+ subp>agraphs 7,f7 ?r\gh 7,j7 z subp>agraphs 7,g7 ?r\gh 7,k71 respectively2 & 7#b7 by ins]t+ aft] subp>agraph 7,e7 ! foll[+3 7,f7 support = long-t]m recov]y f sub/ance use disord]s2 4 #ccah4 ,anti-drug m$ia campaign ,section #gji ( ! ,(fice ( ,national ,drug ,control ,policy ,reau?orization ,act ( #aiih 7#ba ,u4,s4,c4 #agjh7 is am5d$-- 7#a7 9 ! section head+1 by /rik+ y\?2 7#b7 9 subsection 7a7-- 7,a7 9 ! matt] prec$+ p>agraph 7#a71 by /rik+ y\?2 7,b7 9 p>agraph 7#a71 by /rik+ "y2 7,c7 9 p>agraph 7#b71 by /rik+ ( adults ( ! impact ( drug abuse on "y p & ins]t+ among ! population ab\t ! impact ( drug abuse2 & 7,d7 9 p>agraph 7#c71 by /rik+ p>5ts & o!r int]e/$ adults to discuss ) "y p & ins]t+ int]e/$ p]sons to discuss2 & 7#c7 9 subsection 7b77#b77;,c77ii71 by /rik+ among y\?4 #ccai4 ,te*nical corrections 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$-- 7#a7 9 section #gjc7;b77#c77;,e7 7#ba ,u4,s4,c4 #agjb7;b77#c77;,e77-- 7,a7 9 clause 7i71 by add+ & at ! end2 7,b7 9 clause 7ii71 by /rik+ 2 & & ins]t+ a p]iod2 & 7,c7 by /rik+ clause 7iii72 7#b7 9 section #gjd 7#ba ,u4,s4,c4 #agjc7-- 7,a7 9 subsection 7c77#c77;,c7-- 7i7 9 clause 7v71 by add+ & at ! end2 7ii7 9 clause 7vi71 by /rik+ 2 & & ins]t+ a p]iod2 & 7iii7 by /rik+ clause 7vii72 & 7,b7 9 subsection 7f7-- 7i7 by /rik+ ! fir/ p>agraph 7#e72 & 7ii7 by /rik+ ! second p>agraph 7#d72 7#c7 9 section #gjf7;a77#b77;,a7 7#ba ,u4,s4,c4 #agje7;a77#b77;,a77-- 7,a7 by /rik+ clause 7ix72 & 7,b7 by r$esignat+ clauses 7x7 ?r\gh 7xiv7 z clauses 7ix7 ?r\gh 7xiii71 respectively2 & 7#d7 by /rik+ section #gjh 7#ba ,u4,s4,c4 #agjg74 ,d ,syn!tic ,abuse & ,label+ ( ,toxic ,sub/ances #cdja4 ,%ort title ,?is subtitle may be cit$ z ! ,syn!tic ,abuse & ,label+ ( ,toxic ,sub/ances ,act ( #bjag or ! ,,salts ,act4 #cdjb4 ,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 evid5ce relat$ to ! foll[+ factors may be consid]$1 along ) all o!r relevant evid5ce3 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 7c7 ,limitation ,= purposes ( ?is section1 ! exi/5ce ( evid5ce t a sub/ance 0 n m>ket$1 adv]tis$1 or label$ = human consumption %all n preclude ! ,gov]nm5t f e/abli%+1 bas$ on all ! evid5ce1 t ! sub/ance 0 int5d$ = human consumption4 4 ,e ,opioid ,quota ,re=m #ceja4 ,%ort title ,?is subtitle may be cit$ z ! ,opioid ,quota ,re=m ,act4 #cejb4 ,/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]al %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 ! ,caucus on ,int]national ,n>cotics ,control1 ! ,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 ,f ,prev5t+ ,drug ,div]sion #cfja4 ,%ort title ,?is subtitle may be cit$ z ! ,prev5t+ ,drug ,div]sion ,act ( #bjah4 #cfjb4 ,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] includes-- 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 frequ5cy2 & 7,d7 an ord] hav+ any *>act]i/ic t w\ld indicate to a reasonable regi/rant t x is suspici\s or n legitimate4 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 subtitle4 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 ,g ,s5se ( ,congress #cgja4 ,s5se ( ,congress ,x is ! s5se ( ,congress t3 7#a7 ,am]icans ) sub/ance use disord]s (t5 seek treatm5t ?r\gh recov]y homes & cl9ical treatm5t facilities t (f] detoxification1 risk r$uction1 outpati5t treatm5t1 resid5tial treatm5t1 or rehabilitation = sub/ance use4 ,mo/ ( ^? facilities provide a critical function 9 address+ sub/ance misuse & abuse1 p>ticul>ly z ! incid5ce & preval5ce ( sub/ance use disord]s1 & drug ov]dose numb]s cont9ue to rise4 7#b7 ,despite ! necessity ( su* treatm5t facilities & ! important s]vices mo/ provide1 !re are "s bad actors 9 ! indu/ry :o1 ?r\gh telem>ket+ & o!r s*emes1 actively recruit pati5ts ) private insurance s t programs c bill ! insur]s )\t provid+ ! necess>y treatm5t s]vices4 ,(t5 ^! pati5t brok]s are paid = ea* pati5t successfully recruit$4 ,paym5ts are also made z a p]c5tage ( bill+s1 :i* inc5tivizes brok]s to recomm5d pati5ts ev5 at l[ risk levels to ! mo/ aggressive & mo/ exp5sive treatm5t programs4 7#c7 ,unless ! pati5t is enroll$ 9 a ,f$]al heal? c>e program1 a gap 9 ,f$]al law exi/s ) respect to pati5t brok]s :o are improp]ly recruit+ unsuspect+ pati5ts to defraud insurance companies4 7#d7 ,x is important t ,congress provide a me*anism to p5alize ^! bad actors1 :ile m9d+ legitimate entities :o cont9ue to help pati5ts f9d reputable treatm5t programs4 ,,iv ,comm]ce ,a ,fight+ ,opioid ,abuse 9 ,transportation #daja4 ,%ort title ,?is subtitle may be cit$ z ! ,fight+ ,opioid ,abuse 9 ,transportation ,act4 #dajb4 ,rail me*anical employee controll$ sub/ances & alcohol te/+ 7a7 ,rail me*anical employees ,n lat] ?an #b ye>s aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,transportation %all publi% a f9al rule 9 ! ,f$]al ,regi/] revis+ ! regulations promulgat$ "u section #bjadj ( title #di1 ,unit$ ,/ates ,code1 to designate a rail me*anical employee z a railroad employee responsible = safety-s5sitive functions = purposes ( t section4 7b7 ,def9ition ( rail me*anical employee ,! ,secret>y %all def9e ! t]m rail me*anical employee by regulation "u subsection 7a74 7c7 ,sav+s clause ,no?+ 9 ?is section may be con/ru$ z limit+ or o!rwise affect+ ! discretion ( ! ,secret>y ( ,transportation to set diff]5t requirem5ts by railroad size or o!r factors1 consi/5t ) applicable law4 #dajc4 ,rail y>dma/] controll$ sub/ances & alcohol te/+ 7a7 ,y>dma/]s ,n lat] ?an #b ye>s aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,transportation %all publi% a f9al rule 9 ! ,f$]al ,regi/] revis+ ! regulations promulgat$ "u section #bjadj ( title #di1 ,unit$ ,/ates ,code1 to designate a y>dma/] z a railroad employee responsible = safety-s5sitive functions = purposes ( t section4 7b7 ,def9ition ( y>dma/] ,! ,secret>y %all def9e ! t]m y>dma/] by regulation "u subsection 7a74 7c7 ,sav+s clause ,no?+ 9 ?is section may be con/ru$ z limit+ or o!rwise affect+ ! discretion ( ! ,secret>y ( ,transportation to set diff]5t requirem5ts by railroad size or o!r factors1 consi/5t ) applicable law4 #dajd4 ,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 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 #daje4 ,,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 #dajd1 ! ,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 #dajd4 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 #dajd c\ld be made m effective2 & 7#d7 su* o!r recomm5dations z ! ,comptroll] ,g5]al consid]s appropriate4 #dajf4 ,transportation ,workplace ,drug & ,alcohol ,te/+ ,program2 addition ( f5tanyl 7a7 ,m&atory ,guidel9es = ,f$]al ,workplace ,drug ,te/+ ,programs 7#a7 ,9 g5]al ,n lat] ?an #ahj days aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all det]m9e :e!r a revision ( ! ,m&atory ,guidel9es = ,f$]al ,workplace ,drug ,te/+ ,programs to exp& ! opioid category on ! li/ ( au?oriz$ drug te/+ to include f5tanyl is ju/ifi$1 bas$ on ! reliability & co/-effectiv5ess ( available te/+4 7#b7 ,revision ( guidel9es ,if ! expansion ( ! opioid category 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& ! opioid category on ! li/ ( au?oriz$ drug te/+ to include f5tanyl4 7#c7 ,report ,if ! expansion ( ! opioid category 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 ( ! opioid category on ! li/ ( au?oriz$ drugs to include f5tanyl is n ju/ifi$4 7b7 ,dep>tm5t ( ,transportation drug-te/+ panel ,if ! expansion ( ! opioid category is det]m9$ 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$]al ,regulations1 to include f5tanyl 9 ! ,dep>tm5t ( ,transportation's drug-te/+ panel1 consi/5t ) ! ,m&atory ,guidel9es = ,f$]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 #dajg & #dajh 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$ drug te/+ to include an additional sub/ance4 #dajg4 ,/atus reports on hair te/+ guidel9es 7a7 ,9 g5]al ,n lat] ?an #cj days aft] ! date ( enactm5t ( ?is ,act1 & e #ahj days !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$2 7#c7 a s*$ule1 includ+ b5*m>ks1 = ! completion ( ! hair te/+ guidel9es2 & 7#d7 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/ results ( ! individual be+ te/$ caus$ solely by ! drug use ( o!rs & n caus$ by ! drug use ( ! individual be+ te/$4 #dajh4 ,m&atory ,guidel9es = ,f$]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#hj ,f$4 ,reg4 #bhjed74 7b7 ,requirem5t ,to ! ext5t practicable & consi/5t ) ! objective ( ! te/+ describ$ 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/ results ( ! individual be+ te/$ 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 #daji4 ,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 #daaj4 ,/atus reports on ,comm]cial ,driv]'s ,lic5se ,drug & ,alcohol ,cle>+h\se 7a7 ,9 g5]al ,n lat] ?an #ahj days aft] ! date ( enactm5t ( ?is ,act1 & biannually !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 ,f$4 ,reg4 #hgfhf71 includ+-- 7#a7 an updat$ 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 ,b ,opioid ,addiction ,recov]y ,fraud ,prev5tion #dbja4 ,%ort title ,?is subtitle may be cit$ z ! ,opioid ,addiction ,recov]y ,fraud ,prev5tion ,act ( #bjah4 #dbjb4 ,def9itions ,9 ?is subtitle3 7#a7 ,opioid treatm5t product ,! t]m opioid treatm5t product means a product1 includ+ any supplem5t or m$ication1 = use or m>ket$ = use 9 ! treatm5t1 cure1 or prev5tion ( an opioid use disord]4 7#b7 ,opioid treatm5t program ,! t]m opioid treatm5t program means a program t provides treatm5t = p diagnos$ )1 hav+1 or purport+ to h an opioid use disord]4 7#c7 ,opioid use disord] ,! t]m opioid use disord] means a clu/] ( cognitive1 behavioral1 or physiological symptoms 9 :i* ! individual cont9ues use ( opioids despite significant opioid-induc$ problems1 su* z adv]se heal? effects4 #dbjc4 ,false or mislead+ repres5tations ) respect to opioid treatm5t programs & products 7a7 ,unlawful activity ,x is unlawful to make any deceptive repres5tation ) respect to ! co/1 price1 efficacy1 p]=mance1 b5efit1 risk1 or safety ( any opioid treatm5t program or opioid 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 ,en=cem5t by ,/ates 7#a7 ,9 g5]al ,except z provid$ 9 p>agraph 7#d71 9 any case 9 :i* ! attorney g5]al ( a ,/ate has reason to believe t an int]e/ ( ! resid5ts ( ! ,/ate has be5 or is ?reat5$ or adv]sely affect$ by any p]son :o violates subsection 7a71 ! attorney g5]al ( ! ,/ate1 z p>5s patriae1 may br+ a civil action on behalf ( ! resid5ts ( ! ,/ate 9 an appropriate di/rict c\rt ( ! ,unit$ ,/ates to obta9 appropriate relief4 7#b7 ,rights ( ,f$]al ,trade ,commission 7,a7 ,notice to ,f$]al ,trade ,commission 7i7 ,9 g5]al ,except z provid$ 9 clause 7iii71 ! attorney g5]al ( a ,/ate %all notify ! ,f$]al ,trade ,commission 9 writ+ t ! attorney g5]al int5ds to br+ a civil action "u p>agraph 7#a7 be=e initiat+ ! civil action4 7ii7 ,cont5ts ,! notification requir$ by clause 7i7 ) respect to a civil action %all include a copy ( ! compla9t to be fil$ to initiate ! civil action4 7iii7 ,exception ,if x is n feasible = ! attorney g5]al ( a ,/ate to provide ! notification requir$ by clause 7i7 be=e initiat+ a civil action "u p>agraph 7#a71 ! attorney g5]al %all notify ! ,f$]al ,trade ,commission imm$iately ^u in/itut+ ! civil action4 7,b7 ,int]v5tion by ,f$]al ,trade ,commission ,! ,f$]al ,trade ,commission may-- 7i7 int]v5e 9 any civil action br\ght by ! attorney g5]al ( a ,/ate "u p>agraph 7#a72 & 7ii7 ^u int]v5+-- 7,i7 be he>d on all matt]s aris+ 9 ! civil action2 & 7,,ii7 file petitions = appeal4 7#c7 ,inve/igatory p[]s ,no?+ 9 ?is subsection %all be con/ru$ to prev5t ! attorney g5]al ( a ,/ate f ex]cis+ ! p[]s conf]r$ on ! attorney g5]al by ! laws ( ! ,/ate to conduct inve/igations1 to adm9i/] oa?s or affirmations1 or to compel ! att5dance ( witnesses or ! production ( docum5t>y or o!r evid5ce4 7#d7 ,preemptive action by ,f$]al ,trade ,commission ,if ! ,f$]al ,trade ,commission or ! ,attorney ,g5]al on behalf ( ! ,commission in/itutes a civil action1 or ! ,f$]al ,trade ,commission in/itutes an adm9i/rative action1 ) respect to a violation ( subsection 7a71 ! attorney g5]al ( a ,/ate may n1 dur+ ! p5d5cy ( t action1 br+ a civil action "u p>agraph 7#a7 aga9/ any def5dant or respond5t nam$ 9 ! compla9t ( ! ,commission = ! violation ) respect to :i* ! ,commission in/itut$ su* action4 7#e7 ,v5ue2 s]vice ( process 7,a7 ,v5ue ,any action br\ght "u p>agraph 7#a7 may be br\ght 9 any di/rict c\rt ( ! ,unit$ ,/ates t meets applicable requirem5ts relat+ to v5ue "u section #acia ( title #bh1 ,unit$ ,/ates ,code4 7,b7 ,s]vice ( process ,9 an action br\ght "u p>agraph 7#a71 process may be s]v$ 9 any di/rict 9 :i* ! def5dant-- 7i7 is an inhabitant2 or 7ii7 may be f\nd4 7#f7 ,actions by o!r ,/ate (ficials ,9 addition to civil actions br\ght by attorneys g5]al "u p>agraph 7#a71 any o!r consum] protection (fic] ( a ,/ate :o is au?oriz$ by ! ,/ate to d s may br+ a civil action "u p>agraph 7#a71 subject to ! same requirem5ts & limitations t apply "u ?is subsection to civil actions br\ght by attorneys g5]al4 7d7 ,au?ority pres]v$ ,no?+ 9 ?is title %all be con/ru$ to limit ! au?ority ( ! ,f$]al ,trade ,commission or ! ,food & ,drug ,adm9i/ration "u any o!r provision ( law4 ,secret>y