,i  #aae? ,,congress  #b;d ,session  ,h4
 ,r4 #fggi  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,septemb] #ab1        
#bjah,mr4 ,buck introduc$ ! foll[+ bill2
 :i* 0 ref]r$ to ! ,committee on ,en]gy 
& ,comm]ce1 & 9 addition to ! ,committee
 on ! ,judici>y1 = a p]iod to be        
subsequ5tly det]m9$ by ! ,speak]1 9 ea* 
case = consid]ation ( su* provisions z  
fall )9 ! jurisdiction ( ! committee    
conc]n$  ,a ,,bill  ,to am5d !          
,controll$ ,sub/ances ,act to require ! 
,drug ,en=cem5t ,adm9i/ration to report 
c]ta9 in=mation on di/ribution (        
opioids1 & = o!r purposes4  #a4 ,%ort   
title ,?is ,act may be cit$ z ! ,us+    
,data to ,prev5t ,opioid ,div]sion ,act 
( #bjah4  #b4 ,f9d+s ,congress f9ds !   
foll[+3  7#a7 ,9 #bjaf1 !re 7 ne>ly     
#fd1jjj drug ov]dose dea?s 9 ! ,unit$   
,/ates4 ,m ?an #db1jjj ( ^! dea?s 7     
opioid-relat$4  7#b7 ,! regulations     
promulgat$ "u ! ,controll$ ,sub/ances   
,act 7#ba ,u4,s4,c4 #hja et seq47       
require drug manufactur]s & di/ributors 

to--  7,a7 provide effective controls   
aga9/ ! div]sion ( controll$ sub/ances2 
7,b7 detect & disclose suspici\s ord]s  
to ! ,drug ,en=cem5t ,adm9i/ration2 &   
7,c7 keep complete & accurate records   
relat+ to ! manufacture or di/ribution (
 controll$ sub/ances4  7#c7 ,despite !  
requirem5ts describ$ 9 p>agraph 7#b71 x 
has be5 publicly report$ t betwe5 #bjjf 
& #bjaf1 ne>ly #ba1jjj1jjj opioids 7    
di/ribut$ to #b ph>macies 9 ,williamson1
 ,we/ ,virg9ia1 :i* has a population (  
approximately #c1jjj4 ,x has be5 fur!r  
report$ t betwe5 #bjjg & #bjjh1 ne>ly   
#i1jjj1jjj pills 7 di/ribut$ to a s+le  
ph>macy 9 ,k]mit1 ,we/ ,virg9ia1 :i* has
 a population ( #cib4  7#d7 ,simil>ly1 x
 has be5 publicly report$ t #ghj1jjj1jjj
 oxycodone & hydrocodone pills 7        
di/ribut$ to ph>macies ?r\gh\t ,we/     
,virg9ia betwe5 #bjjg & #bjab4 ,9 ! same
 p]iod1 m ?an #a1gjj p 9 ! ,/ate di$ f  
ov]doses ( ^! #b sub/ances4  7#e7 ,drug 
manufactur]s & di/ributors are requir$  
to report ! sale1 deliv]y or o!r        

disposal ( n>cotics to ! ,drug ,en=cem5t
 ,adm9i/ration ?r\gh ! ,automat$        
,reports & ,consolidat$ ,ord]s ,sy/em4  
7#f7 ,not)/&+ ! report+ requirem5t      
describ$ 9 p>agraph 7#e71 ! ,drug       
,en=cem5t ,adm9i/ration does n disclose 
! total quantity & type ( opioids       
di/ribut$ to a s+le ph>macy or          
practition] ) ^? manufactur]s &         
di/ributors :o are requir$ to input     
in=mation into ! ,automat$ ,reports &   
,consolidat$ ,ord]s ,sy/em4 ,?is creates
 a b>ri] to id5tify+ & /opp+ pot5tially 
suspici\s ord]s4  7#g7 ,al?\gh          
manufactur]s & di/ributors are already  
requir$ to provide effective controls   
aga9/ ! div]sion ( controll$ sub/ances1 
?is lack ( data %>+ may create a b>ri]  
to bett] id5tify+ & /opp+ pot5tially    
suspici\s ord]s4  7#h7 ,on an annual    
basis1 ! ,attorney ,g5]al ( ! ,unit$    
,/ates is /atutorily requir$ to %>e !   
controll$ sub/ance or sub/ances 9 s*$ule
 ,,ii t h ! highe/ rates ( abuse & to   
prep>e & make available reports on !    

di/ribution patt]ns ( su* sub/ances1 )  
,/ate regulatory1 lic5s+1 & law en=cem5t
 ag5cies4 ,! ,attorney ,g5]al ( ! ,unit$
 ,/ates has ent]$ into data %>+         
agreem5ts ) ! attorneys g5]al ( ! va/   
majority ( ,/ates1 ,pu]to ,rico1 & !    
,di/rict ( ,colombia to %>e1 pursuant to
 ,/ate law & policy1 data obta9$ f ,/ate
 prescription drug monitor+ programs &  
o!r s\rces4  7#i7 ,to fur!r r$uce b>ri]s
 associat$ ) id5tify+ suspici\s patt]ns 
& /opp+ ! div]sion ( opioids1 ! rema9+  
,/ates & t]ritories ( ! ,unit$ ,/ates   
%\ld ent] into simil> agreem5ts )1 & to 
! greate/ ext5t practical %>e data      
obta9$ f ,/ate prescription drug        
monitor+ programs )1 ! ,attorney ,g5]al 
( ! ,unit$ ,/ates4  #c4 ,purpose  7a7 ,9
 g5]al ,! purpose ( ?is ,act 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 ,act %\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  #d4 ,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  #e4 ,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  #f4 ,improvem5ts to prev5t 
drug div]sion  7a7 ,def9ition  7#a7 ,9  
g5]al ,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] or patt]n ( ord]s ( a controll$   
sub/ance t meet su* o!r crit]ia z are   
e/abli%$ by ! ,attorney ,g5]al by       
regulation4  4  7#b7 ,regulations ,n    
lat] ?an #a ye> aft] ! date ( enactm5t (
 ?is ,act1 ! ,attorney ,g5]al %all      
promulgate regulations "u p>agraph      
7#eg77;,d7 ( section #ajb ( ! ,controll$
 ,sub/ances ,act1 z add$ by p>agraph    
7#a7 ( ?is subsection4  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 ,act4  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