,,ii #aae? ,,congress #a/ ,session ,s4 #bacd ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,novemb] #ae1 #bjag ,ms4 ,baldw9 7= h]self1 ,mrs4 ,capito1 ,mr4 ,moran1 ,mr4 ,blum5?al1 ,mr4 ,man*91 ,mr4 ,te/]1 & ,mr4 ,br[n7 introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,vet]ans' ,affairs ,a ,,bill ,to require ! ,secret>y ( ,vet]ans ,affairs to e/abli% processes to ensure t non-,dep>tm5t ( ,vet]ans ,affairs heal? c>e provid]s are us+ safe practices 9 prescrib+ opioids to vet]ans "u ! laws adm9i/]$ by ! ,secret>y1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,&rew ,:ite ,vet]ans ,community ,c>e ,opioid ,safety ,act4 #b4 ,e/abli%m5t ( processes to ensure safe opioid prescrib+ practices by non-,dep>tm5t ( ,vet]ans ,affairs heal? c>e provid]s 7a7 ,receipt & review ( guidel9es ,! ,secret>y ( ,vet]ans ,affairs %all ensure t all cov]$ heal? c>e provid]s are provid$ a copy ( & c]tify t !y h review$ ! evid5ce-bas$ guidel9es = prescrib+ opioids set =? by ! ,opioid ,safety ,initiative ( ! ,dep>tm5t ( ,vet]ans ,affairs "u sections #iaa7;a77#b7 & #iab7;c7 ( ! ,jason ,simcakoski ,memorial & ,promise ,act 7,public ,law #aad-aih2 #ch ,u4,s4,c4 #agja note7 be=e fir/ provid+ c>e "u ! laws adm9i/]$ by ! ,secret>y & at any "t :5 ^? guidel9es are modifi$ !reaft]4 7b7 ,inclusion ( m$ical hi/ory & curr5t m$ications ,! ,secret>y %all implem5t a process to ensure t1 if c>e ( a vet]an by a cov]$ heal? c>e provid] is au?oriz$ "u ! laws adm9i/]$ by ! ,secret>y1 ! docum5t au?oriz+ su* c>e includes ! relevant m$ical hi/ory ( ! vet]an & a li/ ( all m$ications prescrib$ to ! vet]an4 7c7 ,submittal ( prescriptions 7#a7 ,9 g5]al ,except z provid$ 9 p>agraph 7#b71 ! ,secret>y %all require all cov]$ heal? c>e provid]s :o prescribe opioids to vet]ans "u ! laws adm9i/]$ by ! ,secret>y to submit any su* prescription directly to a ph>macy ( ! ,dep>tm5t-- 7,a7 = ! disp5s+ ( su* prescription2 7,b7 = ! record+ ( su* prescription 9 ! electronic heal? record ( ! vet]an2 & 7,c7 to enable o!r monitor+ ( su* prescription z outl9$ 9 ! ,opioid ,safety ,initiative ( ! ,dep>tm5t4 7#b7 ,exception 7,a7 ,9 g5]al ,a cov]$ heal? c>e provid] is n requir$ "u p>agraph 7#a7 to submit an opioid prescription directly to a ph>macy ( ! ,dep>tm5t if-- 7i7 ! heal? c>e provid] det]m9es t !re is an imm$iate m$ical ne$ = ! prescription1 includ+ an urg5t or em]g5t prescription or a prescription disp5s$ z "p ( an opioid treatm5t program t provides (fice-bas$ m$ications2 & 7ii7 7,i7 foll[+ an inquiry into ! matt]1 a ph>macy ( ! ,dep>tm5t notifies ! heal? c>e provid] t x _c fill ! prescription 9 a timely mann]2 or 7,,ii7 ! heal? c>e provid] det]m9es t ! requirem5t "u p>agraph 7#a7 w\ld impose an undue h>d%ip on ! vet]an1 includ+ ) respect to travel di/ances1 z det]m9$ by ! ,secret>y4 7,b7 ,notification to ,dep>tm5t ,if a cov]$ heal? c>e provid] uses an exception "u subp>agraph 7,a7 ) respect to an opioid prescription = a vet]an1 ! heal? c>e provid] %all1 on ! same day ! prescription is writt51 submit to ! ,secret>y = inclusion 9 ! electronic heal? record ( ! vet]an a notice1 9 su* =m z ! ,secret>y may e/abli%1 provid+ in=mation ab\t ! prescription & describ+ ! reason = ! exception4 7,c7 ,report 7i7 ,9 g5]al ,n less frequ5tly ?an qu>t]ly1 ! ,secret>y %all submit to ! ,committee on ,vet]ans' ,affairs ( ! ,s5ate & ! ,committee on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives a report evaluat+ ! compliance ( cov]$ heal? c>e provid]s ) ! requirem5ts "u ?is p>agraph & sett+ =? data on ! use by heal? c>e provid]s ( exceptions "u subp>agraph 7,a7 & notices "u subp>agraph 7,b74 7ii7 ,elem5ts ,ea* report requir$ by clause 7i7 %all include ! foll[+ ) respect to ! qu>t] cov]$ by ! report3 7,i7 ,! numb] ( exceptions us$ "u subp>agraph 7,a7 & notices receiv$ "u subp>agraph 7,b74 7,,ii7 ,! rate ( compliance by ! ,dep>tm5t ) ! requirem5t "u subp>agraph 7,b7 to include su* notices 9 ! heal? records ( vet]ans4 7,,iii7 ,! id5tification ( any cov]$ heal? c>e provid]s t1 bas$ on crit]ia prescrib$ ! ,secret>y1 are det]m9$ by ! ,secret>y to be /ati/ical outli]s reg>d+ ! use ( exceptions "u subp>agraph 7,a74 7d7 ,use ( ,opioid ,safety ,initiative guidel9es 7#a7 ,9 g5]al ,if a director ( a m$ical c5t] ( ! ,dep>tm5t or a ,vet]ans ,integrat$ ,s]vice ,network det]m9es t ! opioid prescrib+ practices ( a cov]$ heal? c>e provid] conflicts ) or is o!rwise inconsi/5t ) ! /&>ds ( appropriate & safe c>e1 z t t]m is us$ 9 section #iac7;d7 ( ! ,jason ,simcakoski ,memorial & ,promise ,act 7,public ,law #aad-aih2 #ch ,u4,s4,c4 #agja note71 ! director %all take su* action z ! director consid]s appropriate to ensure ! safety ( all vet]ans receiv+ c>e f t heal? c>e provid]1 includ+ remov+ or direct+ ! removal ( any su* heal? c>e provid] f provid] networks or o!rwise refus+ to au?orize c>e ( vet]ans by su* heal? c>e provid] 9 any program au?oriz$ "u ! laws adm9i/]$ by ! ,secret>y4 7#b7 ,inclusion 9 contracts ,! ,secret>y %all ensure t any contracts ent]$ into by ! ,secret>y ) ?ird p>ties involv$ 9 adm9i/]+ programs t provide c>e 9 ! community to vet]ans "u ! laws adm9i/]$ by ! ,secret>y specifically grant ! au?ority set =? 9 p>agraph 7#a7 to su* ?ird p>ties & to ! directors describ$ 9 t p>agraph1 z ! case may be4 7e7 ,d5ial or revocation ( eligibility ( non-,dep>tm5t provid]s ,! ,secret>y %all d5y or revoke ! eligibility ( a non-,dep>tm5t heal? c>e provid] to provide heal? c>e to vet]ans "u ! laws adm9i/]$ by ! ,secret>y if ! ,secret>y det]m9es t ! opioid prescrib+ practices ( ! provid]-- 7#a7 violate ! requirem5ts ( a m$ical lic5se ( ! heal? c>e provid]2 or 7#b7 detract f ! ability ( ! heal? c>e provid] to deliv] safe & appropriate heal? c>e4 7f7 ,cov]$ heal? c>e provid] def9$ ,9 ?is section1 ! t]m cov]$ heal? c>e provid] means a non-,dep>tm5t ( ,vet]ans ,affairs heal? c>e provid] :o provides heal? c>e to vet]ans "u ! laws adm9i/]$ by ! ,secret>y ( ,vet]ans ,affairs4