,,ii  #aaeth ,,congress  #b;d ,session  
,s4 #bcag  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,january #ag1  
#bjah,mr4 ,markey 7for himself1 ,mr4    
,paul1 ,ms4 ,hassan1 and ,ms4 ,collins7 
introduced the following bill2 which was
 read twice and referred to the         
,committee on ,health1 ,education1      
,labor1 and ,pensions  ,a ,,bill  ,to   
amend the ,controlled ,substances ,act  
to provide for additional flexibility   
with respect to medication-assisted     
treatment for opioid use disorders1 and 
for other purposes4  #a4 ,short title   
,this ,act may be cited as the          
,addiction ,treatment ,access           
,improvement ,act of #bjah4  #b4        
,allowing for more flexibility with     
respect to medication-assisted treatment
 for opioid use disorders  7a7          
,conforming applicable number ,subclause
 7,,ii7 of section                      
#cjc7;g77#b77;,b77iii7 of the           
,controlled ,substances ,act 7#ba       
,u4,s4,c4 #hbc7;g77#b77;,b77iii77 is    

amended to read as follows3  7,,ii7 ,the
 applicable number is-- 7aa7 #ajj if1   
not sooner than #a year after the date  
on which the practitioner submitted the 
initial notification1 the practitioner  
submits a second notification to the    
,secretary of the need and intent of the
 practitioner to treat up to #ajj       
patients2 or  7bb7 #bge if the          
practitioner meets the requirements     
specified in section #h4faj of title    
#db1 ,code of ,federal ,regulations 7or 
successor regulations74  4  7b7         
,eliminating any time limitation for    
nurse practitioners1 clinical nurse     
specialists1 certified registered nurse 
anesthetists1 certified nurse midwives1 
and physician assistants ,to become     
qualifying practitioners ,section       
#cjc7;g77#b77;,g77iii77,,ii7 of the     
,controlled ,substances ,act 7#ba       
,u4,s4,c4 #hbc7;g77#b77;,g77iii77,,ii77 
is amended by striking during the period
 beginning on the date of enactment of  
the ,comprehensive ,addiction and       

,recovery ,act of #bjaf and ending on   
,october #a1 #bjba and inserting        
beginning on the date of enactment of   
the ,comprehensive ,addiction and       
,recovery ,act of #bjaf4  7c7           
,definition of qualifying other         
practitioner ,clause 7iv7 of section    
#cjc7;g77#b77;,g7 of the ,controlled    
,substances ,act 7#ba ,u4,s4,c4         
#hbc7;g77#b77;,g77 is amended by        
striking nurse practitioner or physician
 assistant each place it appears and    
inserting nurse practitioner1 clinical  
nurse specialist1 certified registered  
nurse anesthetist1 certified nurse      
midwife1 or physician assistant4