,,ii #aae? ,,congress #b;d ,session ,s4 #bdef ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,febru>y #bg1 #bjah ,mr4 ,portman 7= himself1 ,mr4 ,:iteh\se1 ,mrs4 ,capito1 ,ms4 ,klobu*>1 ,mr4 ,sullivan1 ,ms4 ,hassan1 ,mr4 ,cassidy1 & ,ms4 ,cantwell7 introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ,a ,,bill ,a bill to reau?orize & exp& ! ,compreh5sive ,addiction & ,recov]y ,act ( #bjaf4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,,c>a #b4j ,act ( #bjah4 #b4 ,national ,education ,campaign ,section #ajb ( ! ,compreh5sive ,addiction & ,recov]y ,act ( #bjaf 7#db ,u4,s4,c4 #bij;bb-#be;g7 is am5d$ by add+ at ! end ! foll[+3 7d7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section1 #aj1jjj1jjj = ea* ( fiscal ye>s #bjai ?r\gh #bjbc4 4 #c4 ,?ree-day limit on opioid prescriptions ,section #cjc ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hbc7 is am5d$ by add+ at ! end ! foll[+3 7l7 ,?ree-,day limit on opioid prescriptions 7#a7 ,def9itions ,9 ?is subsection-- 7,a7 ! t]m acute pa9-- 7i7 means pa9 ) abrupt onset & caus$ by an injury or o!r process t is n ongo+2 & 7ii7 does n include-- 7,i7 *ronic pa92 7,,ii7 pa9 be+ treat$ z "p ( canc] c>e2 7,,iii7 hospice or o!r end-(-life c>e2 or 7,,iv7 pa9 be+ treat$ z "p ( palliative c>e2 & 7,b7 ! t]m addiction treatm5t opioid prescription means a prescription-- 7i7 = an opioid drug 9 s*$ule ,,ii1 ,,iii1 or ,,iv approv$ by ! ,food & ,drug ,adm9i/ration = an indication = ! treatm5t ( addiction2 & 7ii7 t is = ! treatm5t ( addiction4 7#b7 ,?ree-day limit ,! ,attorney ,g5]al may n regi/]1 or r5ew ! regi/ration (1 a practition] "u subsection 7f7 :o is lic5s$ "u ,/ate law to prescribe controll$ sub/ances 9 s*$ule ,,ii1 ,,iii1 or ,,iv1 unless ! practition] submits to ! ,attorney ,g5]al1 = ea* su* regi/ration or r5ewal reque/1 a c]tification t ! practition]1 dur+ ! applicable regi/ration p]iod1 w n prescribe any opioid 9 s*$ule ,,ii1 ,,iii1 or ,,iv1 o!r ?an an addiction treatm5t opioid prescription1 = ! initial treatm5t ( acute pa9 9 an am\nt 9 excess ( a #c-;day supply4 4 #d4 ,fir/ respond] tra9+ ,section #edf ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;ee-#a7 is am5d$-- 7#a7 9 subsection 7c7-- 7,a7 9 p>agraph 7#b71 by /rik+ & at ! end2 7,b7 9 p>agraph 7#c71 by /rik+ ! p]iod & ins]t+ 2 &2 & 7,c7 by add+ at ! end ! foll[+3 7#d7 tra9 & provide res\rces = fir/ respond]s & memb]s ( o!r key community sectors on safety ar\nd f5tanyl & o!r dang]\s illicit drugs to protect !mselves f exposure & respond appropriately :5 exposure occurs4 2 7#b7 9 subsection 7d71 by ins]t+ 1 & safety ar\nd f5tanyl & o!r dang]\s illicit drugs be=e ! p]iod2 7#c7 9 subsection 7f7-- 7,a7 9 p>agraph 7#c71 by /rik+ & at ! end2 7,b7 9 p>agraph 7#d71 by /rik+ ! p]iod & ins]t+ a semicolon2 & 7,c7 by add+ at ! end ! foll[+3 7#e7 ! numb] ( fir/ respond]s & memb]s ( o!r key community sectors tra9$ on safety ar\nd f5tanyl & o!r dang]\s illicit drugs4 2 & 7#d7 9 subsection 7g71 by ins]t+ be=e ! p]iod ! foll[+3 1 & #cjj1jjj1jjj = ea* ( fiscal ye>s #bjai ?r\gh #bjbc4 #e4 ,evid5ce-bas$ prescription opioid & h]o9 treatm5t & int]v5tion demon/rations ,section #ead;,b ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#aj7 is am5d$-- 7#a7 9 subsection 7d71 by ins]t+ 1 & ,indian tribes & tribal organizations 7z def9$ 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act7 be=e ! fir/ p]iod2 & 7#b7 9 subsection 7f71 by ins]t+ be=e ! p]iod ! foll[+3 1 & #cjj1jjj1jjj = ea* ( fiscal ye>s #bjai ?r\gh #bjbc4 #f4 ,build+ communities ( recov]y ,section #edg ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;ee-#b7 is am5d$-- 7#a7 by /rik+ subsection 7c72 7#b7 by r$esignat+ subsection 7d7 z subsection 7c72 7#c7 9 subsection 7c7 7z s r$esignat$7-- 7,a7 9 p>agraph 7#a71 by /rik+ & at ! end2 7,b7 9 p>agraph 7#b77;,c77iv71 by /rik+ ! p]iod & ins]t+ 2 &2 & 7,c7 by add+ at ! & ! foll[+3 7#c7 may be us$ z provid$ = 9 subsection 7d74 2 7#d7 by ins]t+ aft] subsection 7c7 7z s r$esignat$71 ! foll[+3 7d7 ,e/abli%m5t ( regional te*nical assi/ance c5t]s 7#a7 ,9 g5]al ,grants aw>d$ "u subsection 7b7 may be us$ to provide = ! e/abli%m5t ( regional te*nical assi/ance c5t]s to provide regional te*nical assi/ance = ! foll[+3 7,a7 ,implem5tation ( regionally driv5 pe] deliv]$ addiction recov]y support s]vices be=e1 dur+1 aft]1 or 9 lieu ( addiction treatm5t4 7,b7 ,e/abli%m5t ( recov]y community organizations4 7,c7 ,e/abli%m5t ( recov]y community c5t]s4 7,d7 ,naloxone tra9+ & dissem9ation4 7#b7 ,eligible entities ,to be eligible to receive a grant "u p>agraph 7#a71 an entity %all be-- 7,a7 a national nonpr(it entity ) a network ( local affiliates & p>tn]s t are geographically & organizationally div]se2 or 7,b7 a national nonpr(it organization e/abli%$ by individuals 9 p]sonal & family recov]y1 s]v+ prev5tion1 treatm5t1 recov]y1 payor1 fai?-bas$1 & crim9al ju/ice /akehold]s 9 ! implem5tation ( local addiction & recov]y initiatives4 2 & 7#e7 9 subsection 7e71 by ins]t+ be=e ! p]iod ! foll[+3 1 & #bjj1jjj1jjj = ea* ( fiscal ye>s #bjai ?r\gh #bjbc4 #g4 ,m$ication-assi/$ treatm5t = recov]y f addiction 7a7 ,all[+ ,/ates ,to raise pati5t caps "u c]ta9 conditions2 mak+ nurse practition] & physician assi/ant au?ority p]man5t ,section #cjc7;g77#b7 ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hbc7;g77#b77 is am5d$-- 7#a7 9 subp>agraph 7,g77iii77,,ii71 by /rik+ dur+ ! p]iod beg9n+ on ! date ( enactm5t ( ! ,compreh5sive ,addiction & ,recov]y ,act ( #bjaf & end+ on ,octob] #a1 #bjba12 & 7#b7 9 subp>agraph 7,i7-- 7,a7 9 clause 7i71 by /rik+ or at ! end2 7,b7 by r$esignat+ clause 7ii7 z clause 7iii72 & 7,c7 by ins]t+ aft] clause 7i7 ! foll[+3 7ii7 p]mits a qualify+ practition] to disp5se drugs 9 s*$ule ,,iii1 ,,iv1 or ,v1 or comb9ations ( su* drugs1 = ma9t5ance or detoxification treatm5t 9 accordance ) ?is p>agraph to a total numb] ( pati5ts t is m ?an ! total numb] applicable to ! qualify+ practition] "u subp>agraph 7,b77ii77,,ii71 includ+ an unlimit$ numb]1 if ! ,/ate-- 7,i7 enacts a law au?oriz+ su* disp5s+ to t increas$ total numb]1 or unlimit$ numb]1 ( pati5ts2 7,,ii7 be=e ! increas$ total numb] or elim9ation ( a limit goes into effect 9 ! ,/ate1 directs ! applicable ,/ate ag5cy or regulatory bo>d to adopt /atewide regulations gov]n+ ! use ( m$ications approv$ by ! ,food & ,drug ,adm9i/ration = ! treatm5t ( opioid dep5d5ce or = ! prev5tion ( relapse to opioid dep5d5ce1 consi/5t ) nationally recogniz$ evid5ce-bas$ guidel9es produc$ by a national or int]national m$ical pr(essional association1 public heal? entity1 or gov]nm5tal body ) ! aim ( ensur+ ! appropriate use ( evid5ce to guide individual diagno/ic & !rapeutic cl9ical decisions1 includ+ ! ,national ,practice ,guidel9es ,= ! ,use ( ,m$ications 9 ! ,treatm5t ( ,addiction ,involv+ ,opioid ,use issu$ by ! ,am]ican ,society ( ,addiction ,m$ic9e2 & 7,,iii7 notifies ! ,attorney ,g5]al ( ! increas$ total numb] or elim9ation ( a limit2 or 4 7b7 ,repeal ( requirem5t ,to update regulations ,section #cjc ( ! ,compreh5sive ,addiction & ,recov]y ,act ( #bjaf 7,public ,law #aad-aih2 #acj ,/at4 #gbj7 is am5d$ by /rik+ subsection 7c74 7c7 ,def9ition ( qualify+ o!r practition] ,section #cjc7;g77#b77;,g77iv7 ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hbc7;g77#b77;,g77iv77 is am5d$ by /rik+ nurse practition] or physician assi/ant ea* place t t]m appe>s & ins]t+ nurse practition]1 cl9ical nurse speciali/1 c]tifi$ regi/]$ nurse ane/heti/1 c]tifi$ nurse midwife1 or physician assi/ant4 7d7 ,requirem5t ,to (f] two types ( m$ication-,assi/$ treatm5t ,any entity1 includ+ a prison or jail1 t receives ,f$]al funds = a program or activity (f]+ m$ication-assi/$ treatm5t %all (f]1 or h an affiliation ) a provid] :o c prescribe & discuss ) pati5ts ! risks (1 b5efits (1 & alt]natives to-- 7#a7 n less ?an #a opioid antagoni/ m$ication approv$ by ! ,food & ,drug ,adm9i/ration2 & 7#b7 n less ?an #a opioid agoni/ 7or p>tial agoni/7 m$ication approv$ by ! ,food & ,drug ,adm9i/ration to treat addiction involv+ opioids4 #h4 ,national y\? recov]y initiative 7a7 ,def9itions ,9 ?is section3 7#a7 ,eligible entity ,! t]m eligible entity means-- 7,a7 a high s*ool t has be5 accr$it$ z a sub/ance use recov]y high s*ool or t is seek+ to e/abli% or exp& sub/ance use recov]y support s]vices2 7,b7 an in/itution ( high] education2 7,c7 a recov]y program at an in/itution ( high] education2 7,d7 a nonpr(it organization2 or 7,e7 a te*nical assi/ance c5t] t c help grantees in/all recov]y support s]vice programs aim$ at y\? & "y adults :i* include recov]y coa*+1 job tra9+1 transportation1 l9kages to community-bas$ s]vices & supports1 regul>ly s*$ul$ alt]native pe] gr\p activities1 life-skills education1 & lead]%ip developm5t4 7#b7 ,high s*ool ,! t]m high s*ool has ! mean+ giv5 ! t]m 9 section #haja ( ! ,elem5t>y & ,second>y ,education ,act ( #aife 7#bj ,u4,s4,c4 #ghja74 7#c7 ,in/itution ( high] education ,! t]m in/itution ( high] education has ! mean+ giv5 ! t]m 9 section #aja ( ! ,high] ,education ,act ( #aife 7#bj ,u4,s4,c4 #ajja74 7#d7 ,recov]y program ,! t]m recov]y program means a program-- 7,a7 to help y\? or "y adults :o are recov]+ f sub/ance use disord]s to initiate1 /abilize1 & ma9ta9 heal?y & productive lives 9 ! community2 & 7,b7 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 7b7 ,grants au?oriz$ ,! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use1 9 consultation ) ! ,secret>y ( ,education1 %all aw>d grants1 on a competitive basis1 to eligible entities to enable ! eligible entities to-- 7#a7 provide sub/ance use recov]y support s]vices to y\? & "y adults enroll$ 9 high s*ool or an in/itution ( high] education2 7#b7 help build communities ( support = y\? & "y adults 9 sub/ance use recov]y ?r\gh a spectrum ( activities su* z c\nsel+1 job tra9+1 recov]y coa*+1 alt]native pe] gr\ps1 life-skills work%ops1 family support gr\ps1 & heal?y & wellness-ori5t$ social activities2 & 7#c7 enc\rage initiatives design$ to help y\? & "y adults a*ieve & su/a9 recov]y f sub/ance use disord]s4 7c7 ,application ,an eligible entity desir+ a grant "u ?is section %all submit to ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use an application at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,assi/ant ,secret>y may require4 7d7 ,use ( funds ,grants aw>d$ "u subsection 7b7 may be us$ = activities to develop1 support1 or ma9ta9 sub/ance use recov]y support s]vices = y\? or "y adults1 includ+-- 7#a7 ! developm5t & ma9t5ance ( a d$icat$ physical space = recov]y programs2 7#b7 hir+ d$icat$ /aff = ! provision ( recov]y programs2 7#c7 provid+ heal? & wellness-ori5t$ social activities & community engagem5t2 7#d7 ! e/abli%m5t ( a sub/ance use recov]y high s*ool2 7#e7 ! coord9ation ( a pe] deliv]$ sub/ance use recov]y program )-- 7,a7 sub/ance use disord] treatm5t programs & sy/ems2 7,b7 provid]s ( m5tal heal? s]vices2 7,c7 prim>y c>e provid]s2 7,d7 ! crim9al ju/ice sy/em1 includ+ ! juv5ile ju/ice sy/em2 7,e7 employ]s2 7,f7 recov]y h\s+ s]vices2 7,g7 *ild welf>e s]vices2 7,h7 high s*ools2 & 7,i7 in/itutions ( high] education2 7#f7 ! developm5t ( pe]-to-pe] support programs or s]vices deliv]$ by individuals ) liv$ exp]i5ce 9 addiction recov]y2 & 7#g7 any additional activity t helps y\? or "y adults a*ieve recov]y f sub/ance use disord]s4 7e7 ,res\rce c5t] ,! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use %all e/abli% a res\rce c5t] to provide te*nical support to recipi5ts ( grants "u ?is section4 7f7 ,au?orization ( appropriations ,!re are au?oriz$ to be appropriat$ to c>ry out ?is section #aj1jjj1jjj = fiscal ye> #bjai & ea* ( ! #d succe$+ fiscal ye>s4 #i4 ,national recov]y resid5ce /&>ds 7a7 ,be/ practices = op]at+ recov]y h\s+ ,! ,secret>y ( ,heal? & ,human ,s]vices1 act+ ?r\gh ! ,director ( ! ,c5t] = ,sub/ance ,abuse ,treatm5t ( ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration-- 7#a7 %all publi% be/ practices = op]at+ recov]y h\s+1 bas$ on-- 7,a7 ! applicable doma9s1 core pr9ciples1 & /&>ds ( ! ,national ,alliance = ,recov]y ,resid5ces2 & 7,b7 input f o!r nationally accr$it$ recov]y h\s+ entities & f /akehold]s2 7#b7 %all dissem9ate su* be/ practices to ea* ,/ate2 7#c7 may provide te*nical assi/ance to ,/ates seek+ to adopt or implem5t su* be/ practices2 7#d7 %all id5tify b>ri]s ) respect to recov]y h\s+1 ,/ate lic5sure1 zon+ re/rictions1 & discrim9ation aga9/ individuals receiv+ m$ication assi/$ treatm5t = ! treatm5t ( opioid abuse2 & 7#e7 %all develop /rategies to address ! b>ri]s id5tifi$ "u p>agraph 7#d74 7b7 ,def9itions ,9 ?is section3 7#a7 ,! t]m recov]y h\s+ means a family-l1 %>$ liv+ environm5t free f alcohol & illicit drug use & c5t]$ on pe] support & connection to s]vices t promote su/a9$ recov]y f sub/ance use disord]s4 7#b7 ,! t]m ,/ate includes any ( ! sev]al ,/ates1 ! ,di/rict ( ,columbia1 & any t]ritory or possession ( ! ,unit$ ,/ates4 #aj4 ,improv+ treatm5t = pregnant & po/p>tum wom5 ,section #ejh7s7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#a7s77 is am5d$ 9 ! fir/ s5t5ce by ins]t+ be=e ! p]iod ! foll[+3 1 & #ajj1jjj1jjj = ea* ( fiscal ye>s #bjai ?r\gh #bjbc4 #aa4 ,vet]ans treatm5t c\rts ,section #biia7o77#c7 ( title ,i ( ! ,omnibus ,crime ,control & ,safe ,/reets ,act ( #aifh 7#cd ,u4,s4,c4 #ajfea7o77#c77 is am5d$-- 7#a7 by /rik+ ,limitation & ins]t+ ,vet]ans2 7#b7 by /rik+ ,n m ?an & ins]t+ ! foll[+3 7,a7 ,limitation ,n m ?an 2 7#c7 9 subp>agraph 7,a71 z s designat$1 by /rik+ ?is section & ins]t+ p>agraph 7#a72 & 7#d7 by add+ at ! end ! foll[+3 7,b7 ,additional fund+ ,9 addition to ! am\nts au?oriz$ "u p>agraph 7#a71 !re are au?oriz$ to be appropriat$ to ! ,dep>tm5t ( ,ju/ice to c>ry out subsection 7i7 #bj1jjj1jjj = ea* ( fiscal ye>s #bjai ?r\gh #bjbc4 4 #ab4 ,infant plan ( safe c>e ,section #aab ( ! ,*ild ,abuse ,prev5tion & ,treatm5t ,act 7#db ,u4,s4,c4 #eajf;h7 is am5d$ by add+ at ! end ! foll[+3 7c7 ,infant plan ( safe c>e ,9 addition to am\nts o!rwise appropriat$ to c>ry out ?is title1 !re is au?oriz$ to be appropriat$ #fj1jjj1jjj = ea* ( fiscal ye>s #bjai ?r\gh #bjbc1 to provide funds = ,/ates to collaboratively develop policies & proc$ures conc]n+ implem5t+ & develop+ sy/ems to monitor plans ( safe c>e "u section #ajf7;b77#b77;,b77iii74 4 #ac4 ,require ! use ( prescription drug monitor+ programs 7a7 ,def9itions ,9 ?is section3 7#a7 ,controll$ sub/ance ,! t]m controll$ sub/ance has ! mean+ giv5 ! t]m 9 section #ajb ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hjb74 7#b7 ,cov]$ ,/ate ,! t]m cov]$ ,/ate means a ,/ate t receives fund+ "u ! ,h>old ,rog]s ,prescription ,drug ,monitor+ ,program e/abli%$ "u ! ,dep>tm5ts ( ,comm]ce1 ,ju/ice1 & ,/ate1 ! ,judici>y1 & ,relat$ ,ag5cies ,appropriations ,act1 #bjjb 7,public ,law #ajg-gg2 #aae ,/at4 #gdh71 "u ?is ,act 7or an am5dm5t made by ?is ,act71 or "u ! controll$ sub/ance monitor+ program "u section #cii,o ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bhj;g-#c74 7#c7 ,disp5s] ,! t]m disp5s]-- 7,a7 means a p]son lic5s$ or o!rwise au?oriz$ by a ,/ate to deliv] a prescription drug product to a pati5t or an ag5t ( ! pati5t2 & 7,b7 does n include a p]son involv$ 9 ov]sight or paym5t = prescription drugs4 7#d7 ,,pdmp ,! t]m ,,pdmp means a prescription drug monitor+ program4 7#e7 ,practition] ,! t]m practition] means a practition] regi/]$ "u section #cjc7;f7 ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hbc7;f77 to prescribe1 adm9i/]1 or disp5se controll$ sub/ances4 7#f7 ,/ate ,! t]m ,/ate means ea* ( ! sev]al ,/ates & ! ,di/rict ( ,columbia4 7b7 ,9 g5]al ,beg9n+ #a ye> aft] ! date ( enactm5t ( ?is ,act1 ea* cov]$ ,/ate %all require-- 7#a7 ea* prescrib+ practition] )9 ! cov]$ ,/ate or _! designee1 :o %all be lic5s$ or regi/]$ heal?c>e pr(essionals or o!r employees :o report directly to ! practition]1 to consult ! ,,pdmp ( ! cov]$ ,/ate be=e initiat+ treatm5t ) a prescription = a controll$ sub/ance li/$ 9 s*$ule ,,ii1 ,,iii1 or ,,iv ( section #bjb7;c7 ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hab7;c771 & e #c mon?s !reaft] z long z ! treatm5t cont9ues2 7#b7 ! ,,pdmp ( ! cov]$ ,/ate to provide proactive notification to a practition] :5 patt]ns indicative ( controll$ sub/ance misuse1 includ+ opioid misuse1 are detect$2 7#c7 ea* disp5s] )9 ! cov]$ ,/ate to report ea* prescription = a controll$ sub/ance disp5s$ by ! disp5s] to ! ,,pdmp n lat] ?an #bd h\rs aft] ! controll$ sub/ance is disp5s$ to ! pati5t2 7#d7 t ! ,,pdmp make available a qu>t]ly de-id5tifi$ data set & an annual report = public & private use1 includ+ use by heal?c>e provid]s1 heal? plans & heal? b5efits adm9i/rators1 ,/ate ag5cies1 & rese>*]s1 :i* %all1 at a m9imum1 meet requirem5ts e/abli%$ by ! ,attorney ,g5]al1 9 coord9ation ) ! ,secret>y ( ,heal? & ,human ,s]vices2 7#e7 ea* ,/ate ag5cy t adm9i/]s ! ,,pdmp to-- 7,a7 proactively analyze data available ?r\gh ! ,,pdmp2 & 7,b7 provide reports to law en=cem5t ag5cies & prescrib] lic5s+ bo>ds describ+ any prescrib+ practition] t repeat$ly fall outside ( expect$ norms or /&>d practices = ! prescrib+ practition]'s field2 & 7#f7 t ! data conta9$ 9 ! ,,pdmp ( ! cov]$ ,/ate be made available to o!r ,/ates4 7c7 ,noncompliance ,if a cov]$ ,/ate fails to comply ) subsection 7a71 ! ,attorney ,g5]al or ! ,secret>y ( ,heal? & ,human ,s]vices may )hold grant funds f be+ aw>d$ to ! cov]$ ,/ate "u ! ,h>old ,rog]s ,prescription ,drug ,monitor+ ,program e/abli%$ "u ! ,dep>tm5ts ( ,comm]ce1 ,ju/ice1 & ,/ate1 ! ,judici>y1 & ,relat$ ,ag5cies ,appropriations ,act1 #bjjb 7,public ,law #ajg-gg2 #aae ,/at4 #gdh71 "u ?is ,act 7or an am5dm5t made by ?is ,act71 or "u ! controll$ sub/ance monitor+ program "u section #cii,o ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bhj;g-#c74 #ad4 ,increas+ civil & crim9al p5alties = opioid manufactur]s ,section #djb7;c7 ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hdb7;c77 is am5d$-- 7#a7 9 p>agraph 7#a77;,b71 by /rik+ %all n exce$ #aj1jjj4 & ins]t+ ! foll[+3 8%all n exce$-- 7i7 except z provid$ 9 clause 7ii71 #aj1jjj2 & 7ii7 if ! violation is committ$ by a manufactur] ( opioids & relates to ! report+ ( suspici\s ord]s = opioids or fail+ to ma9ta9 effective controls aga9/ div]sion ( opioids1 #ajj1jjj4 2 & 7#b7 9 p>agraph 7#b7-- 7,a7 9 subp>agraph 7,a71 by ins]t+ or 7,d7 aft] subp>agraph 7,b72 & 7,b7 by add+ at ! end ! foll[+3 7,d7 ,9 ! case ( a violation ref]r$ to 9 subp>agraph 7,a7 t 0 a violation ( p>agraph 7#e7 or 7#aj7 ( subsection 7a7 committ$ by a manufactur] ( opioids t relates to ! report+ ( suspici\s ord]s = opioids or fail+ to ma9ta9 effective controls aga9/ div]sion ( opioids1 ! crim9al f9e "u title #ah1 ,unit$ ,/ates ,code1 %all n exce$ #ejj1jjj4 4