,,ii  #aae? ,,congress  #b;d ,session   
,s4 #beaf  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,m>* #g1 #bjah,mr4     
,book] 7= himself1 ,mrs4 ,capito1 ,mr4  
,b5net1 & ,mr4 ,g>dn]7 introduc$ !      
foll[+ bill2 :i* 0 read twice & ref]r$  
to ! ,committee on ,heal?1 ,education1  
,labor1 & ,p5sions  ,a ,,bill  ,to      
direct ! ,secret>y ( ,heal? & ,human    
,s]vices to conduct a demon/ration      
program to te/ alt]native pa9 managem5t 
protocols to limit ! use ( opioids 9    
em]g5cy dep>tm5ts4  #a4 ,%ort title ,?is
 ,act may be cit$ z ! ,alt]natives to   
,opioids 7,,alto7 9 ! ,em]g5cy ,dep>tm5t
 ,act4  #b4 ,f9d+s ,! ,congress f9ds z  
foll[s3  7#a7 ,opioids contribut$ to !  
dea?s ( m ?an #db1jjj p 9 #bjaf1 m ?an  
any ye> on (ficial record4 ,=ty p]c5t ( 
all opioid ov]dose dea?s involve a      
prescription opioid4  7#b7 ,! economic  
burd5 ( prescription opioid misuse 9 !  
,unit$ ,/ates is e/imat$ to be          
#gh1ejj1jjj1jjj p] ye>4 ,?is includes   
co/s /emm+ f heal? c>e1 includ+         

addiction treatm5t1 lo/ productivity1 & 
crim9al ju/ice involvem5t4  7#c7 ,ov]   
#bjj million opioid prescriptions are   
writt5 9 ! ,unit$ ,/ates ea* ye>1 &     
#b1jjj1jjj ,am]icans h ! symptoms (     
sub/ance use disord]4  7#d7             
,approximately #ba to #bi p]c5t (       
pati5ts prescrib$ opioids = *ronic pa9  
misuse !m4  7#e7 ,em]g5cy dep>tm5ts 9   
sev]al ,/ates1 includ+ 9 ,new ,j]sey &  
,colorado1 h develop$ innovative        
programs to m widely utilize non-opioid 
pa9 treatm5ts to r$uce ! use ( opioids4 
#c4 ,em]g5cy dep>tm5t alt]natives to    
opioids demon/ration program  7a7       
,demon/ration program grants ,!         
,secret>y ( ,heal? & ,human ,s]vices    
act+ ?r\gh ! ,assi/ant ,secret>y =      
,m5tal ,heal? & ,sub/ance ,use 79 ?is   
section ref]r$ to z ! ,secret>y7 %all   
c>ry out a #c-ye> demon/ration program  
"u :i* ! ,secret>y %all aw>d grants to  
eligible hospitals & em]g5cy dep>tm5ts1 
includ+ free/&+ em]g5cy dep>tm5ts1 to   
develop1 implem5t1 enhance1 or /udy     

alt]native pa9 managem5t protocols &    
treatm5ts t promote ! appropriate limit$
 use ( opioids 9 em]g5cy dep>tm5ts4  7b7
 ,eligibility ,to be eligible to receive
 a grant "u subsection 7a71 a hospital  
or em]g5cy dep>tm5t %all submit an      
application to ! ,secret>y at su* "t1 9 
su* mann]1 & conta9+ su* in=mation z !  
,secret>y may require4  7c7 ,geographic 
div]sity ,9 aw>d+ grants "u ?is section1
 ! ,secret>y %all seek to ensure        
geographical div]sity among grant       
recipi5ts4  7d7 ,use ( funds ,9 addition
 to ! activities describ$ 9 subsection  
7a71 grants "u ?is section %all be us$  
to--  7#a7 t>get common pa9ful          
conditions1 :i* may include r5al colic1 
sciatica1 heada*es1 musculoskeletal pa91
 & extremity fractures2  7#b7 tra9      
provid]s & o!r hospital p]sonnel on     
protocols & use ( treatm5ts t promote ! 
appropriate limit$ use ( opioids 9 !    
em]g5cy dep>tm5t2  7#c7 collect data1   
includ+ data requir$ = ! report+        
requirem5t e/abli%$ "u subsection 7f72 &

  7#d7 provide alt]natives to opioids to
 pati5ts ) pa9ful conditions1 n includ+ 
pati5ts :o pres5t ) pa9 relat$ to canc]1
 end-(-life symptom palliation1 or      
complex multisy/em trauma4  7e7 ,duties 
( ! secret>y ,! ,secret>y %all (f] to   
ea* recipi5t ( a grant "u subsection 7a7
 te*nical support ?r\gh a process t     
provides =--  7#a7 ! provision (        
in=mation by ! ,secret>y on alt]native  
pa9 managem5t protocols & treatm5ts1 :i*
 may include--  7,a7 non-opioid         
m$ications2  7,b7 protocols & treatm5ts 
t d n involve a m$ication2  7,c7        
alt]native pa9 managem5t protocols &    
treatm5ts t are appropriate to use =    
specific common pa9ful conditions1 su* z
 r5al colic1 back pa91 pa9 f fractures1 
& o!r common pa9ful conditions t pres5t 
to ! em]g5cy dep>tm5t2  7,d7 !          
alt]native pa9 managem5t protocol or    
treatm5ts1 if any1 t are appropriate =  
c]ta9 pati5t populations1 su* z g]iatric
 pati5ts1 pregnant pati5ts1 & p$iatric  
pati5ts2 &  7,e7 any o!r in=mation !    

,secret>y det]m9es necess>y2 &  7#b7 !  
provision ( in=mation by em]g5cy        
dep>tm5ts & provid]s t h successfully   
implem5t$ alt]natives to opioids        
programs 9 ! em]g5cy dep>tm5t1 promot+  
non-opioid protocols & m$ications :ile  
appropriately limit+ ! use ( opioids4   
7f7 ,report to ! secret>y ,ea* recipi5t 
( a grant "u ?is section %all submit to 
! ,secret>y annual evaluations ( !      
progress ( ! program fund$ ?r\gh !      
grant4 ,^! evaluations %all include--   
7#a7 a description ( & specific         
in=mation ab\t ! alt]native pa9         
managem5t protocols & treatm5ts employ$2
  7#b7 data on ! alt]native pa9         
managem5t protocols & treatm5ts employ$1
 includ+-- 7,a7 dur+ a basel9e p]iod    
be=e ! program began1 z def9$ by !      
,secret>y2  7,b7 at v>i\s /ages ( !     
program1 z det]m9$ by ! ,secret>y2  7,c7
 ! conditions = :i* ! alt]native pa9    
managem5t protocols & treatm5ts 7       
employ$2 &  7,d7 data on pati5ts'       
self-report$ pa9 rat+1 us+ a pa9 scale  

model provid$ by ! ,secret>y1 be=e &    
aft] ! alt]native pa9 managem5t protocol
 or treatm5t 0 provid$2  7#c7 data on ! 
opioid prescriptions writt51 includ+--  
7,a7 dur+ a basel9e p]iod be=e ! program
 began1 z def9$ by ! ,secret>y2  7,b7 at
 v>i\s /ages ( ! program1 z det]m9$ by !
 ,secret>y2  7,c7 ! conditions = :i* !  
opioids 7 prescrib$2 &  7,d7 data on    
pati5ts' self-report$ pa9 rat+1 us+ a   
pa9 scale model provid$ by ! ,secret>y1 
be=e & aft] ! opioid prescription 0     
provid$2  7#d7 ! demographic *>act]i/ics
 ( pati5ts :o 7 treat$ ) an alt]native  
pa9 managem5t protocol1 includ+ age1    
sex1 race1 e?nicity1 & insurance /atus &
 type2  7#e7 data on pati5ts :o 7       
ev5tually prescrib$ opioids aft]        
alt]native pa9 managem5t protocols &    
treatm5ts 7 employ$2  7#f7 data on      
pati5ts :o 7 transition$ to inpati5t c>e
 foll[+ treatm5t ) an alt]native pa9    
managem5t protocol & treatm5t2 &  7#g7  
any o!r in=mation ! ,secret>y deems     
necess>y4  7g7 ,report to congress ,n   

lat] ?an #abj days aft] completion ( !  
demon/ration program "u ?is section1 !  
,secret>y %all submit a report to !     
,congress on ! results ( ! demon/ration 
program & include 9 ! report--  7#a7 !  
numb] ( applications receiv$ & ! numb]  
fund$2  7#b7 a summ>y ( ! evaluations   
describ$ 9 subsection 7f71 includ+      
/&>diz$ data2 &  7#c7 recomm5dations =  
broad] implem5tation ( pa9 managem5t    
protocols t limit ! use ( opioids 9     
em]g5cy dep>tm5ts or o!r areas ( ! heal?
 c>e deliv]y sy/em4  7h7 ,au?orization (
 appropriations ,to c>ry out ?is        
section1 !re is au?oriz$ to be          
appropriat$ #aj1jjj1jjj = ea* ( fiscal  
ye>s #bjai ?r\gh #bjba4