,,ii  #aaeth ,,congress  #b;d ,session  
,s4 #bfaj  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,march #bb1    
#bjah,mrs4 ,capito 7for herself and ,mr4
 ,murphy7 introduced the following bill2
 which was read twice and referred to   
the ,committee on ,health1 ,education1  
,labor1 and ,pensions  ,a ,,bill  ,to   
require the ,secretary of ,health and   
,human ,services to provide coordinated 
care to patients who have experienced a 
non-fatal overdose after emergency      
department discharge1 and for other     
purposes4  #a4 ,short title ,this ,act  
may be cited as the ,preventing         
,overdoses ,while in ,emergency         
,departments ,act of #bjah4  #b4        
,program to support emergency department
 discharge and care coordination for    
drug overdose patients  7a7 ,in general 
,the ,secretary of ,health and ,human   
,services shall establish a program     
7referred to in this ,act as the        
,program7 to develop protocols for      
discharging patients who have presented 

with a drug overdose and enhance the    
integration and coordination of care and
 treatment options for individuals with 
substance use disorder after discharge4 
7b7 ,grant establishment and            
participation  7#a7 ,in general ,in     
carrying out the ,program1 the          
,secretary shall award grants on a      
competitive basis to not more than #bj  
eligible health care sites described in 
paragraph 7#b74  7#b7 ,eligible health  
care sites ,to be eligible for a grant  
under this section1 a health care site  
shall-- 7,a7 submit an application to   
the ,secretary at such time1 in such    
manner1 and containing such information 
as specified by the ,secretary2  7,b7   
have an emergency department2  7,c7 7i7 
have a licensed health care professional
 on site who has a waiver under section 
#cjc7;g7 of the ,controlled ,substances 
,act 7#ba ,u4,s4,c4 #hbc7;g77 to        
administer medication-assisted          
treatment2 or  7ii7 have a demonstrable 
plan to hire a full-time licensed health

 care professional who has a waiver     
described in clause 7i7 to administer   
such treatment on site2  7,d7 have in   
place an agreement with a sufficient    
number and range of entities certified  
under applicable ,state and ,federal    
law1 such as pursuant to registration or
 a waiver under section #cjc7;g7 of the 
,controlled ,substances ,act 7#ba       
,u4,s4,c4 #hbc7;g77 or certification as 
described in section #h4b of title #db  
of the ,code of ,federal ,regulations1  
to provide treatment for substance use  
disorder such that1 in combination1 the 
resulting network of entities with an   
agreement with the hospital cumulatively
 are capable of providing services for  
all evidence-based services for the     
treatment of substance use disorder1 as 
medically appropriate for the individual
 involved1 including--  7i7             
medication-assisted treatment2  7ii7    
withdrawal and detoxification services  
that include patient evaluation1        
stabilization1 and readiness for1 and   

entry into1 treatment2 and  7iii7       
counseling2  7,e7 deploy on-site        
recovery coaches to help connect        
patients with treatment and recovery    
support programs2 and  7,f7 include the 
provision of overdose reversal          
medication in discharge protocols for   
opioid overdose patients4  7#c7         
,preference ,in awarding grants under   
this section1 the ,secretary shall give 
preference to eligible health care sites
 that meet either or both of the        
following criteria3  7,a7 ,the site is a
 critical access hospital 7as defined in
 section #ahfa7mm77#a7 of the ,social   
,security ,act 7#db ,u4,s4,c4           
#aciex7mm77#a7771 a low volume hospital 
7as defined in section                  
#ahhf7;d77#ab77;,c77i7 of such ,act 7#db
 ,u4,s4,c4 #acieww7d77#ab77;,c77i7771 or
 a sole community hospital 7as defined  
in section #ahhf7;d77#e77;,d77iii7 of   
such ,act 7#db ,u4,s4,c4                
#acieww7d77#e77;,d77iii7774  7,b7 ,the  
site is located in a geographic area    

with an overdose rate higher than the   
national average1 based on the most     
recent data of the ,centers for ,disease
 ,control and ,prevention4  7#d7        
,medication-assisted treatment defined  
,for purposes of this section1 the term 
medication-assisted treatment means the 
use of medication approved by the ,food 
and ,drug ,administration in combination
 with behavioral health services to     
provide an individualized approach to   
the treatment of substance use          
disorders1 including opioid use         
disorder4  7c7 ,period of grant ,a grant
 awarded to an eligible health care site
 under this section shall be for a      
period of at least #b years4  7d7 ,grant
 uses  7#a7 ,required uses ,a grant     
awarded under this section to an        
eligible health care site shall be used 
for both of the following purposes3     
7,a7 ,to establish policies and         
procedures that address the provision of
 overdose reversal medication1 the      
administration of medication-assisted   

treatment to a non-fatal overdose       
patient in the emergency department1 and
 the subsequent referral to             
evidence-based treatment upon discharge 
for patients who have experienced a     
non-fatal drug overdose4  7,b7 ,to      
develop best practices for treating     
non-fatal drug overdoses1 including with
 respect to care coordination and       
integrated care models for long-term    
treatment and recovery options for      
individuals who have experienced a      
non-fatal drug overdose4  7#b7          
,additional permissible uses ,a grant   
awarded under this section to an        
eligible health care site may be used   
for any of the following purposes3  7,a7
 ,to hire emergency department recovery 
coaches1 counselors1 therapists1 social 
workers1 or other licensed medical      
professionals specializing in the       
treatment of substance use disorder4    
7,b7 ,to establish integrated models of 
care for individuals who have           
experienced a non-fatal drug overdose   

which may include patient assessment1   
followup1 and transportation to         
treatment facilities4  7,c7 ,to provide 
for options for increasing the          
availability and access of              
medication-assisted treatment and other 
evidence-based treatment for individuals
 with substance use disorders4  7e7     
,reporting requirements  7#a7 ,reports  
by grantees ,each eligible health care  
site awarded a grant under this section 
shall submit to the ,secretary an annual
 report for each year for which the site
 has received such grant that includes  
information on--  7,a7 the number of    
individuals treated at the site for     
non-fatal overdoses in the emergency    
department2  7,b7 the number of         
individuals administered                
medication-assisted treatment at the    
site in the emergency department2  7,c7 
the number of individuals referred by   
the site to other treatment facilities  
after a non-fatal overdose1 the types of
 such other facilities1 and the number  

of such individuals admitted to such    
other facilities pursuant to such       
referrals2  7,d7 the frequency and      
number of patient readmissions for      
non-fatal overdoses and substance abuse 
disorder2  7,e7 how the grant funding   
was used2 and  7,f7 the effectiveness   
of1 and any other relevant additional   
data regarding1 having an onsite health 
care professional to administer and     
begin medication-assisted treatment for 
substance use disorders4  7#b7 ,report  
by ,secretary ,not less than one year   
after the conclusion of the ,program1   
the ,secretary shall submit to ,congress
 a report that includes--  7,a7 findings
 of the ,program2  7,b7 overall patient 
outcomes under the ,program1 such as    
with respect to hospital readmission2   
7,c7 what percentage of patients treated
 by a site receiving a grant under this 
section were readmitted to a hospital   
for non-fatal or fatal overdose2 and    
7,d7 a compilation of voluntary         
guidelines and best practices from the  

reports submitted under paragraph 7#a74 
7f7 ,authorization of appropriations    
,there is authorized to be appropriated 
to carry out this ,act #ej1jjj1jjj for  
the period of fiscal years #bjai through
 #bjbc4