,,ii  #aae? ,,congress  #b;d ,session   
,s4 #bfhj  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,april #af1 #bjah ,mr4 
,alex&] 7= himself & ,mrs4 ,murray7     
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,heal?1 ,education1 ,labor1 & ,p5sions  
,a ,,bill  ,to address ! opioid crisis4 
#a4 ,%ort title2 table ( cont5ts  7a7   
,%ort title  ,?is ,act may be cit$ z !  
,opioid ,crisis ,response ,act ( #bjah4 
7b7 ,table ( cont5ts ,! table ( cont5ts 
( ?is ,act is z foll[s3 ,sec4 #a4 ,%ort 
title2 table ( cont5ts4 ,,title         
,i--,reau?orization ( ,cures fund+ ,sec4
 #aja4 ,/ate response to ! opioid abuse 
crisis4 ,,title ,,ii--,rese>* &         
innovation ,sec4 #bja4 ,advanc+         
cutt+-edge rese>*4 ,sec4 #bjb4 ,pa9     
rese>*4 ,,title ,,iii--,m$ical ,products
 & ,controll$ ,sub/ances ,safety ,sec4  
#cja4 ,cl>ify+ ,,fda regulation (       
non-addictive pa9 products4 ,sec4 #cjb4 
,cl>ify+ ,,fda packag+ au?orities4 ,sec4
 #cjc4 ,/r5g!n+ ,,fda & ,,cbp           

coord9ation & capacity4 ,sec4 #cjd4     
,cl>ify+ ,,fda po/-m>ket au?orities4    
,sec4 #cje4 ,fir/ respond] tra9+4 ,sec4 
#cjf4 ,disposal ( controll$ sub/ances ( 
a deceas$ hospice pati5t by employees ( 
a hospice program4 ,sec4 #cjg4 ,,gao    
/udy & report on hospice safe drug      
managem5t4 ,sec4 #cjh4 ,deliv]y ( a     
controll$ sub/ance by a ph>macy to be   
adm9i/]$ by injection1 implantation1 or 
intra!cal pump4 ,,title ,,iv--,treatm5t 
& recov]y ,sec4 #dja4 ,compreh5sive     
opioid recov]y c5t]s4 ,sec4 #djb4       
,program to support coord9ation &       
cont9uation ( c>e = drug ov]dose        
pati5ts4 ,sec4 #djc4 ,alt]natives to    
opioids4 ,sec4 #djd4 ,pe] support       
te*nical assi/ance4 ,sec4 #dje4         
,m$ication-assi/$ treatm5t = recov]y f  
addiction4 ,sec4 #djf4 ,national recov]y
 h\s+ be/ practices4 ,sec4 #djg4        
,address+ economic & work=ce impacts ( !
 opioid crisis4 ,sec4 #djh4 ,y\?        
prev5tion & recov]y4 ,sec4 #dji4 ,plans 
( safe c>e4 ,sec4 #daj4 ,regulations    

relat+ to special regi/ration =         
telem$ic9e4 ,sec4 #daa4 ,national ,heal?
 ,s]vice ,corps behavioral & m5tal heal?
 pr(essionals provid+ obligat$ s]vice 9 
s*ools & o!r community-bas$ sett+s4     
,sec4 #dab4 ,loan repaym5t = sub/ance   
use disord] treatm5t provid]s4 ,sec4    
#dac4 ,improv+ treatm5t = pregnant &    
po/p>tum wom54 ,sec4 #dad4 ,e>ly        
int]v5tions = pregnant wom5 & infants4  
,,title ,v--,prev5tion ,sec4 #eja4 ,/udy
 on prescrib+ limits4 ,sec4 #ejb4       
,programs = heal? c>e work=ce4 ,sec4    
#ejc4 ,education & aw>5ess campaigns4   
,sec4 #ejd4 ,enhanc$ controll$ sub/ance 
ov]doses data collection1 analysis1 &   
dissem9ation4 ,sec4 #eje4 ,prev5t+      
ov]doses ( controll$ sub/ances4 ,sec4   
#ejf4 ,,cdc surveillance & data         
collection = *ild1 y\?1 & adult trauma4 
,sec4 #ejg4 ,reau?orization ( ,,nasp]4  
,sec4 #ejh4 ,jessie's ,law4 ,sec4 #eji4 
,developm5t & dissem9ation ( model tra9+
 programs = sub/ance use disord] pati5t 
records4 ,sec4 #eaj4 ,communication )   

families dur+ em]g5cies4 ,sec4 #eaa4    
,pr5atal & po/natal heal?4 ,sec4 #eab4  
,surveillance & education reg>d+        
infections associat$ ) injection drug   
use & o!r risk factors4 ,sec4 #eac4     
,task =ce to develop be/ practices =    
trauma-in=m$ id5tification1 ref]ral1 &  
support4 ,sec4 #ead4 ,grants to improve 
trauma support s]vices & m5tal heal? c>e
 = *ildr5 & y\? 9 educational sett+s4   
,sec4 #eae4 ,national ,*ild ,traumatic  
,/ress ,initiative4  ,i ,reau?orization 
( ,cures fund+  #aja4 ,/ate response to 
! opioid abuse crisis  7a7 ,9 g5]al     
,section #ajjc ( ! #ba/ ,c5tury ,cures  
,act 7,public ,law #aad-bee7 is am5d$-- 
7#a7 9 subsection 7a7-- 7,a7 by /rik+ ! 
au?orization ( appropriations "u        
subsection 7b7 to c>ry out ! grant      
program describ$ 9 subsection 7c7 &     
ins]t+ subsection 7h7 to c>ry out !     
grant program describ$ 9 subsection 7b72
 &  7,b7 by ins]t+ aft] & ,indian tribes
 aft] ,/ates2  7#b7 by /rik+ subsection 
7b72  7#c7 by r$esignat+ subsections 7c7

 ?r\gh 7e7 z subsections 7b7 ?r\gh 7d71 
respectively2  7#d7 by r$esignat+       
subsection 7f7 z subsection 7j72  7#e7 9
 subsection 7b71 z s r$esignat$-- 7,a7 9
 p>agraph 7#a7--  7i7 9 ! p>agraph      
head+1 by ins]t+ & ,indian tribe aft]   
,/ate2  7ii7 by /rik+ ,/ates = ! purpose
 ( address+ ! opioid abuse crisis )9 su*
 ,/ates & ins]t+ ,/ates & ,indian tribes
 = ! purpose ( address+ ! opioid abuse  
crisis )9 su* ,/ates & ,indian tribes2  
7iii7 by ins]t+ or ,indian tribes aft]  
pref]5ce to ,/ates2 &  7iv7 by ins]t+   
be=e ! p]iod ( ! second s5t5ce or o!r   
,indian tribes1 z applicable2 &  7,b7 9 
p>agraph 7#b7-- 7i7 9 ! matt] prec$+    
subp>agraph 7,a71 by /rik+ to a ,/ate2  
7ii7 9 subp>agraph 7,a71 by /rik+ ,/ate2
  7iii7 9 subp>agraph 7,c71 by ins]t+   
prev5t+ div]sion ( controll$ sub/ances1 
aft] treatm5t programs12 &  7iv7 9      
subp>agraph 7,e71 by /rik+ z ! ,/ate    
det]m9es appropriate1 relat$ to address+
 ! opioid abuse crisis )9 ! ,/ate &     
ins]t+ z ! ,/ate or ,indian tribe       

det]m9es appropriate1 relat$ to address+
 ! opioid abuse crisis )9 ! ,/ate1      
includ+ direct+ res\rces 9 accordance ) 
local ne$s relat$ to sub/ance use       
disord]s2  7#f7 9 subsection 7c71 z s   
r$esignat$1 by /rik+ subsection 7c7 &   
ins]t+ subsection 7b72  7#g7 9          
subsection 7d71 z s r$esignat$--  7,a7 9
 ! matt] prec$+ p>agraph 7#a71 by /rik+ 
! au?orization ( appropriations "u      
subsection 7b7 & ins]t+ subsection 7h72 
&  7,b7 9 p>agraph 7#a71 by /rik+       
subsection 7c7 & ins]t+ subsection 7b72 
&  7#h7 by ins]t+ aft] subsection 7d71 z
 s r$esignat$1 ! foll[+3  7e7 ,indian   
tribes  7#a7 ,def9ition ,= purposes (   
?is section1 ! t]m ,indian tribe has !  
mean+ giv5 su* t]m 9 section #d ( !     
,indian ,self-,det]m9ation & ,education 
,assi/ance ,act 7#be ,u4,s4,c4 #ecjd74  
7#b7 ,appropriate me*anisms ,!          
,secret>y1 9 consultation ) ,indian     
tribes1 %all id5tify & e/abli%          
appropriate me*anisms = tribes to       
demon/rate or report ! in=mation z      

requir$ "u subsections 7b71 7c71 & 7d74 
7f7 ,report to ,congress ,n lat] ?an #a 
ye> aft] ! date on :i* am\nts are fir/  
aw>d$1 aft] ! date ( enactm5t ( !       
,opioid ,crisis ,response ,act ( #bjah1 
pursuant to subsection 7b71 & annually  
!reaft]1 ! ,secret>y %all submit to !   
,committee on ,heal?1 ,education1       
,labor1 & ,p5sions ( ! ,s5ate & !       
,committee on ,en]gy & ,comm]ce ( !     
,h\se ( ,repres5tatives a report        
summ>iz+ ! in=mation provid$ to !       
,secret>y 9 reports made pursuant to    
subsection 7c71 includ+ ! purposes = :i*
 grant funds are aw>d$ "u ?is section & 
! activities ( su* grant recipi5ts4  7g7
 ,te*nical ,assi/ance ,! ,secret>y1     
includ+ ?r\gh ! ,tribal ,tra9+ &        
,te*nical ,assi/ance ,c5t] ( ! ,sub/ance
 ,abuse & ,m5tal ,heal? ,s]vices        
,adm9i/ration1 %all provide ,/ate       
ag5cies & ,indian tribes1 z applicable1 
) te*nical assi/ance conc]n+ grant      
application & submission proc$ures "u   
?is section1 aw>d managem5t activities1 

& enhanc+ outrea* & direct support to   
rural & und]s]v$ communities & provid]s 
9 address+ ! opioid crisis4  7h7        
,au?orization ( appropriations ,=       
purposes ( c>ry+ out ! grant program "u 
subsection 7b71 !re are au?oriz$ to be  
appropriat$ #ejj1jjj1jjj = ea* ( fiscal 
ye>s #bjai ?r\gh #bjba1 to rema9        
available until exp5d$4  7i7 ,set aside 
,( ! am\nts made available = ea* fiscal 
ye> to aw>d grants "u subsection 7b7 = a
 fiscal ye>1 #e p]c5t ( su* am\nt = su* 
fiscal ye> %all be made available to    
,indian tribes1 & up to #ae p]c5t ( su* 
am\nt = su* fiscal ye> may be set aside 
= ,/ates ) ! highe/ age-adju/$ mortality
 rate associat$ ) opioid use disord]s   
bas$ on ! ord9al rank+ ( ,/ates accord+ 
to ! age-adju/$ ov]dose mortality rates 
( ! ,c5t]s = ,disease ,control &        
,prev5tion4  4  7b7 ,previ\sly          
appropriat$ am\nts  7#a7 ,appropriation 
( am\nts rema9+ 9 ,acc\nt ,any          
unobligat$ am\nts rema9+1 on ! date (   
enactm5t ( ?is ,act1 9 ! ,acc\nt ,= !   

,/ate ,response to ! ,opioid ,abuse     
,crisis e/abli%$ "u section #ajjc7;b7 ( 
! #ba/ ,c5tury ,cures ,act 7,public ,law
 #aad-bee7 7z 9 effect on ! day be=e !  
date ( enactm5t ( ?is ,act7 are h]eby   
appropriat$ to ! ,secret>y ( ,heal? &   
,human ,s]vices = purposes ( c>ry+ out !
 grant program "u subsection 7b7 (      
section #ajjc ( ! #ba/ ,c5tury ,cures   
,act 7,public ,law #aad-bee7 7z         
r$esignat$ by subsection 7a77#c7 ( ?is  
section74  7#b7 ,available until exp5d$ 
,am\nts appropriat$ "u p>agraph 7#a7 (  
?is subsection or section #ajjc7;b77#c7 
( ! #ba/ ,c5tury ,cures ,act 7z 9 effect
 on ! day be=e ! date ( enactm5t ( ?is  
,act7 %all rema9 available until exp5d$4
  7c7 ,con=m+ am5dm5t ,section #ajjd7;c7
 ( ! #ba/ ,c5tury ,cures ,act 7,public  
,law #aad-bee7 is am5d$ by /rik+ 1 !    
,,fda ,innovation ,acc\nt1 or ! ,acc\nt 
,= ! ,/ate ,response to ! ,opioid ,abuse
 ,crisis & ins]t+ or ! ,,fda ,innovation
 ,acc\nt4  ,,ii ,rese>* & innovation    
#bja4 ,advanc+ cutt+-edge rese>*        

,section #djb7n77#a7 ( ! ,public ,heal? 
,s]vice ,act 7#db ,u4,s4,c4 #bhb7n77#a77
 is am5d$--  7#a7 9 subp>agraph 7,a71 by
 /rik+ or2  7#b7 9 subp>agraph 7,b71 by 
/rik+ ! p]iod & ins]t+ 2 or2 &  7#c7 by 
add+ at ! end ! foll[+3  7,c7 high      
impact cutt+-edge rese>* t fo/]s        
sci5tific creativity & increases        
fundam5tal biological und]/&+ lead+ to !
 prev5tion1 diagnosis1 or treatm5t (    
diseases & disord]s1 or rese>* urg5tly  
requir$ to respond to a public heal?    
?reat4  4  #bjb4 ,pa9 rese>* ,section   
#dji;,j7b7 ( ! ,public ,heal? ,s]vice   
,act 7#db ,u4,s4,c4 #bhdq7b77 is am5d$--
 7#a7 9 p>agraph 7#e7--  7,a7 9         
subp>agraph 7,a71 by /rik+ & treatm5t ( 
pa9 & diseases & disord]s associat$ )   
pa9 & ins]t+ treatm5t1 & managem5t ( pa9
 & diseases & disord]s associat$ ) pa91 
includ+ in=mation on be/ practices =    
utilization ( non-ph>macologic          
treatm5ts1 non-addictive m$ical         
products1 & o!r drugs approv$1 or       
devices approv$ or cle>$1 by ! ,food &  

,drug ,adm9i/ration2  7,b7 9 subp>agraph
 7,b71 by /rik+ on ! symptoms & causes (
 pa92 & ins]t+ ! foll[+3 8on--  7i7 !   
symptoms & causes ( pa92  7ii7 !        
diagnosis1 prev5tion1 treatm5t1 &       
managem5t ( pa92 &  7iii7 risk factors  
=1 & e>ly w>n+ signs (1 sub/ance use    
disord]s2 &  2  7,c7 by /rik+           
subp>agraphs 7,c7 ?r\gh 7,e7 & ins]t+ ! 
foll[+3  7,c7 make recomm5dations to !  
,director ( ,,nih--  7i7 to ensure t !  
activities ( ! ,national ,in/itutes (   
,heal? & o!r ,f$]al ag5cies are free (  
unnecess>y duplication ( ef=t2  7ii7 on 
h[ be/ to dissem9ate in=mation on pa9   
c>e2 &  7iii7 on h[ to exp& p>tn]%ips   
betwe5 public entities & private        
entities to exp& collaborative1         
cross-cutt+ rese>*4  2  7#b7 by         
r$esignat+ p>agraph 7#f7 z p>agraph     
7#g72 &  7#c7 by ins]t+ aft] p>agraph   
7#e7 ! foll[+3  7#f7 ,report ,!         
,director ( ,,nih %all ensure t         
recomm5dations & actions tak5 by !      
,director ) respect to ! topics discuss$

 at ! meet+s describ$ 9 p>agraph 7#d7   
are includ$ 9 appropriate reports to    
,congress4  4  ,,iii ,m$ical ,products &
 ,controll$ ,sub/ances ,safety  #cja4   
,cl>ify+ ,,fda regulation (             
non-addictive pa9 products  7a7 ,public 
,meet+s ,n lat] ?an #a ye> aft] ! date (
 enactm5t ( ?is ,act1 ! ,secret>y (     
,heal? & ,human ,s]vices 7ref]r$ to 9   
?is section z ! ,secret>y71 act+ ?r\gh !
 ,commission] ( ,food & ,drugs1 %all    
hold n less ?an "o public meet+ to      
address ! *all5ges & b>ri]s ( develop+  
non-addictive m$ical products int5d$ to 
treat pa9 or addiction1 :i* may         
include--  7#a7 ! mann] by :i* !        
,secret>y may incorporate ! risks (     
misuse & abuse ( a controll$ sub/ance 7z
 def9$ 9 section #ajb ( ! ,controll$    
,sub/ances ,act 7#ba ,u4,s4,c4 #hjb7    
into ! risk b5efit assessm5t "u section 
#eje7;e7 ( ! ,f$]al ,food1 ,drug1 &     
,cosmetic ,act 7#ba ,u4,s4,c4 #cee7;e771
 section #eaj7k7 ( su* ,act 7#ba        
,u4,s4,c4 #cfj7k771 or section #eae7;c7 

( su* ,act 7#ba ,u4,s4,c4 #cfj;e7c771 z 
applicable2  7#b7 ! application ( novel 
cl9ical trial designs 7consi/5t )       
section #cjba ( ! #ba/ ,c5tury ,cures   
,act 7,public ,law #aad-bee771 use (    
real _w evid5ce 7consi/5t ) section     
#eje;,f ( ! ,f$]al ,food1 ,drug1 &      
,cosmetic ,act 7#ba ,u4,s4,c4 #cee;g771 
& use ( pati5t exp]i5ce data 7consi/5t )
 section #efi;,c ( ! ,f$]al ,food1      
,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4  
#cfj;bbb-#h;c77 = ! developm5t (        
non-addictive m$ical products int5d$ to 
treat pa9 or addiction2  7#c7 !         
evid5ti>y /&>ds & ! developm5t ( opioid 
sp>+ data = inclusion 9 ! label+ (      
m$ical products2 &  7#d7 ! application (
 eligibility crit]ia "u sections #ejf & 
#eae;,b ( ! ,f$]al ,food1 ,drug1 &      
,cosmetic ,act 7#ba ,u4,s4,c4 #cef1     
#cfj;e-#c7 = non-addictive m$ical       
products int5d$ to treat pa9 or         
addiction4  7b7 ,guidance ,n less ?an "o
 ye> aft] ! public meet+s are conduct$  
"u subsection 7a7 ! ,secret>y %all issue

 "o or m f9al guidance docum5ts1 or     
update exi/+ guidance docum5ts1 to help 
address *all5ges to develop+            
non-addictive m$ical products to treat  
pa9 or addiction4 ,su* guidance docum5ts
 %all include in=mation reg>d+--  7#a7  
h[ ! ,food & ,drug ,adm9i/ration may    
apply sections #ejf & #eae;,b ( ! ,f$]al
 ,food1 ,drug1 & ,cosmetic ,act 7#ba    
,u4,s4,c4 #cef1 #cfj;e-#c7 to           
non-addictive m$ical products int5d$ to 
treat pa9 or addiction1 includ+ !       
circum/ances "u :i* ! ,secret>y--  7,a7 
may apply ! eligibility crit]ia "u su*  
sections #ejf & #eae;,b to non-opioid or
 non-addictive m$ical products int5d$ to
 treat pa9 or addiction2  7,b7 consid]s 
! risk ( addiction ( controll$ sub/ances
 approv$ to treat pa9 :5 e/abli%+ unmet 
m$ical ne$2 &  7,c7 consid]s pa91 pa9   
control1 or pa9 managem5t 9 assess+ :e!r
 a disease or condition is a s]i\s or   
life-?reat5+ disease or condition2  7#b7
 ! me?ods by :i* sponsors may evaluate  
acute & *ronic pa91 endpo9ts =          

non-addictive m$ical products int5d$ to 
treat pa91 ! mann] 9 :i* endpo9ts &     
evaluations ( efficacy w be appli$      
across & )9 review divisions1 tak+ into 
consid]ation ! etiology ( ! und]ly+     
disease1 & ! mann] 9 :i* sponsors may   
use surrogate endpo9ts1 int]m$iate      
endpo9ts1 & real _w evid5ce2  7#c7 !    
mann] 9 :i* ! ,food & ,drug             
,adm9i/ration w assess evid5ce to       
support ! inclusion ( opioid sp>+ data 9
 ! label+ ( non-addictive m$ical        
products int5d$ to treat pa91 includ+-- 
7,a7 data collection me?odologies1      
includ+ ! use ( novel cl9ical trial     
designs 7consi/5t ) section #cjba ( !   
#ba/ ,c5tury ,cures ,act 7,public ,law  
#aad-bee771 & real _w evid5ce 7consi/5t 
) section #eje;,f ( ! ,f$]al ,food1     
,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4  
#cee;g771 z appropriate1 to support     
product label+2  7,b7 e?ical            
consid]ations ( exposur+ subjects to    
controll$ sub/ances 9 cl9ical trials to 
develop opioid sp>+ data & consid]ations

 on data collection me?ods t r$uce h>m1 
:i* may include ! r$uction ( opioid use 
z a cl9ical b5efit2  7,c7 endpo9ts1     
includ+ prim>y1 second>y1 & surrogate   
endpo9ts1 to evaluate ! r$uction (      
opioid use2  7,d7 be/ practices =       
communication betwe5 sponsors & ! ag5cy 
on ! developm5t ( data collection       
me?ods1 includ+ ! initiation ( data     
collection2 &  7,e7 ! appropriate =mat  
to submit su* data results to !         
,secret>y2 &  7#d7 ! circum/ances "u :i*
 ! ,food & ,drug ,adm9i/ration consid]s 
misuse & abuse ( drugs 9 mak+           
det]m9ations ( safety "u p>agraphs 7#b7 
& 7#d7 ( subsection 7d7 ( section #eje (
 ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act
 7#ba ,u4,s4,c4 #cee7 & 9 f9d+ t a drug 
is unsafe "u p>agraph 7#a7 or 7#b7 (    
subsection 7e7 ( su* section4  7c7      
,def9itions ,9 ?is section-- 7#a7 ! t]m 
m$ical product means a drug 7z def9$ 9  
section #bja7;g77#a7 ( ! ,f$]al ,food1  
,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4  
#cba7;g77#a7771 biological product 7z   

def9$ 9 section #cea7;i7 ( ! ,public    
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#bfb7;i7771 or device 7z def9$ 9 section
 #bja7;h7 ( ! ,f$]al ,food1 ,drug1 &    
,cosmetic ,act 7#ba ,u4,s4,c4           
#cba7;h7772 &  7#b7 ! t]m opioid sp>+   
means r$uc+1 replac+1 or avoid+ ! use ( 
opioids or o!r controll$ sub/ances4     
#cjb4 ,cl>ify+ ,,fda packag+ au?orities 
,section #eje-a7;e7 ( ! ,f$]al ,food1   
,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4  
#cee-a7;e77 is am5d$ by add+ at ! end ! 
foll[+3  7#d7 ,s]i\s adv]se drug        
exp]i5ce ,! ,secret>y may require a risk
 evaluation mitigation /rategy = a drug 
= :i* !re is a s]i\s risk ( an adv]se   
drug exp]i5ce describ$ 9 subp>agraph    
7,b7 or 7,c7 ( subsection 7b77#a71 tak+ 
into consid]ation ! factors describ$ 9  
subp>agraphs 7,c7 & 7,d7 ( subsection   
7f77#b71 :i* may include requir+ t--    
7,a7 ! drug be made available = disp5s+ 
to c]ta9 pati5ts 9 unit dose packag+1   
packag+ t provides a set duration1 or   
o!r packag+ sy/em t ! ,secret>y det]m9es

 may help mitigate su* s]i\s risk2 or   
7,b7 ! drug be disp5s$ to c]ta9 pati5ts 
) a safe disposal packag+ or safe       
disposal sy/em = purposes ( r5d]+ unus$ 
drugs non-retrievable 7z def9$ 9 section
 #acjj4je ( title #ba1 ,code ( ,f$]al   
,regulations 7or any successor          
regulation77 if ! ,secret>y has det]m9es
 t su* safe disposal packag+ or sy/em   
may help mitigate su* s]i\s risk & exi/s
 9 suffici5t quantities1 9 consultation 
) o!r relevant ,f$]al ag5cies )         
au?orities ov] drug packag+4  4  #cjc4  
,/r5g!n+ ,,fda & ,,cbp coord9ation &    
capacity  7a7 ,9 g5]al ,! ,secret>y (   
,heal? & ,human ,s]vices 7ref]r$ to 9   
?is section z ! ,secret>y71 act+ ?r\gh !
 ,commission] ( ,food & ,drugs1 %all    
coord9ate ) ! ,secret>y ( ,homel&       
,security to c>ry out activities relat$ 
to cu/oms & bord] protection & response 
to illegal controll$ sub/ances & drug   
imports1 includ+ at sites ( import 7su* 
z int]national mail facilities74 ,su*   
,secret>ies may c>ry out su* activities 

?r\gh a memor&um ( und]/&+ betwe5 !     
,food & ,drug ,adm9i/ration & ! ,unit$  
,/ates ,cu/oms & ,bord] ,protection4    
7b7 ,,fda import facilities & inspection
 capacity ,9 c>ry+ out ?is section1 !   
,secret>y %all-- 7#a7 9 collaboration ) 
! ,secret>y ( ,homel& ,security & !     
,po/ma/] ,g5]al ( ! ,unit$ ,/ates ,po/al
 ,s]vice1 provide t import facilities 9 
:i* ! ,food & ,drug ,adm9i/ration       
op]ates or c>ries out activities relat$ 
to drug imports )9 ! int]national mail  
facilities include--  7,a7 facility     
upgrades & improv$ capacity 9 ord] to   
increase & improve inspection &         
detection capabilities1 :i* may include1
 z ! ,secret>y det]m9es appropriate--   
7i7 improvem5ts to facilities1 su* z    
upgrades or r5ovations1 & support = !   
ma9t5ance ( exi/+ import facilities &   
sites to improve coord9ation betwe5     
,f$]al ag5cies2  7ii7 ! con/ruction (1  
or upgrades to1 laboratory capacity =   
purposes ( detection & te/+ ( import$   
goods2  7iii7 upgrades to ! security (  

import facilities2 &  7iv7 innovative   
te*nology & equipm5t to facilitate      
improv$ & ne>-real-"t in=mation %>+     
betwe5 ! ,food & ,drug ,adm9i/ration1 ! 
,dep>tm5t ( ,homel& ,security1 & !      
,unit$ ,/ates ,po/al ,s]vice2 &  7,b7   
provide import facilities 9 :i* ! ,food 
& ,drug ,adm9i/ration op]ates or c>ries 
out activities relat$ to drug imports )9
 ! int]national mail facilities )       
innovative te*nology1 includ+ controll$ 
sub/ance detection & te/+ equipm5t & o!r
 applicable te*nology1 & collaborate )  
,unit$ ,/ates ,cu/oms & ,bord]          
,protection to %>e ne>-real-"t          
in=mation1 includ+ in=mation ab\t te/   
results1 z appropriate1 provid$ t su*   
te*nology is int]op]able ) te*nology us$
 by o!r relevant ,f$]al ag5cies1 includ+
 ! ,unit$ ,/ates ,cu/oms & ,bord]       
,protection1 z applicable1 & is us$ 9 ! 
"t & mann] t ! ,secret>y det]m9es       
appropriate4  7c7 ,report ,n lat] ?an #f
 mon?s aft] ! date ( enactm5t ( ?is     
,act1 ! ,secret>y1 9 consultation ) !   

,secret>y ( ,homel& ,security & !       
,po/ma/] ,g5]al ( ! ,unit$ ,/ates ,po/al
 ,s]vice1 %all report to ! relevant     
committees ( ,congress on !             
implem5tation ( ?is section1 includ+ a  
summ>y ( progress made t[>ds ne>-real-"t
 in=mation %>+ & ! int]op]ability ( su* 
te*nologies4  7d7 ,au?orization (       
appropriations ,out ( am\nts o!rwise    
available to ! ,secret>y1 ! ,secret>y   
may allocate su* sums z may be necess>y 
= purposes ( c>ry+ out ?is section4     
#cjd4 ,cl>ify+ ,,fda po/-m>ket          
au?orities ,section #eje-a7;b77#a77;,e7 
( ! ,f$]al ,food1 ,drug1 & ,cosmetic    
,act 7#ba ,u4,s4,c4 #cee-a7;b77#a77;,e77
 is am5d$ by /rik+ ( ! drug & ins]t+ ( !
 drug1 :i* may include r$uc$            
effectiv5ess t is n 9 accordance ) !    
label+ ( su* drug4  #cje4 ,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 to f5tanyl &
 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 /rik+ #ab1jjj1jjj =  
ea* ( fiscal ye>s #bjag ?r\gh #bjba &   
ins]t+ #cf1jjj1jjj = ea* ( fiscal ye>s  
#bjai ?r\gh #bjbc4  #cjf4 ,disposal (   
controll$ sub/ances ( a deceas$ hospice 
pati5t by employees ( a hospice program 
7a7 ,9 g5]al ,section #cjb7;g7 ( !      

,controll$ ,sub/ances ,act 7#ba         
,u4,s4,c4 #hbb7;g77 is am5d$ by add+ at 
! end ! foll[+3  7#e7 7,a7 ,an employee 
( a qualifi$ hospice program act+ )9 !  
scope ( employm5t may h&le1 9 ! place ( 
resid5ce ( a hospice pati5t1 any        
controll$ sub/ance t 0 lawfully disp5s$ 
to ! hospice pati5t1 = ! purpose (      
assi/+ 9 ! disposal ( ! controll$       
sub/ance aft] ! hospice pati5t's dea?4  
7,b7 ,9 ?is p>agraph3 7i7 ,! t]m        
employee ( a qualifi$ hospice program   
means a physician1 physician assi/ant1  
or nurse :o--  7,i7 is employ$ by1 or is
 act+ pursuant to arrangem5ts made )1 a 
qualifi$ hospice program2 &  7,,ii7 is  
lic5s$ or c]tifi$ to p]=m su* employm5t 
or acts 9 accordance ) applicable ,/ate 
law4  7ii7 ,! t]ms hospice c>e & hospice
 program h ! mean+s giv5 ^? t]ms 9      
section #ahfa7;dd7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4 #aciex7dd774  7iii7
 ,! t]m hospice pati5t means an         
individual receiv+ hospice c>e4  7iv7 ,!
 t]m qualifi$ hospice program means a   

hospice program t--  7,i7 has writt5    
policies & proc$ures = employees ( !    
hospice program to use assi/+ 9 !       
disposal ( ! controll$ sub/ances ( a    
hospice pati5t aft] ! hospice pati5t's  
dea?2  7,,ii7 at ! "t :5 ! controll$    
sub/ances are fir/ ord]$--  7aa7        
provides a copy ( ! writt5 policies &   
proc$ures to ! hospice pati5t or hospice
 pati5t repres5tative & ! family ( !    
hospice pati5t2  7bb7 discusses !       
policies & proc$ures ) ! hospice pati5t 
or hospice pati5t's repres5tative & !   
hospice pati5t's family 9 a language &  
mann] t su* individuals und]/& to ensure
 t su* individuals are in=m$ reg>d+ !   
safe disposal ( controll$ sub/ances2 &  
7cc7 docum5ts 9 ! cl9ical record ( !    
hospice pati5t t ! writt5 policies &    
proc$ures 7 provid$ & discuss$ ) !      
hospice pati5t or hospice pati5t's      
repres5tative2 &  7,,iii7 at ! "t :5 an 
employee ( ! hospice program assi/s 9 ! 
disposal ( controll$ sub/ances ( a      
hospice pati5t1 docum5ts 9 ! cl9ical    

record ( ! hospice pati5t a li/ ( all   
controll$ sub/ances dispos$ (4  7,c7 ,! 
,attorney ,g5]al may1 by regulation1    
include additional types ( lic5s$ m$ical
 pr(essionals 9 ! def9ition ( ! t]m     
employee ( a qualifi$ hospice program "u
 subp>agraph 7,b74  4  7b7 ,no          
regi/ration requir$ ,section #cjb7;c7 ( 
! ,controll$ ,sub/ances ,act 7#ba       
,u4,s4,c4 #hbb7;c77 is am5d$ by add+ at 
! end ! foll[+3  7#d7 ,an employee ( a  
qualifi$ hospice program = ! purpose (  
assi/+ 9 ! disposal ( a controll$       
sub/ance 9 accordance ) subsection      
7g77#e74  4  7c7 ,guidance ,! ,attorney 
,g5]al may issue guidance to qualifi$   
hospice programs to assi/ ! programs 9  
satisfy+ ! requirem5ts "u p>agraph 7#e7 
( section #cjb7;g7 ( ! ,controll$       
,sub/ances ,act 7#ba ,u4,s4,c4          
#hbb7;g771 z add$ by subsection 7a74    
7d7 ,/ate & local au?ority ,no?+ 9 ?is  
section or ! am5dm5ts made by ?is       
section %all be con/ru$ to prev5t a     
,/ate or local gov]nm5t f impos+        

additional controls or re/rictions      
relat+ to ! regulation ( ! disposal (   
controll$ sub/ances 9 hospice c>e or    
hospice programs4  #cjg4 ,,gao /udy &   
report on hospice safe drug managem5t   
7a7 ,/udy  7#a7 ,9 g5]al ,! ,comptroll] 
,g5]al ( ! ,unit$ ,/ates 79 ?is section 
ref]r$ to z ! ,comptroll] ,g5]al7 %all  
conduct a /udy on ! requirem5ts         
applicable to & *all5ges ( hospice      
programs ) reg>d to ! managem5t &       
disposal ( controll$ sub/ances 9 ! home 
( an individual4  7#b7 ,cont5ts ,9      
conduct+ ! /udy "u p>agraph 7#a71 !     
,comptroll] ,g5]al %all include-- 7,a7  
an ov]view ( *all5ges enc\nt]$ by       
hospice programs reg>d+ ! disposal (    
controll$ sub/ances1 su* z opioids1 9 a 
home sett+1 includ+ any key *anges 9    
policies1 proc$ures1 or be/ practices = 
! disposal ( controll$ sub/ances ov] "t2
 &  7,b7 a description ( ,f$]al         
requirem5ts1 includ+ requirem5ts "u !   
,m$ic>e program1 = hospice programs     
reg>d+ ! disposal ( controll$ sub/ances 

9 a home sett+1 & ov]sight ( compliance 
) ^? requirem5ts4  7b7 ,report ,n lat]  
?an #ah mon?s aft] ! date ( enactm5t (  
?is ,act1 ! ,comptroll] ,g5]al %all     
submit to ,congress a report conta9+ !  
results ( ! /udy conduct$ "u subsection 
7a71 toge!r ) recomm5dations1 if any1 = 
su* legislation & adm9i/rative action z 
! ,comptroll] ,g5]al det]m9es           
appropriate4  #cjh4 ,deliv]y ( a        
controll$ sub/ance by a ph>macy to be   
adm9i/]$ by injection1 implantation1 or 
intra!cal pump  7a7 ,9 g5]al ,!         
,controll$ ,sub/ances ,act is am5d$ by  
ins]t+ aft] section #cji 7#ba ,u4,s4,c4 
#hbi7 ! foll[+3  #cji;,a4 ,deliv]y ( a  
controll$ sub/ance by a ph>macy to an   
adm9i/]+ practition]  7a7 ,9 g5]al      
,not)/&+ section #ajb7aj71 a ph>macy may
 deliv] a controll$ sub/ance to a       
practition] 9 accordance ) a            
prescription t meets ! requirem5ts ( ?is
 title & ! regulations issu$ by !       
,attorney ,g5]al "u ?is title1 = !      
purpose ( adm9i/]+ ( ! controll$        

sub/ance by ! practition] if--  7#a7 !  
controll$ sub/ance is deliv]$ by !      
ph>macy to ! prescrib+ practition] or ! 
practition] adm9i/]+ ! controll$        
sub/ance1 z applicable1 at ! location   
li/$ on ! practition]'s c]tificate (    
regi/ration issu$ "u ?is title2  7#b7   
7,a7 9 ! case ( adm9i/]+ ( ! controll$  
sub/ance = ! purpose ( ma9t5ance or     
detoxification treatm5t "u section      
#cjc7;g77#b7--  7i7 ! practition] :o    
issu$ ! prescription is a qualify+      
practition] au?oriz$ "u1 & act+ )9 !    
scope ( t section2 &  7ii7 ! controll$  
sub/ance is to be adm9i/]$ by injection 
or implantation2 or  7,b7 9 ! case (    
adm9i/]+ ( ! controll$ sub/ance = a     
purpose o!r ?an ma9t5ance or            
detoxification treatm5t1 ! controll$    
sub/ance is to be adm9i/]$ by a         
practition] ?r\gh use ( an intra!cal    
pump2  7#c7 ! ph>macy & ! practition]   
are au?oriz$ to conduct ! activities    
specifi$ 9 ?is section "u ! law ( !     
,/ate 9 :i* su* activities take place2  

7#d7 ! prescription is n issu$ to supply
 any practition] ) a /ock ( controll$   
sub/ances = ! purpose ( g5]al disp5s+ to
 pati5ts2  7#e7 except z provid$ 9      
subsection 7b71 ! controll$ sub/ance is 
to be adm9i/]$ only to ! pati5t nam$ on 
! prescription n lat] ?an #ad days aft] 
! date ( receipt ( ! controll$ sub/ance 
by ! practition]2 &  7#f7 not)/&+ any   
exceptions "u section #cjg1 ! prescrib+ 
practition]1 & ! practition] adm9i/]+ ! 
controll$ sub/ance1 z applicable1 ma9ta9
 complete & accurate records ( all      
controll$ sub/ances deliv]$1 receiv$1   
adm9i/]$1 or o!rwise dispos$ ( "u ?is   
section1 includ+ ! p]sons to :om        
controll$ sub/ances 7 deliv]$ & su* o!r 
in=mation z may be requir$ by           
regulations ( ! ,attorney ,g5]al4  7b7  
,modification ( numb] ( days be=e :i*   
controll$ sub/ance %all be adm9i/]$     
7#a7 ,initial #b-ye> p]iod ,dur+ !      
#b-ye> p]iod beg9n+ on ! date ( enactm5t
 ( ?is section1 ! ,attorney ,g5]al1 9   
coord9ation ) ! ,secret>y1 may r$uce !  

numb] ( days describ$ 9 subsection      
7a77#e7 if ! ,attorney ,g5]al det]m9es t
 su* r$uction w--  7,a7 r$uce ! risk (  
div]sion2 or  7,b7 protect ! public     
heal?4  7#b7 ,modifications aft]        
submission ( report ,aft] ! date on :i* 
! report describ$ 9 subsection 7c7 is   
submitt$1 ! ,attorney ,g5]al1 9         
coord9ation ) ! ,secret>y1 may modify ! 
numb] ( days describ$ 9 subsection      
7a77#e74  7#c7 ,m9imum numb] ( days ,any
 modification "u ?is subsection %all be 
= a p]iod ( n less ?an #g days4  4  7b7 
,/udy & report ,n lat] ?an #b ye>s aft] 
! date ( enactm5t ( ?is section1 !      
,comptroll] ,g5]al ( ! ,unit$ ,/ates    
%all conduct a /udy & submit to         
,congress a report on access to &       
pot5tial div]sion ( controll$ sub/ances 
adm9i/]$ by injection1 implantation1 or 
?r\gh ! use ( an intra!cal pump4  7c7   
,te*nical & con=m+ am5dm5t ,! table (   
cont5ts = ! ,compreh5sive ,drug ,abuse  
,prev5tion & ,control ,act ( #aigj is   
am5d$ by ins]t+ aft] ! item relat+ to   

section #cji ! foll[+3  ,sec4 #cji;,a4  
,deliv]y ( a controll$ sub/ance by a    
ph>macy to an adm9i/]+ practition]4  4  
,,iv ,treatm5t & recov]y  #dja4         
,compreh5sive opioid recov]y c5t]s  7a7 
,9 g5]al ,"p ,d ( title ,v ( ! ,public  
,heal? ,s]vice ,act is am5d$ by add+ at 
! end ! foll[+ new section3  #eej4      
,compreh5sive opioid recov]y c5t]s  7a7 
,9 g5]al ,! ,secret>y1 act+ ?r\gh !     
,assi/ant ,secret>y = ,m5tal ,heal? &   
,sub/ance ,use1 %all aw>d grants on a   
competitive basis to eligible entities  
to e/abli% or op]ate a compreh5sive     
opioid recov]y c5t] 7ref]r$ to 9 ?is    
section z a ,c5t]74 ,a ,c5t] may be a   
s+le entity or an integrat$ deliv]y     
network4  7b7 ,grant p]iod  7#a7 ,9     
g5]al ,a grant aw>d$ "u subsection 7a7  
%all be = a p]iod n m ?an #e ye>s4  7#b7
 ,r5ewal ,a grant aw>d$ "u subsection   
7a7 may be r5ew$1 on a competitive      
basis1 = additional p]iods ( "t1 z      
det]m9$ by ! ,secret>y4 ,9 det]m9+ :e!r 
to r5ew a grant "u ?is p>agraph1 !      

,secret>y %all consid] ! data submitt$  
"u subsection 7h74  7c7 ,m9imum numb] ( 
grants ,! ,secret>y %all allocate !     
am\nts made available "u subsection 7j7 
su* t n few] ?an #aj grants may be      
aw>d$4 ,n m ?an "o grant %all be made to
 entities 9 a s+le ,/ate = any "o p]iod4
  7d7 ,application ,9 ord] to be        
eligible = a grant "u subsection 7a71 an
 entity %all submit an application to ! 
,secret>y at su* "t & 9 su* mann] z !   
,secret>y may require4 ,su* application 
%all include--  7#a7 evid5ce t su*      
entity c>ries out1 or is capable (      
coord9at+ ) o!r entities to c>ry out1 ! 
activities describ$ 9 subsection 7g72 & 
7#b7 su* o!r in=mation z ! ,secret>y may
 require4  7e7 ,priority ,9 aw>d+ grants
 "u subsection 7a71 ! ,secret>y %all    
give priority to eligible entities      
locat$ 9 a ,/ate ) an ov]dose mortality 
rate t is above ! national ov]dose      
mortality rate1 z det]m9$ by ! ,director
 ( ! ,c5t]s = ,disease ,control &       
,prev5tion4  7f7 ,pref]5ce ,9 aw>d+     

grants "u subsection 7a71 ! ,secret>y   
may give pref]5ce to eligible entities  
utiliz+ te*nology-enabl$ collaborative  
le>n+ & capacity build+ models1 includ+ 
su* models z def9$ 9 section #b ( !     
,exp&+ ,capacity = ,heal? ,outcomes ,act
 7,public ,law #aad-bgj2 #acj ,/at4     
#acie71 to conduct ! activities describ$
 9 ?is section4  7g7 ,c5t] activities   
,ea* ,c5t] %all1 at a m9imum1 c>ry out !
 foll[+ activities directly1 ?r\gh      
ref]ral1 or ?r\gh contractual           
arrangem5ts1 :i* may include c>ry+ out  
su* activities ?r\gh te*nology-enabl$   
collaborative le>n+ & capacity build+   
models describ$ 9 subsection 7f73  7#a7 
,treatm5t & recov]y s]vices ,ea* ,c5t]  
%all-- 7,a7 ensure t intake &           
evaluations meet ! individualiz$ cl9ical
 ne$s ( pati5ts1 includ+ by (f]+        
assessm5ts = s]vices & c>e              
recomm5dations ?r\gh indep5d5t1         
evid5ce-bas$ v]ification processes =    
review+ pati5t placem5t 9 treatm5t      
sett+s2  7,b7 provide ! full cont9uum ( 

treatm5t s]vices1 includ+-- 7i7 all     
drugs approv$ by ! ,food & ,drug        
,adm9i/ration to treat sub/ance use     
disord]s2  7ii7 m$ically sup]vis$       
)drawal managem5t t includes pati5t     
evaluation1 /abilization1 & read9ess = &
 entry into treatm5t2  7iii7 c\nsel+    
provid$ by a program c\nselor or o!r    
c]tifi$ pr(essional :o is lic5s$ &      
qualifi$ by education1 tra9+1 or        
exp]i5ce to assess ! psy*ological &     
sociological backgr\nd ( pati5ts1 to    
contribute to ! appropriate treatm5t    
plan = ! pati5t1 & to monitor pati5t    
progress2  7iv7 treatm5t1 z appropriate1
 = pati5ts ) co-occurr+ sub/ance use &  
m5tal heal? disord]s2  7v7 resid5tial   
rehabilitation1 & outpati5t & int5sive  
outpati5t programs2  7vi7 recov]y h\s+2 
7vii7 community-bas$ & pe] recov]y      
support s]vices2  7viii7 job tra9+1 job 
placem5t assi/ance1 & cont9u+ education 
assi/ance to support re9tegration into !
 work=ce2 &  7ix7 o!r be/ practices to  
provide ! full cont9uum ( treatm5t &    

s]vices1 z det]m9$ by ! ,secret>y2  7,c7
 p]iodically conduct pati5t assessm5ts  
to support su/a9$ & cl9ically           
significant recov]y1 z def9$ by !       
,assi/ant ,secret>y = ,m5tal ,heal? &   
,sub/ance ,use2  7,d7 adm9i/] an onsite 
ph>macy & provide toxicology s]vices1 = 
purposes ( c>ry+ out ?is section2 &     
7,e7 op]ate a secure1 confid5tial1 &    
int]op]able electronic heal? in=mation  
sy/em4  7#b7 ,outrea* ,ea* ,c5t] %all   
c>ry out outrea* activities to publicize
 ! s]vices (f]$ ?r\gh ! ,c5t]s1 :i* may 
include--  7,a7 tra9+ & sup]vis+ outrea*
 /aff1 z appropriate1 to "w ) ,/ate &   
local heal? dep>tm5ts1 heal? c>e        
provid]s1 ,/ate & local education       
ag5cies1 in/itutions ( high] education1 
,/ate & local work=ce developm5t bo>ds1 
,/ate & local community action ag5cies1 
public safety (ficials1 fir/ respond]s1 
*ild welf>e ag5cies1 z appropriate1 &   
o!r community p>tn]s & ! public1 includ+
 pati5ts1 to id5tify & respond to       
community ne$s1 & ensur+ t su* entities 

are aw>e ( ! s]vices ( ! ,c5t]2 &  7,b7 
dissem9at+ & mak+ publicly available1   
includ+ ?r\gh ! int]net1 evid5ce-bas$   
res\rces t educate pr(essionals & !     
public on opioid use disord] & o!r      
sub/ance use disord]s1 includ+          
co-occurr+ sub/ance use & m5tal heal?   
disord]s4  7h7 ,data report+ & program  
ov]sight ,) respect to a grant aw>d$ "u 
subsection 7a71 n lat] ?an #ij days aft]
 ! end ( ! fir/ ye> ( ! grant p]iod1 &  
annually !reaft] = ! duration ( ! grant 
p]iod 7includ+ ! duration ( any r5ewal  
p]iod = su* grant71 ! entity %all submit
 data1 z appropriate1 to ! ,secret>y    
reg>d+--  7#a7 ! programs & activities  
fund$ by ! grant2  7#b7 heal? outcomes (
 ! population ( individuals ) a sub/ance
 use disord] :o receiv$ s]vices f !     
,c5t]1 evaluat$ by an indep5d5t program 
evaluator ?r\gh ! use ( outcomes        
measures1 z det]m9$ by ! ,secret>y2     
7#c7 ! ret5tion rate ( program          
p>ticipants2 &  7#d7 any o!r in=mation t
 ! ,secret>y may require = ! purpose (  

ensur+ t ! ,c5t] is comply+ ) all !     
requirem5ts ( ! grant1 includ+ provid+ !
 full cont9uum ( s]vices describ$ 9     
subsection 7g77#a77;,b74  7i7 ,privacy  
,! provisions ( ?is section1 includ+ )  
respect to data report+ & program       
ov]sight1 %all be subject to all        
applicable ,f$]al & ,/ate privacy laws4 
7j7 ,au?orization ( appropriations ,!re 
is au?oriz$ to be appropriat$           
#aj1jjj1jjj = ea* ( fiscal ye>s #bjai   
?r\gh #bjbc = purposes ( c>ry+ out ?is  
section4  4  7b7 ,reports to ,congress  
7#a7 ,prelim9>y report ,n lat] ?an #c   
ye>s aft] ! date ( ! enactm5t ( ?is     
,act1 ! ,secret>y ( ,heal? & ,human     
,s]vices %all submit to ,congress a     
prelim9>y report t analyzes data        
submitt$ "u section #eej7;h7 ( ! ,public
 ,heal? ,s]vice ,act1 z add$ by         
subsection 7a74  7#b7 ,f9al report ,n   
lat] ?an #b ye>s aft] submitt+ !        
prelim9>y report requir$ "u p>agraph    
7#a71 ! ,secret>y ( ,heal? & ,human     
,s]vices %all submit to ,congress a f9al

 report t includes--  7,a7 an evaluation
 ( ! effectiv5ess ( ! compreh5sive      
s]vices provid$ by ! ,c5t]s e/abli%$ or 
op]at$ pursuant to section #eej ( !     
,public ,heal? ,s]vice ,act1 z add$ by  
subsection 7a71 on heal? outcomes ( !   
population ( individuals ) sub/ance use 
disord] :o receive s]vices f ! ,c5t]1   
:i* %all include an evaluation ( !      
effectiv5ess ( s]vices = treatm5t &     
recov]y support & to r$uce relapse1     
recidivism1 & ov]dose2 &  7,b7          
recomm5dations1 z appropriate1 reg>d+   
ways to improve ,f$]al programs relat$  
to sub/ance use disord]s1 :i* may       
include dissem9ation ( be/ practices = !
 treatm5t ( sub/ance use disord]s to    
heal? c>e pr(essionals4  #djb4 ,program 
to support coord9ation & cont9uation (  
c>e = drug ov]dose pati5ts  7a7 ,9 g5]al
 ,! ,secret>y ( ,heal? & ,human ,s]vices
 7ref]r$ to 9 ?is section z ! ,secret>y7
 %all id5tify or facilitate ! developm5t
 ( be/ practices =-- 7#a7 em]g5cy       
treatm5t ( kn[n or suspect$ drug        

ov]dose2  7#b7 coord9ation & cont9uation
 ( c>e & treatm5t1 includ+1 z           
appropriate1 ?r\gh ref]rals1 (          
individuals aft] an opioid ov]dose2 &   
7#c7 ! provision ( ov]dose rev]sal      
m$ication1 z appropriate4  7b7 ,grant   
e/abli%m5t & p>ticipation  7#a7 ,9 g5]al
 ,! ,secret>y %all aw>d grants on a     
competitive basis to eligible entities  
to support implem5tation ( volunt>y     
programs = c>e & treatm5t ( individuals 
aft] an opioid ov]dose1 z appropriate1  
:i* may include implem5tation ( ! be/   
practices describ$ 9 subsection 7a74    
7#b7 ,eligible entity ,9 ?is section1 ! 
t]m eligible entity means an entity t   
(f]s treatm5t or o!r s]vices =          
individuals 9 response to1 or foll[+1   
drug ov]doses or a drug ov]dose4  7#c7  
,application ,an eligible entity desir+ 
a grant "u ?is section1 9 consultation )
 ! pr9cipal ag5cy ( a ,/ate 9 :i* su*   
entity (f]s treatm5t or o!r s]vices t is
 responsible = c>ry+ out ! block grant =
 prev5tion & treatm5t ( sub/ance abuse  

"u subp>t ,,ii ( "p ,b ( title ,,xix ( !
 ,public ,heal? ,s]vice ,act 7#db       
,u4,s4,c4 #cjjx-#ba et seq471 %all      
submit an application to ! ,secret>y1 at
 su* "t & 9 su* mann] z ! ,secret>y may 
require1 t includes--  7,a7 evid5ce t   
su* eligible entity c>ries out1 or is   
capable ( coord9at+ ) o!r entities to   
c>ry out1 ! activities describ$ 9       
p>agraph 7#d72 &  7,b7 su* additional   
in=mation z ! ,secret>y may require4    
7#d7 ,use ( grant funds ,an eligible    
entity aw>d$ a grant "u ?is section %all
 use su* grant funds to--  7,a7 hire or 
utilize recov]y coa*es to help support  
recov]y1 includ+ by-- 7i7 connect+      
pati5ts to a cont9uum ( c>e s]vices1 su*
 z--  7,i7 treatm5t & recov]y support   
programs2  7,,ii7 programs t provide    
non-cl9ical recov]y support s]vices2    
7,,iii7 pe] support networks2  7,,iv7   
recov]y community organizations2  7,v7  
heal? c>e provid]s1 includ+ physicians &
 o!r provid]s ( behavioral heal? &      
prim>y c>e2  7,,vi7 educational &       

vocational s*ools2  7,,vii7 employ]s2   
7,,viii7 h\s+ s]vices2 &  7,,ix7 *ild   
welf>e ag5cies2  7ii7 provid+ education 
on ov]dose prev5tion to pati5ts2 &      
7iii7 provid+ o!r s]vices ! ,secret>y   
det]m9es necess>y to help ensure cont9u$
 connection ) recov]y support s]vices2  
7,b7 e/abli% policies & proc$ures t     
address ! provision ( ov]dose rev]sal   
m$ication1 ! adm9i/ration ( all drugs   
approv$ by ! ,food & ,drug ,adm9i/ration
 to treat sub/ance use disord]1 &       
subsequ5t cont9uation (1 or ref]ral to1 
evid5ce-bas$ treatm5t = pati5ts ) a     
sub/ance use disord] :o h exp]i5c$ a    
non-fatal drug ov]dose1 9 ord] to prev5t
 relapse1 & r$uce recidivism & future   
ov]dose2  7,c7 develop or implem5t be/  
practices = treat+ non-fatal drug       
ov]doses1 includ+1 ) respect to c>e     
coord9ation & integrat$ c>e models1 =   
long t]m treatm5t & recov]y options =   
individuals ) a sub/ance use disord] :o 
h exp]i5c$ a non-fatal drug ov]dose2 &  
7,d7 e/abli% integrat$ models ( c>e =   

individuals :o h exp]i5c$ a non-fatal   
drug ov]dose :i* may include pati5t     
assessm5t1 foll[ up1 & transportation to
 & f treatm5t facilities4  7#e7         
,additional p]missible uses ,9 addition 
to ! uses describ$ 9 p>agraph 7#d71 a   
grant aw>d$ "u ?is section may be us$1  
directly or ?r\gh contractual           
arrangem5ts1 to provide--  7,a7 all     
drugs approv$ by ! ,food & ,drug        
,adm9i/ration to treat sub/ance use     
disord]s1 pursuant to ,f$]al & ,/ate    
law2  7,b7 )drawal & detoxification     
s]vices t include pati5t evaluation1    
/abilization1 & prep>ation = treatm5t ( 
sub/ance use disord]1 includ+ treatm5t  
describ$ 9 subp>agraph 7,a71 z          
appropriate2 or  7,c7 m5tal heal?       
s]vices provid$ by a program c\nselor1  
social work]1 !rapi/1 or o!r c]tifi$    
pr(essional :o is lic5s$ & qualifi$ by  
education1 tra9+1 or exp]i5ce to assess 
! psy*osocial backgr\nd ( pati5ts1 to   
contribute to ! appropriate treatm5t    
plan = pati5ts ) sub/ance use disord]1 &

 to monitor pati5t progress4  7#f7      
,pref]5ce ,9 aw>d+ grants "u ?is        
section1 ! ,secret>y %all give pref]5ce 
to eligible entities t meet any or all (
 ! foll[+ crit]ia3  7,a7 ,! eligible    
entity is a critical access hospital 7z 
def9$ 9 section #ahfa7mm77#a7 ( !       
,social ,security ,act 7#db ,u4,s4,c4   
#aciex7mm77#a7771 a l[ volume hospital  
7z def9$ 9 section                      
#ahhf7;d77#ab77;,c77i7 ( su* ,act 7#db  
,u4,s4,c4 #acieww7d77#ab77;,c77i7771 or 
a sole community hospital 7z def9$ 9    
section #ahhf7;d77#e77;,d77iii7 ( su*   
,act 7#db ,u4,s4,c4                     
#acieww7d77#e77;,d77iii7774  7,b7 ,!    
eligible entity is locat$ 9 a ,/ate ) an
 ov]dose mortality rate t is above !    
national ov]dose mortality rate1 z      
det]m9$ by ! ,director ( ! ,c5t]s =     
,disease ,control & ,prev5tion4  7,c7 ,!
 eligible entity demon/rates t recov]y  
coa*es w be plac$ 9 bo? heal? c>e sett+s
 & community sett+s4  7#g7 ,p]iod (     
grant ,a grant aw>d$ to an eligible     

entity "u ?is section %all be = a p]iod 
( n m ?an #e ye>s4  7c7 ,def9ition ,9   
?is section1 ! t]m recov]y coa* means an
 individual-- 7#a7 ) k (1 or exp]i5ce )1
 recov]y f a sub/ance use disord]2 &    
7#b7 :o has complet$ tra9+ f1 & is      
det]m9$ to be 9 good /&+ by1 a recov]y  
s]vices organization capable ( conduct+ 
su* tra9+ & mak+ su* det]m9ation4  7d7  
,report+ requirem5ts  7#a7 ,reports by  
grantees ,ea* eligible entity aw>d$ a   
grant "u ?is section %all submit to !   
,secret>y an annual report = ea* ye> =  
:i* ! entity has receiv$ su* grant t    
includes in=mation on--  7,a7 ! numb] ( 
individuals treat$ by ! entity =        
non-fatal ov]doses1 includ+ ! numb] (   
non-fatal ov]doses :]e ov]dose rev]sal  
m$ication 0 adm9i/]$2  7,b7 ! numb] (   
individuals adm9i/]$ m$ication-assi/$   
treatm5t by ! entity2  7,c7 ! numb] (   
individuals ref]r$ by ! entity to o!r   
treatm5t facilities aft] a non-fatal    
ov]dose1 ! types ( su* o!r facilities1 &
 ! numb] ( su* individuals admitt$ to   

su* o!r facilities pursuant to su*      
ref]rals2 &  7,d7 ! frequ5cy & numb] (  
pati5ts ) reoccurr5ces1 includ+         
readmissions = non-fatal ov]doses &     
evid5ce ( relapse relat$ to sub/ance    
abuse disord]4  7#b7 ,report by         
,secret>y ,n lat] ?an #e ye>s aft] !    
date ( enactm5t ( ?is ,act1 ! ,secret>y 
%all submit to ,congress a report t     
includes an evaluation ( ! effectiv5ess 
( ! grant program c>ri$ out "u ?is      
section ) respect to long t]m heal?     
outcomes ( ! population ( individuals :o
 h exp]i5c$ a drug ov]dose1 ! p]c5tage (
 pati5ts treat$ or ref]r$ to treatm5t by
 grantees1 & ! frequ5cy & numb] (       
pati5ts :o exp]i5c$ relapse1 7 readmitt$
 = treatm5t1 or exp]i5c$ ano!r ov]dose4 
7e7 ,privacy ,! requirem5ts ( ?is       
section1 includ+ ) respect to data      
report+ & program ov]sight1 %all be     
subject to all applicable ,f$]al & ,/ate
 privacy laws4  7f7 ,au?orization (     
appropriations ,!re is au?oriz$ to be   
appropriat$ to c>ry out ?is section su* 

sums z may be necess>y = ea* ( fiscal   
ye>s #bjai ?r\gh #bjbc4  #djc4          
,alt]natives to opioids  7a7 ,9 g5]al ,!
 ,secret>y ( ,heal? & ,human ,s]vices   
%all1 directly or ?r\gh grants to1 or   
contracts )1 public & private entities1 
provide te*nical assi/ance to hospitals 
& o!r acute c>e sett+s on alt]natives to
 opioids = pa9 managem5t4 ,! te*nical   
assi/ance provid$ %all be = ! purpose   
(--  7#a7 utiliz+ in=mation f acute c>e 
provid]s includ+ em]g5cy dep>tm5ts & o!r
 provid]s t h successfully implem5t$    
alt]natives to opioids programs1 promot+
 non-opioid protocols & m$ications :ile 
appropriately limit+ ! use ( opioids2   
7#b7 id5tify+ or facilitat+ ! developm5t
 ( be/ practices on ! use ( alt]natives 
to opioids1 :i* may include             
pa9-managem5t /rategies t involve       
non-addictive m$ical products1          
non-ph>macologic treatm5ts1 &           
te*nologies or te*niques to id5tify     
pati5ts at-risk = opioid use disord]2   
7#c7 id5tify+ or facilitat+ ! developm5t

 ( be/ practices on ! use ( alt]natives 
to opioids t t>get common pa9ful        
conditions & include c]ta9 pati5t       
populations1 su* z g]iatric pati5ts1    
pregnant wom51 & *ildr52  7#d7          
dissem9at+ in=mation on ! use (         
alt]natives to opioids to provid]s 9    
acute c>e sett+s1 :i* may include       
em]g5cy dep>tm5ts1 outpati5t cl9ics1    
critical access hospitals1 & ,f$]ally   
qualifi$ heal? c5t]s2 &  7#e7 collect+  
data & report+ on heal? outcomes        
associat$ ) ! use ( alt]natives to      
opioids4  7b7 ,au?orization (           
appropriations ,!re is au?oriz$ to be   
appropriat$ to c>ry out ?is section su* 
sums z may be necess>y = ea* ( fiscal   
ye>s #bjai ?r\gh #bjbc4  #djd4 ,pe]     
support te*nical assi/ance  7a7         
,te*nical assi/ance = pe] support       
s]vices ,! ,secret>y ( ,heal? & ,human  
,s]vices 7ref]r$ to 9 ?is section z !   
,secret>y71 act+ ?r\gh ! ,assi/ant      
,secret>y = ,m5tal ,heal? & ,sub/ance   
,abuse1 %all provide te*nical assi/ance 

& support to organizations provid+ pe]  
support s]vices relat$ to sub/ance use  
disord]1 includ+ te*nical assi/ance &   
support relat$ to--  7#a7 tra9+ on      
id5tify+-- 7,a7 signs ( sub/ance use    
disord]2  7,b7 res\rces to assi/        
individuals ) a sub/ance use disord]1 or
 res\rces = families ( an individual ) a
 sub/ance use disord]2 &  7,c7 be/      
practices = ! deliv]y ( recov]y support 
s]vices2  7#b7 ! provision ( translation
 s]vices1 int]pretation1 or o!r su*     
s]vices = cli5ts ) limit$ ,engli% speak+
 pr(ici5cy2  7#c7 capacity build+2 &    
7#d7 evaluation & improvem5t1 z         
necess>y1 ( ! effectiv5ess ( su* pe]    
support s]vices4  7b7 ,be/ practices ,! 
,secret>y %all p]iodically issue be/    
practices relat$ to pe] support s]vices 
= use by organizations t provide pe]    
support s]vices4  7c7 ,au?orization (   
appropriations ,!re is au?oriz$ to be   
appropriat$ to c>ry out ?is section su* 
sums z may be necess>y = ea* ( fiscal   
ye>s #bjai ?r\gh #bjbc4  #dje4          

,m$ication-assi/$ treatm5t = recov]y f  
addiction  7a7 ,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  7b7 ,codification ( expansion (  
maximum numb] ( pati5ts =               
m$ication-,assi/$ treatm5t ,section     
#cjc7;g77#b77;,b77iii77,,ii7 ( !        
,controll$ ,sub/ances ,act 7#ba         
,u4,s4,c4 7g77#b77;,b77iii77,,ii77 is   
am5d$ by /rik+ #ajj ea* place x appe>s &
 ins]t+ #bge4  #djf4 ,national recov]y  
h\s+ be/ practices  7a7 ,be/ practices  
,! ,secret>y ( ,heal? & ,human ,s]vices 
7ref]r$ to 9 ?is section z ! ,secret>y71
 9 consultation ) ! ,secret>y = ,h\s+ & 
,urban ,developm5t1 pati5ts ) a hi/ory (
 opioid use disord]1 & o!r /akehold]s1  
:i* may include ,/ate accr$it+ entities 
& reputable provid]s (1 & analy/s (1    
recov]y h\s+ s]vices1 %all id5tify or   
facilitate ! developm5t ( be/ practices1
 :i* may include model laws = implem5t+ 

sugge/$ m9imum /&>ds1 = op]at+ recov]y  
h\s+4  7b7 ,dissem9ation ,! ,secret>y   
%all dissem9ate ! be/ practices id5tifi$
 or develop$ "u subsection 7a7 to-- 7#a7
 ,/ate ag5cies1 :i* may include !       
provision ( te*nical assi/ance to ,/ate 
ag5cies seek+ to adopt or implem5t su*  
be/ practices2  7#b7 recov]y h\s+       
entities2 &  7#c7 ! public1 z           
appropriate4  7c7 ,requirem5ts ,9       
id5tify+ or facilitat+ ! developm5t (   
be/ practices "u subsection 7a71 !      
,secret>y1 9 consultation ) appropriate 
/akehold]s1 %all consid] h[ recov]y h\s+
 is able to 7includ+ by improv+ access &
 adh]5ce to treatm5t7 support recov]y & 
prev5t relapse1 recidivism1 or ov]dose1 
includ+ ov]dose dea?4  7d7 ,rule (      
con/ruction ,no?+ 9 ?is section %all be 
con/ru$ to provide ! ,secret>y ) !      
ability to require ,/ates to adh]e to   
m9imum /&>ds 9 ! ,/ate ov]sight (       
recov]y h\s+4  7e7 ,def9ition ,9 ?is    
section1 ! t]m recov]y h\s+ means a %>$ 
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  #djg4 
,address+ economic & work=ce impacts ( !
 opioid crisis  7a7 ,def9itions ,except 
z o!rwise expressly provid$1 9 ?is      
section3 7#a7 ,education provid] ,! t]m 
education provid] means--  7,a7 an      
in/itution ( high] education1 z def9$ 9 
section #aja ( ! ,high] ,education ,act 
( #aife 7#bj ,u4,s4,c4 #ajja72 or  7,b7 
a po/second>y vocational in/itution1 z  
def9$ 9 section #ajb7;c7 ( su* ,act 7#bj
 ,u4,s4,c4 #ajjb7;c774  7#b7 ,eligible  
entity ,! t]m eligible entity means--   
7,a7 a ,/ate work=ce ag5cy2  7,b7 a     
,/ate bo>d2  7,c7 an outly+ area1 z     
def9$ 9 section #c ( ! ,work=ce         
,innovation & ,opportunity ,act 7#bi    
,u4,s4,c4 #cajb72 or  7,d7 a ,tribal    
entity4  7#c7 ,local area2 local bo>d2  
"o-/op op]ator ,! t]ms local area1 local
 bo>d1 & "o-/op op]ator h ! mean+s giv5 
su* t]ms 9 section #c ( ! ,work=ce      
,innovation & ,opportunity ,act 7#bi    

,u4,s4,c4 #cajb74  7#d7 ,local entity ,!
 t]m local entity means a local bo>d or 
"o-/op op]ator4  7#e7 ,p>ticipat+       
p>tn]%ip ,! t]m p>ticipat+ p>tn]%ip     
means a p>tn]%ip e/abli%$ "u subsection 
7e77#a7 by a local entity receiv+ a     
subgrant "u subsection 7d74  7#f7       
,program p>ticipant ,! t]m program      
p>ticipant means an individual :o-- 7,a7
 is a memb] ( a population ( work]s     
describ$ 9 subsection 7e77#b7 t is s]v$ 
by a p>ticipat+ p>tn]%ip ?r\gh ! pilot  
program "u ?is section2 &  7,b7 enrolls 
) ! applicable p>ticipat+ p>tn]%ip to   
receive any ( ! s]vices describ$ 9      
subsection 7e77#c74  7#g7 ,secret>y ,!  
t]m ,secret>y means ! ,secret>y (       
,labor4  7#h7 ,/ate bo>d ,! t]m ,/ate   
bo>d has ! mean+ giv5 ! t]m 9 section #c
 ( ! ,work=ce ,innovation & ,opportunity
 ,act 7#bi ,u4,s4,c4 #cajb74  7#i7 ,/ate
 work=ce ag5cy ,! t]m ,/ate work=ce     
ag5cy means ! lead ,/ate ag5cy )        
responsibility = ! adm9i/ration ( a     
program "u *apt] #b or #c ( subtitle ,b 

( title ,i ( ! ,work=ce ,innovation &   
,opportunity ,act 7#bi ,u4,s4,c4 #cafa  
et seq41 #caga et seq474  7#aj7         
,sub/ance use disord] ,! t]m sub/ance   
use disord] means su* a disord] )9 !    
mean+ ( title ,v ( ! ,public ,heal?     
,s]vice ,act 7#db ,u4,s4,c4 #bij;aa et  
seq474  7#aa7 ,supportive s]vices ,! t]m
 supportive s]vices has ! mean+ giv5 su*
 t]m 9 section #c ( ! ,work=ce          
,innovation & ,opportunity ,act 7#bi    
,u4,s4,c4 #cajb74  7#ab7 ,treatm5t      
provid] ,! t]m treatm5t provid]-- 7,a7  
means a heal? c>e provid] t (f]s s]vices
 = treat+ sub/ance use disord]s & is    
lic5s$ 9 accordance ) applicable ,/ate  
law to provide su* s]vices2  7,b7       
accepts heal? insurance = su* s]vices1  
includ+ cov]age "u title ,,xix ( !      
,social ,security ,act 7#db ,u4,s4,c4   
#acif et seq472 &  7,c7 may include--   
7i7 a nonpr(it provid] ( pe] recov]y    
support s]vices1 z def9$ by ! ,/ate     
involv$ 9 regulation or guidance2  7ii7 
a community heal? c>e provid]2 or  7iii7

 a ,f$]ally qualifi$ heal? c5t] 7z def9$
 9 section #ahfa7;aa7 ( ! ,social       
,security ,act 7#db ,u4,s4,c4 #aciex774 
7#ac7 ,tribal entity ,! t]m ,tribal     
entity includes any ,indian tribe1      
tribal organization1 ,indian-controll$  
organization s]v+ ,indians1 ,native     
,hawaiian organization1 or ,alaska      
,native entity1 z su* t]ms are def9$ or 
us$ 9 section #aff ( ! ,work=ce         
,innovation & ,opportunity ,act 7#bi    
,u4,s4,c4 #cbba74  7b7 ,pilot program & 
grants au?oriz$  7#a7 ,9 g5]al ,!       
,secret>y1 9 consultation ) ! ,secret>y 
( ,heal? & ,human ,s]vices1 %all c>ry   
out a pilot program to address economic 
& work=ce impacts associat$ ) a high    
rate ( a sub/ance use disord]4 ,9 c>ry+ 
out ! pilot program1 ! ,secret>y %all   
make grants1 on a competitive basis1 to 
eligible entities to enable su* entities
 to make subgrants to local bo>ds &     
"o-/op op]ators to address ! economic & 
work=ce impacts associat$ ) a high rate 
( a sub/ance use disord]4  7#b7 ,grant  

am\nts ,! ,secret>y %all make ea* su*   
grant 9 an am\nt t is n less ?an        
#ejj1jjj1 & n m ?an #e1jjj1jjj1 = a     
fiscal ye>4  7c7 ,grant applications    
7#a7 ,9 g5]al ,an eligible entity apply+
 = a grant "u ?is section %all submit an
 application to ! ,secret>y at su* "t & 
9 su* =m & mann] z ! ,secret>y may      
reasonably require1 includ+ ! in=mation 
describ$ 9 ?is subsection4  7#b7        
,significant impact on community by     
opioid abuse & sub/ance use             
disord]-relat$ problems  7,a7           
,demon/ration ,an eligible entity %all  
include 9 ! application in=mation t     
demon/rates significant impact on !     
community by problems relat$ to opioid  
abuse or ano!r sub/ance use disord]1    
by--  7i7 id5tify+ ! communities1       
regions1 or local areas t w be s]v$     
?r\gh ! grant 7ea* ref]r$ to 9 ?is      
section z a s]vice area72 &  7ii7 %[+1 =
 ea* su* s]vice area1 an increase equal 
to or great] ?an ! national increase 9  
su* problems1 betwe5--  7,i7 #aiii2 &   

7,,ii7 #bjaf or ! late/ ye> = :i* data  
are available4  7,b7 ,in=mation ,9 mak+ 
! %[+ describ$ 9 subp>agraph 7,a77ii71 !
 eligible entity may use in=mation      
includ+ data on--  7i7 ! incid5ce or    
preval5ce ( opioid abuse & o!r sub/ance 
use disord]s2  7ii7 ! p] capita drug    
ov]dose mortality rate1 z det]m9$ by !  
,director ( ! ,c5t]s = ,disease ,control
 & ,prev5tion2  7iii7 ! rate ( non-fatal
 hospitalizations relat$ to opioid abuse
 or ano!r sub/ance use disord]2 or  7iv7
 ! numb] ( arre/s or convictions1 or a  
relevant law en=cem5t /ati/ic1 t        
reasonably %[s an increase 9 opioid     
abuse or ano!r sub/ance use disord]4    
7,c7 ,support = ,/ate /rategy ,!        
eligible entity %all also include 9 !   
application in=mation describ+ h[ !     
propos$ s]vices & activities support !  
,/ate's /rategy = address+ problems     
describ$ 9 subp>agraph 7,a7 9 specific  
regions or across ! ,/ate1 outlay+ area1
 or ,tribal entity4  7#c7 ,economic &   
employm5t conditions demon/rate         

additional ,f$]al support ne$$  7,a7    
,demon/ration ,an eligible entity %all  
include 9 ! application in=mation t     
demon/rates t a high rate ( a sub/ance  
use disord] has caus$1 or is co9cid5t   
to1 an economic or employm5t d[nturn 9 !
 s]vice area4  7,b7 ,in=mation ,9 mak+ !
 demon/ration describ$ 9 subp>agraph    
7,a71 ! eligible entity may use         
in=mation includ+--  7i7 docum5tation ( 
any lay(f1 ann\nc$ future lay(f1 legacy 
indu/ry decl9e1 decrease 9 an employm5t 
or labor m>ket p>ticipation rate1 or    
economic impact1 :e!r or n ! result     
describ$ 9 ?is clause is ov]tly relat$  
to a high rate ( a sub/ance use disord]2
  7ii7 docum5tation %[+ decreas$        
economic activity relat$ to1 caus$ by1  
or contribut+ to a high rate ( a        
sub/ance use disord]1 includ+ a         
description ( h[ ! s]vice area has be5  
impact$1 or w be impact$1 by su* a      
decrease2  7iii7 9 p>ticul>1 in=mation  
on economic indicators1 labor m>ket     
analyses1 in=mation f public            

ann\ncem5ts1 & demographic & indu/ry    
data2  7iv7 in=mation on rapid response 
activities 7z def9$ 9 section #c ( !    
,work=ce ,innovation & ,opportunity ,act
 7#bi ,u4,s4,c4 #cajb77 t h be5 or w be 
conduct$1 includ+ demographic data ga!r$
 by employ] or work] surveys or ?r\gh   
o!r me?ods2  7v7 data or docum5tation1  
beyond anecdotal evid5ce1 %[+ t employ]s
 face *all5ges fill+ job vacancies due  
to a lack ( skill$ work]s able to pass a
 drug te/2 or  7vi7 any additional      
relevant data or in=mation on ! economy1
 work=ce1 or ano!r aspect ( ! s]vice    
area to support ! application4  7#d7    
,work=ce %ortage relat$ to treatm5t     
work=ce  7,a7 ,9 g5]al ,an eligible     
entity may include 9 ! application a    
demon/ration ( ! work=ce %ortage 9 a    
pr(essional area to be address$ "u !    
grant4 ,su* pr(essional areas may       
include--  7i7 sub/ance use disord]     
treatm5t & relat$ s]vices2  7ii7        
non-opioid pa9 !rapy & pa9 managem5t    
s]vices2 or  7iii7 m5tal heal? c>e      

treatm5t s]vices4  7,b7 ,in=mation to be
 includ$ ,an eligible entity demon/rat+ 
a work=ce %ortage "u subp>agraph 7,a7   
%all demon/rate ! work=ce %ortage ?r\gh 
in=mation t may include--  7i7 ! di/ance
 betwe5-- 7,i7 communities affect$ by   
opioid abuse or ano!r sub/ance use      
disord]2 &  7,,ii7 facilities or        
pr(essionals (f]+ s]vices 9 !           
pr(essional area2  7ii7 ! maximum       
capacity ( facilities or pr(essionals to
 s]ve individuals 9 an affect$          
community1 or increases 9 arre/s relat$ 
to opioid abuse or ano!r sub/ance use   
disord]1 ov]dose dea?s1 or nonfatal     
ov]dose em]g5cies 9 ! community2 or     
7iii7 o!r in=mation t c demon/rate su* a
 %ortage4  7d7 ,subgrant au?orization & 
application process  7#a7 ,subgrants    
au?oriz$  7,a7 ,9 g5]al ,an eligible    
entity receiv+ a grant "u subsection    
7b7--  7i7 may use n m ?an #e p]c5t ( ! 
grant funds = ! adm9i/rative co/s (     
c>ry+ out ! grant2 &  7ii7 %all use !   
rema9+ grant funds to make subgrants to 

local entities 9 ! area s]v$ by !       
eligible entity to c>ry out ! s]vices & 
activities describ$ 9 subsection 7e74   
7,b7 ,geographic di/ribution ,9 mak+    
subgrants "u ?is subsection1 an eligible
 entity %all ensure1 to ! ext5t         
practicable1 ! equitable geographic     
di/ribution 7su* z urban & rural        
di/ribution7 ( areas receiv+ subgrant   
funds4  7#b7 ,subgrant application  7,a7
 ,9 g5]al ,a local entity desir+ to     
receive a subgrant "u ?is subsection    
%all submit an application at su* "t & 9
 su* & mann] z ! eligible entity may    
reasonably require1 includ+ ! in=mation 
describ$ 9 ?is p>agraph4  7,b7 ,cont5ts 
,ea* application describ$ 9 subp>agraph 
7,a7 %all include an analysis ( !       
e/imat$ p]=mance ( ! local entity 9     
c>ry+ out ! propos$ s]vices & activities
 "u ! subgrant t--  7i7 uses prim>y     
indicators ( p]=mance describ$ 9 section
 #aaf7;c77#a77;,a77i7 ( ! ,work=ce      
,innovation & ,opportunity ,act 7#bi    
,u4,s4,c4 #cada7;c77#a77;,a77i771 to    

assess e/imat$ effectiv5ess ( ! propos$ 
s]vices & activities1 includ+ ! e/imat$ 
numb] ( individuals ) a sub/ance use    
disord] :o may be s]v$ by ! propos$     
s]vices & activities2  7ii7 analyzes !  
record ( ! local entity 9 s]v+          
individuals ) a b>ri] to employm5t2 &   
7iii7 analyzes ! ability ( ! local      
entity to e/abli% ! p>tn]%ip describ$ 9 
subsection 7e77#a74  7,c7 ,analysis ,!  
analysis describ$ 9 subp>agraph 7,b7 may
 include or utilize-- 7i7 data f !      
,national ,c5t] = ,heal? ,/ati/ics ( !  
,c5t]s = ,disease ,control & ,prev5tion2
  7ii7 data f ! ,c5t] = ,behavioral     
,heal? ,/ati/ics & ,quality ( !         
,sub/ance ,abuse & ,m5tal ,heal?        
,s]vices ,adm9i/ration2  7iii7 ,/ate    
vital /ati/ics2  7iv7 municipal police  
dep>tm5t records2  7v7 reports f local  
coron]s2 or  7vi7 o!r relevant data4    
7e7 ,subgrant s]vices & activities  7#a7
 ,=mation ( p>tn]%ip  7,a7 ,9 g5]al ,ea*
 local entity t receives a subgrant "u  
subsection 7d7 %all =m a p>tn]%ip1      

e/abli%$ ?r\gh a writt5 contract or o!r 
agreem5t1 ) memb]s describ$ 9           
subp>agraph 7,b71 & %all c>ry out !     
s]vices & activities describ$ 9 ?is     
subsection ?r\gh ! p>tn]%ip4  7,b7      
,memb]s ( ! p>tn]%ip ,a p>tn]%ip        
describ$ 9 subp>agraph 7,a7 %all include
 #a or m ( ! foll[+3 7i7 ,! eligible    
entity4  7ii7 ,a treatm5t provid]4      
7iii7 ,an employ] or indu/ry            
organization4  7iv7 ,an education       
provid]4  7v7 ,a ju/ice or law en=cem5t 
organization4  7vi7 ,a fai?-bas$ or     
community-bas$ organization4  7vii7 ,o!r
 ,/ate or local ag5cies4  7viii7 ,o!r   
organizations1 z det]m9$ to be necess>y 
by ! local entity4  7#b7 ,selection (   
,population to be s]v$ ,a p>ticipat+    
p>tn]%ip %all elect to provide s]vices &
 activities "u ! subgrant to "o or bo? (
 ! foll[+ populations ( work]s3  7,a7   
,work]s1 includ+ dislocat$ work]s1 new  
entrants 9 ! work=ce1 or incumb5t work]s
 7employ$ or und]employ$71 :o are       
directly or indirectly affect$ by a high

 rate ( a sub/ance use disord] & ea* (  
:om is--  7i7 an individual :o          
volunt>ily confirms t ! individual1 or a
 fri5d or family memb] ( ! individual1  
has a hi/ory ( opioid abuse or ano!r    
sub/ance use disord]2 or  7ii7 an       
individual :o works or resides 9 a      
community sub/antially impact$ by a high
 rate ( a sub/ance use disord] or c     
o!rwise demon/rate job loss z a result (
 a high rate ( a sub/ance use disord]4  
7,b7 ,work]s1 includ+ dislocat$ work]s1 
new entrants 9 ! work=ce1 or incumb5t   
work]s 7employ$ or und]employ$71 :o--   
7i7 seek to transition to pr(essions t  
support individuals /ruggl+ ) a sub/ance
 use disord] or at risk = develop+ su*  
disord]1 su* z pr(essions t provide--   
7,i7 sub/ance use disord] treatm5t &    
relat$ s]vices2  7,,ii7 pe] recov]y     
support s]vices describ$ 9 subsection   
7a77#ab77;,c77i72  7,,iii7 non-opioid   
pa9 !rapy & pa9 managem5t s]vices2 or   
7,,iv7 m5tal heal? c>e2 &  7ii7 ne$ new 
or upgrad$ skills to bett] s]ve su* a   

population ( /ruggl+ or at-risk         
individuals4  7#c7 ,s]vices & activities
 ,ea* p>ticipat+ p>tn]%ip %all use funds
 available ?r\gh a subgrant "u ?is      
subsection to c>ry out #a or m ( !      
foll[+3  7,a7 ,engag+ employ]s ,engag+ )
 employ]s to-- 7i7 le>n ab\t ! skill &  
hir+ requirem5ts ( employ]s2  7ii7 le>n 
ab\t ! support ne$$ by employ]s to hire 
& reta9 program p>ticipants1 & o!r      
individuals ) a sub/ance use disord]1 & 
! support ne$$ by su* employ]s to obta9 
_! commitm5t to te/+ creative solutions 
to employ+ program p>ticipants & su*    
individuals2  7iii7 connect employ]s &  
work]s to on-!-job or cu/omiz$ tra9+    
programs be=e or aft] lay(f to help     
facilitate reemploym5t2  7iv7 connect   
employ]s ) an education provid] to      
develop classroom in/ruction to         
complem5t on-!-job le>n+ = program      
p>ticipants & su* individuals2  7v7 help
 employ]s develop ! curriculum design ( 
a "w-bas$ le>n+ program = program       
p>ticipants & su* individuals2 or  7vi7 

help employ]s employ program p>ticipants
 or su* individuals engag+ 9 a "w-bas$  
le>n+ program = a transitional p]iod    
be=e hir+ su* a program p>ticipant or   
individual = full-"t employm5t ( n less 
?an #cj h\rs a week4  7,b7 ,scre5+      
s]vices ,provid+ scre5+ s]vices1 :i* may
 include-- 7i7 us+ an evid5ce-bas$      
scre5+ me?od to scre5 ea* individual    
seek+ p>ticipation 9 ! pilot program to 
det]m9e :e!r ! individual has a sub/ance
 use disord]2  7ii7 conduct+ an         
assessm5t ( ea* su* individual to       
det]m9e ! s]vices ne$$ = su* individual 
to obta9 or reta9 employm5t1 includ+ an 
assessm5t ( /r5g?s & g5]al "w read9ess2 
&  7iii7 accept+ walk-ins or ref]rals f 
employ]s1 labor organizations1 or o!r   
entities recomm5d+ individuals to       
p>ticipate 9 su* program4  7,c7         
,individual treatm5t & employm5t plan   
,develop+ an individual treatm5t &      
employm5t plan = ea* program p>ticipant1
 :i* %all include provid+ a case manag] 
to "w ) ea* p>ticipant to develop !     

plan1 :i* may include--  7i7 id5tify+   
employm5t & c>e] goals2  7ii7 explor+   
c>e] pa?ways t lead to 9-dem& indu/ries 
& sectors z det]m9$ by ! ,/ate bo>d & ! 
head ( ! ,/ate work=ce ag5cy2  7iii7    
sett+ appropriate a*ievem5t objectives  
to atta9 ! employm5t & c>e] goals       
id5tifi$ "u clause 7i72 or  7iv7        
develop+ ! appropriate comb9ation (     
s]vices to enable ! p>ticipant to a*ieve
 ! employm5t & c>e] goals4  7,d7        
,outpati5t treatm5t & recov]y c>e ,9 !  
case ( a p>ticipat+ p>tn]%ip s]v+       
program p>ticipants describ$ 9 p>agraph 
7#b77;,a77i7 ) a sub/ance use disord]1  
provid+ individualiz$ & gr\p outpati5t  
treatm5t & recov]y s]vices = su* program
 p>ticipants t are (f]$ dur+ ! day &    
ev5+1 & on week5ds4 ,su* treatm5t &     
recov]y s]vices--  7i7 %all be bas$ on a
 model t utilizes comb9$ behavioral     
int]v5tions & o!r evid5ce-bas$ or       
evid5ce-in=m$ int]v5tions2 &  7ii7 may  
include additional s]vices su* z-- 7,i7 
heal?1 m5tal heal?1 addiction1 or o!r   

=ms ( outpati5t treatm5t t may impact a 
sub/ance use disord] & co-occurr+       
conditions2  7,,ii7 drug te/+ = a curr5t
 sub/ance use disord] prior to enrollm5t
 9 c>e] or tra9+ s]vices or prior to    
employm5t2  7,,iii7 l9kages to community
 s]vices1 includ+ s]vices (f]$ by p>tn] 
organizations design$ to support program
 p>ticipants2 &  7,,iv7 ref]rals to     
heal? c>e1 includ+ ref]rals to sub/ance 
use disord] treatm5t & m5tal heal?      
s]vices4  7,e7 ,supportive s]vices      
,provid+ supportive s]vices1 :i* %all   
include s]vices su* z-- 7i7 coord9at$   
wrap>\nd s]vices to provide maximum     
support = program p>ticipants to ensure 
t ! program p>ticipants ma9ta9 employm5t
 & recov]y = n less ?an #ab mon?s1 z    
appropriate2  7ii7 assi/ance 9 e/abli%+ 
eligibility = assi/ance "u ,f$]al1      
,/ate1 & local programs provid+ heal?   
s]vices1 m5tal heal? s]vices1 h\s+      
s]vices1 transportation s]vices1 or     
social s]vices2  7iii7 pe] recov]y      
support s]vices describ$ 9 subsection   

7a77#ab77;,c77i72  7iv7 network+ &      
m5tor%ip opportunities2 or  7v7 any     
supportive s]vices det]m9$ necess>y by !
 local entity4  7,f7 ,c>e] & job tra9+  
s]vices ,(f]+ c>e] s]vices & tra9+      
s]vices1 & relat$ s]vices1 concurr5tly  
or sequ5tially ) ! s]vices provid$ "u   
subp>agraphs 7,b7 ?r\gh 7,e74 ,su*      
s]vices %all include ! foll[+3  7i7     
,s]vices provid$ to program p>ticipants 
:o are 9 a pre-employm5t /age ( !       
program4 ,su* s]vices may include--     
7,i7 initial education & skills         
assessm5ts2  7,,ii7 traditional         
classroom tra9+ fund$ ?r\gh individual  
tra9+ acc\nts "u *apt] #c ( subtitle ,b 
( title ,i ( ! ,work=ce ,innovation &   
,opportunity ,act 7#bi ,u4,s4,c4 #caga  
et seq472  7,,iii7 s]vices to promote   
employability skills su* z punctuality1 
p]sonal ma9t5ance skills1 & pr(essional 
conduct2  7,,iv7 9-dep? int]view+ &     
evaluation to id5tify employm5t b>ri]s &
 to develop individual employm5t plans2 
7,v7 c>e] plann+ t includes-- 7aa7 c>e] 

pa?ways lead+ to 9-dem&1 high-wage jobs2
 &  7bb7 job coa*+1 job mat*+1 & job    
placem5t s]vices2  7,,vi7 provision (   
paym5ts & fees = employm5t &            
tra9+-relat$ applications1 te/s1 &      
c]tifications2 or  7,,vii7 any o!r      
appropriate c>e] s]vice or tra9+ s]vice 
describ$ 9 section #acd7;c7 ( ! ,work=ce
 ,innovation & ,opportunity ,act 7#bi   
,u4,s4,c4 #cagd7;c774  7ii7 ,s]vices    
provid$ to program p>ticipants dur+ _!  
fir/ #f mon?s ( employm5t to ensure job 
ret5tion1 :i* may include--  7,i7 case  
managem5t & support s]vices1 includ+ a  
cont9uation ( ! s]vices describ$ 9      
clause 7i72  7,,ii7 a cont9uation (     
skills tra9+1 & c>e] & te*nical         
education1 describ$ 9 clause 7i7 t is   
conduct$ 9 collaboration ) ! employ]s ( 
su* p>ticipants2  7,,iii7 m5tor%ip      
s]vices & job ret5tion support = su*    
p>ticipants2 or  7,,iv7 t>get$ tra9+ =  
manag]s & work]s work+ ) su* p>ticipants
 7su* z m5tors71 & human res\rce        
repres5tatives 9 ! bus9ess 9 :i* su*    

p>ticipants are employ$4  7iii7 ,s]vices
 to assi/ program p>ticipants 9 ma9ta9+ 
employm5t = n less ?an #ab mon?s1 z     
appropriate4  7,g7 ,prov5 & promis+     
practices ,lead+ ef=ts 9 ! s]vice area  
to id5tify & promote prov5 & promis+    
/rategies & initiatives = meet+ ! ne$s (
 employ]s & program p>ticipants4  7#d7  
,limitations ,a p>ticipat+ p>tn]%ip may 
n use-- 7,a7 m ?an #e p]c5t ( ! funds   
receiv$ "u a subgrant "u subsection 7d7 
= ! adm9i/rative co/s ( ! p>tn]%ip2     
7,b7 m ?an #aj p]c5t ( ! funds receiv$  
"u su* subgrant = ! provision ( treatm5t
 & recov]y s]vices1 z describ$ 9        
p>agraph 7#c77;,d72 or  7,c7 m ?an #aj  
p]c5t ( ! funds receiv$ "u su* subgrant 
= ! provision ( supportive s]vices      
describ$ 9 p>agraph 7#c77;,e7 to program
 p>ticipants4  7f7 ,p]=mance            
acc\ntability  7#a7 ,reports ,!         
,secret>y %all e/abli% qu>t]ly report+  
requirem5ts = recipi5ts ( grants &      
subgrants "u ?is section t1 to ! ext5t  
practicable1 are bas$ on ! p]=mance     

acc\ntability sy/em "u section #aaf ( ! 
,work=ce ,innovation & ,opportunity ,act
 7#bi ,u4,s4,c4 #cada71 includ+ !       
indicators describ$ 9 subsection        
7c77#a77;,a77i7 ( su* section & !       
requirem5ts = local area p]=mance       
reports "u subsection 7d7 ( su* section4
  7#b7 ,evaluations  7,a7 ,au?ority to  
ent] into agreem5ts ,! ,secret>y %all   
ensure t an indep5d5t evaluation is     
conduct$ on ! pilot program c>ri$ out "u
 ?is section to det]m9e ! impact ( !    
program on employm5t ( individuals )    
sub/ance use disord]s4 ,! ,secret>y %all
 ent] into an agreem5t ) eligible       
entities receiv+ grants "u ?is section  
to pay = all or "p ( su* evaluation4    
7,b7 ,me?odologies to be us$ ,!         
indep5d5t evaluation requir$ "u ?is     
p>agraph %all use exp]im5tal designs us+
 r&om assignm5t or1 :5 r&om assignm5t is
 n feasible1 o!r reliable1 evid5ce-bas$ 
rese>* me?odologies t all[ = ! /ronge/  
possible causal inf]5ces4  7g7 ,fund+   
7#a7 ,cov]$ fiscal ye> ,9 ?is           

subsection1 ! t]m cov]$ fiscal ye> means
 any ( fiscal ye>s #bjah ?r\gh #bjbc4   
7#b7 ,us+ fund+ = national dislocat$    
work] grants ,subject to p>agraph 7#d7 &
 not)/&+ section #acb7;a77#b77;,a7 &    
subtitle ,d ( ! ,work=ce ,innovation &  
,opportunity ,act 7#bi ,u4,s4,c4        
#cagb7;a77#b77;,a71 #cbba et seq47 or   
any o!r provision ( law1 ! ,secret>y may
 use1 to c>ry out ! pilot program "u ?is
 section = a cov]$ fiscal ye>--  7,a7   
funds made available to c>ry out section
 #agj ( su* ,act 7#bi ,u4,s4,c4 #cbbe7 =
 t fiscal ye>2  7,b7 funds made         
available to c>ry out section #agj ( su*
 ,act t rema9 available = t fiscal ye>2 
&  7,c7 funds t rema9 available "u      
section #agb7;f7 ( su* ,act 7#bi        
,u4,s4,c4 #cbbg7;f774  7#c7             
,availability ( funds ,funds appropriat$
 "u section #acf7;c7 ( su* ,act 7#bi    
,u4,s4,c4 #caha7;c77 & made available to
 c>ry out section #agj ( su* ,act = a   
fiscal ye> %all rema9 available = use "u
 p>agraph 7#b7 = a subsequ5t fiscal ye> 

until exp5d$4  7#d7 ,limitation ,!      
,secret>y may n use m ?an #ajj1jjj1jjj (
 ! funds describ$ 9 p>agraph 7#b7 = any 
cov]$ fiscal ye> "u ?is section4  #djh4 
,y\? prev5tion & recov]y  7a7 ,sub/ance 
abuse treatm5t s]vices = *ildr51        
adolesc5ts1 & "y adults ,section #ead ( 
! ,public ,heal? ,s]vice ,act 7#db      
,u4,s4,c4 #bij;bb-#g7 is am5d$-- 7#a7 9 
! section head+1 by /rik+ *ildr5 &      
adolesc5ts & ins]t+ *ildr51 adolesc5ts1 
& "y adults2  7#b7 9 subsection 7a77#b71
 by /rik+ *ildr51 includ+ & ins]t+      
*ildr51 adolesc5ts1 & "y adults1        
includ+2 &  7#c7 by /rik+ *ildr5 &      
adolesc5ts ea* place x appe>s & ins]t+  
*ildr51 adolesc5ts1 & "y adults4  7b7   
,y\? prev5tion & recov]y initiative     
7#a7 ,def9itions ,9 ?is subsection3 7,a7
 ,eligible entity ,! t]m eligible entity
 means--  7i7 a local educational ag5cy 
t is seek+ to e/abli% or exp& sub/ance  
use prev5tion & recov]y support s]vices 
at "o or m high s*ools2  7ii7 an        
in/itution ( high] education2  7iii7 a  

recov]y program at an in/itution ( high]
 education2  7iv7 a local bo>d or "o-/op
 op]ator2 or  7v7 a nonpr(it            
organization1 exclud+ a s*ool4  7,b7    
,high s*ool ,! t]m high s*ool has !     
mean+ giv5 su* 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 su* t]m 9 section #aja ( ! ,high] 
,education ,act ( #aife 7#bj ,u4,s4,c4  
#ajja7 & includes a po/second>y         
vocational in/itution z def9$ 9 section 
#ajb7;c7 ( su* ,act 7#bj ,u4,s4,c4      
#ajjb7;c774  7,d7 ,local education ag5cy
 ,! t]m local educational ag5cy has !   
mean+ giv5 ! t]m 9 section #haja ( !    
,elem5t>y & ,second>y ,education ,act ( 
#aife4  7,e7 ,local bo>d2 "o-/op op]ator
 ,! t]ms local bo>d & "o-/op op]ator h !
 mean+s giv5 su* t]ms 9 section #c ( !  
,work=ce ,innovation & ,opportunity ,act
 7#bi ,u4,s4,c4 #cajb74  7,f7 ,recov]y  
program ,! t]m recov]y program means a  

program-- 7i7 to help *ildr51           
adolesc5ts1 or "y adults :o are recov]+ 
f sub/ance use disord]s to initiate1    
/abilize1 & ma9ta9 heal?y & productive  
lives 9 ! community2 &  7ii7 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    
7,g7 ,secret>y ,! t]m ,secret>y means ! 
,secret>y ( ,heal? & ,human ,s]vices1   
except z o!rwise specifi$4  7#b7 ,be/   
practices ,! ,secret>y1 9 consultation )
 ! ,secret>y ( ,education1 %all--  7,a7 
id5tify or facilitate ! developm5t (    
evid5ce-bas$ be/ practices = prev5tion (
 sub/ance misuse & abuse by *ildr51     
adolesc5ts1 & "y adults1 = appropriate  
recov]y support s]vices1 & = appropriate
 use ( m$ication-assi/$ treatm5t = su*  
individuals1 if applicable2  7,b7       
dissem9ate su* be/ practices to local   
educational ag5cies1 in/itutions ( high]
 education1 recov]y programs at         
in/itutions ( high] education1 local    

bo>ds1 "o-/op op]ators1 & nonpr(it      
organizations1 z appropriate2  7,c7     
conduct a rigor\s1 indep5d5t evaluation 
( ea* grant fund$ "u ?is subsection1    
p>ticul>ly its impact on ! indicators   
describ$ 9 p>agraph 7#e77;,b72 &  7,d7  
provide te*nical assi/ance = grantees "u
 ?is subsection4  7#c7 ,grants au?oriz$ 
,! ,secret>y1 9 consultation ) !        
,secret>y ( ,education1 %all aw>d #c-ye>
 grants1 on a competitive basis1 to     
eligible entities to enable su*         
entities1 9 coord9ation ) ,/ate ag5cies 
responsible = c>ry+ out sub/ance use    
disord] prev5tion & treatm5t programs1  
to c>ry out evid5ce-bas$ or promis+     
programs =--  7,a7 prev5tion ( sub/ance 
abuse & misuse by *ildr51 adolesc5ts1 & 
"y adults2  7,b7 recov]y support s]vices
 = *ildr51 adolesc5ts1 & "y adults1 :i* 
may include c\nsel+1 job tra9+1 l9kages 
to community-bas$ s]vices1 family       
support gr\ps1 & recov]y coa*+2 &  7,c7 
treatm5t or ref]rals = treatm5t (       
sub/ance use disord]s1 z appropriate4   

7#d7 ,application ,to be eligible = a   
grant "u ?is subsection1 an entity %all 
submit to ! ,secret>y an application at 
su* "t1 9 su* mann]1 & conta9+ su*      
in=mation z ! ,secret>y may require4    
,su* application %all include--  7,a7 a 
description ( ! impact ( sub/ance use   
disord]s on *ildr51 adolesc5ts1 & "y    
adults enroll$ 9 ! local educational    
ag5cy1 "o-/op op]ator1 local bo>d1 or   
in/itution ( high] education2  7,b7 a   
description ( h[ ! eligible entity has  
solicit$ input f faculty1 tea*]s1 /aff1 
families1 /ud5ts1 & exp]ts 9 sub/ance   
use prev5tion & treatm5t 9 develop+ su* 
application2  7,c7 h[ ! eligible entity 
plans to use grant funds = evid5ce-bas$ 
or promis+ activities1 9 accordance )   
?is subsection to prev5t1 provide       
recov]y support =1 & treat sub/ance use 
disord]s among/ su* individuals2  7,d7  
an assurance t ! eligible entity w      
p>ticipate 9 ! evaluation describ$ 9    
p>agraph 7#b77;,c72 &  7,e7 a           
description ( h[ ! eligible entity w    

collaborate ) local s]vice provid]s1    
includ+ sub/ance use disord] treatm5t   
programs1 provid]s ( m5tal heal?        
s]vices1 & prim>y c>e provid]s1 9 c>ry+ 
out ! grant program4  7#e7 ,report ,ea* 
eligible entity aw>d$ a grant "u ?is    
section %all submit to ! appropriate    
committees ( ,congress1 a report at su* 
"t & 9 su* mann] z ! ,secret>y may      
require4 ,su* report %all include--     
7,a7 a description ( h[ ! eligible      
entity us$ grant funds1 9 accordance )  
?is subsection1 includ+ ! numb] (       
*ildr51 adolesc5ts1 & "y adults rea*$   
?r\gh programm+2 &  7,b7 a description (
 h[ ! grant program has made an impact  
on-- 7i7 indicators ( /ud5t success1    
includ+ /ud5t well-be+ & academic       
a*ievem5t2 &  7ii7 sub/ance use disord]s
 among/ *ildr51 adolesc5ts1 & "y adults1
 includ+ ! numb] ( ov]doses & dea?s     
among/ *ildr51 adolesc5ts1 & "y adults  
dur+ ! grant p]iod4  7#f7 ,au?orization 
( appropriations ,!re is au?oriz$ to be 
appropriat$1 su* sums z may be necess>y 

to c>ry out ?is subsection4  #dji4      
,plans ( safe c>e  7a7 ,9 g5]al ,section
 #aje7;a7 ( ! ,*ild ,abuse ,prev5tion & 
,treatm5t ,act 7#db ,u4,s4,c4 #eajf7;a77
 is am5d$ by add+ at ! end ! foll[+3    
7#g7 ,grants to ,/ates to improve &     
coord9ate _! response to ensure !       
safety1 p]man5cy1 & well-be+ ( infants  
affect$ by sub/ance use  7,a7 ,program  
au?oriz$ ,! ,secret>y %all make grants  
to ,/ates = ! purpose ( assi/+ *ild     
welf>e ag5cies1 social s]vices ag5cies1 
sub/ance use disord] treatm5t ag5cies1  
public heal? & m5tal heal? ag5cies1 &   
mat]nal & *ild heal? ag5cies to         
facilitate collaboration 9 develop+1    
updat+1 & implem5t+ plans ( safe c>e    
describ$ 9 section                      
#ajf7;b77#b77;,b77iii74  7,b7           
,di/ribution ( funds  7i7 ,res]vations  
,( ! am\nts appropriat$ "u subp>agraph  
7,h71 ! ,secret>y %all res]ve-- 7,i7 no 
m ?an #c p]c5t = ! purposes describ$ 9  
subp>agraph 7,g72 &  7,,ii7 up to #c    
p]c5t = grants to ,indian ,tribes &     

tribal organizations = purposes consi/5t
 ) ?is section1 z ! ,secret>y det]m9es  
appropriate4  7ii7 ,allotm5ts to ,/ates 
& t]ritories ,! ,secret>y %all allot !  
am\nt appropriat$ "u subp>agraph 7,h7 t 
rema9s aft] application ( clause 7i7 on 
a competitive basis to ,/ates t apply = 
su* a grant4  7iii7 ,selection crit]ia  
,! ,secret>y %all allot funds to ,/ates 
t demon/rate a /rong ne$ = su* funds1 & 
a /rong commitm5t to us+ su* funds1 to  
meet ! purposes describ$ 9 subp>agraph  
7,a7 9 accordance ) subp>agraph 7,d74   
7,c7 ,application ,a ,/ate desir+ a     
grant "u ?is p>agraph %all submit an    
application to ! ,secret>y at su* "t & 9
 su* mann] z ! ,secret>y may require4   
,su* application %all include--  7i7 a  
description (-- 7,i7 ! impact ( sub/ance
 use disord] 9 su* ,/ate1 includ+ )     
respect to ! sub/ance or class (        
sub/ances ) ! highe/ incid5ce ( abuse 9 
! previ\s ye> 9 su* ,/ate1 includ+--    
7aa7 ! preval5ce ( sub/ance use disord] 
9 su* ,/ate2  7bb7 ! aggregate rate (   

bir?s 9 ! ,/ate ( infants affect$ by    
sub/ance abuse or )drawal symptoms or a 
fetal alcohol spectrum disord] 7z       
det]m9$ by hospitals1 insurance claims1 
claims submitt$ to ! ,/ate ,m$icaid     
program1 or o!r records71 if available &
 to ! ext5t practicable2 &  7cc7 ! numb]
 ( infants id5tifi$1 = :om a plan ( safe
 c>e 0 develop$1 & = :om a ref]ral 0    
made = appropriate s]vices1 z report$ "u
 section #ajf7;d77#ah72  7,,ii7 !       
*all5ges ! ,/ate faces 9 develop+ &     
implem5t+ plans ( safe c>e 9 accordance 
) section #ajf7;b77#b77;,b77iii72       
7,,iii7 ! ,/ate's lead ag5cy = ! grant  
program & h[ t ag5cy w coord9ate )      
relevant ,/ate entities & programs1     
includ+ ! *ild welf>e ag5cy1 ! sub/ance 
use disord] treatm5t ag5cy1 ! public    
heal? & m5tal heal? ag5cies1 programs   
fund$ by ! ,resid5tial ,treatm5t =      
,pregnant & ,po/p>tum ,wom5 grant       
program ( ! ,sub/ance ,abuse & ,m5tal   
,heal? ,s]vices ,adm9i/ration "u section
 #ejh ( ! ,public ,heal? ,s]vice ,act   

7#db ,u4,s4,c4 #bij;bb-#a71 ! ,/ate     
,m$icaid program1 ! ,/ate ag5cy adm9i/]+
 ! block grant program "u title ,v ( !  
,social ,security ,act 7#db ,u4,s4,c4   
#gja et seq471 ! ,/ate ag5cy adm9i/]+ ! 
programs fund$ "u "p ,c ( ! ,individuals
 ) ,disabilities ,education ,act 7#bj   
,u4,s4,c4 #adca et seq471 ! mat]nal1    
infant1 & e>ly *ildhood home visit+     
program "u section #eaa ( ! ,social     
,security ,act 7#db ,u4,s4,c4 #gaa71 !  
,/ate judicial sy/em1 & o!r ag5cies1 z  
det]m9$ by ! ,secret>y2  7,,iv7 h[ !    
,/ate w monitor local implem5tation (   
plans ( safe c>e1 9 accordance ) section
 #ajf7;b77#b77;,b77iii77,,ii72  7,v7 h[ 
! ,/ate meets ! requirem5ts ( section   
#aibg ( ! ,public ,heal? ,s]vice ,act   
7#db ,u4,s4,c4 #cjjx-#bg72  7,,vi7 h[ ! 
,/ate plans to utilize fund+ au?oriz$ "u
 "p ,e ( title ,,iv ( ! ,social         
,security ,act 7#db ,u4,s4,c4 #fgj et   
seq47 to assi/ 9 c>ry+ out any plan (   
safe c>e1 includ+ su* fund+ au?oriz$ "u 
section #dga7;e7 ( su* ,act 7z 9 effect 

on ,octob] #a1 #bjah7 = m5tal heal? &   
sub/ance abuse prev5tion & treatm5t     
s]vices & 9-home p>5t skill-bas$        
programs & fund+ au?oriz$ "u su* section
 #dgb7;j7 7z 9 effect on ,octob] #a1    
#bjah7 = *ildr5 ) a p>5t 9 a lic5s$     
resid5tial family-bas$ treatm5t facility
 = sub/ance abuse2 &  7,,vii7 an        
assessm5t ( ! treatm5t & o!r s]vices &  
programs available 9 ! ,/ate1 to        
effectively c>ry out any plan ( safe c>e
 develop$1 includ+ id5tification ( ne$$ 
treatm5t1 & o!r s]vices & programs to   
ensure ! wellbe+ ( "y *ildr5 & _!       
families affect$ by sub/ance use        
disord]1 su* z programs c>ri$ out "u "p 
,c ( ! ,individuals ) ,disabilities     
,education ,act & compreh5sive e>ly     
*ildhood developm5t s]vices & programs  
su* z ,head ,/>t programs2  7ii7 a      
description ( h[ ! ,/ate plans to use   
funds = activities describ$ 9           
subp>agraph 7,d7 = ! purposes ( ensur+  
,/ate compliance ) requirem5ts "u       
clauses 7ii7 & 7iii7 ( section          

#ajf7;b77#b77;,b72 &  7iii7 an assurance
 t ! ,/ate w-- 7,i7 comply ) ?is ,act & 
p>ts ,b & ,e ( title ,,iv ( ! ,social   
,security ,act 7#db ,u4,s4,c4 #fba et   
seq41 #fgj et seq472 &  7,,ii7 comply ) 
requirem5ts to ref] a *ild id5tifi$ z   
sub/ance-expos$ to e>ly int]v5tion      
s]vices z requir$ pursuant to a grant "u
 "p ,c ( ! ,individuals ) ,disabilities 
,education ,act 7#bj ,u4,s4,c4 #adca et 
seq474  7,d7 ,uses ( funds ,funds aw>d$ 
to a ,/ate "u ?is p>agraph may be us$ = 
! foll[+ activities1 :i* may be c>ri$   
out by ! ,/ate directly1 or ?r\gh grants
 or subgrants1 contracts1 or coop]ative 
agreem5ts3  7i7 ,improv+ ,/ate & local  
sy/ems ) respect to ! developm5t &      
implem5tation ( plans ( safe c>e1 :i*-- 
7,i7 %all include p>5t & c>egiv]        
engagem5t1 z requir$ "u section         
#ajf7;b77#b77;,b77iii77,i71 reg>d+      
available treatm5t & s]vice options1 :i*
 may include res\rces available =       
pregnant1 p]9atal1 & po/natal wom52 &   
7,,ii7 may include activities su* z--   

7aa7 develop+ policies1 proc$ures1 or   
protocols = ! adm9i/ration (            
evid5ce-bas$ & validat$ scre5+ tools =  
infants :o may be affect$ by sub/ance   
use )drawal symptoms or a fetal alcohol 
spectrum disord] & pregnant1 p]9atal1 & 
po/natal wom5 ^: infants may be affect$ 
by sub/ance use )drawal symptoms or a   
fetal alcohol spectrum disord]2  7bb7   
improv+ assessm5ts us$ to det]m9e ! ne$s
 ( ! infant & family2  7cc7 improv+     
ongo+ case managem5t s]vices2 &  7dd7   
improv+ access to treatm5t s]vices1 :i* 
may be prior to ! pregnant woman's      
deliv]y date4  7ii7 ,develop+ policies1 
proc$ures1 or protocols 9 consultation &
 coord9ation ) heal? pr(essionals1      
public & private heal? facilities1 &    
sub/ance use disord] treatm5t ag5cies to
 ensure t--  7,i7 appropriate           
notification to *ild protective s]vices 
is made 9 a timely mann]2  7,,ii7 a plan
 ( safe c>e is 9 place1 :]e ne$$1 be=e !
 infant is dis*>g$ f ! bir? or heal? c>e
 facility2 &  7,,iii7 su* heal? & relat$

 ag5cy pr(essionals are tra9$ on h[ to  
foll[ su* protocols & are aw>e ( !      
supports t may be provid$ "u a plan (   
safe c>e4  7iii7 ,tra9+ heal?           
pr(essionals & heal? sy/em lead]s1 *ild 
welf>e work]s1 sub/ance use disord]     
treatm5t ag5cies1 & o!r relat$          
pr(essionals su* z home visit+ ag5cy    
/aff & law en=cem5t 9 relevant topics   
includ+--  7,i7 ,/ate m&atory report+   
laws & ! ref]ral & notification process2
  7,,ii7 ! co-occurr5ce ( pregnancy &   
sub/ance use disord]2  7,,iii7 ! cl9ical
 guidance ab\t treat+ sub/ance use      
disord] 9 pregnant & po/p>tum wom52     
7,,iv7 appropriate scre5+ & int]v5tions 
= infants affect$ by sub/ance use       
disord]1 )drawal symptoms1 or a fetal   
alcohol spectrum disord] & ! requirem5ts
 "u section #ajf7;b77#b77;,b77iii72 &   
7,v7 appropriate /rategies to address ! 
m5tal heal? ne$s ( ! p>5t & *ild toge!r4
  7iv7 ,e/abli%+ p>tn]%ips1 agreem5ts1  
or memor&a ( und]/&+ betwe5 ! lead ag5cy
 & heal? pr(essionals1 heal? facilities1

 *ild welf>e pr(essionals1 sub/ance use 
disord] & m5tal heal? disord] treatm5t  
programs1 e>ly *ildhood education       
programs1 & mat]nal & *ild heal? & e>ly 
int]v5tion pr(essionals1 includ+ home   
visit+ provid]s1 pe]-to-pe] recov]y     
programs su* z p>5t m5tor+ programs1 &  
h\s+ ag5cies to facilitate !            
implem5tation (1 & compliance ) section 
#ajf7;b77#b7 & clause 7ii7 ( ?is        
subp>agraph1 9 areas :i* may include--  
7,i7 develop+ a compreh5sive1           
multi-discipl9>y assessm5t & int]v5tion 
process = infants & _! families :o are  
affect$ by sub/ance use disord]1 )drawal
 symptoms1 or a fetal alcohol spectrum  
disord]1 t includes mean+ful engagem5t )
 & takes into acc\nt ! unique ne$s ( ea*
 family & addresses diff]5ces betwe5    
legal1 m$ically sup]vis$ sub/ance use1 &
 sub/ance use disord]2  7,,ii7 ensur+ t 
treatm5t approa*es = s]v+ infants1      
pregnant wom51 & p]9atal & po/natal wom5
 ^: infants may be affect$ by sub/ance  
use1 )drawal symptoms1 or a fetal       

alcohol spectrum disord]1 are design$   
to1 :]e appropriate1 keep infants ) _!  
mo!rs dur+ bo? inpati5t & outpati5t     
treatm5t2 &  7,,iii7 increas+ access to 
evid5ce-bas$ m$ication-assi/$ treatm5t  
approv$ by ! ,food & ,drug              
,adm9i/ration1 behavioral !rapy1 &      
c\nsel+ s]vices = ! treatm5t ( sub/ance 
use disord]s1 z appropriate4  7v7       
,develop+ & updat+ sy/ems ( te*nology = 
improv$ data collection & monitor+ "u   
section #ajf7;b77#b77;,b77iii71 includ+ 
exi/+ electronic m$ical records1 to     
measure ! outcomes a*iev$ ?r\gh ! plans 
( safe c>e1 includ+ monitor+ sy/ems to  
meet ! requirem5ts ( ?is ,act &         
submission ( p]=mance measures4  7,e7   
,report+ ,ea* ,/ate t receives funds "u 
?is p>agraph1 = ea* ye> su* funds are   
receiv$1 %all submit a report to !      
,secret>y1 disaggregat$ by geographic   
location1 economic /atus1 & major racial
 & e?nic gr\ps1 except t su*            
disaggregation %all n be requir$ if !   
results w\ld reveal p]sonally           

id5tifiable in=mation1 on ! foll[+3  7i7
 ,! numb] ( ! infants id5tifi$ "u       
section #ajf7;b77#b77;,b77ii7 :o        
exp]i5c$ removal due to p>5tal sub/ance 
use conc]ns :o are reunifi$ ) p>5ts1 & !
 l5g? ( "t betwe5 su* removal &         
reunification4  7ii7 ,! numb] ( !       
infants id5tifi$ "u section             
#ajf7;b77#b77;,b77ii7 :o exp]i5c$       
sub/antiat$ reports ( *ild abuse or     
neglect & receiv$ diff]5tial response   
:ile 9 ! c>e ( _! bir? p>5ts or )9 #a   
ye> aft] a reunification has occurr$4   
7iii7 ,! numb] ( ! infants id5tifi$ "u  
section #ajf7;b77#b77;,b77ii7 :o        
exp]i5c$ a return to out-(-home c>e )9  
"o ye> aft] reunification4  7,f7        
,secret>y's report to congress ,!       
,secret>y %all submit an annual report  
to ! ,committee on ,heal?1 ,education1  
,labor1 & ,p5sions & ! ,committee on    
,appropriations ( ! ,s5ate & !          
,committee on ,education & ! ,work=ce & 
! ,committee on ,appropriations ( !     
,h\se ( ,repres5tatives t includes !    

in=mation describ$ 9 subp>agraph 7,e7 & 
recomm5dations or obs]vations on !      
*all5ges1 successes1 & lessons d]iv$ f  
implem5tation ( ! grant program4  7,g7  
,res]vation ( funds ,! ,secret>y %all   
use ! am\nt res]v$ "u subp>agraph       
7,b77i77,i7 = ! purposes (-- 7i7 provid+
 te*nical assi/ance1 includ+ programs ( 
9-dep? te*nical assi/ance1 to additional
 ,/ates1 t]ritories1 & ,indian tribes 9 
accordance ) ! sub/ance-expos$ infant   
initiative develop$ by ! ,national ,c5t]
 on ,sub/ance ,abuse & ,*ild ,welf>e2   
7ii7 issu+ guidance on ! requirem5ts (  
?is ,act ) respect to infants born ) &  
id5tifi$ z be+ affect$ by sub/ance use  
or )drawal symptoms or fetal alcohol    
spectrum disord]1 z describ$ 9 clauses  
7ii7 & 7iii7 ( section                  
#ajf7;b77#b77;,b71 includ+ by--  7,i7   
cl>ify+ key t]ms2 &  7,,ii7 dissem9at+  
be/ practices on implem5tation ( plans (
 safe c>e1 on su* topics z diff]5tial   
response1 collaboration & coord9ation1 &
 id5tification & deliv]y ( s]vices1 =   

diff]5t populations2  7iii7 support+    
,/ate ef=ts to develop in=mation        
te*nology sy/ems to manage plans ( safe 
c>e2 &  7iv7 prep>+ ! ,secret>y's report
 to ,congress describ$ 9 subp>agraph    
7,f74  7,h7 ,au?orization (             
appropriations ,to c>ry out ! program "u
 ?is p>agraph1 !re are au?oriz$ to be   
appropriat$ #fj1jjj1jjj = ea* ( fiscal  
ye>s #bjai ?r\gh #bjbc4  4  7b7         
,def9ition ,section #c ( ! ,*ild ,abuse 
,prev5tion & ,treatm5t ,act 7#db        
,u4,s4,c4 #eaja note7 is am5d$-- 7#a7 9 
p>agraph 7#g71 by /rik+ 2 & & ins]t+ a  
semicolon2  7#b7 by r$esignat+ p>agraph 
7#h7 z p>agraph 7#i72 &  7#c7 by ins]t+ 
aft] p>agraph 7#g7 ! foll[+3  7#h7 ! t]m
 sub/ance use disord] means ! abuse (   
alcohol or o!r drugs2 &  4  #daj4       
,regulations relat+ to special          
regi/ration = telem$ic9e ,section       
#caa7;h7 ( ! ,controll$ ,sub/ances ,act 
7#ba ,u4,s4,c4 #hca7;h77 is am5d$ by    
/rik+ p>agraph 7#b7 & ins]t+ ! foll[+3  
7#b7 ,regulations  7,a7 ,9 g5]al ,n lat]

 ?an #a ye> aft] ! date ( enactm5t ( !  
,opioid ,crisis ,response ,act ( #bjah1 
9 consultation ) ! ,secret>y1 & 9       
accordance ) ! proc$ure describ$ 9      
subp>agraph 7,b71 ! ,attorney ,g5]al    
%all promulgate f9al regulations        
specify+--  7i7 ! limit$ circum/ances 9 
:i* a special regi/ration "u ?is        
subsection may be issu$2 &  7ii7 !      
proc$ure = obta9+ a special regi/ration 
"u ?is subsection4  7,b7 ,proc$ure ,9   
promulgat+ f9al regulations "u          
subp>agraph 7,a71 ! ,attorney ,g5]al    
%all-- 7i7 issue a notice ( propos$     
rulemak+ t includes a copy ( ! propos$  
regulations2  7ii7 provide a p]iod ( n  
less ?an #fj days = comm5ts on ! propos$
 regulations2  7iii7 f9alize ! propos$  
regulation n lat] ?an #f mon?s aft] !   
close ( ! comm5t p]iod2 &  7iv7 publi% !
 f9al regulations n lat] ?an #cj days   
be=e ! effective date ( ! f9al          
regulations4  4  #daa4 ,national ,heal? 
,s]vice ,corps behavioral & m5tal heal? 
pr(essionals provid+ obligat$ s]vice 9  

s*ools & o!r community-bas$ sett+s      
,subp>t ,,iii ( "p ,d ( title ,,iii ( ! 
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bedl et seq47 is am5d$ by    
add+ at ! end ! foll[+3  #cch,n4        
,behavioral & m5tal heal? pr(essionals  
provid+ obligat$ s]vice 9 s*ools & o!r  
community-bas$ sett+s  7a7 ,s*ools &    
community-,bas$ sett+s ,an entity to :i*
 a ,corps memb] is assign$ "u section   
#ccc may direct su* ,corps memb] to     
provide s]vice z a behavioral & m5tal   
heal? pr(essional at a s*ool or o!r     
community-bas$ sett+ locat$ 9 a heal?   
pr(essional %ortage area4  7b7 ,obligat$
 s]vice  7#a7 ,9 g5]al ,any s]vice      
describ$ 9 subsection 7a7 t a ,corps    
memb] provides may c\nt t[>ds su* ,corps
 memb]'s completion ( any obligat$      
s]vice requirem5ts "u ! ,s*ol>%ip       
,program or ! ,loan ,repaym5t ,program1 
subject to any limitation impos$ "u     
p>agraph 7#b74  7#b7 ,limitation ,!     
,secret>y may impose a limitation on !  
numb] ( h\rs ( s]vice describ$ 9        

subsection 7a7 t a ,corps memb] may     
cr$it t[>ds complet+ obligat$ s]vice    
requirem5ts1 provid$ t ! limitation     
all[s a memb] to cr$it s]vice describ$ 9
 subsection 7a7 = n less ?an #ej p]c5t (
 ! total h\rs requir$ to complete su*   
obligat$ s]vice requirem5ts4  7c7 ,rule 
( con/ruction ,! au?orization "u        
subsection 7a7 %all be not)/&+ any o!r  
provision ( ?is subp>t or subp>t ,,ii4  
4  #dab4 ,loan repaym5t = sub/ance use  
disord] treatm5t provid]s  7a7 ,loan    
repaym5t = sub/ance use treatm5t        
provid]s ,! ,secret>y ( ,heal? & ,human 
,s]vices 7ref]r$ to 9 ?is section z !   
,secret>y7 %all ent] into contracts "u  
section #cch;,b ( ! ,public ,heal?      
,s]vice ,act 7#db ,u4,s4,c4 #bedl-#a7 ) 
eligible heal? pr(essionals provid+     
sub/ance use disord] treatm5t s]vices 9 
sub/ance use disord] treatm5t           
facilities1 z def9$ by ! ,secret>y4  7b7
 ,provision ( sub/ance use disord]      
treatm5t ,9 c>ry+ out ! activities      
describ$ 9 subsection 7a7-- 7#a7 su*    

facilities %all be locat$ 9 m5tal heal? 
pr(essional %ortage areas designat$ "u  
section #ccb ( ! ,public ,heal? ,s]vice 
,act 7#db ,u4,s4,c4 #bed;e72  7#b7      
section #cca7;a77#c77;,d7 ( su* ,act    
7#db ,u4,s4,c4 #bed;d7a77#c77;,d77 %all 
be appli$ z if ! t]m prim>y heal?       
s]vices includes heal? s]vices reg>d+   
sub/ance use disord] treatm5t2  7#c7    
section #cca7;a77#c77;,e77i7 ( su* ,act 
7#db ,u4,s4,c4 #bed;d7a77#c77;,e77i77   
%all be appli$ z if ! t]m behavioral &  
m5tal heal? pr(essionals includes ma/]s 
level1 lic5s$ sub/ance use disord]      
treatm5t c\nselors2 &  7#d7 su*         
pr(essionals & facilities %all provide--
 7,a7 c\nsel+ by a program c\nselor or  
o!r c]tifi$ pr(essional :o is lic5s$ &  
qualifi$ by education1 tra9+1 or        
exp]i5ce to assess ! psy*ological &     
sociological backgr\nd ( pati5ts1 to    
contribute to ! appropriate treatm5t    
plan = ! pati5t1 & to monitor progress2 
&  7,b7 all drugs approv$ by ! ,food &  
,drug ,adm9i/ration to treat sub/ance   

use disord]s4  7c7 ,au?orization (      
appropriations ,!re is au?oriz$ to be   
appropriat$ to c>ry out ?is section1    
#be1jjj1jjj = ea* ( fiscal ye>s #bjai   
?r\gh #bjbc4  #dac4 ,improv+ treatm5t = 
pregnant & po/p>tum wom5  7a7 ,report   
7#a7 ,9 g5]al ,n lat] ?an #fj days aft] 
! date ( enactm5t ( ?is ,act1 !         
,secret>y ( ,heal? & ,human ,s]vices    
7ref]r$ to 9 ?is subsection z !         
,secret>y7 %all submit to ! appropriate 
committees ( ,congress & make available 
to ! public on ! int]net website ( !    
,dep>tm5t ( ,heal? & ,human ,s]vices a  
report reg>d+ ! implem5tation ( !       
recomm5dations 9 ! /rategy relat+ to    
pr5atal opioid use1 includ+ neonatal    
ab/95ce syndrome1 develop$ pursuant to  
section #b ( ! ,protect+ ,our ,infants  
,act ( #bjae 7,public ,law #aad-ia74    
,su* report %all include--  7,a7 an     
update on ! implem5tation ( !           
recomm5dations 9 ! /rategy1 includ+     
in=mation reg>d+ ! ag5cies involv$ 9 !  
implem5tation2 &  7,b7 in=mation on     

additional fund+ or au?ority ! ,secret>y
 requires1 if any1 to implem5t !        
/rategy1 :i* may include au?orities ne$$
 to coord9ate implem5tation ( su*       
/rategy across ! ,dep>tm5t ( ,heal? &   
,human ,s]vices4  7#b7 ,p]iodic updates 
,! ,secret>y %all p]iodically update !  
report "u p>agraph 7#a74  7b7           
,resid5tial treatm5t programs = pregnant
 & po/p>tum wom5 ,section #ejh7s7 ( !   
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bij;bb-#a7s77 is am5d$ by    
/rik+ #af1ijj1jjj = ea* ( fiscal ye>s   
#bjag ?r\gh #bjba & ins]t+ #bi1ica1jjj =
 ea* ( fiscal ye>s #bjai ?r\gh #bjbc4   
#dad4 ,e>ly int]v5tions = pregnant wom5 
& infants  7a7 ,developm5t ( educational
 mat]ials by ,c5t] = ,sub/ance ,abuse   
,prev5tion ,section #eae7;b7 ( ! ,public
 ,heal? ,s]vice ,act 7#db ,u4,s4,c4     
#bij;bb-#ba7;b77 is am5d$-- 7#a7 9      
p>agraph 7#ac71 by /rik+ & at ! end2    
7#b7 9 p>agraph 7#ad71 by /rik+ ! p]iod 
at ! end & ins]t+ 2 &2 &  7#c7 by add+  
at ! end ! foll[+3  7#ae7 9 coop]ation )

 relevant /akehold]s & ! ,director ( !  
,c5t]s = ,disease ,control & ,prev5tion1
 develop educational mat]ials =         
cl9icians to use ) pregnant wom5 = %>$  
decisionmak+ reg>d+ pa9 managem5t dur+  
pregnancy4  4  7b7 ,guidel9es &         
recomm5dations by ,c5t] = ,sub/ance     
,abuse ,treatm5t ,section #ejg7;b7 ( !  
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bij;bb7b77 is am5d$-- 7#a7 9 
p>agraph 7#ac71 by /rik+ & at ! end2    
7#b7 9 p>agraph 7#ad71 by /rik+ ! p]iod 
at ! end & ins]t+ a semicolon2 &  7#c7  
by add+ at ! end ! foll[+3  7#ae7 9     
coop]ation ) ! ,secret>y1 implem5t &    
dissem9ate1 z appropriate1 !            
recomm5dations 9 ! report entitl$       
,protect+ ,our ,infants ,act3 ,f9al     
,/rategy issu$ by ! ,dep>tm5t ( ,heal? &
 ,human ,s]vices 9 #bjag2 &  4  7c7     
,support ( p>tn]%ips by ,c5t] =         
,sub/ance ,abuse ,treatm5t ,section     
#ejg7;b7 ( ! ,public ,heal? ,s]vice ,act
 7#db ,u4,s4,c4 #bij;bb7b771 z am5d$ by 
subsection 7b71 is fur!r am5d$ by add+  

at ! end ! foll[+3  7#af7 9 coop]ation )
 relevant /akehold]s1 support           
public-private p>tn]%ips to assi/ )     
education ab\t1 & support ) respect to1 
sub/ance use disord] = pregnant wom5 &  
heal? c>e provid]s :o treat pregnant    
wom5 & babies4  4  ,v ,prev5tion  #eja4 
,/udy on prescrib+ limits ,n lat] ?an #b
 ye>s aft] ! date ( enactm5t ( ?is ,act1
 ! ,secret>y ( ,heal? & ,human ,s]vices1
 9 consultation ) ! ,attorney ,g5]al1   
%all submit to ! ,committee on ,heal?1  
,education1 ,labor1 & ,p5sions ( !      
,s5ate & ! ,committee on ,en]gy &       
,comm]ce ( ! ,h\se ( ,repres5tatives a  
report on ! impact ( ,f$]al & ,/ate laws
 & regulations t limit ! l5g?1 quantity1
 or dosage ( opioid prescriptions4 ,su* 
report %all address--  7#a7 ! impact (  
su* limits on-- 7,a7 ! incid5ce &       
preval5ce ( ov]dose relat$ to           
prescription opioids2  7,b7 ! incid5ce &
 preval5ce ( ov]dose relat$ to illicit  
opioids2  7,c7 ! preval5ce ( opioid use 
disord]s2 &  7,d7 m$ically appropriate  

use (1 & access to1 opioids1 includ+ any
 impact on travel exp5ses & pa9         
managem5t outcomes = pati5ts1 :e!r su*  
limits are associat$ ) significantly    
high] rates ( negative heal? outcomes1  
includ+ suicide1 & :e!r ! impact ( su*  
limits diff]s bas$ on cl9ical indication
 = :i* opioids are prescrib$2  7#b7 :e!r
 su* limits lead to a significant       
increase 9 burd5 = prescrib]s ( opioids 
or prescrib]s ( treatm5ts = opioid use  
disord]1 includ+ any impact on pati5t   
access to treatm5t1 & :e!r any su* burd5
 is mitigat$ by any factors su* z       
electronic prescrib+2 &  7#c7 ! impact (
 su* limits on div]sion or misuse ( any 
controll$ sub/ance 9 s*$ule ,,ii1 ,,iii1
 or ,,iv ( section #bjb7;c7 ( !         
,controll$ ,sub/ances ,act 7#ba         
,u4,s4,c4 #hab7;c774  #ejb4 ,programs = 
heal? c>e work=ce  7a7 ,program =       
education & tra9+ 9 pa9 c>e ,section    
#gei ( ! ,public ,heal? ,s]vice ,act    
7#db ,u4,s4,c4 #bid;i7 is am5d$-- 7#a7 9
 subsection 7a71 by ins]t+ nonpr(it aft]

 private2  7#b7 9 subsection 7b7-- 7,a7 
9 ! matt] prec$+ p>agraph 7#a71 by /rik+
 aw>d may be made "u subsection 7a7 only
 if ! applicant = ! aw>d agrees t !     
program c>ri$ out ) ! aw>d w include &  
ins]t+ entity receiv+ an aw>d "u ?is    
section %all develop a compreh5sive     
education & tra9+ plan t includes2  7,b7
 9 p>agraph 7#a7-- 7i7 by ins]t+        
prev5t+1 aft] diagnos+12 &  7ii7 by     
ins]t+ non-addictive m$ical products &  
non-ph>macologic treatm5ts & aft]       
includ+2  7,c7 9 p>agraph 7#b7--  7i7 by
 ins]t+ ,f$]al1 ,/ate1 & local aft]     
applicable2 &  7ii7 by /rik+ ! degree to
 :i* & all t foll[s ?r\gh effective pa9 
c>e & ins]t+ opioids2  7,d7 9 p>agraph  
7#c71 by ins]t+ &1 z appropriate1       
non-ph>maco!rapy be=e ! semicolon2  7,e7
 9 p>agraph 7#d7--  7i7 by ins]t+ any   
be=e cultural2 &  7ii7 by /rik+ 2 & &   
ins]t+ 22  7,f7 9 p>agraph 7#e71 by     
/rik+ provision ( pa9 c>e4 & ins]t+     
sci5tific basis ( pa9 & ! provision (   
pa9 c>e1 includ+ ?r\gh non-addictive    

m$ical products & non-ph>macologic      
treatm5ts2 &2 &  7,g7 by add+ at ! end !
 foll[+3  7#f7 ! dang]s ( opioid abuse1 
detection ( e>ly w>n+ signs ( opioid use
 disord]s1 & safe disposal options =    
prescription m$ications1 includ+ su*    
options provid$ by law en=cem5t1 or o!r 
innovative deactivation me*anisms4  2   
7#c7 9 subsection 7d71 by ins]t+        
prev5tion1 aft] diagnosis12 &  7#d7 9   
subsection 7e71 by /rik+ #bjaj ?r\gh    
#bjab & ins]t+ #bjai ?r\gh #bjbc4  7b7  
,m5tal & behavioral heal? education &   
tra9+ program ,section #gef7;a7 ( !     
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bid;e-#a7;a77 is am5d$-- 7#a7
 9 p>agraph 7#a71 by ins]t+ 1 trauma1   
aft] focus on *ild & adolesc5t m5tal    
heal?2 &  7#b7 9 p>agraphs 7#b7 & 7#c71 
by ins]t+ trauma-in=m$ c>e & be=e       
sub/ance use disord] prev5tion &        
treatm5t s]vices4  #ejc4 ,education &   
aw>5ess campaigns ,section #ajb ( !     
,compreh5sive ,addiction & ,recov]y ,act
 ( #bjaf 7,public ,law #aad-aih7 is     

am5d$--  7#a7 by am5d+ subsection 7a7 to
 read z foll[s3  7a7 ,9 g5]al ,!        
,secret>y ( ,heal? & ,human ,s]vices1   
act+ ?r\gh ! ,director ( ! ,c5t]s =     
,disease ,control & ,prev5tion & 9      
coord9ation ) ! heads ( o!r dep>tm5ts & 
ag5cies1 %all advance education &       
aw>5ess reg>d+ ! risks relat$ to misuse 
& abuse ( opioids1 z appropriate1 :i*   
may include develop+ or improv+ exi/+   
programs1 conduct+ activities1 & aw>d+  
grants t advance ! education & aw>5ess  
(--  7#a7 ! public1 includ+ pati5ts &   
consum]s2  7#b7 pati5ts1 consum]s1 & o!r
 appropriate memb]s ( ! public1 reg>d+  
su* risks relat$ to unus$ opioids & !   
disp5s+ options "u section #cji7;f7 ( ! 
,controll$ ,sub/ances ,act1 z           
applicable2  7#c7 provid]s1 :i* may     
include-- 7,a7 provid+ = cont9u+        
education on appropriate prescrib+      
practices2  7,b7 education relat$ to    
applicable ,/ate or local prescrib]     
limit laws1 in=mation on ! use (        
non-addictive or non-opioid alt]natives 

= pa9 managem5t1 & ! use ( ov]dose      
rev]sal drugs1 z appropriate2  7,c7     
dissem9at+ & improv+ ! use (            
evid5ce-bas$ opioid prescrib+ guidel9es 
across relevant heal? c>e sett+s1 z     
appropriate1 & updat+ guidel9es z       
necess>y2  7,d7 implem5t+ /rategies1 su*
 z be/ practices1 to enc\rage &         
facilitate ! use ( prescrib] guidel9es1 
9 accordance ) ,/ate & local law2 &     
7,e7 dissem9at+ in=mation to provid]s   
ab\t prescrib+ options = controll$      
sub/ances1 includ+ su* options "u       
section #cji7;f7 ( ! ,controll$         
,sub/ances ,act1 z applicable2 &  7#d7  
o!r appropriate entities4  2 &  7#b7 9  
subsection 7b7--  7,a7 by /rik+ opioid  
abuse ea* place su* t]m appe>s & ins]t+ 
opioid misuse & abuse2 &  7,b7 9        
p>agraph 7#b71 by /rik+ safe disposal ( 
prescription m$ications & o!r & ins]t+  
non-addictive or non-opioid treatm5t    
options1 safe disposal options =        
prescription m$ications1 & o!r          
applicable4  #ejd4 ,enhanc$ controll$   

sub/ance ov]doses data collection1      
analysis1 & dissem9ation ,"p ,j ( title 
,,iii ( ! ,public ,heal? ,s]vice ,act is
 am5d$ by ins]t+ aft] section #cib 7#db 
,u4,s4,c4 #bhj;b-#a7 ! foll[+3  #cib;,a4
 ,enhanc$ controll$ sub/ance ov]doses   
data collection1 analysis1 &            
dissem9ation  7a7 ,9 g5]al ,! ,director 
( ! ,c5t]s = ,disease ,control &        
,prev5tion1 us+ ! au?ority provid$ to ! 
,director "u section #cib1 may--  7#a7  
to ! ext5t practicable1 c>ry out & exp& 
any controll$ sub/ance ov]dose data     
collection1 analysis1 & dissem9ation    
activity describ$ 9 subsection 7b72     
7#b7 provide tra9+ & te*nical assi/ance 
to ,/ates1 localities1 & ,indian tribes 
= ! purpose ( c>ry+ out any su*         
activity2 &  7#c7 aw>d grants to ,/ates1
 localities1 & ,indian tribes = !       
purpose ( c>ry+ out any su* activity4   
7b7 ,controll$ sub/ance ov]dose data    
collection & analysis activities ,a     
controll$ sub/ance ov]dose data         
collection1 analysis1 & dissem9ation    

activity describ$ 9 ?is subsection is   
any ( ! foll[+ activities3  7#a7        
,improv+ ! timel9ess ( report+ aggregate
 data to ! public1 includ+ data on fatal
 & nonfatal controll$ sub/ance ov]doses4
  7#b7 ,enhanc+ ! compreh5siv5ess (     
controll$ sub/ance ov]dose data by      
collect+ in=mation on su* ov]doses f    
appropriate s\rces su* z toxicology     
reports1 dea? sc5e inve/igations1 &     
em]g5cy dep>tm5t s]vices4  7#c7         
,mod]niz+ ! sy/em = cod+ causes ( dea?  
relat$ to controll$ sub/ance ov]doses to
 use an electronic-bas$ sy/em4  7#d7    
,us+ data to help id5tify risk factors  
associat$ ) controll$ sub/ance ov]doses1
 includ+ ! deliv]y ( c]ta9 heal? c>e    
s]vices4  7#e7 ,support+ entities       
involv$ 9 report+ in=mation on controll$
 sub/ance ov]doses1 su* z coron]s &     
m$ical exam9]s1 to improve accurate te/+
 & report+ ( causes & contribut+ factors
 ( su* ov]doses1 & analysis ( v>i\s     
opioid analogues to controll$ sub/ances 
ov]doses4  7#f7 ,work+ to enable &      

enc\rage ! access1 ex*ange1 & use ( data
 reg>d+ controll$ sub/ances ov]doses    
among data s\rces & entities4  7c7      
,controll$ sub/ance def9$ ,9 ?is        
section1 ! t]m controll$ sub/ance has ! 
mean+ giv5 t t]m 9 section #ajb ( !     
,controll$ ,sub/ances ,act4  4  #eje4   
,prev5t+ ov]doses ( controll$ sub/ances 
,"p ,j ( title ,,iii ( ! ,public ,heal? 
,s]vice ,act 7#db ,u4,s4,c4 #bhj;b et   
seq471 z am5d$ by section #ejd1 is fur!r
 am5d$ by ins]t+ aft] section #cib;,a ! 
foll[+3  #cib;,b4 ,prev5t+ ov]doses (   
controll$ sub/ances  7a7 ,prev5tion     
activities  7#a7 ,9 g5]al ,! ,director (
 ! ,c5t]s = ,disease ,control &         
,prev5tion 7ref]r$ to 9 ?is section z ! 
,director71 us+ ! au?ority provid$ to ! 
,director "u section #cib1 may--  7,a7  
to ! ext5t practicable1 c>ry out & exp& 
any prev5tion activity describ$ 9       
p>agraph 7#b72  7,b7 provide tra9+ &    
te*nical assi/ance to ,/ates1           
localities1 & ,indian tribes to c>ry+   
out any su* activity2 &  7,c7 aw>d      

grants to ,/ates1 localities1 & tribes =
 ! purpose ( c>ry+ out any su* activity4
  7#b7 ,prev5tion activities ,a         
prev5tion activity describ$ 9 ?is       
p>agraph is an activity to improve !    
effici5cy & use ( a new or curr5tly     
op]at+ prescription drug monitor+       
program--  7,a7 enc\rag+ all au?oriz$   
us]s 7z specifi$ by ! ,/ate or o!r      
entity7 to regi/] ) & use ! program2    
7,b7 enabl+ su* us]s to access any data 
updates 9 z close to real-"t z          
practicable2  7,c7 provid+ = a me*anism 
= ! program to notify au?oriz$ us]s (   
any pot5tial misuse or abuse ( controll$
 sub/ances & any detection (            
inappropriate prescrib+ practices relat+
 to su* sub/ances2  7,d7 enc\rag+ !     
analysis ( prescription drug monitor+   
data = purposes ( provid+ de-id5tifi$1  
aggregate reports bas$ on su* analysis  
to ,/ate public heal? ag5cies1 ,/ate    
lic5s+ bo>ds1 & o!r appropriate ,/ate   
ag5cies1 z p]mitt$ "u applicable ,f$]al 
& ,/ate law & ! policies ( !            

prescription drug monitor+ program & n  
conta9+ any protect$ heal? in=mation1 to
 prev5t inappropriate prescrib+1 drug   
div]sion1 or abuse & misuse ( controll$ 
sub/ances1 & to facilitate bett]        
coord9ation among ag5cies2  7,e7 enhanc+
 int]op]ability betwe5 ! program & any  
heal? in=mation te*nology 7includ+      
c]tifi$ heal? in=mation te*nology71     
includ+ by integrat+ program data into  
su* te*nology2  7,f7 updat+ program     
capabilities to respond to te*nological 
innovation = purposes ( appropriately   
address+ ! occurr5ce & evolution (      
controll$ sub/ance ov]doses2 &  7,g7    
facilitat+ & enc\rag+ data ex*ange      
betwe5 ! program & ! prescription drug  
monitor+ programs ( o!r ,/ates4  7b7    
,additional grants ,! ,director may aw>d
 grants to ,/ates1 localities1 & ,indian
 tribes-- 7#a7 to c>ry out innovative   
projects = grantees to rapidly respond  
to controll$ sub/ance misuse1 abuse1 &  
ov]doses1 includ+ *anges 9 patt]ns (    
controll$ sub/ance use2 &  7#b7 = any   

o!r evid5ce-bas$ activity = prev5t+     
controll$ sub/ance misuse1 abuse1 &     
ov]doses z ! ,director det]m9es         
appropriate4  7c7 ,rese>* ,! ,director  
may conduct /udies & evaluations to     
address sub/ance use disord]s1 includ+  
prev5t+ sub/ance use disord]s or o!r    
relat$ topics ! ,director det]m9es      
appropriate4  7d7 ,public & prescrib]   
education ,pursuant to section #ajb ( ! 
,compreh5sive ,addiction & ,recov]y ,act
 ( #bjaf1 ! ,director may advance !     
education & aw>5ess ( prescrib]s & !    
public reg>d+ ! risk ( abuse (          
prescription opioids4  7e7 ,controll$   
sub/ance def9$ ,9 ?is section1 ! t]m    
controll$ sub/ance has ! mean+ giv5 t   
t]m 9 section #ajb ( ! ,controll$       
,sub/ances ,act4  7f7 ,au?orization (   
appropriations ,= purposes ( c>ry+ out  
?is section1 section #cib;,a ( ?is ,act1
 & section #ajb ( ! ,compreh5sive       
,addiction & ,recov]y ,act ( #bjaf1 !re 
is au?oriz$ to be appropriat$           
#dhf1jjj1jjj = ea* ( fiscal ye>s #bjai  

?r\gh #bjbd4  4  #ejf4 ,,cdc            
surveillance & data collection = *ild1  
y\?1 & adult trauma  7a7 ,data          
collection ,! ,director ( ! ,c5t]s =    
,disease ,control & ,prev5tion 7ref]r$  
to 9 ?is section z ! ,director7 may1 9  
coop]ation ) ! ,/ates1 collect & report 
data on adv]se *ildhood exp]i5ces ?r\gh 
! ,behavioral ,risk ,factor             
,surveillance ,sy/em1 ! ,y\? ,risk      
,behavior ,surveillance ,sy/em1 & o!r   
relevant public heal? surveys or        
que/ionnaires4  7b7 ,tim+ ,! collection 
( data "u subsection 7a7 may occur 9    
fiscal ye> #bjai & e #b ye>s !reaft]4   
7c7 ,data f tribal & rural areas ,!     
,director %all enc\rage ea* ,/ate t     
p>ticipates 9 collect+ & report+ data "u
 subsection 7a7 to collect & report data
 f tribal & rural areas )9 su* ,/ate1 9 
ord] to g5]ate a /ati/ically reliable   
repres5tation ( su* areas4  7d7         
,au?orization ( appropriations ,to c>ry 
out ?is section1 !re are au?oriz$ to be 
appropriat$ su* sums z may be necess>y =

 ! p]iod ( fiscal ye>s #bjai ?r\gh      
#bjba4  #ejg4 ,reau?orization ( ,,nasp] 
,section #cii,o ( ! ,public ,heal?      
,s]vice ,act 7#db ,u4,s4,c4 #bhj;g-#c7  
is am5d$-- 7#a7 9 subsection 7a7--  7,a7
 9 p>agraph 7#a71 9 ! matt] prec$+      
subp>agraph 7,a71 by /rik+ ,adm9i/rator 
( ! ,sub/ance ,abuse & ,m5tal ,heal?    
,s]vices ,adm9i/ration & ,director ( !  
,c5t]s = ,disease ,control & ,prev5tion 
& ins]t+ ,director ( ! ,c5t]s = ,disease
 ,control & ,prev5tion & ! ,assi/ant    
,secret>y = ,m5tal ,heal? & ,sub/ance   
,use ,disord]s2 &  7,b7 by add+ at ! end
 ! foll[+3  7#d7 ,/ates & local         
gov]nm5ts  7,a7 ,9 g5]al ,9 ! case ( a  
,/ate t does n h a prescription drug    
monitor+ program1 a c\nty or o!r unit ( 
local gov]nm5t )9 ! ,/ate t has a       
prescription drug monitor+ program %all 
be treat$ z a ,/ate = purposes ( ?is    
section1 includ+ = purposes (           
eligibility = grants "u p>agraph 7#a74  
7,b7 ,plan = int]op]ability ,= purposes 
( meet+ ! int]op]ability requirem5ts "u 

subsection 7c77#c71 a c\nty or o!r unit 
( local gov]nm5t %all submit a plan     
outl9+ ! me?ods su* c\nty or unit (     
local gov]nm5t w use to ensure !        
capability ( data %>+ ) o!r c\nties &   
units ( local gov]nm5t )9 ! ,/ate & )   
o!r ,/ates1 z applicable4  2  7#b7 9    
subsection 7c7-- 7,a7 9 p>agraph        
7#a77;,a77iii7--  7i7 by ins]t+ z su*   
/&>ds become available1 aft]            
int]op]ability /&>ds12 &  7ii7 by /rik+ 
g5]at$ or id5tifi$ by ! ,secret>y or 8  
or h] designee & ins]t+ recogniz$ by !  
,(fice ( ! ,national ,coord9ator =      
,heal? ,in=mation ,te*nology2 &  7,b7 9 
p>agraph 7#c77;,a71 by ins]t+ includ+   
electronic heal? records1 aft] te*nology
 sy/ems12  7#c7 9 subsection 7d77#a71 by
 /rik+ n lat] ?an #a week aft] ! date ( 
su* disp5s+ & ins]t+ 9 z close to real  
"t z practicable2  7#d7 9 subsection    
7f77#a77;,d71 by /rik+ m$icaid & ins]t+ 
,m$icaid2  7#e7 9 subsection 7i71 by    
ins]t+ 1 9 collaboration ) ! ,national  
,coord9ator = ,heal? ,in=mation         

,te*nology & ! ,director ( ! ,national  
,in/itute ( ,/&>ds & ,te*nology1 aft] ,!
 ,secret>y2 &  7#f7 9 subsection 7n71 by
 /rik+ #bjba & ins]t+ #bjbf4  #ejh4     
,jessie's ,law  7a7 ,be/ practices  7#a7
 ,9 g5]al ,n lat] ?an #a ye> aft] ! date
 ( enactm5t ( ?is ,act1 ! ,secret>y (   
,heal? & ,human ,s]vices 7ref]r$ to 9   
?is section z ! ,secret>y71 9           
consultation ) appropriate /akehold]s1  
includ+ a pati5t ) a hi/ory ( opioid use
 disord]1 an exp]t 9 electronic heal?   
records1 an exp]t 9 ! confid5tiality (  
pati5t heal? in=mation & records1 & a   
heal? c>e provid]1 %all id5tify or      
facilitate ! developm5t ( be/ practices 
reg>d+--  7,a7 ! circum/ances "u :i*    
in=mation t a pati5t has provid$ to a   
heal? c>e provid] reg>d+ su* pati5t's   
hi/ory ( opioid use disord] %\ld1 only  
at ! pati5t's reque/1 be prom95tly      
display$ 9 ! m$ical records 7includ+    
electronic heal? records7 ( su* pati5t2 
7,b7 :at con/itutes ! pati5t's reque/ = 
! purpose describ$ 9 subp>agraph 7,a72 &

  7,c7 ! process & me?ods by :i* !      
in=mation %\ld be s display$4  7#b7     
,dissem9ation ,! ,secret>y %all         
dissem9ate ! be/ practices develop$ "u  
p>agraph 7#a7 to heal? c>e provid]s &   
,/ate ag5cies4  7b7 ,requirem5ts ,9     
id5tify+ or facilitat+ ! developm5t (   
be/ practices "u subsection 7a71 z      
applicable1 ! ,secret>y1 9 consultation 
) appropriate /akehold]s1 %all consid] !
 foll[+3  7#a7 ,! pot5tial = addiction  
relapse or ov]dose1 includ+ ov]dose     
dea?1 :5 opioid m$ications are prescrib$
 to a pati5t recov]+ f opioid use       
disord]4  7#b7 ,! b5efits ( display+    
in=mation ab\t a pati5t's opioid use    
disord] hi/ory 9 a mann] simil> to o!r  
pot5tially le?al m$ical conc]ns1 includ+
 drug all]gies & contra9dications4  7#c7
 ,! importance ( prom95tly display+     
in=mation ab\t a pati5t's opioid use    
disord] :5 a physician or m$ical        
pr(essional is prescrib+ m$ication1     
includ+ me?ods = avoid+ al]t fatigue 9  
provid]s4  7#d7 ,! importance ( a v>iety

 ( appropriate m$ical pr(essionals1     
includ+ physicians1 nurses1 & ph>maci/s1
 hav+ access to in=mation describ$ 9 ?is
 section :5 prescrib+ or disp5s+ opioid 
m$ication1 consi/5t ) ,f$]al & ,/ate    
laws & regulations4  7#e7 ,! importance 
( protect+ pati5t privacy1 includ+ !    
requirem5ts relat$ to cons5t =          
disclosure ( sub/ance use disord]       
in=mation "u all applicable laws &      
regulations4  7#f7 ,all applicable      
,f$]al & ,/ate laws & regulations4      
#eji4 ,developm5t & dissem9ation ( model
 tra9+ programs = sub/ance use disord]  
pati5t records  7a7 ,initial programs & 
mat]ials ,n lat] ?an #a ye> aft] ! date 
( ! enactm5t ( ?is ,act1 ! ,secret>y (  
,heal? & ,human ,s]vices 7ref]r$ to 9   
?is section z ! ,secret>y71 9           
consultation ) appropriate exp]ts1 %all 
id5tify ! foll[+ model programs &       
mat]ials 7or if no su* programs or      
mat]ials exi/1 recognize private or     
public entities to develop & dissem9ate 
su* programs & mat]ials73  7#a7 ,model  

programs & mat]ials = tra9+ heal? c>e   
provid]s 7includ+ physicians1 em]g5cy   
m$ical p]sonnel1 psy*iatri/s1           
psy*ologi/s1 c\nselors1 !rapi/s1 nurse  
practition]s1 physician assi/ants1      
behavioral heal? facilities & cl9ics1   
c>e manag]s1 & hospitals1 includ+       
individuals su* z g5]al c\nsels or      
regulatory compliance /aff :o are       
responsible = e/abli%+ provid] privacy  
policies7 conc]n+ ! p]mitt$ uses &      
disclosures1 consi/5t ) ! /&>ds &       
regulations gov]n+ ! privacy & security 
( sub/ance use disord] pati5t records   
promulgat$ by ! ,secret>y "u section    
#edc ( ! ,public ,heal? ,s]vice ,act    
7#db ,u4,s4,c4 #bij;dd-#b7 = !          
confid5tiality ( pati5t records4  7#b7  
,model programs & mat]ials = tra9+      
pati5ts & _! families reg>d+ _! rights  
to protect & obta9 in=mation "u ! /&>ds 
& regulations describ$ 9 p>agraph 7#a74 
7b7 ,requirem5ts ,! model programs &    
mat]ials describ$ 9 p>agraphs 7#a7 &    
7#b7 ( subsection 7a7 %all address      

circum/ances "u :i* disclosure (        
sub/ance use disord] pati5t records is  
ne$$ to--  7#a7 facilitate communication
 betwe5 sub/ance use disord] treatm5t   
provid]s & o!r heal? c>e provid]s to    
promote & provide ! be/ possible        
integrat$ c>e2  7#b7 avoid inappropriate
 prescrib+ t c lead to dang]\s drug     
int]actions1 ov]dose1 or relapse2 &     
7#c7 notify & involve families &        
c>egiv]s :5 individuals exp]i5ce an     
ov]dose4  7c7 ,p]iodic updates ,!       
,secret>y %all--  7#a7 p]iodically      
review & update ! model program &       
mat]ials id5tifi$ or develop$ "u        
subsection 7a72 &  7#b7 dissem9ate su*  
updat$ programs & mat]ials to !         
individuals describ$ 9 subsection       
7a77#a74  7d7 ,input ( c]ta9 entities ,9
 id5tify+1 review+1 or updat+ ! model   
programs & mat]ials "u ?is section1 !   
,secret>y %all solicit ! input (        
relevant /akehold]s4  7e7 ,au?orization 
( appropriations ,!re is au?oriz$ to be 
appropriat$ to c>ry out ?is section1 su*

 sums z may be necess>y = ea* ( fiscal  
ye>s #bjai ?r\gh #bjbc4  #eaj4          
,communication ) families dur+ em]g5cies
  7a7 ,promot+ ,aw>5ess ( ,au?oriz$     
,disclosures dur+ ,em]g5cies ,!         
,secret>y ( ,heal? & ,human ,s]vices    
%all annually notify heal? c>e provid]s 
reg>d+ p]mitt$ disclosures dur+         
em]g5cies1 includ+ ov]doses1 ( c]ta9    
heal? in=mation to families & c>egiv]s  
"u ,f$]al heal? c>e privacy laws &      
regulations4  7b7 ,use ( mat]ial ,= !   
purposes ( c>ry+ out subsection 7a71 !  
,secret>y ( ,heal? & ,human ,s]vices may
 use mat]ial produc$ "u section #eji (  
?is ,act or "u section #aajjd ( ! #ba/  
,c5tury ,cures ,act 7#db ,u4,s4,c4      
#acbj;d-#b note74  #eaa4 ,pr5atal &     
po/natal heal? ,section #cag,l ( !      
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bdg;b-#ac7 is am5d$-- 7#a7 9 
subsection 7a7--  7,a7 by am5d+ p>agraph
 7#a7 to read z foll[s3  7#a7 to        
collect1 analyze1 & make available data 
on pr5atal smok+1 alcohol & sub/ance    

abuse & misuse1 includ+--  7,a7 data    
on-- 7i7 ! incid5ce1 preval5ce1 &       
implications ( su* activities2 &  7ii7 !
 incid5ce & preval5ce ( implications &  
outcomes1 includ+ neonatal ab/95ce      
syndrome & o!r outcomes associat$ ) su* 
activities2 &  7,b7 to in=m su*         
analysis1 additional in=mation or data  
on family heal? hi/ory1 m$ication       
exposures dur+ pregnancy1 demographic   
in=mation1 su* z race1 e?nicity1        
geographic location1 & family hi/ory1 & 
o!r relevant in=mation1 z appropriate2  
2  7,b7 9 p>agraph 7#b7-- 7i7 by /rik+  
prev5tion ( & ins]t+ prev5tion &        
long-t]m outcomes associat$ )2 &  7ii7  
by /rik+ illegal drug use & ins]t+      
sub/ance abuse & misuse2  7,c7 9        
p>agraph 7#c71 by /rik+ & cessation     
programs2 & & ins]t+ 1 treatm5t1 &      
cessation programs22  7,d7 9 p>agraph   
7#d71 by /rik+ illegal drug use4 &      
ins]t+ sub/ance abuse & misuse2 &2 &    
7,e7 by add+ at ! end ! foll[+3  7#e7 to
 issue public reports on ! analysis (   

data describ$ 9 p>agraph 7#a71 includ+  
analysis (-- 7,a7 long-t]m outcomes (   
*ildr5 affect$ by neonatal ab/95ce      
syndrome2  7,b7 heal? outcomes associat$
 ) pr5atal smok+1 alcohol1 & sub/ance   
abuse & misuse2 &  7,c7 relevant /udies1
 evaluations1 or in=mation ! ,secret>y  
det]m9es to be appropriate4  2  7#b7 9  
subsection 7b71 by ins]t+ tribal        
entities1 aft] local gov]nm5ts12  7#c7  
by r$esignat+ subsection 7c7 z          
subsection 7d72  7#d7 by ins]t+ aft]    
subsection 7b7 ! foll[+3  7c7 ,coord9at+
 activities ,to c>ry out ?is section1 ! 
,secret>y may--  7#a7 provide te*nical &
 consultative assi/ance to entities     
receiv+ grants "u subsection 7b72  7#b7 
ensure a pa?way = data %>+ betwe5       
,/ates1 tribal entities1 & ! ,c5t]s =   
,disease ,control & ,prev5tion2  7#c7   
ensure data collection "u ?is section is
 consi/5t ) applicable ,/ate1 ,f$]al1 & 
,tribal privacy laws2 &  7#d7 coord9ate 
) ! ,national ,coord9ator = ,heal?      
,in=mation ,te*nology1 z appropriate1 to

 assi/ ,/ates & tribes 9 implem5t+      
sy/ems t use /&>ds recogniz$ by su*     
,national ,coord9ator1 z su* recogniz$  
/&>ds are available1 9 ord] to          
facilitate int]op]ability betwe5 su*    
sy/ems & heal? in=mation te*nology      
sy/ems1 includ+ c]tifi$ heal? in=mation 
te*nology4  2 &  7#e7 9 subsection 7d71 
z s r$esignat$1 by /rik+ #bjja ?r\gh    
#bjje & ins]t+ #bjai ?r\gh #bjbc4  #eab4
 ,surveillance & education reg>d+       
infections associat$ ) injection drug   
use & o!r risk factors ,section #cag,n (
 ! ,public ,heal? ,s]vice ,act 7#db     
,u4,s4,c4 #bdg;b-#ae7 is am5d$--  7#a7  
by am5d+ ! section head+ to read z      
foll[s3 ,surveillance & education reg>d+
 infections associat$ ) injection drug  
use & o!r risk factors2  7#b7 9         
subsection 7a7-- 7,a7 9 ! matt] prec$+  
p>agraph 7#a71 by ins]t+ activities be=e
 ! colon2  7,b7 9 p>agraph 7#a7-- 7i7 by
 ins]t+ or ma9ta9+ aft] implem5t+2  7ii7
 by /rik+ hepatitis ,c virus infection  
79 ?is section ref]r$ to z ,,hcv        

infection7 & ins]t+ infections commonly 
associat$ ) injection drug use1 includ+ 
viral hepatitis & human immunodefici5cy 
virus12 &  7iii7 by /rik+ su* infection 
& all t foll[s ?r\gh ! p]iod at ! end & 
ins]t+ su* infections1 :i* may include !
 report+ ( cases ( su* infections42     
7,c7 9 p>agraph 7#b71 by /rik+ ,,hcv    
infection & all t foll[s ?r\gh ! p]iod  
at ! end & ins]t+ infections z a result 
( injection drug use1 receiv+ blood     
transfusions prior to ,july #aiib1 or   
o!r risk factors42  7,d7 9 p>agraphs    
7#d7 & 7#e71 by /rik+ ,,hcv infection   
ea* place su* t]m appe>s & ins]t+       
infections describ$ 9 p>agraph 7#a72 &  
7,e7 9 p>agraph 7#e71 by /rik+          
p$iatricians & o!r prim>y c>e           
physicians1 & ob/etricians &            
gynecologi/s & ins]t+ sub/ance use      
disord] treatm5t provid]s1 p$iatricians1
 o!r prim>y c>e provid]s1 &             
ob/etrician-gynecologi/s2  7#c7 9       
subsection 7b7-- 7,a7 by /rik+ directly 
& & ins]t+ directly or2 &  7,b7 by /rik+

 hepatitis ,c1 & all t foll[s ?r\gh !   
p]iod at ! end & ins]t+ infections      
describ$ 9 subsection 7a77#a742  7#d7 by
 r$esignat+ subsection 7c7 z subsection 
7d72  7#e7 by ins]t+ aft] subsection 7b7
 ! foll[+3  7c7 ,def9ition ,9 ?is       
section1 ! t]m injection drug use       
means--  7#a7 intrav5\s adm9i/ration ( a
 sub/ance 9 s*$ule ,i ( section #bjb7;c7
 ( ! ,controll$ ,sub/ances ,act2  7#b7  
intrav5\s adm9i/ration ( a sub/ance 9   
s*$ule ,,ii1 ,,iii1 ,,iv1 or ,v (       
section #bjb7;c7 ( ! ,controll$         
,sub/ances ,act t has n be5 approv$ =   
intrav5\s use "u section #eje ( ! ,f$]al
 ,food1 ,drug & ,cosmetic ,act or       
section #cea ( ! ,public ,heal? ,s]vice 
,act2 or  7#c7 intrav5\s adm9i/ration ( 
a sub/ance 9 s*$ule ,,ii1 ,,iii1 ,,iv1  
or ,v ( section #bjb7;c7 ( ! ,controll$ 
,sub/ances ,act t has n be5 prescrib$ to
 ! p]son us+ ! sub/ance4  2 &  7#f7 9   
subsection 7d71 z s r$esignat$1 by /rik+
 su* sums z may be necess>y = ea* ( !   
fiscal ye>s #bjja ?r\gh #bjje & ins]t+  

#dj1jjj1jjj = ea* ( fiscal ye>s #bjai   
?r\gh #bjbc4  #eac4 ,task =ce to develop
 be/ practices = trauma-in=m$           
id5tification1 ref]ral1 & support  7a7  
,e/abli%m5t ,!re is e/abli%$ a task =ce1
 to be kn[n z ! ,int]ag5cy ,task ,=ce on
 ,trauma-,in=m$ ,c>e 79 ?is section     
ref]r$ to z ! task =ce7 t %all id5tify1 
evaluate1 & make recomm5dations reg>d+  
be/ practices ) respect to *ildr5 & y\?1
 & _! families z appropriate1 :o h      
exp]i5c$ or are at risk ( exp]i5c+      
trauma4  7b7 ,memb]%ip  7#a7            
,composition ,! task =ce %all be compos$
 ( ! heads ( ! foll[+ ,f$]al dep>tm5ts &
 ag5cies1 or _! designees3  7,a7 ,!     
,c5t]s = ,m$ic>e  ,m$icaid ,s]vices4    
7,b7 ,! ,sub/ance ,abuse & ,m5tal ,heal?
 ,s]vices ,adm9i/ration4  7,c7 ,! ,ag5cy
 = ,heal?c>e ,rese>* & ,quality4  7,d7  
,! ,c5t]s = ,disease ,control &         
,prev5tion4  7,e7 ,! ,indian ,heal?     
,s]vice4  7,f7 ,! ,dep>tm5t ( ,vet]ans  
,affairs4  7,g7 ,! ,national ,in/itutes 
( ,heal?4  7,h7 ,! ,food & ,drug        

,adm9i/ration4  7,i7 ,! ,heal? ,res\rces
 & ,s]vices ,adm9i/ration4  7,j7 ,!     
,dep>tm5t ( ,def5se4  7,k7 ,! ,(fice (  
,m9ority ,heal?4  7,l7 ,! ,adm9i/ration 
= ,*ildr5 & ,families4  7,m7 ,! ,(fice (
 ! ,assi/ant ,secret>y = ,plann+ &      
,evaluation4  7,n7 ,! ,(fice = ,civil   
,rights at ! ,dep>tm5t ( ,heal? & ,human
 ,s]vices4  7,o7 ,! ,(fice ( ,juv5ile   
,ju/ice & ,del9qu5cy ,prev5tion ( !     
,dep>tm5t ( ,ju/ice4  7,p7 ,! ,(fice (  
,community ,ori5t$ ,polic+ ,s]vices ( ! 
,dep>tm5t ( ,ju/ice4  7,q7 ,! ,(fice on 
,viol5ce ,aga9/ ,wom5 ( ! ,dep>tm5t (   
,ju/ice4  7,r7 ,! ,national ,c5t] =     
,education ,evaluation & ,regional      
,assi/ance ( ! ,dep>tm5t ( ,education4  
7,s7 ,! ,national ,c5t] = ,special      
,education ,rese>* ( ! ,in/itute (      
,education ,sci5ce4  7,t7 ,! ,(fice (   
,elem5t>y & ,second>y ,education ( !    
,dep>tm5t ( ,education4  7,u7 ,! ,(fice 
= ,civil ,rights at ! ,dep>tm5t (       
,education4  7,v7 ,! ,(fice ( ,special  
,education & ! ,rehabilitative ,s]vices 

( ! ,dep>tm5t ( ,education4  7,w7 !     
,bureau ( ,indian ,affairs ( ! ,dep>tm5t
 ( ! ,int]ior4  7,x7 ,! ,vet]ans ,heal? 
,adm9i/ration ( ! ,dep>tm5t ( ,vet]ans  
,affairs4  7,y7 ,! ,(fice ( ,special    
,ne$s ,assi/ance ,programs ( ! ,dep>tm5t
 ( ,h\s+ & ,urban ,developm5t4  7,z7 ,! 
,(fice ( ,head ,/>t ( ! ,adm9i/ration = 
,*ildr5 & ,families4  7,,aa7 ,!         
,*ildr5's ,bureau ( ! ,adm9i/ration =   
,*ildr5 & ,families4  7,,bb7 ,! ,bureau 
( ,indian ,education ( ! ,dep>tm5t ( !  
,int]ior4  7,,cc7 ,su* o!r ,f$]al       
ag5cies z ! ,secret>ies det]m9e to be   
appropriate4  7#b7 ,date ( appo9tm5ts ,!
 heads ( ,f$]al dep>tm5ts & ag5cies %all
 appo9t ! correspond+ memb]s ( ! task   
=ce n lat] ?an #f mon?s aft] ! date (   
enactm5t ( ?is ,act4  7#c7 ,*airp]son ,!
 task =ce %all be *air$ by ! ,assi/ant  
,secret>y = ,m5tal ,heal? & ,sub/ance   
,use4  7c7 ,task =ce duties ,! task =ce 
%all--  7#a7 solicit input f /akehold]s1
 includ+ frontl9e s]vice provid]s1      
educators1 m5tal heal? pr(essionals1    

rese>*]s1 exp]ts 9 infant1 *ild1 & y\?  
trauma1 *ild welf>e pr(essionals1 & !   
public1 9 ord] to in=m ! activities "u  
p>agraph 7#b72 &  7#b7 id5tify1         
evaluate1 make recomm5dations1 & update 
su* recomm5dations n less ?an annually1 
to ! g5]al public1 ! ,secret>y (        
,education1 ! ,secret>y ( ,heal? &      
,human ,s]vices1 ! ,secret>y ( ,labor1 !
 ,secret>y ( ! ,int]ior1 ! ,attorney    
,g5]al1 & o!r relevant cab9et           
,secret>ies1 & ,congress reg>d+--  7,a7 
a set ( evid5ce-bas$1 evid5ce-in=m$1 &  
promis+ be/ practices ) respect to-- 7i7
 ! id5tification ( infants1 *ildr5 &    
y\?1 & _! families z appropriate1 :o h  
exp]i5c$ or are at risk ( exp]i5c+      
trauma2 &  7ii7 ! exp$iti\s ref]ral to &
 implem5tation ( trauma-in=m$ practices 
& supports t prev5t & mitigate ! effects
 ( trauma2  7,b7 a national /rategy on  
h[ ! task =ce & memb] ag5cies w         
collaborate1 prioritize options =1 &    
implem5t a coord9at$ approa* :i* may    
include data %>+ & ! aw>d+ ( grants t   

support *ildr5 & _! families z          
appropriate1 :o h exp]i5c$ or are at    
risk ( exp]i5c+ trauma2 &  7,c7 exi/+   
,f$]al au?orities at ! ,dep>tm5t (      
,education1 ,dep>tm5t ( ,heal? & ,human 
,s]vices1 ,dep>tm5t ( ,ju/ice1 ,dep>tm5t
 ( ,labor1 ,dep>tm5t ( ,int]ior1 & o!r  
relevant ag5cies1 & specific ,f$]al     
grant programs to dissem9ate be/        
practices on1 provide tra9+ 91 or deliv]
 s]vices ?r\gh1 trauma-in=m$ practices1 
& dissem9ate su* in=mation--  7i7 9     
writ+ to relevant program (fices at su* 
ag5cies to enc\rage grant applicants 9  
writ+ to use su* funds1 :]e appropriate1
 = trauma-in=m$ practices2 &  7ii7 to ! 
g5]al public ?r\gh ! int]net website ( !
 task =ce4  7d7 ,be/ practices ,9       
id5tify+1 evaluat+1 & recomm5d+ ! set ( 
be/ practices "u subsection 7c71 ! task 
=ce %all--  7#a7 include guidel9es =    
provid+ pr(essional developm5t =        
front-l9e s]vices provid]s1 includ+     
s*ool p]sonnel1 provid]s f *ild- or     
y\?-s]v+ organizations1 prim>y &        

behavioral heal? c>e provid]s1 *ild     
welf>e & social s]vices provid]s1 family
 & juv5ile c\rt judges & attorneys1     
heal? c>e provid]s1 individuals :o are  
m&atory report]s ( *ild abuse or        
neglect1 tra9$ noncl9ical provid]s      
7includ+ pe] m5tors & cl]gy71 & fir/    
respond]s1 9--  7,a7 und]/&+ & id5tify+ 
e>ly signs & risk factors ( trauma 9    
*ildr5 & y\?1 & _! families z           
appropriate1 includ+ ?r\gh scre5+       
processes2  7,b7 provid+ practices to   
prev5t & mitigate ! impact ( trauma1    
includ+ by fo/]+ safe & /able           
environm5ts & relation%ips2 &  7,c7     
develop+ & implem5t+ proc$ures or sy/ems
 t-- 7i7 are design$ to quickly ref]    
infants1 *ildr51 y\?1 & _! families z   
appropriate1 :o h exp]i5c$ or are at    
risk ( exp]i5c+ trauma to ! appropriate 
trauma-in=m$ scre5+ & support1 includ+  
treatm5t appropriate to ! age ( ! *ild1 
& to ensure su* infants1 *ildr51 y\?1 & 
family memb]s receive su* support2  7ii7
 utilize & develop p>tn]%ips ) local    

social s]vices organizations1 su* z     
organizations s]v+ y\?1 & cl9ical m5tal 
heal? or heal? c>e s]vice provid]s )    
exp]tise 9 provid+ support s]vices      
7includ+ trauma-in=m$ & evid5ce-bas$    
treatm5t appropriate to ! age ( ! *ild7 
aim$ at prev5t+ or mitigat+ ! effects ( 
trauma2  7iii7 educate *ildr5 & y\? to--
 7,i7 und]/& & id5tify ! signs1 effects1
 or symptoms ( trauma2 &  7,,ii7 build !
 resili5ce & cop+ skills to mitigate !  
effects ( exp]i5c+ trauma2  7iv7 promote
 & support multi-g5]ational practices t 
assi/ p>5ts1 fo/] p>5ts1 & k9%ip & o!r  
c>egiv]s 9 access+ res\rces relat$ to1 &
 develop+ environm5ts conducive to1 !   
prev5tion & mitigation ( trauma2 &  7v7 
collect & utilize data f scre5+s1       
ref]rals1 or ! provision ( s]vices &    
supports1 conduct$ 9 ! cov]$ sett+s1 to 
evaluate & improve processes =          
trauma-in=m$ support & outcomes t are   
culturally s5sitive1 l+ui/ically        
appropriate1 & specific to age ranges & 
sex1 z applicable2 &  7#b7 recomm5d be/ 

practices t are design$ to avoid        
unw>rant$ cu/ody loss or crim9al        
p5alties = p>5ts or gu>dians 9          
connection ) infants1 *ildr51 & y\? :o h
 exp]i5c$ or are at risk ( exp]i5c+     
trauma4  7e7 ,op]at+ plan ,n lat] ?an #a
 ye> aft] ! date ( enactm5t ( ?is ,act1 
! task =ce %all hold ! fir/ meet+4 ,n   
lat] ?an #b ye>s aft] su* date (        
enactm5t1 ! task =ce %all submit to !   
,secret>y ( ,education1 ,secret>y (     
,heal? & ,human ,s]vices1 ,secret>y (   
,labor1 ,secret>y ( ! ,int]ior1 !       
,attorney ,g5]al1 & ,congress an op]at+ 
plan = c>ry+ out ! activities ( ! task  
=ce describ$ 9 p>agraphs 7#b7 & 7#c7 (  
subsection 7c74 ,su* op]at+ plan %all   
include--  7#a7 a li/ ( specific        
activities t ! task =ce plans to c>ry   
out = purposes ( c>ry+ out duties       
describ$ 9 subsection 7c77#b71 :i* may  
include public engagem5t2  7#b7 a plan =
 c>ry+ out ! activities "u p>agraphs    
7#b7 & 7#c7 ( subsection 7c72  7#c7 a   
li/ ( memb]s ( ! task =ce & o!r         

individuals :o are n memb]s ( ! task =ce
 t may be consult$ to c>ry out su*      
activities2  7#d7 an explanation (      
,f$]al ag5cy involvem5t & coord9ation   
ne$$ to c>ry out su* activities1 includ+
 any /atutory or regulatory b>ri]s to   
su* coord9ation2  7#e7 a budget = c>ry+ 
out su* activities2 &  7#f7 o!r         
in=mation t ! task =ce det]m9es         
appropriate4  7f7 ,f9al report ,n lat]  
?an #c ye>s aft] ! date ( ! fir/ meet+ (
 ! task =ce1 ! task =ce %all submit to !
 g5]al public1 ,secret>y ( ,education1  
,secret>y ( ,heal? & ,human ,s]vices1   
,secret>y ( ,labor1 ,secret>y ( !       
,int]ior1 ! ,attorney ,g5]al1 & o!r     
relevant cab9et ,secret>ies1 &          
,congress1 a f9al report conta9+ all ( !
 f9d+s & recomm5dations requir$ "u ?is  
section4  7g7 ,au?orization (           
appropriations ,to c>ry out ?is section1
 !re are au?oriz$ to be appropriat$ su* 
sums z may be necess>y = ea* ( fiscal   
ye>s #bjai ?r\gh #bjbb4  7h7 ,sunset ,! 
task =ce %all on ! date t is #fj days   

aft] ! submission ( ! f9al report "u    
subsection 7f71 b n lat] ?an ,septemb]  
#cj1 #bjbb4  #ead4 ,grants to improve   
trauma support s]vices & m5tal heal? c>e
 = *ildr5 & y\? 9 educational sett+s    
7a7 ,grants1 contracts1 & coop]ative    
agreem5ts au?oriz$ ,! ,secret>y1 9      
coord9ation ) ! ,director ( ,sub/ance   
,abuse & ,m5tal ,heal? ,s]vices         
,adm9i/ration1 is au?oriz$ to aw>d      
grants to1 or ent] into contracts or    
coop]ative agreem5ts )1 ,/ate           
educational ag5cies1 local educational  
ag5cies1 ,head ,/>t ag5cies 7includ+    
,e>ly ,head ,/>t ag5cies71 ,/ate or     
local ag5cies t adm9i/] public pres*ool 
programs1 ,indian tribes or _! tribal   
educational ag5cies1 a s*ool op]at$ by !
 ,bureau ( ,indian ,education1 a        
,regional ,corporation 7z def9$ 9       
section #c ( ! ,alaska ,native ,claims  
,settlem5t ,act 7#dc ,u4,s4,c4 #afjb771 
or a ,native ,hawaiian educational      
organization 7z def9$ 9 section #fbjg ( 
! ,elem5t>y & ,second>y ,education ,act 

( #aife 7#bj ,u4,s4,c4 #geag771 = !     
purpose ( increas+ /ud5t access to      
evid5ce-bas$ trauma support s]vices &   
m5tal heal? c>e by develop+ innovative  
initiatives1 activities1 or programs to 
l9k local s*ool sy/ems ) local          
trauma-in=m$ support & m5tal heal?      
sy/ems1 includ+ ^? "u ! ,indian ,heal?  
,s]vice4  7b7 ,duration ,) respect to a 
grant1 contract1 or coop]ative agreem5t 
aw>d$ or ent]$ into "u ?is section1 !   
p]iod dur+ :i* paym5ts "u su* grant1    
contract or agreem5t are made to !      
recipi5t may n exce$ #d ye>s4  7c7 ,use 
( funds ,an entity t receives a grant1  
contract1 or coop]ative agreem5t "u ?is 
section %all use am\nts made available  
?r\gh su* grant1 contract1 or coop]ative
 agreem5t = evid5ce-bas$ or promis+     
activities1 :i* %all include any ( !    
foll[+3  7#a7 ,collaborative ef=ts      
betwe5 s*ool-bas$ s]vice sy/ems &       
trauma-in=m$ support & m5tal heal?      
s]vice sy/ems to provide1 develop1 or   
improve prev5tion1 scre5+1 ref]ral1 &   

treatm5t s]vices to /ud5ts1 su* z by    
provid+ univ]sal trauma scre5+s to      
id5tify /ud5ts 9 ne$ ( specializ$       
support4  7#b7 ,to implem5t multi-ti]$  
positive behavioral int]v5tions &       
supports1 or o!r trauma-in=m$ models (  
support4  7#c7 ,to provide pr(essional  
developm5t to tea*]s1 tea*] assi/ants1  
s*ool lead]s1 specializ$ in/ructional   
support p]sonnel1 & m5tal heal?         
pr(essionals t--  7,a7 fo/]s safe &     
/able le>n+ environm5ts t prev5t &      
mitigate ! effects ( trauma1 includ+    
?r\gh social & emotional le>n+2  7,b7   
improves s*ool capacity to id5tify1     
ref]1 & provide s]vices to /ud5ts 9 ne$ 
( trauma support or behavioral heal?    
s]vices2 or  7,c7 reflects ! be/        
practices develop$ by ! ,int]ag5cy ,task
 ,=ce on ,trauma-,in=m$ ,c>e e/abli%$ "u
 section #eac4  7#d7 ,engag+ families & 
communities 9 ef=ts to increase aw>5ess 
( *ild & y\? trauma1 :i* may include %>+
 be/ practices ) law en=cem5t reg>d+    
trauma-in=m$ c>e & work+ ) m5tal heal?  

pr(essionals to provide int]v5tions1 z  
well z long] t]m coord9at$ c>e )9 !     
community = *ildr5 & y\? :o h exp]i5c$  
trauma & _! families4  7#e7 ,to provide 
te*nical assi/ance to s*ool sy/ems &    
m5tal heal? ag5cies4  7#f7 ,to evaluate 
! effectiv5ess ( ! program c>ri$ out "u 
?is section 9 increas+ /ud5t access to  
evid5ce-bas$ trauma support s]vices &   
m5tal heal? c>e4  7d7 ,applications ,to 
be eligible to receive a grant1         
contract1 or coop]ative agreem5t "u ?is 
section1 an entity describ$ 9 subsection
 7a7 %all submit an application to !    
,secret>y at su* "t1 9 su* mann]1 &     
conta9+ su* in=mation z ! ,secret>y may 
reasonably require1 :i* %all include !  
foll[+3  7#a7 ,a description ( ! program
 to be fund$ "u ! grant1 contract1 or   
coop]ative agreem5t1 includ+ h[ su*     
program w increase access to            
evid5ce-bas$ trauma support s]vices &   
m5tal heal? c>e = /ud5ts1 &1 z          
applicable1 ! families ( ! /ud5ts4  7#b7
 ,a description ( h[ ! program w provide

 l+ui/ically appropriate & culturally   
compet5t s]vices4  7#c7 ,a description (
 h[ ! program w support /ud5ts & ! s*ool
 9 improv+ ! s*ool climate 9 ord] to    
support an environm5t conducive to      
le>n+4  7#d7 ,an assurance t-- 7,a7     
p]sons provid+ s]vices "u ! grant1      
contract1 or coop]ative agreem5t are    
adequately tra9$ to provide su* s]vices2
 &  7,b7 tea*]s1 s*ool lead]s1          
adm9i/rators1 specializ$ in/ructional   
support p]sonnel1 repres5tatives ( local
 ,indian tribes z appropriate1 o!r s*ool
 p]sonnel1 & p>5ts or gu>dians ( /ud5ts 
p>ticipat+ 9 s]vices "u ?is section w be
 engag$ & involv$ 9 ! design &          
implem5tation ( ! s]vices4  7#e7 ,a     
description ( h[ ! applicant w support &
 integrate exi/+ s*ool-bas$ s]vices ) ! 
program 9 ord] to provide m5tal heal?   
s]vices = /ud5ts1 z appropriate4  7e7   
,int]ag5cy agreem5ts  7#a7 ,designation 
( lead ag5cy ,a recipi5t ( a grant1     
contract1 or coop]ative agreem5t "u ?is 
section %all designate a lead ag5cy to  

direct ! e/abli%m5t ( an int]ag5cy      
agreem5t among local educational        
ag5cies1 juv5ile ju/ice au?orities1     
m5tal heal? ag5cies1 *ild welf>e        
ag5cies1 & o!r relevant entities 9 !    
,/ate1 9 collaboration ) local entities1
 su* z ,indian tribes4  7#b7 ,cont5ts ,!
 int]ag5cy agreem5t %all ensure !       
provision ( ! s]vices describ$ 9        
subsection 7c71 specify+ ) respect to   
ea* ag5cy1 au?ority1 or entity--  7,a7 !
 f9ancial responsibility = ! s]vices2   
7,b7 ! conditions & t]ms (              
responsibility = ! s]vices1 includ+     
quality1 acc\ntability1 & coord9ation ( 
! s]vices2 &  7,c7 ! conditions & t]ms (
 reimbursem5t among ! ag5cies1          
au?orities1 or entities t are p>ties to 
! int]ag5cy agreem5t1 includ+ proc$ures 
= dispute resolution4  7f7 ,evaluation  
,! ,secret>y %all res]ve n to exce$ #c  
p]c5t ( ! funds made available "u       
subsection 7l7 = ea* fiscal ye> to--    
7#a7 conduct a rigor\s1 indep5d5t       
evaluation ( ! activities fund$ "u ?is  

section2 &  7#b7 dissem9ate & promote ! 
utilization ( evid5ce-bas$ practices    
reg>d+ trauma support s]vices & m5tal   
heal? c>e4  7g7 ,di/ribution ( aw>ds ,! 
,secret>y %all ensure t grants1         
contracts1 & coop]ative agreem5ts aw>d$ 
or ent]$ into "u ?is section are        
equitably di/ribut$ among ! geographical
 regions ( ! ,unit$ ,/ates & among      
tribal1 urban1 suburban1 & rural        
populations4  7h7 ,rule ( con/ruction   
,no?+ 9 ?is section %all be con/ru$--   
7#a7 to prohibit an entity involv$ ) a  
program c>ri$ out "u ?is section f      
report+ a crime t is committ$ by a /ud5t
 to appropriate au?orities2 or  7#b7 to 
prev5t ,f$]al1 ,/ate1 & tribal law      
en=cem5t & judicial au?orities f ex]cis+
 _! responsibilities ) reg>d to !       
application ( ,f$]al1 tribal1 & ,/ate   
law to crimes committ$ by a /ud5t4  7i7 
,supplem5t1 n supplant ,any s]vices     
provid$ ?r\gh programs c>ri$ out "u ?is 
section %all supplem5t1 & n supplant1   
exi/+ m5tal heal? s]vices1 includ+ any  

special education & relat$ s]vices      
provid$ "u ! ,individuals )             
,disabilities ,education ,act4  7j7     
,consultation ) ,indian tribes ,9 c>ry+ 
out subsection 7a71 ! ,secret>y %all1 9 
a timely mann]1 mean+fully consult1     
engage1 & coop]ate ) ,indian tribes & _!
 repres5tatives to ensure notice (      
eligibility4  7k7 ,def9itions ,9 ?is    
section3 7#a7 ,elem5t>y or second>y     
s*ool ,! t]m elem5t>y or second>y s*ool 
means a public elem5t>y & second>y s*ool
 z su* t]m is def9$ 9 section #haja ( ! 
,elem5t>y & ,second>y ,education ,act ( 
#aife 7#bj ,u4,s4,c4 #ghja74  7#b7      
,evid5ce-bas$ ,! t]m evid5ce-bas$ has ! 
mean+ giv5 su* t]m 9 section            
#haja7ba77;,a77i7 ( ! ,elem5t>y &       
,second>y ,education ,act ( #aife 7#bj  
,u4,s4,c4 #ghja7ba77;,a77i774  7#c7     
,s*ool lead] ,! t]m s*ool lead] has !   
mean+ giv5 su* t]m 9 section #haja ( !  
,elem5t>y & ,second>y ,education ,act ( 
#aife 7#bj ,u4,s4,c4 #ghja74  7#d7      
,secret>y ,! t]m ,secret>y means !      

,secret>y ( ,education4  7#e7           
,specializ$ in/ructional support        
p]sonnel ,! t]m specializ$ in/ructional 
support p]sonnel has ! mean+ giv5 su*   
t]m 9 #haja ( ! ,elem5t>y & ,second>y   
,education ,act ( #aife 7#bj ,u4,s4,c4  
#ghja74  7l7 ,au?orization (            
appropriations ,!re is au?oriz$ to be   
appropriat$ to c>ry out ?is section1 su*
 sums z may be necess>y = ea* ( fiscal  
ye>s #bjai ?r\gh #bjbc4  #eae4 ,national
 ,*ild ,traumatic ,/ress ,initiative    
,section #ehb7;j7 ( ! ,public ,heal?    
,s]vice ,act 7#db ,u4,s4,c4             
#bij;hh-#a7;j77 is am5d$ by /rik+       
#df1hhg1jjj = ea* ( fiscal ye>s #bjah   
?r\gh #bjbb & ins]t+ #ec1hhg1jjj = ea* (
 fiscal ye>s #bjai ?r\gh #bjbc4