,,ii #aaeth ,,congress #b;d ,session ,s4 #bghi ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,april #bf1 #bjah ,mr4 ,cornyn 7for himself and ,mrs4 ,feinstein7 introduced the following bill2 which was read twice and referred to the ,committee on the ,judiciary ,a ,,bill ,to prevent substance abuse and reduce demand for illicit narcotics4 #a4 ,short title ,this ,act may be cited as the ,substance ,abuse ,prevention ,act of #bjah4 #b4 ,reauthorization of the ,office of ,national ,drug ,control ,policy 7a7 ,office of ,national ,drug ,control ,policy ,reauthorization ,act of #aiih 7#a7 ,in general ,the ,office of ,national ,drug ,control ,policy ,reauthorization ,act of #aiih 7#ba ,u4,s4,c4 #agja et seq471 as in effect on ,september #bi1 #bjjc1 and as amended by the laws described in paragraph 7#b71 is revived and restored4 7#b7 ,laws described ,the laws described in this paragraph are3 7,a7 ,the ,office of ,national ,drug ,control ,policy ,reauthorization ,act of #bjjf 7,public ,law #aji-dfi2 #abe ,stat4 #cejb74 7,b7 ,the ,presidential ,appointment ,efficiency and ,streamlining ,act of #bjaa 7,public ,law #aab-aff2 #abf ,stat4 #abhc74 7b7 ,reauthorization ,section #gae7;a7 of the ,office of ,national ,drug ,control ,policy ,reauthorization ,act of #aiih 7#ba ,u4,s4,c4 #agab7;a77 is amended by striking #bjaj and inserting #bjbb4 #c4 ,reauthorization of the ,drug-,free ,communities ,program ,section #ajbd of the ,national ,narcotics ,leadership ,act of #aihh 7#ba ,u4,s4,c4 #aebd7;a77 is amended by striking subsections 7a7 and 7b7 and inserting the following3 7a7 ,in general ,there are authorized to be appropriated to the ,office of ,national ,drug ,control ,policy to carry out this chapter #ii1jjj1jjj for each of fiscal years #bjah through #bjbb4 7b7 ,administrative costs ,not more than #h percent of the funds appropriated to carry out this chapter may be used by the ,office of ,national ,drug ,control ,policy to pay administrative costs associated with the responsibilities of the ,office under this chapter4 4 #d4 ,reauthorization of the ,national ,community ,anti-,drug ,coalition ,institute ,section #d7;c77#d7 of ,public ,law #ajg-hb 7#ba ,u4,s4,c4 #aeba note7 is amended by striking #bjjh through #bjab and inserting #bjah through #bjbb4 #e4 ,reauthorization of the ,high-,intensity ,drug ,trafficking ,area ,program ,section #gjg7p7 of the ,office of ,national ,drug ,control ,policy ,reauthorization ,act of #aiih 7#ba ,u4,s4,c4 #agjf7p77 is amended-- 7#a7 in paragraph 7#d71 by striking and at the end2 7#b7 in paragraph 7#e71 by striking the period at the end and inserting 2 and2 and 7#c7 by adding at the end the following3 7#f7 #bhj1jjj1jjj for each of fiscal years #bjah through #bjbb4 4 #f4 ,reauthorization of drug court program ,section #ajja7;a77#be77;,a7 of title ,i of the ,omnibus ,crime ,control and ,safe ,streets ,act of #aifh 7#cd ,u4,s4,c4 #ajbfa7;a77#be77;,a77 is amended by striking ,except as provided and all that follows and inserting the following3 ,except as provided in subparagraph 7,c71 there are authorized to be appropriated to carry out part ,,ee #ge1jjj1jjj for each of fiscal years #bjah through #bjbb44 #g4 ,drug court training and technical assistance ,section #ajcd of the ,national ,narcotics ,leadership ,act of #aihh 7#ba ,u4,s4,c4 #aecd7 is amended by adding at the end the following-- 7c7 ,drug ,court ,training and ,technical ,assistance ,program ,using funds appropriated to carry out this chapter1 the ,director may make grants to nonprofit organizations for the purpose of providing training and technical assistance to drug courts4 4 #h4 ,drug overdose response strategy ,section #gjg of the ,office of ,national ,drug ,control ,policy ,reauthorization ,act of #aiih 7#ba ,u4,s4,c4 #agjf7 is amended by adding at the end the following3 7r7 ,drug overdose response strategy implementation ,the ,director may use funds appropriated to carry out this section to implement a drug overdose response strategy in high intensity drug trafficking areas on a nationwide basis by-- 7#a7 coordinating multi-disciplinary efforts to prevent1 reduce1 and respond to drug overdoses1 including the uniform reporting of fatal and non-fatal overdoses to public health and safety officials2 7#b7 increasing data sharing among public safety and public health officials concerning drug-related abuse trends1 including new psychoactive substances1 and related crime2 and 7#c7 enabling collaborative deployment of prevention1 intervention1 and enforcement resources to address substance use addiction and narcotics trafficking4 4 #i4 ,protecting law enforcement officers from accidental exposure ,section #gjg of the ,office of ,national ,drug ,control ,policy ,reauthorization ,act of #aiih 7#ba ,u4,s4,c4 #agjf7 is amended by adding at the end the following3 7s7 ,supplemental grants ,the ,director is authorized to use not more than #aj1jjj1jjj of the amounts otherwise appropriated to carry out this section to provide supplemental competitive grants to high intensity drug trafficking areas that have experienced high seizures of fentanyl and new psychoactive substances for the purposes of-- 7#a7 purchasing portable equipment to test for fentanyl and other substances2 7#b7 training law enforcement officers and other first responders on best practices for handling fentanyl and other substances2 and 7#c7 purchasing protective equipment1 including overdose reversal drugs4 4 #aj4 ,,dea #cfj ,strategy 7a7 ,in general ,for each of fiscal years #bjah through #bjbb1 the ,attorney ,general1 acting through the ,director of the ,drug ,enforcement ,administration1 and in coordination with the ,director of the ,office of ,national ,drug ,control ,policy and the ,secretary of ,health and ,human ,services1 may implement a ,,dea #cfj ,strategy in pilot cities across the ,united ,states as a response to growing demand for heroin and opioids in the ,united ,states4 7b7 ,program goals ,the goals of the ,,dea #cfj ,strategy authorized under subsection 7a7 shall be-- 7#a7 preventing the deadly cycle of drug abuse1 including heroin and opioid abuse1 by targeting drug trafficking organizations and street gangs responsible for increasing the supply of narcotics in communities2 7#b7 partnering with the healthcare community to raise awareness of the dangers of heroin abuse and prescription opioid abuse2 and 7#c7 strengthening community organizations that provide long-term assistance and support for the reduction of drug abuse in the community4 7c7 ,program specifications ,in carrying out the ,,dea #cfj strategy authorized under subsection 7a71 the ,attorney ,general shall-- 7#a7 issue an implementation strategy for each pilot city that is tailored to the unique drug abuse problems of the particular city1 details specific measures that will be taken to address the problems1 identifies key community partners1 and sets specific objectives for success2 7#b7 provide dedicated funding for coordinated law enforcement actions against drug trafficking organizations1 involving ,federal1 ,state1 and local law enforcement officials1 including the ,united ,states ,attorney's office for the relevant district2 7#c7 conduct diversion control enforcement actions against registrants with the ,drug ,enforcement ,administration who are unlawfully distributing controlled substances2 7#d7 create partnerships with pharmaceutical drug manufacturers1 wholesalers1 pharmacies1 and medical practitioners to develop strategies that reduce heroin and opioid abuse1 including specific efforts to reduce demand for these substances2 7#e7 increase resources for community partnerships with nongovernmental organizations that specialize in drug abuse prevention1 awareness1 or treatment2 and 7#f7 conduct training and educational campaigns on best practices for reducing heroin and opioid abuse for governmental agencies and nongovernmental organizations in pilot cities4 7d7 ,reports ,for each fiscal year in which the ,attorney ,general carries out the ,,dea #cfj ,strategy authorized under subsection 7a7 in a pilot city1 the ,attorney ,general shall issue a public report that details the results of the program in that particular city1 including quantitative measures to show whether or not the program succeeded in achieving the objectives for success required under subsection 7c77#a74 7e7 ,additional resources ,the ,director of the ,office of ,national ,drug ,control ,policy and the ,secretary of ,health and ,human ,services may use funds otherwise appropriated for purposes consistent with this section to assist in the implementation of the ,,dea #cfj ,strategy authorized under subsection 7a7 in pilot cities4 #aa4 ,,cops ,anti-,meth ,program ,section #agja of the title ,i of the ,omnibus ,crime ,control and ,safe ,streets ,act of #aifh 7#cd ,u4,s4,c4 #ajcha7 is amended-- 7#a7 by redesignating subsection 7k7 as subsection 7l72 and 7#b7 by inserting after subsection 7j7 the following3 7k7 ,,cops ,anti-,meth ,program ,the ,attorney ,general shall use amounts otherwise appropriated to carry out this section to make competitive grants1 in amounts of not less than #a1jjj1jjj for a fiscal year1 to ,state law enforcement agencies with high seizures of precursor chemicals1 finished methamphetamine1 laboratories1 and laboratory dump seizures for the purpose of locating or investigating illicit activities1 such as precursor diversion1 laboratories1 or methamphetamine traffickers4 4 #ab4 ,comprehensive ,addiction and ,recovery ,act education and awareness 7a7 ,amendment to ,,cara ,section #ajb7;a7 of the ,comprehensive ,addiction and ,recovery ,act of #bjaf 7,public ,law #aad-aih2 #acj ,stat4 #fih7 is amended by inserting including the ,office of ,national ,drug ,control ,policy1 after agencies14 7b7 ,use of funds ,subchapter ,i of chapter #b of the ,national ,narcotics ,leadership ,act of #aihh 7#ba ,u4,s4,c4 #aeca et seq47 is amended by adding at the end the following3 #ajcf4 ,comprehensive ,addiction and ,recovery ,act education and awareness ,the ,director may use funds made available to carry out this chapter for the purpose of administering1 participating in1 or expanding awareness campaigns and prevention efforts authorized under section #ajb of the ,comprehensive ,addiction and ,recovery ,act of #bjaf 7,public ,law #aad-aih2 #acj ,stat4 #fih74 4 #ac4 ,protecting children with addicted parents ,part ,d of title ,v of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;dd et seq47 is amended by adding at the end the following3 #eej4 ,protecting children with addicted parents 7a7 ,best practices ,the ,secretary1 acting through the ,assistant ,secretary for ,mental ,health and ,substance ,use and in cooperation with the ,commissioner of the ,administration on ,children1 ,youth and ,families1 shall collect and disseminate best practices for ,states regarding interventions and strategies to keep families affected by substance use disorder together1 when it can be done safely4 ,such best practices shall-- 7#a7 utilize comprehensive family-centered approaches2 7#b7 ensure that families have access to drug screening1 substance use treatment1 medication-assisted treatment approved by the ,food and ,drug ,administration1 and parental support2 and 7#c7 build upon lessons learned from programs such as the ,maternal1 ,infant1 and ,early ,childhood ,home ,visiting programs under section #eaa of the ,social ,security ,act4 7b7 ,grant program ,the ,secretary1 acting through the ,assistant ,secretary for ,mental ,health and ,substance ,use1 shall award grants for the development of programs and models designed to keep pregnant and post-partum women who have a substance use disorder together with their newborns1 including programs and models that provide for screenings of pregnant and post-partum women for substance use disorders1 treatment interventions1 supportive housing1 nonpharmacological interventions for children born with neonatal abstinence syndrome1 medication assisted treatment1 and other recovery supports4 4 #ad4 ,reimbursement of substance use disorder treatment professionals 7a7 ,,gao report ,not later than ,january #a1 #bjbj1 the ,comptroller ,general of the ,united ,states shall submit to ,congress a report examining how substance use disorder services are reimbursed4 7b7 ,,cms recommendations ,not later than ,january #a1 #bjai1 the ,administrator of the ,centers for ,medicare ,medicaid ,services shall examine how substance use disorder services are reimbursed and shall make recommendations to ,congress 7taking into consideration the findings made by the ,comptroller ,general of the ,united ,states in the report required under subsection 7a77 as to how to reimburse the treatment of substance use disorders at a higher rate in order to attract a more talented work force4 7c7 ,grants to ,states ,to explore ways ,to increase ,medicaid reimbursement ,the ,secretary of ,health and ,human ,services is authorized to make grants to ,states for the purpose of exploring ways to increase reimbursement of substance use disorder services under the ,medicaid program under title ,,xix of the ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq474 7d7 ,grants to ,states ,to supplement ,medicaid reimbursement to credentialed substance use disorder professionals ,the ,secretary of ,health and ,human ,services is authorized to make grants to ,states for the purpose of supplementing the reimbursement paid to credentialed substance use disorder professionals 7as defined by the ,secretary7 under the ,medicaid program under title ,,xix of the ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq474 #ae4 ,testing evidence-based mobile applications for the treatment of substance use disorders ,section #aaae;,a7b77#b7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acae;a7b77#b77 is amended-- 7#a7 in subparagraph 7,a71 by adding at the end the following new sentence3 ,the models selected under this subparagraph shall include the model described in subparagraph 7,d71 which shall be implemented by not later than ,january #a1 #bjbj42 and 7#b7 by adding at the end the following new subparagraph3 7,d7 ,evidence-based mobile applications for treatment of substance use disorders ,the model described in this subparagraph is a model to test the use of evidence-based mobile applications for the treatment of substance use disorders4 4 #af4 ,medicare hospital requirement to provide naloxone as part of the discharge protocol to individuals being discharged after suffering an opioid overdose 7a7 ,in general ,section #ahff7;a77#a7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acie;cc7a77#a77 is amended-- 7#a7 in subparagraph 7,x71 by striking and at the end2 7#b7 in subparagraph 7,y71 by striking the period at the end and inserting 1 and2 and 7#c7 by inserting after subparagraph 7,y71 the following new subparagraph3 7,z7 in the case of a hospital or critical access hospital1 to provide naloxone and treatment referral options as part of the discharge protocol to individuals being discharged after suffering an opioid overdose4 4 7b7 ,effective date ,the amendments made by subsection 7a7 shall apply to contracts entered into or renewed on or after the date of the enactment of this ,act4 #ag4 ,educational outreach and access to abuse-deterrent opioids 7a7 ,access to abuse-,deterrent opioids 7#a7 ,access under ,medicare part ,d ,section #ahfj;,d-#d7;c7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#ajd7;c77 is amended by adding at the end the following new paragraph3 7#g7 ,access to abuse-deterrent opioids 7,a7 ,in general ,the ,secretary shall work with ,,pdp sponsors of prescription drug plans to-- 7i7 ensure appropriate access to abuse-deterrent opioids on plan formularies2 7ii7 provide advanced abuse-deterrent opioid targeting 7as determined by the ,secretary7 for beneficiaries identified as at-risk for opioid abuse under the drug management program under paragraph 7#e7 or any other opioid risk management program established by the sponsor2 and 7iii7 encourage access to non-opioid alternatives when medically appropriate4 7,b7 ,prohibition on requiring fail first schemes ,the ,secretary shall prohibit ,,pdp sponsors from requiring fail first schemes1 also known as step therapy1 with respect to abuse-deterrent opioids4 7,c7 ,encouraging equal access ,the ,secretary shall encourage plans to provide equal access to abuse-deterrent opioids on formulary tiers and patient cost-sharing4 7,d7 ,abuse-deterrent opioid defined ,in this paragraph1 the term abuse-deterrent opioid means an abuse-deterrent formulation of an opioid1 as determined by the ,secretary4 4 7#b7 ,access under private health plans ,subpart ,,ii of title ,,xxvii of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjj;gg-#aa et seq47 is amended by adding at the end the following3 #bgbi4 ,access to abuse-deterrent opioids 7a7 ,in general ,a group health plan and a health insurance issuer offering group or individual health insurance coverage shall-- 7#a7 ensure appropriate access to abuse-deterrent opioids as a prescription drug health benefit under such plan or coverage2 7#b7 provide advanced abuse-deterrent opioid targeting 7as determined by the ,secretary7 for enrollees in the plan or coverage who are identified as at-risk for opioid abuse2 and 7#c7 encourage access to non-opioid alternatives when medically appropriate4 7b7 ,prohibition on requiring fail first schemes ,the ,secretary shall prohibit a group health plan and a health insurance issuer offering group or individual health insurance coverage from requiring fail first schemes1 also known as step therapy1 with respect to abuse-deterrent opioids4 7c7 ,abuse-,deterrent opioid defined ,in this section1 the term abuse-deterrent opioid means an abuse-deterrent formulation of an opioid1 as determined by the ,secretary4 4 7#c7 ,effective date ,the amendments made by this subsection shall apply with respect to plan years beginning on or after ,january #a1 #bjai4 7b7 ,educational outreach ,the ,secretary of ,health and ,human ,services shall educate health insurance issuers1 ,medicare ,advantage plans under part ,c of title ,,xviii of the ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#ba et seq471 and prescription drug plans under part ,d of such title 7#db ,u4,s4,c4 #aciew-#aja et seq47 on opioid abuse prevention1 including the use of abuse-deterrent opioids 7as such term is defined in section #bgbi of the ,public ,health ,service ,act1 as added by subsection 7a77#b774 #ah4 ,grant program to provide support for medication assisted treatment 7a7 ,training grants ,the ,secretary of ,health and ,human ,services shall award grants to ,states for the purpose of training non-physician health care professionals in the use of medication-assisted treatment approved by the ,food and ,drug ,administration and related best practices4 7b7 ,referral system grants ,the ,secretary of ,health and ,human ,services shall award grants to ,states for the purpose of improving referral systems and ensuring that such systems are current and accurate1 in order to better enable practitioners to refer patients who are prescribed medication assisted treatment to cognitive therapy4 #ai4 ,sobriety ,treatment and ,recovery ,teams 7,,start7 ,title ,,iii of the ,comprehensive ,addiction and ,recovery ,act of #bjaf 7,public ,law #aad-aih2 #acj ,stat4 #gag7 is amended by adding at the end the following3 #cjd4 ,sobriety ,treatment and ,recovery ,teams 7a7 ,in general ,the ,director of the ,office of ,national ,drug ,control ,policy1 in coordination with the ,secretary of ,health and ,human ,services1 may make grants to ,states1 units of local government1 or tribal governments to establish or expand ,sobriety ,treatment ,and ,recovery ,team 7referred to in this section as ,,start7 programs to determine the effectiveness of pairing social workers and mentors with families that are struggling with substance abuse and child abuse or neglect in order to help provide peer support1 intensive treatment1 and child welfare services4 7b7 ,allowable uses ,a grant awarded under this section may be used for one or more of the following activities3 7#a7 ,training eligible staff1 including social workers1 social services coordinators1 child welfare specialists1 substance use disorder treatment professionals1 and mentors4 7#b7 ,expanding access to substance use disorder treatment services and drug testing4 7#c7 ,enhancing data sharing with law enforcement agencies and child welfare agencies4 7#d7 ,program evaluation4 7c7 ,program requirements ,a family may be eligible to participate in a ,,start program that receives funding under this section only if-- 7#a7 there is a substantiated record or finding of child abuse or neglect within the family2 and 7#b7 substance abuse was the primary reason for the record or finding described in paragraph 7#a74 7d7 ,authorization of appropriations ,for each of fiscal years #bjah through #bjbb1 the ,director of the ,office of ,national ,drug ,control ,policy1 in consultation with the ,secretary of ,health and ,human ,services1 is authorized to award not more than #aj1jjj1jjj of amounts otherwise appropriated for comprehensive opioid abuse reduction activities for purposes of carrying out this section4 4 #bj4 ,provider education ,not later than #ij days after the date of enactment of this ,act1 the ,attorney ,general1 in consultation with the ,secretary of ,health and ,human ,services1 shall complete the plan related to medical registration coordination required by ,senate ,report #aad-bci1 which accompanied the ,veterans ,care ,financial ,protection ,act of #bjag 7,public ,law #aae-aca2 #acb ,stat4 #ccd71 including through the issuance of necessary rules or regulations4