,,ii ,cal5d> ,no4 #dge #aae? ,,congress 
#b;d ,session  ,s4 #bghi  ,,9 ,,!       
,,s5ate ,,( ,,! ,,unit$ ,,/ates  ,april 
#bf1 #bjah,mr4 ,cornyn 7= himself1 ,mrs4
 ,fe9/e91 ,ms4 ,klobu*>1 ,mr4 ,tillis1  
,mr4 ,blum5?al1 ,mr4 ,grassley1 & ,mr4  
,durb97 introduc$ ! foll[+ bill2 :i* 0  
read twice & ref]r$ to ! ,committee on !
 ,judici>y  ,june #ai1 #bjah,report$ by 
,mr4 ,grassley1 ) an amendment,strike   
out all aft] ! enact+ clause & ins]t !  
"p pr9t$ 9 italic  ,a ,,bill  ,to prev5t
 sub/ance abuse & r$uce dem& = illicit  
n>cotics4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,sub/ance ,abuse ,prev5tion
 ,act ( #bjah4  #b4 ,reau?orization ( ! 
,(fice ( ,national ,drug ,control       
,policy  7a7 ,(fice ( ,national ,drug   
,control ,policy ,reau?orization ,act ( 
#aiih  7#a7 ,9 g5]al ,! ,(fice (        
,national ,drug ,control ,policy        
,reau?orization ,act ( #aiih 7#ba       
,u4,s4,c4 #agja et seq471 z 9 effect on 
,septemb] #bi1 #bjjc1 & z am5d$ by !    
laws describ$ 9 p>agraph 7#b71 is reviv$

 & re/or$4  7#b7 ,laws describ$ ,! laws 
describ$ 9 ?is p>agraph are3 7,a7 ,!    
,(fice ( ,national ,drug ,control       
,policy ,reau?orization ,act ( #bjjf    
7,public ,law #aji-dfi2 #abe ,/at4      
#cejb74  7,b7 ,! ,presid5tial ,appo9tm5t
 ,effici5cy & ,/reaml9+ ,act ( #bjaa    
7,public ,law #aab-aff2 #abf ,/at4      
#abhc74  7b7 ,reau?orization ,section   
#gae7;a7 ( ! ,(fice ( ,national ,drug   
,control ,policy ,reau?orization ,act ( 
#aiih 7#ba ,u4,s4,c4 #agab7;a77 is am5d$
 by /rik+ #bjaj & ins]t+ #bjbb4  #c4    
,reau?orization ( ! ,drug-,free         
,communities ,program ,section #ajbd ( !
 ,national ,n>cotics ,lead]%ip ,act (   
#aihh 7#ba ,u4,s4,c4 #aebd7;a77 is am5d$
 by /rik+ subsections 7a7 & 7b7 & ins]t+
 ! foll[+3  7a7 ,9 g5]al ,!re are       
au?oriz$ to be appropriat$ to ! ,(fice (
 ,national ,drug ,control ,policy to    
c>ry out ?is *apt] #ii1jjj1jjj = ea* (  
fiscal ye>s #bjah ?r\gh #bjbb4  7b7     
,adm9i/rative co/s ,n m ?an #h p]c5t ( !
 funds appropriat$ to c>ry out ?is *apt]

 may be us$ by ! ,(fice ( ,national     
,drug ,control ,policy to pay           
adm9i/rative co/s associat$ ) !         
responsibilities ( ! ,(fice "u ?is      
*apt]4  4  #d4 ,reau?orization ( !      
,national ,community ,anti-,drug        
,coalition ,in/itute ,section #d7;c77#d7
 ( ,public ,law #ajg-hb 7#ba ,u4,s4,c4  
#aeba note7 is am5d$ by /rik+ #bjjh     
?r\gh #bjab & ins]t+ #bjah ?r\gh #bjbb4 
#e4 ,reau?orization ( ! ,high-,int5sity 
,drug ,traffick+ ,area ,program ,section
 #gjg7p7 ( ! ,(fice ( ,national ,drug   
,control ,policy ,reau?orization ,act ( 
#aiih 7#ba ,u4,s4,c4 #agjf7p77 is       
am5d$--  7#a7 9 p>agraph 7#d71 by /rik+ 
& at ! end2  7#b7 9 p>agraph 7#e71 by   
/rik+ ! p]iod at ! end & ins]t+ 2 &2 &  
7#c7 by add+ at ! end ! foll[+3  7#f7   
#bhj1jjj1jjj = ea* ( fiscal ye>s #bjah  
?r\gh #bjbb4  4  #f4 ,reau?orization (  
drug c\rt program ,section              
#ajja7;a77#be77;,a7 ( title ,i ( !      
,omnibus ,crime ,control & ,safe ,/reets
 ,act ( #aifh 7#cd ,u4,s4,c4            

#ajbfa7;a77#be77;,a77 is am5d$ by /rik+ 
,except z provid$ & all t foll[s &      
ins]t+ ! foll[+3 ,except z provid$ 9    
subp>agraph 7,c71 !re are au?oriz$ to be
 appropriat$ to c>ry out "p ,,ee        
#ge1jjj1jjj = ea* ( fiscal ye>s #bjah   
?r\gh #bjbb44  #g4 ,drug c\rt tra9+ &   
te*nical assi/ance ,section #ajcd ( !   
,national ,n>cotics ,lead]%ip ,act (    
#aihh 7#ba ,u4,s4,c4 #aecd7 is am5d$ by 
add+ at ! end ! foll[+--  7c7 ,drug     
,c\rt ,tra9+ & ,te*nical ,assi/ance     
,program ,us+ funds appropriat$ to c>ry 
out ?is *apt]1 ! ,director may make     
grants to nonpr(it organizations = !    
purpose ( provid+ tra9+ & te*nical      
assi/ance to drug c\rts4  4  #h4 ,drug  
ov]dose response /rategy ,section #gjg (
 ! ,(fice ( ,national ,drug ,control    
,policy ,reau?orization ,act ( #aiih    
7#ba ,u4,s4,c4 #agjf7 is am5d$ by add+  
at ! end ! foll[+3  7r7 ,drug ov]dose   
response /rategy implem5tation ,!       
,director may use funds appropriat$ to  
c>ry out ?is section to implem5t a drug 

ov]dose response /rategy 9 high int5sity
 drug traffick+ areas on a nationwide   
basis by--  7#a7 coord9at+              
multi-discipl9>y ef=ts to prev5t1 r$uce1
 & respond to drug ov]doses1 includ+ !  
uni=m report+ ( fatal & non-fatal       
ov]doses to public heal? & safety       
(ficials2  7#b7 increas+ data %>+ among 
public safety & public heal? (ficials   
conc]n+ drug-relat$ abuse tr5ds1 includ+
 new psy*oactive sub/ances1 & relat$    
crime2 &  7#c7 enabl+ collaborative     
deploym5t ( prev5tion1 int]v5tion1 &    
en=cem5t res\rces to address sub/ance   
use addiction & n>cotics traffick+4  4  
#i4 ,protect+ law en=cem5t (fic]s f     
accid5tal exposure ,section #gjg ( !    
,(fice ( ,national ,drug ,control       
,policy ,reau?orization ,act ( #aiih    
7#ba ,u4,s4,c4 #agjf7 is am5d$ by add+  
at ! end ! foll[+3  7s7 ,supplem5tal    
grants ,! ,director is au?oriz$ to use n
 m ?an #aj1jjj1jjj ( ! am\nts o!rwise   
appropriat$ to c>ry out ?is section to  
provide supplem5tal competitive grants  

to high int5sity drug traffick+ areas t 
h exp]i5c$ high seizures ( f5tanyl & new
 psy*oactive sub/ances = ! purposes (-- 
7#a7 pur*as+ portable equipm5t to te/ = 
f5tanyl & o!r sub/ances2  7#b7 tra9+ law
 en=cem5t (fic]s & o!r fir/ respond]s on
 be/ practices = h&l+ f5tanyl & o!r     
sub/ances2 &  7#c7 pur*as+ protective   
equipm5t1 includ+ ov]dose rev]sal drugs4
  4  #aj4 ,,dea #cfj ,/rategy  7a7 ,9   
g5]al ,= ea* ( fiscal ye>s #bjah ?r\gh  
#bjbb1 ! ,attorney ,g5]al1 act+ ?r\gh ! 
,director ( ! ,drug ,en=cem5t           
,adm9i/ration1 & 9 coord9ation ) !      
,director ( ! ,(fice ( ,national ,drug  
,control ,policy & ! ,secret>y ( ,heal? 
& ,human ,s]vices1 may implem5t a ,,dea 
#cfj ,/rategy 9 pilot cities across !   
,unit$ ,/ates z a response to gr[+ dem& 
= h]o9 & opioids 9 ! ,unit$ ,/ates4  7b7
 ,program goals ,! goals ( ! ,,dea #cfj 
,/rategy au?oriz$ "u subsection 7a7 %all
 be-- 7#a7 prev5t+ ! deadly cycle ( drug
 abuse1 includ+ h]o9 & opioid abuse1 by 
t>get+ drug traffick+ organizations &   

/reet gangs responsible = increas+ !    
supply ( n>cotics 9 communities2  7#b7  
p>tn]+ ) ! heal?c>e community to raise  
aw>5ess ( ! dang]s ( h]o9 abuse &       
prescription opioid abuse2 &  7#c7      
/r5g!n+ community organizations t       
provide long-t]m assi/ance & support = !
 r$uction ( drug abuse 9 ! community4   
7c7 ,program specifications ,9 c>ry+ out
 ! ,,dea #cfj /rategy au?oriz$ "u       
subsection 7a71 ! ,attorney ,g5]al      
%all-- 7#a7 issue an implem5tation      
/rategy = ea* pilot city t is tailor$ to
 ! unique drug abuse problems ( !       
p>ticul> city1 details specific measures
 t w be tak5 to address ! problems1     
id5tifies key community p>tn]s1 & sets  
specific objectives = success2  7#b7    
provide d$icat$ fund+ = coord9at$ law   
en=cem5t actions aga9/ drug traffick+   
organizations1 involv+ ,f$]al1 ,/ate1 & 
local law en=cem5t (ficials1 includ+ !  
,unit$ ,/ates ,attorney's (fice = !     
relevant di/rict2  7#c7 conduct div]sion
 control en=cem5t actions aga9/         

regi/rants ) ! ,drug ,en=cem5t          
,adm9i/ration :o are unlawfully         
di/ribut+ controll$ sub/ances2  7#d7    
create p>tn]%ips ) ph>maceutical drug   
manufactur]s1 :olesal]s1 ph>macies1 &   
m$ical practition]s to develop /rategies
 t r$uce h]o9 & opioid abuse1 includ+   
specific ef=ts to r$uce dem& = ^!       
sub/ances2  7#e7 increase res\rces =    
community p>tn]%ips ) nongov]nm5tal     
organizations t specialize 9 drug abuse 
prev5tion1 aw>5ess1 or treatm5t2 &  7#f7
 conduct tra9+ & educational campaigns  
on be/ practices = r$uc+ h]o9 & opioid  
abuse = gov]nm5tal ag5cies &            
nongov]nm5tal organizations 9 pilot     
cities4  7d7 ,reports ,= ea* fiscal ye> 
9 :i* ! ,attorney ,g5]al c>ries out !   
,,dea #cfj ,/rategy au?oriz$ "u         
subsection 7a7 9 a pilot city1 !        
,attorney ,g5]al %all issue a public    
report t details ! results ( ! program 9
 t p>ticul> city1 includ+ quantitative  
measures to %[ :e!r or n ! program      
succe$$ 9 a*iev+ ! objectives = success 

requir$ "u subsection 7c77#a74  7e7     
,additional res\rces ,! ,director ( !   
,(fice ( ,national ,drug ,control       
,policy & ! ,secret>y ( ,heal? & ,human 
,s]vices may use funds o!rwise          
appropriat$ = purposes consi/5t ) ?is   
section to assi/ 9 ! implem5tation ( !  
,,dea #cfj ,/rategy au?oriz$ "u         
subsection 7a7 9 pilot cities4  #aa4    
,,cops ,anti-,me? ,program ,section     
#agja ( ! title ,i ( ! ,omnibus ,crime  
,control & ,safe ,/reets ,act ( #aifh   
7#cd ,u4,s4,c4 #ajcha7 is am5d$--  7#a7 
by r$esignat+ subsection 7k7 z          
subsection 7l72 &  7#b7 by ins]t+ aft]  
subsection 7j7 ! foll[+3  7k7 ,,cops    
,anti-,me? ,program ,! ,attorney ,g5]al 
%all use am\nts o!rwise appropriat$ to  
c>ry out ?is section to make competitive
 grants1 9 am\nts ( n less ?an          
#a1jjj1jjj = a fiscal ye>1 to ,/ate law 
en=cem5t ag5cies ) high seizures (      
precursor *emicals1 f9i%$ me?amphetam9e1
 laboratories1 & laboratory dump        
seizures = ! purpose ( locat+ or        

inve/igat+ illicit activities1 su* z    
precursor div]sion1 laboratories1 or    
me?amphetam9e traffick]s4  4  #ab4      
,compreh5sive ,addiction & ,recov]y ,act
 education & aw>5ess  7a7 ,am5dm5t to   
,,c>a ,section #ajb7;a7 ( !             
,compreh5sive ,addiction & ,recov]y ,act
 ( #bjaf 7,public ,law #aad-aih2 #acj   
,/at4 #fih7 is am5d$ by ins]t+ includ+ !
 ,(fice ( ,national ,drug ,control      
,policy1 aft] ag5cies14  7b7 ,use (     
funds ,sub*apt] ,i ( *apt] #b ( !       
,national ,n>cotics ,lead]%ip ,act (    
#aihh 7#ba ,u4,s4,c4 #aeca et seq47 is  
am5d$ by add+ at ! end ! foll[+3  #ajcf4
 ,compreh5sive ,addiction & ,recov]y    
,act education & aw>5ess ,! ,director   
may use funds made available to c>ry out
 ?is *apt] = ! purpose ( adm9i/]+1      
p>ticipat+ 91 or exp&+ aw>5ess campaigns
 & prev5tion ef=ts au?oriz$ "u section  
#ajb ( ! ,compreh5sive ,addiction &     
,recov]y ,act ( #bjaf 7,public ,law     
#aad-aih2 #acj ,/at4 #fih74  4  #ac4    
,protect+ *ildr5 ) addict$ p>5ts ,"p ,d 

( title ,v ( ! ,public ,heal? ,s]vice   
,act 7#db ,u4,s4,c4 #bij;dd et seq47 is 
am5d$ by add+ at ! end ! foll[+3  #eej4 
,protect+ *ildr5 ) addict$ p>5ts  7a7   
,be/ practices ,! ,secret>y1 act+ ?r\gh 
! ,assi/ant ,secret>y = ,m5tal ,heal? & 
,sub/ance ,use & 9 coop]ation ) !       
,commission] ( ! ,adm9i/ration on       
,*ildr51 ,y\? & ,families1 %all collect 
& dissem9ate be/ practices = ,/ates     
reg>d+ int]v5tions & /rategies to keep  
families affect$ by sub/ance use disord]
 toge!r1 :5 x c be done safely4 ,su* be/
 practices %all--  7#a7 utilize         
compreh5sive family-c5t]$ approa*es2    
7#b7 ensure t families h access to drug 
scre5+1 sub/ance use treatm5t1          
m$ication-assi/$ treatm5t approv$ by !  
,food & ,drug ,adm9i/ration1 & p>5tal   
support2 &  7#c7 build ^u lessons le>n$ 
f programs su* z ! ,mat]nal1 ,infant1 & 
,e>ly ,*ildhood ,home ,visit+ programs  
"u section #eaa ( ! ,social ,security   
,act4  7b7 ,grant program ,! ,secret>y1 
act+ ?r\gh ! ,assi/ant ,secret>y =      

,m5tal ,heal? & ,sub/ance ,use1 %all    
aw>d grants = ! developm5t ( programs & 
models design$ to keep pregnant &       
po/-p>tum wom5 :o h a sub/ance use      
disord] toge!r ) _! newborns1 includ+   
programs & models t provide = scre5+s ( 
pregnant & po/-p>tum wom5 = sub/ance use
 disord]s1 treatm5t int]v5tions1        
supportive h\s+1 nonph>macological      
int]v5tions = *ildr5 born ) neonatal    
ab/95ce syndrome1 m$ication assi/$      
treatm5t1 & o!r recov]y supports4  4    
#ad4 ,reimbursem5t ( sub/ance use       
disord] treatm5t pr(essionals  7a7 ,,gao
 report ,n lat] ?an ,janu>y #a1 #bjbj1 !
 ,comptroll] ,g5]al ( ! ,unit$ ,/ates   
%all submit to ,congress a report exam9+
 h[ sub/ance use disord] s]vices are    
reimburs$4  7b7 ,,cms recomm5dations ,n 
lat] ?an ,janu>y #a1 #bjai1 !           
,adm9i/rator ( ! ,c5t]s = ,m$ic>e       
,m$icaid ,s]vices %all exam9e h[        
sub/ance use disord] s]vices are        
reimburs$ & %all make recomm5dations to 
,congress 7tak+ into consid]ation !     

f9d+s made by ! ,comptroll] ,g5]al ( !  
,unit$ ,/ates 9 ! report requir$ "u     
subsection 7a77 z to h[ to reimburse !  
treatm5t ( sub/ance use disord]s at a   
high] rate 9 ord] to attract a m tal5t$ 
"w =ce4  7c7 ,grants to ,/ates ,to      
explore ways ,to increase ,m$icaid      
reimbursem5t ,! ,secret>y ( ,heal? &    
,human ,s]vices is au?oriz$ to make     
grants to ,/ates = ! purpose ( explor+  
ways to increase reimbursem5t ( sub/ance
 use disord] s]vices "u ! ,m$icaid      
program "u title ,,xix ( ! ,social      
,security ,act 7#db ,u4,s4,c4 #acif et  
seq474  7d7 ,grants to ,/ates ,to       
supplem5t ,m$icaid reimbursem5t to      
cr$5tial$ sub/ance use disord]          
pr(essionals ,! ,secret>y ( ,heal? &    
,human ,s]vices is au?oriz$ to make     
grants to ,/ates = ! purpose (          
supplem5t+ ! reimbursem5t paid to       
cr$5tial$ sub/ance use disord]          
pr(essionals 7z def9$ by ! ,secret>y7 "u
 ! ,m$icaid program "u title ,,xix ( !  
,social ,security ,act 7#db ,u4,s4,c4   

#acif et seq474  #ae4 ,te/+ evid5ce-bas$
 mobile applications = ! treatm5t (     
sub/ance use disord]s ,section          
#aaae;,a7b77#b7 ( ! ,social ,security   
,act 7#db ,u4,s4,c4 #acae;a7b77#b77 is  
am5d$-- 7#a7 9 subp>agraph 7,a71 by add+
 at ! end ! foll[+ new s5t5ce3 ,! models
 select$ "u ?is subp>agraph %all include
 ! model describ$ 9 subp>agraph 7,d71   
:i* %all be implem5t$ by n lat] ?an     
,janu>y #a1 #bjbj42 &  7#b7 by add+ at !
 end ! foll[+ new subp>agraph3  7,d7    
,evid5ce-bas$ mobile applications =     
treatm5t ( sub/ance use disord]s ,!     
model describ$ 9 ?is subp>agraph is a   
model to te/ ! use ( evid5ce-bas$ mobile
 applications = ! treatm5t ( sub/ance   
use disord]s4  4  #af4 ,m$ic>e hospital 
requirem5t to provide naloxone z "p ( ! 
dis*>ge protocol to individuals be+     
dis*>g$ aft] suff]+ an opioid ov]dose   
7a7 ,9 g5]al ,section #ahff7;a77#a7 ( ! 
,social ,security ,act 7#db ,u4,s4,c4   
#acie;cc7a77#a77 is am5d$-- 7#a7 9      
subp>agraph 7,x71 by /rik+ & at ! end2  

7#b7 9 subp>agraph 7,y71 by /rik+ !     
p]iod at ! end & ins]t+ 1 &2 &  7#c7 by 
ins]t+ aft] subp>agraph 7,y71 ! foll[+  
new subp>agraph3  7,z7 9 ! case ( a     
hospital or critical access hospital1 to
 provide naloxone & treatm5t ref]ral    
options z "p ( ! dis*>ge protocol to    
individuals be+ dis*>g$ aft] suff]+ an  
opioid ov]dose4  4  7b7 ,effective date 
,! am5dm5ts made by subsection 7a7 %all 
apply to contracts ent]$ into or r5ew$  
on or aft] ! date ( ! enactm5t ( ?is    
,act4  #ag4 ,educational outrea* &      
access to abuse-det]r5t opioids  7a7    
,access to abuse-,det]r5t opioids  7#a7 
,access "u ,m$ic>e "p ,d ,section       
#ahfj;,d-#d7;c7 ( ! ,social ,security   
,act 7#db ,u4,s4,c4 #aciew-#ajd7;c77 is 
am5d$ by add+ at ! end ! foll[+ new     
p>agraph3  7#g7 ,access to abuse-det]r5t
 opioids  7,a7 ,9 g5]al ,! ,secret>y    
%all "w ) ,,pdp sponsors ( prescription 
drug plans to-- 7i7 ensure appropriate  
access to abuse-det]r5t opioids on plan 
=mul>ies2  7ii7 provide advanc$         

abuse-det]r5t opioid t>get+ 7z det]m9$  
by ! ,secret>y7 = b5efici>ies id5tifi$ z
 at-risk = opioid abuse "u ! drug       
managem5t program "u p>agraph 7#e7 or   
any o!r opioid risk managem5t program   
e/abli%$ by ! sponsor2 &  7iii7 enc\rage
 access to non-opioid alt]natives :5    
m$ically appropriate4  7,b7 ,prohibition
 on requir+ fail fir/ s*emes ,!         
,secret>y %all prohibit ,,pdp sponsors f
 requir+ fail fir/ s*emes1 also kn[n z  
/ep !rapy1 ) respect to abuse-det]r5t   
opioids4  7,c7 ,enc\rag+ equal access ,!
 ,secret>y %all enc\rage plans to       
provide equal access to abuse-det]r5t   
opioids on =mul>y ti]s & pati5t co/-%>+4
  7,d7 ,abuse-det]r5t opioid def9$ ,9   
?is p>agraph1 ! t]m abuse-det]r5t opioid
 means an abuse-det]r5t =mulation ( an  
opioid1 z det]m9$ by ! ,secret>y4  4    
7#b7 ,access "u private heal? plans     
,subp>t ,,ii ( title ,,xxvii ( ! ,public
 ,heal? ,s]vice ,act 7#db ,u4,s4,c4     
#cjj;gg-#aa et seq47 is am5d$ by add+ at
 ! end ! foll[+3  #bgbi4 ,access to     

abuse-det]r5t opioids  7a7 ,9 g5]al ,a  
gr\p heal? plan & a heal? insurance     
issu] (f]+ gr\p or individual heal?     
insurance cov]age %all--  7#a7 ensure   
appropriate access to abuse-det]r5t     
opioids z a prescription drug heal?     
b5efit "u su* plan or cov]age2  7#b7    
provide advanc$ abuse-det]r5t opioid    
t>get+ 7z det]m9$ by ! ,secret>y7 =     
enrollees 9 ! plan or cov]age :o are    
id5tifi$ z at-risk = opioid abuse2 &    
7#c7 enc\rage access to non-opioid      
alt]natives :5 m$ically appropriate4    
7b7 ,prohibition on requir+ fail fir/   
s*emes ,! ,secret>y %all prohibit a gr\p
 heal? plan & a heal? insurance issu]   
(f]+ gr\p or individual heal? insurance 
cov]age f requir+ fail fir/ s*emes1 also
 kn[n z /ep !rapy1 ) respect to         
abuse-det]r5t opioids4  7c7             
,abuse-,det]r5t opioid def9$ ,9 ?is     
section1 ! t]m abuse-det]r5t opioid     
means an abuse-det]r5t =mulation ( an   
opioid1 z det]m9$ by ! ,secret>y4  4    
7#c7 ,effective date ,! am5dm5ts made by

 ?is subsection %all apply ) respect to 
plan ye>s beg9n+ on or aft] ,janu>y #a1 
#bjai4  7b7 ,educational outrea* ,!     
,secret>y ( ,heal? & ,human ,s]vices    
%all educate heal? insurance issu]s1    
,m$ic>e ,advantage plans "u "p ,c (     
title ,,xviii ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #aciew-#ba et seq471 &  
prescription drug plans "u "p ,d ( su*  
title 7#db ,u4,s4,c4 #aciew-#aja et     
seq47 on opioid abuse prev5tion1 includ+
 ! use ( abuse-det]r5t opioids 7z su*   
t]m is def9$ 9 section #bgbi ( ! ,public
 ,heal? ,s]vice ,act1 z add$ by         
subsection 7a77#b774  #ah4 ,grant       
program to provide support = m$ication  
assi/$ treatm5t  7a7 ,tra9+ grants ,!   
,secret>y ( ,heal? & ,human ,s]vices    
%all aw>d grants to ,/ates = ! purpose (
 tra9+ non-physician heal? c>e          
pr(essionals 9 ! use ( m$ication-assi/$ 
treatm5t approv$ by ! ,food & ,drug     
,adm9i/ration & relat$ be/ practices4   
7b7 ,ref]ral sy/em grants ,! ,secret>y (
 ,heal? & ,human ,s]vices %all aw>d     

grants to ,/ates = ! purpose ( improv+  
ref]ral sy/ems & ensur+ t su* sy/ems are
 curr5t & accurate1 9 ord] to bett]     
enable practition]s to ref] pati5ts :o  
are prescrib$ m$ication assi/$ treatm5t 
to cognitive !rapy4  #ai4 ,sobriety     
,treatm5t & ,recov]y ,teams 7,,/>t7     
,title ,,iii ( ! ,compreh5sive          
,addiction & ,recov]y ,act ( #bjaf      
7,public ,law #aad-aih2 #acj ,/at4 #gag7
 is am5d$ by add+ at ! end ! foll[+3    
#cjd4 ,sobriety ,treatm5t & ,recov]y    
,teams  7a7 ,9 g5]al ,! ,director ( !   
,(fice ( ,national ,drug ,control       
,policy1 9 coord9ation ) ! ,secret>y (  
,heal? & ,human ,s]vices1 may make      
grants to ,/ates1 units ( local         
gov]nm5t1 or tribal gov]nm5ts to e/abli%
 or exp& ,sobriety ,treatm5t ,& ,recov]y
 ,team 7ref]r$ to 9 ?is section z ,,/>t7
 programs to det]m9e ! effectiv5ess (   
pair+ social work]s & m5tors ) families 
t are /ruggl+ ) sub/ance abuse & *ild   
abuse or neglect 9 ord] to help provide 
pe] support1 int5sive treatm5t1 & *ild  

welf>e s]vices4  7b7 ,all[able uses ,a  
grant aw>d$ "u ?is section may be us$ = 
"o or m ( ! foll[+ activities3 7#a7     
,tra9+ eligible /aff1 includ+ social    
work]s1 social s]vices coord9ators1 *ild
 welf>e speciali/s1 sub/ance use disord]
 treatm5t pr(essionals1 & m5tors4  7#b7 
,exp&+ access to sub/ance use disord]   
treatm5t s]vices & drug te/+4  7#c7     
,enhanc+ data %>+ ) law en=cem5t ag5cies
 & *ild welf>e ag5cies4  7#d7 ,program  
evaluation4  7c7 ,program requirem5ts ,a
 family may be eligible to p>ticipate 9 
a ,,/>t program t receives fund+ "u ?is 
section only if--  7#a7 !re is a        
sub/antiat$ record or f9d+ ( *ild abuse 
or neglect )9 ! family2 &  7#b7 sub/ance
 abuse 0 ! prim>y reason = ! record or  
f9d+ describ$ 9 p>agraph 7#a74  7d7     
,au?orization ( appropriations ,= ea* ( 
fiscal ye>s #bjah ?r\gh #bjbb1 !        
,director ( ! ,(fice ( ,national ,drug  
,control ,policy1 9 consultation ) !    
,secret>y ( ,heal? & ,human ,s]vices1 is
 au?oriz$ to aw>d n m ?an #aj1jjj1jjj ( 

am\nts o!rwise appropriat$ =            
compreh5sive opioid abuse r$uction      
activities = purposes ( c>ry+ out ?is   
section4  4  #bj4 ,provid] education ,n 
lat] ?an #ij days aft] ! date ( enactm5t
 ( ?is ,act1 ! ,attorney ,g5]al1 9      
consultation ) ! ,secret>y ( ,heal? &   
,human ,s]vices1 %all complete ! plan   
relat$ to m$ical regi/ration coord9ation
 requir$ by ,s5ate ,report #aad-bci1 :i*
 accompani$ ! ,vet]ans ,c>e ,f9ancial   
,protection ,act ( #bjag 7,public ,law  
#aae-aca2 #acb ,/at4 #ccd71 includ+     
?r\gh ! issuance ( necess>y rules or    
regulations4  #a4 ,%ort title ,?is ,act 
may be cit$ z ! ,sub/ance ,abuse        
,prev5tion ,act ( #bjah4  #b4           
,reau?orization ( ! ,(fice ( ,national  
,drug ,control ,policy  7a7 ,(fice (    
,national ,drug ,control ,policy        
,reau?orization ,act ( #aiih  7#a7 ,9   
g5]al ,! ,(fice ( ,national ,drug       
,control ,policy ,reau?orization ,act ( 
#aiih 7#ba ,u4,s4,c4 #agja et seq471 z 9
 effect on ,septemb] #bi1 #bjjc1 & z    

am5d$ by ! laws describ$ 9 p>agraph     
7#b71 is reviv$ & re/or$4  7#b7 ,laws   
describ$ ,! laws describ$ 9 ?is p>agraph
 are3 7,a7 ,! ,(fice ( ,national ,drug  
,control ,policy ,reau?orization ,act ( 
#bjjf 7,public ,law #aji-dfi2 #abj ,/at4
 #cejb74  7,b7 ,! ,presid5tial          
,appo9tm5t ,effici5cy & ,/reaml9+ ,act (
 #bjaa 7,public ,law #aab-aff2 #abf     
,/at4 #abhc74  7b7 ,reau?orization      
,section #gae7;a7 ( ! ,(fice ( ,national
 ,drug ,control ,policy ,reau?orization 
,act ( #aiih 7#ba ,u4,s4,c4 #agab7;a77  
is am5d$ by /rik+ #bjaj & ins]t+ #bjbb4 
#c4 ,reau?orization ( ! ,drug-,free     
,communities ,program ,section #ajbd ( !
 ,national ,n>cotics ,lead]%ip ,act (   
#aihh 7#ba ,u4,s4,c4 #aebd7;a77 is am5d$
 by /rik+ subsections 7a7 & 7b7 & ins]t+
 ! foll[+3  7a7 ,9 g5]al ,!re are       
au?oriz$ to be appropriat$ to ! ,(fice (
 ,national ,drug ,control ,policy to    
c>ry out ?is *apt] #ii1jjj1jjj = ea* (  
fiscal ye>s #bjah ?r\gh #bjbb4  7b7     
,adm9i/rative co/s ,n m ?an #h p]c5t ( !

 funds appropriat$ to c>ry out ?is *apt]
 may be us$ by ! ,(fice ( ,national     
,drug ,control ,policy to pay           
adm9i/rative co/s associat$ ) !         
responsibilities ( ! ,(fice "u ?is      
*apt]4  4  #d4 ,reau?orization ( !      
,national ,community ,anti-,drug        
,coalition ,in/itute ,section #d7;c77#d7
 ( ,public ,law #ajg-hb 7#ba ,u4,s4,c4  
#aeba note7 is am5d$ by /rik+ #bjjh     
?r\gh #bjab & ins]t+ #bjah ?r\gh #bjbb4 
#e4 ,reau?orization ( ! ,high-,int5sity 
,drug ,traffick+ ,area ,program ,section
 #gjg7p7 ( ! ,(fice ( ,national ,drug   
,control ,policy ,reau?orization ,act ( 
#aiih 7#ba ,u4,s4,c4 #agjf7p77 is       
am5d$--  7#a7 9 p>agraph 7#d71 by /rik+ 
& at ! end2  7#b7 9 p>agraph 7#e71 by   
/rik+ ! p]iod at ! end & ins]t+ 2 &2 &  
7#c7 by add+ at ! end ! foll[+3  7#f7   
#bhj1jjj1jjj = ea* ( fiscal ye>s #bjah  
?r\gh #bjbb4  4  #f4 ,reau?orization (  
drug c\rt program ,section              
#ajja7;a77#be77;,a7 ( title ,i ( !      
,omnibus ,crime ,control & ,safe ,/reets

 ,act ( #aifh 7#cd ,u4,s4,c4            
#ajbfa7;a77#be77;,a77 is am5d$ by /rik+ 
,except z provid$ & all t foll[s &      
ins]t+ ! foll[+3 ,except z provid$ 9    
subp>agraph 7,c71 !re are au?oriz$ to be
 appropriat$ to c>ry out "p ,,ee        
#ge1jjj1jjj = ea* ( fiscal ye>s #bjah   
?r\gh #bjbb44  #g4 ,drug c\rt tra9+ &   
te*nical assi/ance ,section #gje ( !    
,(fice ( ,national ,drug ,control       
,policy ,reau?orization ,act ( #aiih    
7#ba ,u4,s4,c4 #agjd7 is am5d$ by add+  
at ! end ! foll[+--  7e7 ,drug ,c\rt    
,tra9+ & ,te*nical ,assi/ance ,program  
,us+ funds appropriat$ to c>ry out ?is  
title1 ! ,director may make grants to   
nonpr(it organizations = ! purpose (    
provid+ tra9+ & te*nical assi/ance to   
drug c\rts4  4  #h4 ,drug ov]dose       
response /rategy ,section #gjg ( !      
,(fice ( ,national ,drug ,control       
,policy ,reau?orization ,act ( #aiih    
7#ba ,u4,s4,c4 #agjf7 is am5d$ by add+  
at ! end ! foll[+3  7r7 ,drug ov]dose   
response /rategy implem5tation ,!       

,director may use funds appropriat$ to  
c>ry out ?is section to implem5t a drug 
ov]dose response /rategy 9 high int5sity
 drug traffick+ areas on a nationwide   
basis by--  7#a7 coord9at+              
multi-discipl9>y ef=ts to prev5t1 r$uce1
 & respond to drug ov]doses1 includ+ !  
uni=m report+ ( fatal & non-fatal       
ov]doses to public heal? & safety       
(ficials2  7#b7 increas+ data %>+ among 
public safety & public heal? (ficials   
conc]n+ drug-relat$ abuse tr5ds1 includ+
 new psy*oactive sub/ances1 & relat$    
crime2 &  7#c7 enabl+ collaborative     
deploym5t ( prev5tion1 int]v5tion1 &    
en=cem5t res\rces to address sub/ance   
use addiction & n>cotics traffick+4  4  
#i4 ,protect+ law en=cem5t (fic]s f     
accid5tal exposure ,section #gjg ( !    
,(fice ( ,national ,drug ,control       
,policy ,reau?orization ,act ( #aiih    
7#ba ,u4,s4,c4 #agjf71 z am5d$ by       
section #h1 is am5d$ by add+ at ! end ! 
foll[+3  7s7 ,supplem5tal grants ,!     
,director is au?oriz$ to use n m ?an    

#aj1jjj1jjj ( ! am\nts o!rwise          
appropriat$ to c>ry out ?is section to  
provide supplem5tal competitive grants  
to high int5sity drug traffick+ areas t 
h exp]i5c$ high seizures ( f5tanyl & new
 psy*oactive sub/ances = ! purposes (-- 
7#a7 pur*as+ portable equipm5t to te/ = 
f5tanyl & o!r sub/ances2  7#b7 tra9+ law
 en=cem5t (fic]s & o!r fir/ respond]s on
 be/ practices = h&l+ f5tanyl & o!r     
sub/ances2 &  7#c7 pur*as+ protective   
equipm5t1 includ+ ov]dose rev]sal drugs4
  4  #aj4 ,,cops ,anti-,me? ,program    
,section #agja ( title ,i ( ! ,omnibus  
,crime ,control & ,safe ,/reets ,act (  
#aifh 7#cd ,u4,s4,c4 #ajcha7 is am5d$-- 
7#a7 by r$esignat+ subsection 7k7 z     
subsection 7l72 &  7#b7 by ins]t+ aft]  
subsection 7j7 ! foll[+3  7k7 ,,cops    
,anti-,me? ,program ,! ,attorney ,g5]al 
%all use am\nts o!rwise appropriat$ to  
c>ry out ?is section to make competitive
 grants1 9 am\nts ( n less ?an          
#a1jjj1jjj = a fiscal ye>1 to ,/ate law 
en=cem5t ag5cies ) high seizures (      

precursor *emicals1 f9i%$ me?amphetam9e1
 laboratories1 & laboratory dump        
seizures = ! purpose ( locat+ or        
inve/igat+ illicit activities1 su* z    
precursor div]sion1 laboratories1 or    
me?amphetam9e traffick]s4  4  #aa4      
,,cops anti-h]o9 task =ce program       
,section #agja ( title ,i ( ! ,omnibus  
,crime ,control & ,safe ,/reets ,act (  
#aifh 7#cd ,u4,s4,c4 #ajcha7 is am5d$-- 
7#a7 by r$esignat+ subsection 7l71 z s  
r$esignat$ by section #aj1 z subsection 
7m72 &  7#b7 by ins]t+ aft] subsection  
7k71 z add$ by section #aj1 ! foll[+3   
7l7 ,cops anti-h]o9 task =ce program ,! 
,attorney ,g5]al %all use am\nts o!rwise
 appropriat$ to c>ry out ?is section1 or
 o!r am\nts z appropriat$1 to make      
competitive grants to ,/ate law en=cem5t
 ag5cies 9 ,/ates ) high p] capita rates
 ( prim>y treatm5t admissions1 = !      
purpose ( locat+ or inve/igat+ illicit  
activities1 ?r\gh ,/atewide             
collaboration1 relat+ to ! di/ribution (
 h]o91 f5tanyl1 or c>f5tanil or relat+  

to ! unlawful di/ribution ( prescription
 opioids4  4  #ab4 ,compreh5sive        
,addiction & ,recov]y ,act education &  
aw>5ess ,"p ,d ( title ,v ( ! ,public   
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#bij;dd et seq47 is am5d$ by add+ at !  
end ! foll[+3  #eej4 ,s]vices = families
 & pati5ts 9 crisis  7a7 ,9 g5]al ,!    
,secret>y may make grants to entities t 
focus on addiction & sub/ance use       
disord]s & specialize 9 family & pati5t 
s]vices1 advocacy = pati5ts & families1 
& educational in=mation4  7b7 ,all[able 
uses ,a grant aw>d$ "u ?is section may  
be us$ = #a or m ( ! foll[+ activities3 
7#a7 ,to exp& phone l9e or call c5t]    
s]vices ) pr(essional1 cl9ical /aff t   
provide1 = families & individuals       
impact$ by a sub/ance use disord]1      
support1 access to treatm5t res\rces1   
brief assessm5ts1 m$ication & ov]dose   
prev5tion education1 compassionate li/5+
 s]vices1 recov]y support or pe]        
speciali/s1 b]eavem5t & grief support1 &
 case managem5t4  7#b7 ,cont9u$         

developm5t ( heal? in=mation te*nology  
sy/ems t lev]age new & upcom+ te*nology 
& te*niques = prev5tion1 int]v5tion1 &  
fill+ res\rce gaps 9 communities t are  
und]s]v$4  7#c7 ,to enhance & op]ate    
treatm5t & recov]y res\rces1            
easy-to-read sci5tific & evid5ce-bas$   
education on addiction & sub/ance use   
disord]s1 & o!r in=mational tools =     
families & individuals impact$ by a     
sub/ance use disord] & community        
/akehold]s1 su* z law en=cem5t ag5cies4 
7#d7 ,to provide tra9+ & te*nical       
assi/ance to ,/ate & local gov]nm5ts1   
law en=cem5t ag5cies1 heal? c>e sy/ems1 
rese>* in/itutions1 & o!r /akehold]s4   
7#e7 ,to exp& ^u & implem5t educational 
in=mation us+ evid5ce-bas$ in=mation on 
sub/ance use disord]s4  7#f7 ,to exp& ! 
tra9+ ( community /akehold]s1 law       
en=cem5t (fic]s1 & families across a    
broad-range ( addiction1 heal?1 & relat$
 topics on sub/ance use disord]s1 local 
issues & community-specific issues      
relat$ to ! drug epidemic4  7#g7        

,program evaluation4  7c7 ,au?orization 
( appropriations ,= ea* ( fiscal ye>s   
#bjah ?r\gh #bjbb1 ! ,secret>y is       
au?oriz$ to aw>d n m ?an #aj1jjj1jjj (  
am\nts o!rwise appropriat$ to !         
,secret>y = compreh5sive opioid abuse   
r$uction activities = purposes ( c>ry+  
out ?is section4  4  #ac4 ,protect+     
*ildr5 ) addict$ p>5ts ,"p ,d ( title ,v
 ( ! ,public ,heal? ,s]vice ,act 7#db   
,u4,s4,c4 #bij;dd et seq471 z am5d$ by  
section #ab1 is fur!r am5d$ by add+ at !
 end ! foll[+3  #eea4 ,protect+ *ildr5 )
 addict$ p>5ts  7a7 ,be/ practices ,!   
,secret>y1 act+ ?r\gh ! ,assi/ant       
,secret>y & 9 coop]ation ) !            
,commission] ( ! ,adm9i/ration on       
,*ildr51 ,y\? & ,families1 %all collect 
& dissem9ate be/ practices = ,/ates     
reg>d+ int]v5tions & /rategies to keep  
families affect$ by a sub/ance use      
disord] toge!r1 :5 x c be done safely4  
,su* be/ practices %all--  7#a7 utilize 
compreh5sive family-c5t]$ approa*es2    
7#b7 ensure t families h access to drug 

scre5+1 sub/ance use disord] treatm5t1  
m$ication-assi/$ treatm5t approv$ by !  
,food & ,drug ,adm9i/ration1 & p>5tal   
support2 &  7#c7 build ^u lessons le>n$ 
f programs su* z ! mat]nal1 infant1 &   
e>ly *ildhood home visit+ program "u    
section #eaa ( ! ,social ,security ,act4
  7b7 ,grant program ,! ,secret>y %all  
aw>d grants to ,/ates1 units ( local    
gov]nm5t1 & tribal gov]nm5ts to--  7#a7 
develop programs & models design$ to    
keep pregnant & po/-p>tum wom5 :o h a   
sub/ance use disord] toge!r ) _!        
newborns1 includ+ programs & models t   
provide = scre5+s ( pregnant & po/-p>tum
 wom5 = sub/ance use disord]s1 treatm5t 
int]v5tions1 supportive h\s+1           
nonph>macological int]v5tions = *ildr5  
born ) neonatal ab/95ce syndrome1       
m$ication assi/$ treatm5t1 & o!r recov]y
 supports2 &  7#b7 support ! att5dance (
 *ildr5 :o h a family memb] liv+ ) a    
sub/ance use disord] at !rapeutic camps 
or o!r !rapeutic programs aim$ at       
addiction prev5tion education & delay+ !

 onset ( fir/ use1 provid+ tru/$ m5tors 
& education on cop+ /rategies t ^!      
*ildr5 c use 9 _! daily lives1 & family 
support initiatives aim$ at keep+ ^!    
families toge!r4  4  #ad4 ,reimbursem5t 
( sub/ance use disord] treatm5t         
pr(essionals  7a7 ,,gao report ,n lat]  
?an ,janu>y #a1 #bjbj1 ! ,comptroll]    
,g5]al ( ! ,unit$ ,/ates %all submit to 
,congress a report exam9+ h[ sub/ance   
use disord] s]vices are reimburs$4  7b7 
,grants to ,/ates ,to supplem5t ,m$icaid
 reimbursem5t to cr$5tial$ sub/ance use 
disord] pr(essionals ,! ,secret>y (     
,heal? & ,human ,s]vices is au?oriz$ to 
make grants to ,/ates = ! purpose (     
supplem5t+ ! reimbursem5t paid to       
cr$5tial$ sub/ance use disord]          
pr(essionals 7z def9$ by ! ,secret>y7 "u
 ! ,m$icaid program "u title ,,xix ( !  
,social ,security ,act 7#db ,u4,s4,c4   
#acif et seq474  #ae4 ,sobriety         
,treatm5t & ,recov]y ,teams 7,,/>t7     
,title ,v ( ! ,public ,heal? ,s]vice    
,act 7#db ,u4,s4,c4 #bij;dd et seq471 z 

am5d$ by section #ac1 is fur!r am5d$ by 
add+ at ! end ! foll[+3  #eeb4 ,sobriety
 ,treatm5t & ,recov]y ,teams  7a7 ,9    
g5]al ,! ,secret>y may make grants to   
,/ates1 units ( local gov]nm5t1 or      
tribal gov]nm5ts to e/abli% or exp&     
,sobriety ,treatm5t ,& ,recov]y ,team   
7ref]r$ to 9 ?is section z ,,/>t7       
programs to det]m9e ! effectiv5ess (    
pair+ social work]s & m5tors ) families 
t are /ruggl+ ) a sub/ance use disord] &
 *ild abuse or neglect 9 ord] to help   
provide pe] support1 int5sive treatm5t1 
& *ild welf>e s]vices4  7b7 ,all[able   
uses ,a grant aw>d$ "u ?is section may  
be us$ = "o or m ( ! foll[+ activities3 
7#a7 ,tra9+ eligible /aff1 includ+      
social work]s1 social s]vices           
coord9ators1 *ild welf>e speciali/s1    
sub/ance use disord] treatm5t           
pr(essionals1 & m5tors4  7#b7 ,exp&+    
access to sub/ance use disord] treatm5t 
s]vices & drug te/+4  7#c7 ,enhanc+ data
 %>+ ) law en=cem5t ag5cies & *ild      
welf>e ag5cies4  7#d7 ,program          

evaluation4  7c7 ,program requirem5ts ,a
 family may be eligible to p>ticipate 9 
a ,,/>t program t receives fund+ "u ?is 
section only if--  7#a7 !re is a        
sub/antiat$ record or f9d+ ( *ild abuse 
or neglect )9 ! family2 &  7#b7 sub/ance
 use disord] 0 ! prim>y reason = !      
record or f9d+ describ$ 9 p>agraph 7#a74
  7d7 ,au?orization ( appropriations ,= 
ea* ( fiscal ye>s #bjah ?r\gh #bjbb1 !  
,secret>y is au?oriz$ to aw>d n m ?an   
#aj1jjj1jjj ( am\nts o!rwise appropriat$
 to ! ,secret>y = compreh5sive opioid   
abuse r$uction activities = purposes (  
c>ry+ out ?is section4  4  #af4 ,provid]
 education ,n lat] ?an #fj days aft] !  
date ( enactm5t ( ?is ,act1 ! ,attorney 
,g5]al1 9 consultation ) ! ,secret>y (  
,heal? & ,human ,s]vices1 %all complete 
! plan relat$ to m$ical regi/ration     
coord9ation requir$ by ,s5ate ,report   
#aad-bci1 :i* accompani$ ! ,vet]ans ,c>e
 ,f9ancial ,protection ,act ( #bjag     
7,public ,law #aae-aca2 #acb ,/at4      
#ccd74  ,june #ai1 #bjah,report$ ) an   

am5dm5t