,,ii  #aae? ,,congress  #b;d ,session   
,s4 #bhch  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,may #ae1 #bjah,mrs4   
,fe9/e9 7= h]self1 ,mr4 ,grassley1 ,mrs4
 ,capito1 & ,mr4 ,durb97 introduc$ !    
foll[+ bill2 :i* 0 read twice & ref]r$  
to ! ,committee on ! ,judici>y  ,a      
,,bill  ,to am5d ! ,controll$ ,sub/ances
 ,act to require ! ,drug ,en=cem5t      
,adm9i/ration to report c]ta9 in=mation 
on di/ribution ( opioids1 & = o!r       
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,us+ ,data to ,prev5t      
,opioid ,div]sion ,act ( #bjah4  #b4    
,f9d+s ,congress f9ds ! foll[+3 7#a7 ,9 
#bjaf1 !re 7 ne>ly #fd1jjj drug ov]dose 
dea?s 9 ! ,unit$ ,/ates4 ,m ?an #db1jjj 
( ^! dea?s 7 opioid-relat$4  7#b7 ,!    
regulations promulgat$ "u ! ,controll$  
,sub/ances ,act 7#ba ,u4,s4,c4 #hja et  
seq47 require drug manufactur]s &       
di/ributors to--  7,a7 provide effective
 controls aga9/ ! div]sion ( controll$  
sub/ances2  7,b7 detect & disclose      
suspici\s ord]s to ! ,drug ,en=cem5t    

,adm9i/ration2 &  7,c7 keep complete &  
accurate records relat+ to ! manufacture
 or di/ribution ( controll$ sub/ances4  
7#c7 ,despite ! requirem5ts describ$ 9  
p>agraph 7#b71 x has be5 publicly       
report$ t betwe5 #bjjf & #bjaf1 ne>ly   
#ba1jjj1jjj opioids 7 di/ribut$ to #b   
ph>macies 9 ,williamson1 ,we/ ,virg9ia1 
:i* has a population ( approximately    
#c1jjj4 ,x has be5 fur!r report$ t      
betwe5 #bjjg & #bjjh1 ne>ly #i1jjj1jjj  
pills 7 di/ribut$ to a s+le ph>macy 9   
,k]mit1 ,we/ ,virg9ia1 :i* has a        
population ( #cib4  7#d7 ,simil>ly1 x   
has be5 publicly report$ t #ghj1jjj1jjj 
oxycodone & hydrocodone pills 7         
di/ribut$ to ph>macies ?r\gh\t ,we/     
,virg9ia betwe5 #bjjg & #bjab4 ,9 ! same
 p]iod1 m ?an #a1gjj p 9 ! ,/ate di$ f  
ov]doses ( ^! #b sub/ances4  7#e7 ,drug 
manufactur]s & di/ributors are requir$  
to report ! sale1 deliv]y or o!r        
disposal ( n>cotics to ! ,drug ,en=cem5t
 ,adm9i/ration ?r\gh ! ,automat$        
,reports & ,consolidat$ ,ord]+ ,sy/em4  

7#f7 ,not)/&+ ! report+ requirem5t      
describ$ 9 p>agraph 7#e71 ! ,drug       
,en=cem5t ,adm9i/ration does n disclose 
! total quantity & type ( opioids       
di/ribut$ to a s+le ph>macy or          
practition] ) ^? manufactur]s &         
di/ributors :o are requir$ to input     
in=mation into ! ,automat$ ,reports &   
,consolidat$ ,ord]+ ,sy/em4 ,?is creates
 a b>ri] to id5tify+ & /opp+ pot5tially 
suspici\s ord]s4  7#g7 ,al?\gh          
manufactur]s & di/ributors are already  
requir$ to provide effective controls   
aga9/ ! div]sion ( controll$ sub/ances1 
?is lack ( data %>+ may create a b>ri]  
to bett] id5tify+ & /opp+ pot5tially    
suspici\s ord]s4  7#h7 ,on an annual    
basis1 ! ,attorney ,g5]al ( ! ,unit$    
,/ates is /atutorily requir$ to %>e !   
controll$ sub/ance or sub/ances 9 s*$ule
 ,,ii t h ! highe/ rates ( abuse & to   
prep>e & make available reports on !    
di/ribution patt]ns ( su* sub/ances1 )  
,/ate regulatory1 lic5s+1 & law en=cem5t
 ag5cies4 ,! ,attorney ,g5]al ( ! ,unit$

 ,/ates has ent]$ into data %>+         
agreem5ts ) ! attorneys g5]al ( ! va/   
majority ( ,/ates1 ,pu]to ,rico1 & !    
,di/rict ( ,colombia to %>e1 pursuant to
 ,/ate law & policy1 data obta9$ f ,/ate
 prescription drug monitor+ programs &  
o!r s\rces4  7#i7 ,to fur!r r$uce b>ri]s
 associat$ ) id5tify+ suspici\s patt]ns 
& /opp+ ! div]sion ( opioids1 ! rema9+  
,/ates & t]ritories ( ! ,unit$ ,/ates   
%\ld ent] into simil> agreem5ts )1 & to 
! greate/ ext5t practical %>e data      
obta9$ f ,/ate prescription drug        
monitor+ programs )1 ! ,attorney ,g5]al 
( ! ,unit$ ,/ates4  #c4 ,purpose  7a7 ,9
 g5]al ,! purpose ( ?is ,act is to      
provide drug manufactur]s & di/ributors 
) access to anonymiz$ in=mation ?r\gh ! 
,automat$ ,reports & ,consolidat$ ,ord]+
 ,sy/em to help drug manufactur]s &     
di/ributors id5tify1 report1 & /op      
suspici\s ord]s ( opioids & r$uce       
div]sion rates4  7b7 ,rule ( con/ruction
 ,no?+ 9 ?is ,act %\ld be con/ru$ to    
absolve a drug manufactur]1 drug        

di/ributor1 or o!r ,drug ,en=cem5t      
,adm9i/ration regi/rant f !             
responsibility ( ! manufactur]1         
di/ributor1 or o!r regi/rant to--  7#a7 
id5tify1 report1 & /op suspici\s ord]s2 
or  7#b7 use all available s\rces (     
in=mation to det]m9e-- 7,a7 ! legitimacy
 ( a cu/om]'s ord]2 &  7,b7 :e!r or n an
 ord] describ$ 9 subp>agraph 7,a7 is    
suspici\s4  #d4 ,am5dm5ts  7a7 ,records 
& reports ( regi/rants ,section #cjg ( !
 ,controll$ ,sub/ances ,act 7#ba        
,u4,s4,c4 #hbg7 is am5d$--  7#a7 by     
r$esignat+ subsections 7f71 7g71 & 7h7 z
 subsections 7g71 7h71 & 7i71           
respectively2  7#b7 by ins]t+ aft]      
subsection 7e7 ! foll[+3  7f7 7#a7 ,!   
,attorney ,g5]al %all1 n less frequ5tly 
?an qu>t]ly1 make ! foll[+ in=mation    
available to manufactur] & di/ributor   
regi/rants ?r\gh ! ,automat$ ,reports & 
,consolidat$ ,ord]+ ,sy/em1 or any      
subsequ5t automat$ sy/em develop$ by !  
,drug ,en=cem5t ,adm9i/ration to monitor
 select$ controll$ sub/ances3  7,a7 ,!  

total numb] ( di/ributor regi/rants t   
di/ribute controll$ sub/ances to a      
ph>macy or practition] regi/rant1       
aggregat$ by ! "n & address ( ea*       
ph>macy & practition] regi/rant4  7,b7  
,! total quantity & type ( opioids      
di/ribut$1 li/$ by ,adm9i/ration        
,controll$ ,sub/ances ,code ,numb]1 to  
ea* ph>macy & practition] regi/rant     
describ$ 9 subp>agraph 7,a74  7#b7 ,!   
in=mation requir$ to be made available  
"u p>agraph 7#a7 %all be made available 
n lat] ?an ! #ae? day ( ! fir/ mon?     
foll[+ ! qu>t] to :i* ! in=mation       
relates4  7#c7 7,a7 ,all regi/]$        
manufactur]s & di/ributors %all be      
responsible = review+ ! in=mation made  
available by ! ,attorney ,g5]al "u ?is  
subsection4  7,b7 ,9 det]m9+ :e!r to    
initiate proce$+s "u ?is title aga9/ a  
regi/]$ manufactur] or di/ributor bas$  
on ! failure ( ! regi/rant to ma9ta9    
effective controls aga9/ div]sion or    
o!rwise comply ) ! requirem5ts ( ?is    
title or ! regulations issu$ !reund]1 ! 

,attorney ,g5]al may take into acc\nt t 
! in=mation made available "u ?is       
subsection 0 available to ! regi/rant4  
2 &  7#c7 by ins]t+ aft] subsection 7i71
 z s r$esignat$1 ! foll[+3  7j7 ,all ( !
 reports requir$ "u ?is section %all be 
provid$ 9 an electronic =mat4  4  7b7   
,coop]ative arrangem5ts ,section #ejc ( 
! ,controll$ ,sub/ances ,act 7#ba       
,u4,s4,c4 #hgc7 is am5d$-- 7#a7 by /rik+
 subsection 7c7 & ins]t+ ! foll[+3  7c7 
7#a7 ,! ,attorney ,g5]al %all1 once e #f
 mon?s1 prep>e & make available to      
regulatory1 lic5s+1 attorneys g5]al1 &  
law en=cem5t ag5cies ( ,/ates a /&>diz$ 
report conta9+ descriptive & analytic   
in=mation on ! actual di/ribution       
patt]ns1 z ga!r$ ?r\gh ! ,automat$      
,reports & ,consolidat$ ,ord]+ ,sy/em1  
or any subsequ5t automat$ sy/em1        
pursuant to section #cjg & :i* include  
detail$ am\nts1 outli]s1 & tr5ds (      
di/ributor & ph>macy regi/rants1 9 su*  
,/ates = ! controll$ sub/ances conta9$ 9
 s*$ule ,,ii1 :i*1 9 ! discretion ( !   

,attorney ,g5]al1 are det]m9$ to h !    
highe/ abuse4  7#b7 ,if ! ,attorney     
,g5]al publi%es ! report describ$ 9     
p>agraph 7#a7 once e #f mon?s z requir$ 
"u p>agraph 7#a71 no?+ 9 ?is subsection 
%all be con/ru$ to br+ an action 9 any  
c\rt to *all5ge ! suffici5cy ( !        
in=mation or to compel ! ,attorney      
,g5]al to produce any docum5ts or       
reports ref]r$ to 9 ?is subsection4  4  
7c7 ,civil & crim9al p5alties ,section  
#djb ( ! ,controll$ ,sub/ances ,act 7#ba
 ,u4,s4,c4 #hdb7 is am5d$-- 7#a7 9      
subsection 7a7--  7,a7 9 p>agraph 7#ae71
 by /rik+ or at ! end2  7,b7 9 p>agraph 
7#af71 by /rik+ ! p]iod at ! end &      
ins]t+ 2 or2 &  7,c7 by ins]t+ aft]     
p>agraph 7#af7 ! foll[+3  7#ag7 9 ! case
 ( a regi/]$ manufactur] or di/ributor (
 opioids1 to fail to review ! mo/ rec5t 
in=mation made available by ! ,attorney 
,g5]al 9 accordance ) section #cjg7;f7  
be=e ea* di/ribution ( a controll$      
sub/ance ref]r$ to 9 su* in=mation4  2 &
  7#b7 9 subsection 7c7-- 7,a7 9        

p>agraph 7#a71 by /rik+ subp>agraph 7,b7
 & ins]t+ ! foll[+3  7,b7 7i7 ,except z 
provid$ 9 clause 7ii71 9 ! case ( a     
violation ( p>agraph 7#e71 7#aj71 or    
7#ag7 ( subsection 7a71 ! p5alty %all n 
exce$ #aj1jjj4  7ii7 ,9 ! case ( a      
violation describ$ 9 clause 7i7 committ$
 by a regi/]$ manufactur] or di/ributor 
( opioids & relat$ to ! report+ (       
suspici\s ord]s = opioids1 fail+ to     
ma9ta9 effective controls aga9/ div]sion
 ( opioids1 or fail+ to review ! mo/    
rec5t in=mation made available by !     
,attorney ,g5]al 9 accordance ) section 
#cjg7;f71 ! p5alty %all n exce$         
#ajj1jjj4  2 &  7,b7 9 p>agraph 7#b7--  
7i7 9 subp>agraph 7,a71 by ins]t+ or    
7,d7 aft] subp>agraph 7,b72 &  7ii7 by  
add+ at ! end ! foll[+3  7,d7 ,9 ! case 
( a violation describ$ 9 subp>agraph    
7,a7 t 0 a violation ( p>agraph 7#e71   
7#aj71 or 7#ag7 ( subsection 7a7        
committ$ by a regi/]$ manufactur] or    
di/ributor ( opioids t relates to !     
report+ ( suspici\s ord]s = opioids1    

fail+ to ma9ta9 effective controls aga9/
 div]sion ( opioids1 or fail+ to review 
! mo/ rec5t in=mation made available by 
! ,attorney ,g5]al 9 accordance )       
section #cjg7;f71 ! crim9al f9e "u title
 #ah1 ,unit$ ,/ates ,code1 %all n exce$ 
#ejj1jjj4  4  #e4 ,report ,n lat] ?an #a
 ye> aft] ! date ( enactm5t ( ?is ,act1 
! ,attorney ,g5]al %all submit to       
,congress a report t provides in=mation 
ab\t h[ ! ,attorney ,g5]al is us+ data 9
 ! ,automation ( ,reports & ,consolidat$
 ,ord]s ,sy/em to id5tify & /op         
suspici\s activity1 includ+ :e!r !      
,attorney ,g5]al is look+ at aggregate  
ord]s f individual ph>macies to multiple
 di/ributors t 9 total are suspici\s1   
ev5 if no individual ord] rises to !    
level ( a suspici\s ord] to a giv5      
di/ributor4