,,ii  #aaeth ,,congress  #b;d ,session  
,s4 #bica  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,may #bc1 #bjah
 ,mr4 ,markey 7for himself1 ,ms4        
,murkowski1 and ,ms4 ,hassan7 introduced
 the following bill2 which was read     
twice and referred to the ,committee on 
,health1 ,education1 ,labor1 and        
,pensions  ,a ,,bill  ,to develop       
national milestones to measure success  
in curtailing the opioid epidemic4  #a4 
,short title  ,this ,act may be cited as
 the ,national ,milestones to ,measure  
,progress in ,ending the ,opioid        
,epidemic ,act of #bjah4  #b4 ,national 
milestones to measure success in        
curtailing the ,opioid ,epidemic  7a7   
,in general ,not later than #ahj days   
after the date of enactment of this     
,act1 the ,secretary of ,health and     
,human ,services 7referred to in this   
,act as the ,secretary71 in consultation
 with the ,administrator of the ,drug   
,enforcement ,administration and the    
,director of the ,office of ,national   

,drug ,control ,policy1 shall develop   
national indicators to measure success  
in curtailing the opioid epidemic1 with 
the goal of significantly reversing the 
toll of opioid misuse and opioid-related
 morbidity and mortality in the ,united 
,states within #e years of such date of 
enactment 7referred to in this section  
as the national milestones74  7b7       
,national milestones ,to end the opioid 
epidemic ,the national milestones under 
subsection 7a7 shall include the        
following3 7#a7 ,the establishment of   
not fewer than #aj indicators or metrics
 to accurately and expediently measure  
progress in meeting the goal described  
in subsection 7a77#a71 which shall      
include--  7,a7 a reduction in fatal and
 non-fatal opioid overdoses2  7,b7 a    
reduction in emergency room visits      
related to opioid misuse and abuse2     
7,c7 an increase in public and provider 
education1 including a focus on reducing
 stigma associated with opioid use      
disorder2  7,d7 an increase in the      

number of individuals in sustained      
recovery from opioid use disorder2  7,e7
 a reduction in the number of           
co-infections associated with injection 
drug use1 such as ,,hiv1 viral          
hepatitis1 and endocarditis1 and an     
expanded capacity to reduce initial     
infections and enhance access to        
treatment2  7,f7 an increase in the     
number of providers prescribing         
medically assisted treatment for opioid 
use disorder in different settings1     
including primary care1 community health
 centers1 jails1 and prisons2  7,g7 an  
increase in the number of harm reduction
 organizations1 including syringe       
services programs and naloxone          
distribution programs2  7,h7 an increase
 in the number of individuals admitted  
to opioid use disorder treatment2 and   
7,i7 additional indicators or metrics1  
such as metrics pertaining to specific  
populations1 including women and        
children1 ,american ,indians and        
,alaskan ,natives1 individuals living in

 rural and non-urban areas1 and         
justice-involved populations1 that would
 further clarify the progress made in   
addressing the opioid misuse and abuse  
epidemic1 as the ,secretary determines  
appropriate4  7#b7 ,a reasonable goal1  
such as a percentage decrease or other  
specified metric1 that signifies        
progress in meeting the goal described  
in subsection 7a71 and annual targets to
 help achieve that goal4  7c7 ,extension
 of period ,if the ,secretary determines
 that the goal described in subsection  
7a7 will not be achieved with respect to
 any indicator or metric established    
under subsection 7b77#b7 within #e years
 of the date of enactment of this ,act1 
the ,secretary may extend the timeline  
for meeting such goal with respect to   
that indicator or metric4 ,the          
,secretary shall include with any such  
extension a rationale for why additional
 time is needed and a description of    
changes the ,secretary will make in     
order to achieve such goal with respect 

to the indicator or metric4  7d7        
,reports ,during the #e-year period     
described in subsection 7a7 or such     
extended period as the ,secretary may   
determine under subsection 7c71 the     
,secretary shall--  7#a7 submit to      
,congress annual reports on the national
 milestones2 and  7#b7 make each such   
report publicly available4  7e7 ,annual 
status update ,beginning one year after 
submission of the report under          
subsection 7d7 and for each year        
thereafter that a report is required    
under such subsection1 the ,secretary   
shall provide an update to ,congress on 
the progress of ,federal agencies in    
achieving the goals detailed in the     
national milestones4 ,each such update  
shall include--  7#a7 the total ,federal
 investment in programs addressing the  
opioid epidemic and the amount invested 
in each program1 both by fiscal year    
and1 for programs created after fiscal  
year #bjae1 the total spent since the   
program's creation2  7#b7 an evaluation 

of the most and least effective ,federal
 programs intended to respond to the    
opioid crisis2  7#c7 the progress made  
in the first year or since the previous 
report1 as applicable1 in meeting each  
indicator or metric in the national     
milestones2 and  7#d7 the ,secretary's  
proposal for meeting each specified     
indicator or metric in the proceeding   
year4