,,ii ,cal5d> ,no4 #df #aae? ,,congress  
#a/ ,session  ,s4 #iaf  ,,9 ,,! ,,s5ate 
,,( ,,! ,,unit$ ,,/ates  ,april #bd1    
#bjag,mr4 ,cassidy 7= himself1 ,mr4     
,b5net1 ,mr4 ,blunt1 ,mr4 ,frank51 ,mr4 
,alex&]1 ,ms4 ,murk[ski1 & ,mrs4        
,murray7 introduc$ ! foll[+ bill2 :i* 0 
read twice & ref]r$ to ! ,committee on  
,heal?1 ,education1 ,labor1 & ,p5sions  
,may #a1 #bjag,report$ by ,mr4 ,alex&]1 
) an amendment,strike out all aft] !    
enact+ clause & ins]t ! "p pr9t$ 9      
italic  ,a ,,bill  ,to am5d ! ,controll$
 ,sub/ances ,act ) reg>d to ! provision 
( em]g5cy m$ical s]vices4  #a4 ,%ort    
title ,?is ,act may be cit$ z !         
,protect+ ,pati5t ,access to ,em]g5cy   
,m$ications ,act ( #bjag4  #b4 ,em]g5cy 
m$ical s]vices ,section #cjc ( !        
,controll$ ,sub/ances ,act 7#ba         
,u4,s4,c4 #hbc7 is am5d$--  7#a7 by     
r$esignat+ subsection 7j7 z subsection  
7k72 &  7#b7 by ins]t+ aft] subsection  
7i7 ! foll[+3  7j7 ,em]g5cy m$ical      
s]vices t adm9i/] controll$ sub/ances   

7#a7 ,regi/ration ,= ! purpose ( enabl+ 
em]g5cy m$ical s]vices pr(essionals to  
adm9i/] controll$ sub/ances 9 s*$ule    
,,ii1 ,,iii1 ,,iv1 or ,v to ultimate    
us]s receiv+ em]g5cy m$ical s]vices 9   
accordance ) ! requirem5ts ( ?is        
subsection1 ! ,attorney ,g5]al--  7,a7  
%all regi/] an em]g5cy m$ical s]vices   
ag5cy if ! ag5cy submits an application 
demon/rat+ x is au?oriz$ to conduct su* 
activity "u ! laws ( ea* ,/ate 9 :i* !  
ag5cy practices2 &  7,b7 may d5y an     
application = su* regi/ration if !      
,attorney ,g5]al det]m9es t ! issuance (
 su* regi/ration w\ld be inconsi/5t ) ! 
requirem5ts ( ?is subsection or ! public
 int]e/ bas$ on ! factors li/$ 9        
subsection 7f74  7#b7 ,option = s+le    
regi/ration ,9 regi/]+ an em]g5cy m$ical
 s]vices ag5cy pursuant to p>agraph     
7#a71 ! ,attorney ,g5]al %all all[ su*  
ag5cy ! option ( a s+le regi/ration 9   
ea* ,/ate :]e ! ag5cy adm9i/]s controll$
 sub/ances 9 lieu ( requir+ a sep>ate   
regi/ration = ea* location ( ! em]g5cy  

m$ical s]vices ag5cy4  7#c7             
,hospital-bas$ ag5cy ,if a hospital-bas$
 em]g5cy m$ical s]vices ag5cy is regi/]$
 "u subsection 7f71 ! ag5cy may use !   
regi/ration ( ! hospital to adm9i/]     
controll$ sub/ances 9 accordance ) ?is  
subsection )\t be+ regi/]$ "u ?is       
subsection4  7#d7 ,adm9i/ration outside 
physical pres5ce ( m$ical director or   
au?oriz+ m$ical pr(essional ,em]g5cy    
m$ical s]vices pr(essionals ( a regi/]$ 
em]g5cy m$ical s]vices ag5cy may adm9i/]
 controll$ sub/ances 9 s*$ule ,,ii1     
,,iii1 ,,iv1 or ,v outside ! physical   
pres5ce ( a m$ical director or au?oriz+ 
m$ical pr(essional 9 ! c\rse ( provid+  
em]g5cy m$ical s]vices if ! adm9i/ration
 is--  7,a7 au?oriz$ by ! law ( ! ,/ate 
9 :i* x occurs2 &  7,b7 pursuant to--   
7i7 a /&+ ord] t is issu$ & adopt$ by "o
 or m m$ical directors ( ! ag5cy1       
includ+ any su* ord] t may be develop$  
by a specific ,/ate au?ority2 or  7ii7 a
 v]bal ord] t is-- 7,i7 issu$ 9         
accordance ) a policy ( ! ag5cy2 &      

7,,ii7 provid$ by a m$ical director or  
au?oriz+ m$ical pr(essional 9 response  
to a reque/ by ! em]g5cy m$ical s]vices 
pr(essional ) respect to a specific     
pati5t--  7aa7 9 ! case ( a mass        
casualty incid5t2 or  7bb7 to ensure !  
prop] c>e & treatm5t ( a specific       
pati5t4  7#e7 ,deliv]y ,a regi/]$       
em]g5cy m$ical s]vices ag5cy may deliv] 
controll$ sub/ances f a regi/]$ location
 ( ! ag5cy to an unregi/]$ location ( ! 
ag5cy only if--  7,a7 ! ag5cy designates
 ! unregi/]$ location = su* deliv]y2 &  
7,b7 notifies ! ,attorney ,g5]al at lea/
 #cj days prior to fir/ deliv]+         
controll$ sub/ances to ! unregi/]$      
location4  7#f7 ,/orage ,a regi/]$      
em]g5cy m$ical s]vices ag5cy may /ore   
controll$ sub/ances-- 7,a7 at a regi/]$ 
location ( ! ag5cy2  7,b7 at any        
designat$ location ( ! ag5cy or 9 an    
em]g5cy s]vices vehicle situat$ at a    
regi/]$ or designat$ location ( ! ag5cy2
 or  7,c7 9 an em]g5cy m$ical s]vices   
vehicle us$ by ! ag5cy t is-- 7i7       

travel+ f1 or return+ to1 a regi/]$ or  
designat$ location ( ! ag5cy 9 ! c\rse (
 respond+ to an em]g5cy2 or  7ii7       
o!rwise actively 9 use by ! ag5cy "u    
circum/ances t provide = security ( !   
controll$ sub/ances consi/5t ) !        
requirem5ts e/abli%$ by regulations ( ! 
,attorney ,g5]al4  7#g7 ,no treatm5t z  
di/ribution ,! deliv]y ( controll$      
sub/ances by a regi/]$ em]g5cy m$ical   
s]vices ag5cy pursuant to ?is subsection
 %all n be treat$ z di/ribution =       
purposes ( section #cjh4  7#h7 ,re/ock+ 
( em]g5cy m$ical s]vices vehicles at a  
hospital ,not)/&+ p>agraph 7#ac77;,j71 a
 regi/]$ em]g5cy m$ical s]vices ag5cy   
may receive controll$ sub/ances f a     
hospital = purposes ( re/ock+ an em]g5cy
 m$ical s]vices vehicle foll[+ an       
em]g5cy response1 & )\t be+ subject to !
 requirem5ts ( section #cjh1 provid$ all
 ( ! foll[+ conditions are satisfi$3    
7,a7 ,! regi/]$ or designat$ location ( 
! ag5cy :]e ! vehicle is prim>ily       
situat$ ma9ta9s a record ( su* receipt 9

 accordance ) p>agraph 7#i74  7,b7 ,!   
hospital ma9ta9s a record ( su* deliv]y 
to ! ag5cy 9 accordance ) section #cjg4 
7,c7 ,if ! vehicle is prim>ily situat$  
at a designat$ location1 su* location   
notifies ! regi/]$ location ( ! ag5cy )9
 #gb h\rs ( ! vehicle receiv+ !         
controll$ sub/ances4  7#i7 ,ma9t5ance ( 
records  7,a7 ,9 g5]al ,a regi/]$       
em]g5cy m$ical s]vices ag5cy %all ma9ta9
 records 9 accordance ) subsections 7a7 
& 7b7 ( section #cjg ( all controll$    
sub/ances t are receiv$1 adm9i/]$1 or   
o!rwise dispos$ ( pursuant to ! ag5cy's 
regi/ration1 )\t reg>d to subsection    
#cjg7;c77#a77;,b74  7,b7 ,requirem5ts   
,su* records-- 7i7 %all include records 
( deliv]ies ( controll$ sub/ances betwe5
 all locations ( ! ag5cy2 &  7ii7 %all  
be ma9ta9$1 :e!r electronically or      
o!rwise1 at ea* regi/]$ & designat$     
location ( ! ag5cy :]e ! controll$      
sub/ances involv$ are receiv$1 adm9i/]$1
 or o!rwise dispos$ (4  7#aj7 ,o!r      
requirem5ts ,a regi/]$ em]g5cy m$ical   

s]vices ag5cy1 "u ! sup]vision ( a      
m$ical director1 %all be responsible =  
ensur+ t--  7,a7 all em]g5cy m$ical     
s]vices pr(essionals :o adm9i/]         
controll$ sub/ances us+ ! ag5cy's       
regi/ration act 9 accordance ) !        
requirem5ts ( ?is subsection2  7,b7 !   
recordkeep+ requirem5ts ( p>agraph 7#i7 
are met ) respect to a regi/]$ location 
& ea* designat$ location ( ! ag5cy2     
7,c7 ! applicable physical security     
requirem5ts e/abli%$ by regulation ( !  
,attorney ,g5]al are compli$ ) :]ev]    
controll$ sub/ances are /or$ by ! ag5cy 
9 accordance ) p>agraph 7#f72 &  7,d7 ! 
ag5cy ma9ta9s1 at a regi/]$ location ( !
 ag5cy1 a record ( ! /&+ ord]s issu$ or 
adopt$ 9 accordance ) p>agraph 7#i74    
7#aa7 ,regulations ,! ,attorney ,g5]al  
may issue regulations-- 7,a7 specify+1 )
 reg>d to deliv]y ( controll$ sub/ances 
"u p>agraph 7#e7--  7i7 ! types (       
locations t may be designat$ "u su*     
p>agraph2 &  7ii7 ! mann] 9 :i* a       
notification "u p>agraph 7#e77;,b7 mu/  

be made2  7,b7 specify+1 ) reg>d to !   
/orage ( controll$ sub/ances "u p>agraph
 7#f71 ! mann] 9 :i* su* sub/ances mu/  
be /or$ at regi/]$ & designat$          
locations1 includ+ 9 em]g5cy m$ical     
s]vice vehicles2 &  7,c7 address+ !     
ability ( hospitals1 em]g5cy m$ical     
s]vices ag5cies1 regi/]$ locations1 &   
designat$ locations to deliv] controll$ 
sub/ances to ea* o!r 9 ! ev5t (--  7i7  
%ortages ( su* sub/ances2  7ii7 a public
 heal? em]g5cy2 or  7iii7 a mass        
casualty ev5t4  7#ab7 ,rule (           
con/ruction ,no?+ 9 ?is subsection %all 
be con/ru$--  7,a7 to limit ! au?ority  
ve/$ 9 ! ,attorney ,g5]al by o!r        
provisions ( ?is title to take measures 
to prev5t div]sion ( controll$          
sub/ances2 or  7,b7 to ov]ride !        
au?ority ( any ,/ate to regulate !      
provision ( em]g5cy m$ical s]vices      
consi/5t ) ?is subsection4  7#ac7       
,def9itions ,9 ?is section3 7,a7 ,! t]m 
au?oriz+ m$ical pr(essional means an    
em]g5cy or o!r physician1 or ano!r      

m$ical pr(essional 7includ+ an advanc$  
practice regi/]$ nurse or physician     
assi/ant7 :o is--  7i7 regi/]$ "u ?is   
,act2  7ii7 act+ )9 ! scope ( !         
regi/ration2 &  7iii7 ^: scope (        
practice "u a ,/ate lic5se or           
c]tification includes ! ability to      
provide v]bal ord]s4  7,b7 ,! t]m       
designat$ location means a location     
designat$ by an em]g5cy m$ical s]vices  
ag5cy "u p>agraph 7#e74  7,c7 ,! t]m    
em]g5cy m$ical s]vices means em]g5cy    
m$ical response & em]g5cy mobile m$ical 
s]vices provid$ outside ( a fix$ m$ical 
facility4  7,d7 ,! t]m em]g5cy m$ical   
s]vices ag5cy means an organization     
provid+ em]g5cy m$ical s]vices1 includ+ 
su* an organization t-- 7i7 is          
gov]nm5tal 7includ+ fire-bas$ &         
hospital-bas$ ag5cies71 nongov]nm5tal   
7includ+ hospital-bas$ ag5cies71        
private1 or volunte]-bas$2  7ii7        
provides em]g5cy m$ical s]vices by      
gr\nd1 air1 or o!rwise2 &  7iii7 is     
au?oriz$ by ! ,/ate 9 :i* ! organization

 is provid+ su* s]vices to provide      
em]g5cy m$ical c>e1 includ+ ! adm9i/]+ (
 controll$ sub/ances1 to memb]s ( !     
g5]al public on an em]g5cy basis4  7,e7 
,! t]m em]g5cy m$ical s]vices           
pr(essional means a heal? c>e           
pr(essional 7includ+ a nurse1 p>am$ic1  
or em]g5cy m$ical te*nician7 lic5s$ or  
c]tifi$ by ! ,/ate 9 :i* ! pr(essional  
practices & cr$5tial$ by a m$ical       
director ( ! respective em]g5cy m$ical  
s]vices ag5cy to provide em]g5cy m$ical 
s]vices )9 ! scope ( ! pr(essional's    
,/ate lic5se or c]tification4  7,f7 ,!  
t]m em]g5cy m$ical s]vices vehicle means
 an ambulance1 fire app>atus1 sup]visor 
truck1 or o!r vehicle us$ by an em]g5cy 
m$ical s]vices ag5cy = ! purpose (      
provid+ or facilitat+ em]g5cy m$ical c>e
 & transport or transport+ controll$    
sub/ances to & f ! regi/]$ & designat$  
locations4  7,g7 ,! t]m hospital-bas$   
means1 ) respect to an ag5cy1 own$ or   
op]at$ by a hospital4  7,h7 ,! t]m      
m$ical director means a physician :o is 

regi/]$ "u subsection 7f7 & provides    
m$ical ov]sight = an em]g5cy m$ical     
s]vices ag5cy4  7,i7 ,! t]m m$ical      
ov]sight means sup]vision ( ! provision 
( m$ical c>e by an em]g5cy m$ical       
s]vices ag5cy4  7,j7 ,! t]m regi/]$     
location means a location t appe>s on ! 
c]tificate ( regi/ration issu$ to an    
em]g5cy m$ical s]vices ag5cy "u ?is     
subsection or subsection 7f71 :i* %all  
be :]e ! ag5cy receives controll$       
sub/ances f di/ributors4  7,k7 ,! t]m   
regi/]$ em]g5cy m$ical s]vices ag5cy    
means-- 7i7 an em]g5cy m$ical s]vices   
ag5cy t is regi/]$ pursuant to ?is      
subsection2 or  7ii7 a hospital-bas$    
em]g5cy m$ical s]vices ag5cy t is cov]$ 
by ! regi/ration ( ! hospital "u        
subsection 7f74  7,l7 ,! t]m specific   
,/ate au?ority means a gov]nm5tal ag5cy 
or o!r su* au?ority1 includ+ a regional 
ov]sight & coord9at+ body1 t1 pursuant  
to ,/ate law or regulation1 develops    
cl9ical protocols reg>d+ ! deliv]y (    
em]g5cy m$ical s]vices 9 ! geographic   

jurisdiction ( su* ag5cy or au?ority )9 
! ,/ate t may be adopt$ by m$ical       
directors4  7,m7 ,! t]m /&+ ord] means a
 writt5 m$ical protocol 9 :i* a m$ical  
director det]m9es 9 advance ! m$ical    
crit]ia t mu/ be met be=e adm9i/]+      
controll$ sub/ances to individuals 9 ne$
 ( em]g5cy m$ical s]vices4  7,n7 ,! t]m 
v]bal ord] means an oral directive t is 
giv5 ?r\gh any me?od ( communication    
includ+ by radio or telephone1 directly 
to an em]g5cy m$ical s]vices            
pr(essional1 to contemporane\sly adm9i/]
 a controll$ sub/ance to individuals 9  
ne$ ( em]g5cy m$ical s]vices outside !  
physical pres5ce ( ! m$ical director or 
au?oriz+ m$ical pr(essional4  4  #c4    
,deliv]y ( a controll$ sub/ance by a    
ph>macy to an adm9i/]+ practition]  7a7 
,9 g5]al ,! ,controll$ ,sub/ance ,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]      
,not)/&+ section #ajb7aj71 a ph>macy may

 deliv] a controll$ sub/ance to a       
practition] 9 accordance ) a            
prescription t meets ! requirem5ts ( ?is
 ,act & ! regulations issu$ by !        
,attorney ,g5]al "u ?is ,act1 = !       
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 ,act2  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 injection1
 implantation1 or use ( an intra!cal    
pump2 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 ! controll$ sub/ance is 
to be adm9i/]$ only to ! pati5t nam$ on 
! prescription n lat] ?an #g days1 or   
long] if ext5d$ by ! ,attorney ,g5]al1  
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  4  7b7 ,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  #a4 ,%ort     
title ,?is ,act may be cit$ z !         
,protect+ ,pati5t ,access to ,em]g5cy   
,m$ications ,act ( #bjag4  #b4 ,em]g5cy 
m$ical s]vices ,section #cjc ( !        
,controll$ ,sub/ances ,act 7#ba         
,u4,s4,c4 #hbc7 is am5d$--  7#a7 by     
r$esignat+ subsection 7j7 z subsection  
7k72 &  7#b7 by ins]t+ aft] subsection  
7i7 ! foll[+3  7j7 ,em]g5cy m$ical      
s]vices t adm9i/] controll$ sub/ances   
7#a7 ,regi/ration ,= ! purpose ( enabl+ 
em]g5cy m$ical s]vices pr(essionals to  
adm9i/] controll$ sub/ances 9 s*$ule    
,,ii1 ,,iii1 ,,iv1 or ,v to ultimate    
us]s receiv+ em]g5cy m$ical s]vices 9   
accordance ) ! requirem5ts ( ?is        
subsection1 ! ,attorney ,g5]al--  7,a7  

%all regi/] an em]g5cy m$ical s]vices   
ag5cy if ! ag5cy submits an application 
demon/rat+ x is au?oriz$ to conduct su* 
activity "u ! laws ( ea* ,/ate 9 :i* !  
ag5cy practices2 &  7,b7 may d5y an     
application = su* regi/ration if !      
,attorney ,g5]al det]m9es t ! issuance (
 su* regi/ration w\ld be inconsi/5t ) ! 
requirem5ts ( ?is subsection or ! public
 int]e/ bas$ on ! factors li/$ 9        
subsection 7f74  7#b7 ,option = s+le    
regi/ration ,9 regi/]+ an em]g5cy m$ical
 s]vices ag5cy pursuant to p>agraph     
7#a71 ! ,attorney ,g5]al %all all[ su*  
ag5cy ! option ( a s+le regi/ration 9   
ea* ,/ate :]e ! ag5cy adm9i/]s controll$
 sub/ances 9 lieu ( requir+ a sep>ate   
regi/ration = ea* location ( ! em]g5cy  
m$ical s]vices ag5cy4  7#c7             
,hospital-bas$ ag5cy ,if a hospital-bas$
 em]g5cy m$ical s]vices ag5cy is regi/]$
 "u subsection 7f71 ! ag5cy may use !   
regi/ration ( ! hospital to adm9i/]     
controll$ sub/ances 9 accordance ) ?is  
subsection )\t be+ regi/]$ "u ?is       

subsection4  7#d7 ,adm9i/ration outside 
physical pres5ce ( m$ical director or   
au?oriz+ m$ical pr(essional ,em]g5cy    
m$ical s]vices pr(essionals ( a regi/]$ 
em]g5cy m$ical s]vices ag5cy may adm9i/]
 controll$ sub/ances 9 s*$ule ,,ii1     
,,iii1 ,,iv1 or ,v outside ! physical   
pres5ce ( a m$ical director or au?oriz+ 
m$ical pr(essional 9 ! c\rse ( provid+  
em]g5cy m$ical s]vices if ! adm9i/ration
 is--  7,a7 au?oriz$ by ! law ( ! ,/ate 
9 :i* x occurs2 &  7,b7 pursuant to--   
7i7 a /&+ ord] t is issu$ & adopt$ by "o
 or m m$ical directors ( ! ag5cy1       
includ+ any su* ord] t may be develop$  
by a specific ,/ate au?ority2 or  7ii7 a
 v]bal ord] t is-- 7,i7 issu$ 9         
accordance ) a policy ( ! ag5cy2 &      
7,,ii7 provid$ by a m$ical director or  
au?oriz+ m$ical pr(essional 9 response  
to a reque/ by ! em]g5cy m$ical s]vices 
pr(essional ) respect to a specific     
pati5t--  7aa7 9 ! case ( a mass        
casualty incid5t2 or  7bb7 to ensure !  
prop] c>e & treatm5t ( a specific       

pati5t4  7#e7 ,deliv]y ,a regi/]$       
em]g5cy m$ical s]vices ag5cy may deliv] 
controll$ sub/ances f a regi/]$ location
 ( ! ag5cy to an unregi/]$ location ( ! 
ag5cy only if--  7,a7 ! ag5cy designates
 ! unregi/]$ location = su* deliv]y2 &  
7,b7 notifies ! ,attorney ,g5]al at lea/
 #cj days prior to fir/ deliv]+         
controll$ sub/ances to ! unregi/]$      
location4  7#f7 ,/orage ,a regi/]$      
em]g5cy m$ical s]vices ag5cy may /ore   
controll$ sub/ances-- 7,a7 at a regi/]$ 
location ( ! ag5cy2  7,b7 at any        
designat$ location ( ! ag5cy or 9 an    
em]g5cy s]vices vehicle situat$ at a    
regi/]$ or designat$ location ( ! ag5cy2
 or  7,c7 9 an em]g5cy m$ical s]vices   
vehicle us$ by ! ag5cy t is-- 7i7       
travel+ f1 or return+ to1 a regi/]$ or  
designat$ location ( ! ag5cy 9 ! c\rse (
 respond+ to an em]g5cy2 or  7ii7       
o!rwise actively 9 use by ! ag5cy "u    
circum/ances t provide = security ( !   
controll$ sub/ances consi/5t ) !        
requirem5ts e/abli%$ by regulations ( ! 

,attorney ,g5]al4  7#g7 ,no treatm5t z  
di/ribution ,! deliv]y ( controll$      
sub/ances by a regi/]$ em]g5cy m$ical   
s]vices ag5cy pursuant to ?is subsection
 %all n be treat$ z di/ribution =       
purposes ( section #cjh4  7#h7 ,re/ock+ 
( em]g5cy m$ical s]vices vehicles at a  
hospital ,not)/&+ p>agraph 7#ac77;,j71 a
 regi/]$ em]g5cy m$ical s]vices ag5cy   
may receive controll$ sub/ances f a     
hospital = purposes ( re/ock+ an em]g5cy
 m$ical s]vices vehicle foll[+ an       
em]g5cy response1 & )\t be+ subject to !
 requirem5ts ( section #cjh1 provid$ all
 ( ! foll[+ conditions are satisfi$3    
7,a7 ,! regi/]$ or designat$ location ( 
! ag5cy :]e ! vehicle is prim>ily       
situat$ ma9ta9s a record ( su* receipt 9
 accordance ) p>agraph 7#i74  7,b7 ,!   
hospital ma9ta9s a record ( su* deliv]y 
to ! ag5cy 9 accordance ) section #cjg4 
7,c7 ,if ! vehicle is prim>ily situat$  
at a designat$ location1 su* location   
notifies ! regi/]$ location ( ! ag5cy )9
 #gb h\rs ( ! vehicle receiv+ !         

controll$ sub/ances4  7#i7 ,ma9t5ance ( 
records  7,a7 ,9 g5]al ,a regi/]$       
em]g5cy m$ical s]vices ag5cy %all ma9ta9
 records 9 accordance ) subsections 7a7 
& 7b7 ( section #cjg ( all controll$    
sub/ances t are receiv$1 adm9i/]$1 or   
o!rwise dispos$ ( pursuant to ! ag5cy's 
regi/ration1 )\t reg>d to subsection    
#cjg7;c77#a77;,b74  7,b7 ,requirem5ts   
,su* records-- 7i7 %all include records 
( deliv]ies ( controll$ sub/ances betwe5
 all locations ( ! ag5cy2 &  7ii7 %all  
be ma9ta9$1 :e!r electronically or      
o!rwise1 at ea* regi/]$ & designat$     
location ( ! ag5cy :]e ! controll$      
sub/ances involv$ are receiv$1 adm9i/]$1
 or o!rwise dispos$ (4  7#aj7 ,o!r      
requirem5ts ,a regi/]$ em]g5cy m$ical   
s]vices ag5cy1 "u ! sup]vision ( a      
m$ical director1 %all be responsible =  
ensur+ t--  7,a7 all em]g5cy m$ical     
s]vices pr(essionals :o adm9i/]         
controll$ sub/ances us+ ! ag5cy's       
regi/ration act 9 accordance ) !        
requirem5ts ( ?is subsection2  7,b7 !   

recordkeep+ requirem5ts ( p>agraph 7#i7 
are met ) respect to a regi/]$ location 
& ea* designat$ location ( ! ag5cy2     
7,c7 ! applicable physical security     
requirem5ts e/abli%$ by regulation ( !  
,attorney ,g5]al are compli$ ) :]ev]    
controll$ sub/ances are /or$ by ! ag5cy 
9 accordance ) p>agraph 7#f72 &  7,d7 ! 
ag5cy ma9ta9s1 at a regi/]$ location ( !
 ag5cy1 a record ( ! /&+ ord]s issu$ or 
adopt$ 9 accordance ) p>agraph 7#i74    
7#aa7 ,regulations ,! ,attorney ,g5]al  
may issue regulations-- 7,a7 specify+1 )
 reg>d to deliv]y ( controll$ sub/ances 
"u p>agraph 7#e7--  7i7 ! types (       
locations t may be designat$ "u su*     
p>agraph2 &  7ii7 ! mann] 9 :i* a       
notification "u p>agraph 7#e77;,b7 mu/  
be made2  7,b7 specify+1 ) reg>d to !   
/orage ( controll$ sub/ances "u p>agraph
 7#f71 ! mann] 9 :i* su* sub/ances mu/  
be /or$ at regi/]$ & designat$          
locations1 includ+ 9 em]g5cy m$ical     
s]vice vehicles2 &  7,c7 address+ !     
ability ( hospitals1 em]g5cy m$ical     

s]vices ag5cies1 regi/]$ locations1 &   
designat$ locations to deliv] controll$ 
sub/ances to ea* o!r 9 ! ev5t (--  7i7  
%ortages ( su* sub/ances2  7ii7 a public
 heal? em]g5cy2 or  7iii7 a mass        
casualty ev5t4  7#ab7 ,rule (           
con/ruction ,no?+ 9 ?is subsection %all 
be con/ru$--  7,a7 to limit ! au?ority  
ve/$ 9 ! ,attorney ,g5]al by o!r        
provisions ( ?is title to take measures 
to prev5t div]sion ( controll$          
sub/ances2 or  7,b7 to ov]ride !        
au?ority ( any ,/ate to regulate !      
provision ( em]g5cy m$ical s]vices      
consi/5t ) ?is subsection4  7#ac7       
,def9itions ,9 ?is section3 7,a7 ,! t]m 
au?oriz+ m$ical pr(essional means an    
em]g5cy or o!r physician1 or ano!r      
m$ical pr(essional 7includ+ an advanc$  
practice regi/]$ nurse or physician     
assi/ant7 :o is--  7i7 regi/]$ "u ?is   
,act2  7ii7 act+ )9 ! scope ( !         
regi/ration2 &  7iii7 ^: scope (        
practice "u a ,/ate lic5se or           
c]tification includes ! ability to      

provide v]bal ord]s4  7,b7 ,! t]m       
designat$ location means a location     
designat$ by an em]g5cy m$ical s]vices  
ag5cy "u p>agraph 7#e74  7,c7 ,! t]m    
em]g5cy m$ical s]vices means em]g5cy    
m$ical response & em]g5cy mobile m$ical 
s]vices provid$ outside ( a fix$ m$ical 
facility4  7,d7 ,! t]m em]g5cy m$ical   
s]vices ag5cy means an organization     
provid+ em]g5cy m$ical s]vices1 includ+ 
su* an organization t-- 7i7 is          
gov]nm5tal 7includ+ fire-bas$ &         
hospital-bas$ ag5cies71 nongov]nm5tal   
7includ+ hospital-bas$ ag5cies71        
private1 or volunte]-bas$2  7ii7        
provides em]g5cy m$ical s]vices by      
gr\nd1 air1 or o!rwise2 &  7iii7 is     
au?oriz$ by ! ,/ate 9 :i* ! organization
 is provid+ su* s]vices to provide      
em]g5cy m$ical c>e1 includ+ ! adm9i/]+ (
 controll$ sub/ances1 to memb]s ( !     
g5]al public on an em]g5cy basis4  7,e7 
,! t]m em]g5cy m$ical s]vices           
pr(essional means a heal? c>e           
pr(essional 7includ+ a nurse1 p>am$ic1  

or em]g5cy m$ical te*nician7 lic5s$ or  
c]tifi$ by ! ,/ate 9 :i* ! pr(essional  
practices & cr$5tial$ by a m$ical       
director ( ! respective em]g5cy m$ical  
s]vices ag5cy to provide em]g5cy m$ical 
s]vices )9 ! scope ( ! pr(essional's    
,/ate lic5se or c]tification4  7,f7 ,!  
t]m em]g5cy m$ical s]vices vehicle means
 an ambulance1 fire app>atus1 sup]visor 
truck1 or o!r vehicle us$ by an em]g5cy 
m$ical s]vices ag5cy = ! purpose (      
provid+ or facilitat+ em]g5cy m$ical c>e
 & transport or transport+ controll$    
sub/ances to & f ! regi/]$ & designat$  
locations4  7,g7 ,! t]m hospital-bas$   
means1 ) respect to an ag5cy1 own$ or   
op]at$ by a hospital4  7,h7 ,! t]m      
m$ical director means a physician :o is 
regi/]$ "u subsection 7f7 & provides    
m$ical ov]sight = an em]g5cy m$ical     
s]vices ag5cy4  7,i7 ,! t]m m$ical      
ov]sight means sup]vision ( ! provision 
( m$ical c>e by an em]g5cy m$ical       
s]vices ag5cy4  7,j7 ,! t]m regi/]$     
location means a location t appe>s on ! 

c]tificate ( regi/ration issu$ to an    
em]g5cy m$ical s]vices ag5cy "u ?is     
subsection or subsection 7f71 :i* %all  
be :]e ! ag5cy receives controll$       
sub/ances f di/ributors4  7,k7 ,! t]m   
regi/]$ em]g5cy m$ical s]vices ag5cy    
means-- 7i7 an em]g5cy m$ical s]vices   
ag5cy t is regi/]$ pursuant to ?is      
subsection2 or  7ii7 a hospital-bas$    
em]g5cy m$ical s]vices ag5cy t is cov]$ 
by ! regi/ration ( ! hospital "u        
subsection 7f74  7,l7 ,! t]m specific   
,/ate au?ority means a gov]nm5tal ag5cy 
or o!r su* au?ority1 includ+ a regional 
ov]sight & coord9at+ body1 t1 pursuant  
to ,/ate law or regulation1 develops    
cl9ical protocols reg>d+ ! deliv]y (    
em]g5cy m$ical s]vices 9 ! geographic   
jurisdiction ( su* ag5cy or au?ority )9 
! ,/ate t may be adopt$ by m$ical       
directors4  7,m7 ,! t]m /&+ ord] means a
 writt5 m$ical protocol 9 :i* a m$ical  
director det]m9es 9 advance ! m$ical    
crit]ia t mu/ be met be=e adm9i/]+      
controll$ sub/ances to individuals 9 ne$

 ( em]g5cy m$ical s]vices4  7,n7 ,! t]m 
v]bal ord] means an oral directive t is 
giv5 ?r\gh any me?od ( communication    
includ+ by radio or telephone1 directly 
to an em]g5cy m$ical s]vices            
pr(essional1 to contemporane\sly adm9i/]
 a controll$ sub/ance to individuals 9  
ne$ ( em]g5cy m$ical s]vices outside !  
physical pres5ce ( ! m$ical director or 
au?oriz+ m$ical pr(essional4  4  #c4    
,deliv]y ( a controll$ sub/ance by a    
ph>macy to an adm9i/]+ practition]  7a7 
,9 g5]al ,! ,controll$ ,sub/ance ,act is
 am5d$ by ins]t+ aft] section #cji 7#ba4
 ,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
 ,act & ! regulations issu$ by !        
,attorney ,g5]al "u ?is ,act1 = !       
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 ,act2  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 injection1
 implantation1 or ?r\gh ! use ( an      
intra!cal pump2 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  7c7    
,/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  4  7b7
 ,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  
,may #a1 #bjag,report$ ) an am5dm5t