,i  #aafth ,,congress  #ast ,session    
,h4 ,r4 #caga  ,,in ,,the ,,house ,,of  
,,representatives  ,june #aj1 #bjai,ms4 
,bonamici 7for herself1 ,ms4 ,kuster of 
,new ,hampshire1 ,ms4 ,wild1 ,ms4       
,johnson of ,texas1 and ,mrs4 ,dingell7 
introduced the following bill2 which was
 referred to the ,committee on ,energy  
and ,commerce  ,a ,,bill  ,to amend the 
,comprehensive ,addiction and ,recovery 
,act of #bjaf to authorize the ,attorney
 ,general1 in coordination with the     
,administrator of the ,drug ,enforcement
 ,administration1 the ,secretary of     
,health and ,human ,services1 and the   
,director of the ,office of ,national   
,drug ,control ,policy1 to award grants 
to covered entities to establish or     
maintain disposal sites for unwanted    
prescription medications1 and for other 
purposes4  #a4 ,short title ,this ,act  
may be cited as the ,safe ,disposal of  
,opioids ,act of #bjai4  #b4 ,grants for
 disposal sites for unwanted            
prescription medications ,section #bjc  

of the ,comprehensive ,addiction and    
,recovery ,act of #bjaf 7#ba ,u4,s4,c4  
#hbb;a7 is amended by adding at the end 
the following3  7c7 ,grants for disposal
 sites for unwanted prescription        
medications  7#a7 ,grants  7,a7 ,awards 
,in carrying out subsection 7b71 the    
,attorney ,general shall award grants to
 covered entities to establish or       
maintain disposal sites for unwanted    
prescription medications4  7,b7         
,limitation ,of the total amount of     
awards under subparagraph 7,a7 for a    
fiscal year1 the ,attorney ,general     
shall not award more than #aj percent to
 covered entities that are--  7i7       
,state1 local1 or tribal law enforcement
 agencies2 or  7ii7 manufacturers1      
distributors1 or reverse distributors of
 prescription medications4  7#b7        
,discounts for eligible patients  7,a7  
,in general ,the ,secretary of ,health  
and ,human ,services shall establish a  
mechanism by which amounts paid by an   
eligible patient for an active opioid   

are discounted at time of payment or    
purchase to ensure that such patient    
does not pay any amount attributable to 
a fee under paragraph 7#c71 with as     
little burden on the patient as         
possible4  7,b7 ,definition ,for        
purposes of subparagraph 7,a71 the term 
eligible patient means-- 7i7 a patient  
for whom any active opioid 7as so       
defined7 is prescribed to treat pain    
relating to cancer or cancer treatment2 
7ii7 a patient participating in hospice 
care2 and  7iii7 in the case of the     
death or incapacity of a patient        
described in subparagraph 7,a7 or 7,b7  
or any similar situation as determined  
by the ,secretary of ,health and ,human 
,services1 the appropriate family       
member1 medical proxy1 or similar       
representative or the estate of such    
patient4  7#c7 ,fees  7,a7 ,in general  
,there is hereby imposed on the sale of 
any active opioid by the manufacturer1  
producer1 or importer a fee equal to #a 
cent per #ajj milligrams so sold4  7,b7 

,special rules  7i7 ,definition ,in this
 paragraph1 the term active opioid--    
7,i7 means any controlled substance 7as 
defined in section #ajb of the          
,controlled ,substances ,act1 as in     
effect on the date of the ,safe         
,disposal of ,opioids ,act of #bjai7    
which is opium1 an opiate1 or any       
derivative thereof2 and  7,,ii7 excludes
 any prescribed drug which is used      
exclusively for the treatment of opioid 
addiction as part of a medically        
assisted treatment effort4  7ii7        
,exclusion of other ingredients ,in the 
case of a product that includes an      
active opioid and another ingredient1   
subparagraph 7,a7 shall apply only to   
the portion of such product that is an  
active opioid4  7#d7 ,authorization of  
appropriations ,for fiscal year #bjbj   
and each subsequent fiscal year1 there  
is authorized to be appropriated to     
carry out this subsection an amount not 
to exceed the aggregate amount of the   
fees collected pursuant to paragraph    

7#c74  4