,,ii ,cal5d> ,no4 #dfj #aaf? ,,congress 
#b;d ,session  ,h4 ,r4 #dgci ,report    
,no4 #aaf-bbi ,,9 ,,! ,,s5ate ,,( ,,!   
,,unit$ ,,/ates  ,decemb] #aj1          
#bjai,receiv$2 read twice & ref]r$ to ! 
,committee on ,homel& ,security &       
,gov]nm5tal ,affairs  ,june #a1         
#bjbj,report$ by ,mr4 ,johnson1 ) an    
amendment,strike out all aft] ! enact+  
clause & ins]t ! "p pr9t$ 9 italic  ,,an
 ,,act  ,to am5d ! ,homel& ,security    
,act ( #bjjb to protect ,u4,s4 ,cu/oms &
 ,bord] ,protection (fic]s1 ag5ts1 o!r  
p]sonnel1 & can9es aga9/ pot5tial       
syn!tic opioid exposure1 & = o!r        
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,syn!tic ,opioid ,exposure 
,prev5tion & ,tra9+ ,act4  #b4          
,protection aga9/ pot5tial syn!tic      
opioid exposure )9 ,u4,s4 ,cu/oms &     
,bord] ,protection  7a7 ,9 g5]al        
,subtitle ,b ( title ,,iv ( ! ,homel&   
,security ,act ( #bjjb 7#f ,u4,s4,c4    
#baa et seq47 is am5d$ by ins]t+ aft]   
section #dae ! foll[+ new section3      

#daf4 ,protection aga9/ pot5tial syn!tic
 opioid exposure  7a7 ,9 g5]al ,!       
,commission] ( ,u4,s4 ,cu/oms & ,bord]  
,protection %all issue a policy t       
specifies effective protocols &         
proc$ures = ! safe h&l+ ( pot5tial      
syn!tic opioids1 includ+ f5tanyl1 by    
,u4,s4 ,cu/oms & ,bord] ,protection     
(fic]s1 ag5ts1 o!r p]sonnel1 & can9es1 &
 to r$uce ! risk ( injury or dea?       
result+ f accid5tal exposure & enhance  
po/-exposure managem5t4  7b7 ,tra9+     
7#a7 ,9 g5]al ,toge!r ) ! issuance ( !  
policy describ$ 9 subsection 7a71 !     
,commission] ( ,u4,s4 ,cu/oms & ,bord]  
,protection %all require m&atory &      
recurr5t tra9+ on ! foll[+3 7,a7 ,!     
pot5tial risk ( opioid exposure & safe  
h&l+ proc$ures = pot5tial syn!tic       
opioids1 includ+ precaution>y measures  
su* z ! use ( p]sonal protective        
equipm5t dur+ su* h&l+4  7,b7 ,h[ to    
access & adm9i/] opioid receptor        
antagoni/s1 includ+ naloxone1           
po/-exposure to pot5tial syn!tic        

opioids4  7#b7 ,integration ,! tra9+    
describ$ 9 p>agraph 7#a7 may be         
integrat$ into exi/+ tra9+ "u section   
#daa7l7 = ,u4,s4 ,cu/oms & ,bord]       
,protection (fic]s1 ag5ts1 & o!r        
p]sonnel4  7c7 ,p]sonal protective      
equipm5t & opioid receptor antagoni/s   
,toge!r ) ! issuance ( ! policy describ$
 9 subsection 7a71 ! ,commission] (     
,u4,s4 ,cu/oms & ,bord] ,protection %all
 ensure ! availability ( p]sonal        
protective equipm5t & opioid receptor   
antagoni/s1 includ+ naloxone1 to all    
,u4,s4 ,cu/oms & ,bord] ,protection     
(fic]s1 ag5ts1 o!r p]sonnel1 & can9es at
 risk ( accid5tal exposure to syn!tic   
opioids4  7d7 ,ov]sight ,to ensure      
effectiv5ess ( ! policy describ$ 9      
subsection 7a7-- 7#a7 ! ,commission] (  
,u4,s4 ,cu/oms & ,bord] ,protection %all
 regul>ly monitor ! efficacy ( !        
implem5tation ( su* policy & adju/      
protocols & proc$ures1 z necess>y2 &    
7#b7 ! ,inspector ,g5]al ( ! ,dep>tm5t  
%all audit compliance ) ! requirem5ts ( 

?is section n less ?an once ea* ye> = ! 
#e ye>s aft] ! date ( ! enactm5t ( ?is  
section4  4  7b7 ,cl]ical am5dm5t ,!    
table ( cont5ts 9 section #a7;b7 ( !    
,homel& ,security ,act ( #bjjb is am5d$ 
by ins]t+ aft] ! item relat+ to section 
#dae ! foll[+ new item3  ,sec4 #daf4    
,protection aga9/ pot5tial syn!tic      
opioid exposure4  4  #a4 ,%ort title    
,?is ,act may be cit$ z ! ,syn!tic      
,opioid ,exposure ,prev5tion & ,tra9+   
,act4  #b4 ,protection aga9/ pot5tial   
syn!tic opioid exposure )9 ,u4,s4       
,cu/oms & ,bord] ,protection  7a7 ,9    
g5]al ,subtitle ,b ( title ,,iv ( !     
,homel& ,security ,act ( #bjjb 7#f      
,u4,s4,c4 #baa et seq47 is am5d$ by     
ins]t+ aft] section #dae ! foll[+ new   
section3  #daf4 ,protection aga9/       
pot5tial syn!tic opioid exposure  7a7 ,9
 g5]al ,! ,commission] ( ,u4,s4 ,cu/oms 
& ,bord] ,protection %all issue a policy
 t specifies effective protocols &      
proc$ures = ! safe h&l+ ( pot5tial      
syn!tic opioids1 includ+ f5tanyl1 by    

,u4,s4 ,cu/oms & ,bord] ,protection     
(fic]s1 ag5ts1 o!r p]sonnel1 & can9es1 &
 to r$uce ! risk ( injury or dea?       
result+ f accid5tal exposure & enhance  
po/-exposure managem5t4  7b7 ,tra9+     
7#a7 ,9 g5]al ,toge!r ) ! issuance ( !  
policy describ$ 9 subsection 7a71 !     
,commission] ( ,u4,s4 ,cu/oms & ,bord]  
,protection %all require m&atory &      
recurr5t tra9+ on ! foll[+3 7,a7 ,!     
pot5tial risk ( opioid exposure & safe  
h&l+ proc$ures = pot5tial syn!tic       
opioids1 includ+ precaution>y measures  
su* z ! use ( p]sonal protective        
equipm5t dur+ su* h&l+4  7,b7 ,h[ to    
access & adm9i/] opioid receptor        
antagoni/s1 includ+ naloxone1           
po/-exposure to pot5tial syn!tic        
opioids4  7#b7 ,integration ,! tra9+    
describ$ 9 p>agraph 7#a7 may be         
integrat$ into exi/+ tra9+ "u section   
#daa7l7 = ,u4,s4 ,cu/oms & ,bord]       
,protection (fic]s1 ag5ts1 & o!r        
p]sonnel4  7c7 ,p]sonal protective      
equipm5t & opioid receptor antagoni/s   

,toge!r ) ! issuance ( ! policy describ$
 9 subsection 7a71 ! ,commission] (     
,u4,s4 ,cu/oms & ,bord] ,protection %all
 ensure ! availability ( p]sonal        
protective equipm5t & opioid receptor   
antagoni/s1 includ+ naloxone1 to all    
,u4,s4 ,cu/oms & ,bord] ,protection     
(fic]s1 ag5ts1 o!r p]sonnel1 & can9es at
 risk ( accid5tal exposure to syn!tic   
opioids4  7d7 ,ov]sight ,to ensure      
effectiv5ess ( ! policy describ$ 9      
subsection 7a7-- 7#a7 ! ,commission] (  
,u4,s4 ,cu/oms & ,bord] ,protection %all
 regul>ly monitor ! efficacy ( !        
implem5tation ( su* policy & adju/      
protocols & proc$ures1 z necess>y2 &    
7#b7 ! ,inspector ,g5]al ( ! ,dep>tm5t  
%all audit compliance ) ! requirem5ts ( 
?is section n less ?an once dur+ !      
#c-ye> p]iod aft] ! date ( ! enactm5t ( 
?is section4  4  7b7 ,cl]ical am5dm5t ,!
 table ( cont5ts 9 section #a7;b7 ( !   
,homel& ,security ,act ( #bjjb is am5d$ 
by ins]t+ aft] ! item relat+ to section 
#dae ! foll[+ new item3  ,sec4 #daf4    

,protection aga9/ pot5tial syn!tic      
opioid exposure4  4  ,june #a1          
#bjbj,report$ ) an am5dm5t