,i  #aaf? ,,congress  #a/ ,session  ,h4 
,r4 #digd  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,novemb] #a1          
#bjai,mrs4 ,trahan 7= h]self1 ,mr4      
,b]gman1 ,mr4 ,c>t] ( ,georgia1 ,mr4    
,trone1 ,mr4 ,rog]s ( ,k5tucky1 ,ms4    
,ku/] ( ,new ,hamp%ire1 ,mr4 ,tonko1    
,mr4 ,cr[1 ,mr4 ,rose ( ,new ,york1 &   
,mr4 ,pappas7 introduc$ ! foll[+ bill2  
:i* 0 ref]r$ to ! ,committee on ,en]gy &
 ,comm]ce1 & 9 addition to ! ,committee 
on ! ,judici>y1 = a p]iod to be         
subsequ5tly det]m9$ by ! ,speak]1 9 ea* 
case = consid]ation ( su* provisions z  
fall )9 ! jurisdiction ( ! committee    
conc]n$  ,a ,,bill  ,to am5d !          
,controll$ ,sub/ances ,act to require   
physicians & o!r prescrib]s ( controll$ 
sub/ances to complete tra9+ on treat+ & 
manag+ pati5ts ) opioid & o!r sub/ance  
use disord]s 7:i* %all also satisfy     
c]ta9 tra9+ requir$ to receive a waiv] =
 disp5s+ n>cotic drugs = ma9t5ance or   
detoxification treatm5t71 & = o!r       
purposes4  #a4 ,%ort title ,?is ,act may

 be cit$ z ! ,m$ication ,access & ,tra9+
 ,expansion ,act ( #bjai or ! ,,mate    
,act ( #bjai4  #b4 ,requir+ prescrib]s (
 controll$ sub/ances to complete tra9+  
on treat+ & manag+ pati5ts ) opioid &   
o!r sub/ance use disord]s  7a7 ,9 g5]al 
,section #cjc ( ! ,controll$ ,sub/ances 
,act 7#ba ,u4,s4,c4 #hbc7 is am5d$ by   
add+ at ! end ! foll[+3  7l7 ,requir$   
tra9+ = prescrib]s on treat+ & manag+   
pati5ts ) opioid & o!r sub/ance use     
disord]s  7#a7 ,applicability ,?is      
subsection applies-- 7,a7 ) respect to  
any practition] :o is lic5s$ "u ,/ate   
law to prescribe controll$ sub/ances2 & 
7,b7 beg9n+ ) ! fir/ regi/ration or     
r5ewal ( regi/ration by ! practition] "u
 ?is section occurr+ #ij or m days aft] 
! date ( enactm5t ( ! ,m$ication ,access
 & ,tra9+ ,expansion ,act ( #bjai4  7#b7
 ,tra9+ requir$ ,z a condition on       
regi/ration "u ?is section to disp5se   
controll$ sub/ances 9 s*$ule ,,ii1      
,,iii1 ,,iv1 or ,v1 ! ,attorney ,g5]al  
%all require any practition] describ$ 9 

p>agraph 7#a77;,a7 to meet ! foll[+3    
7,a7 ,if ! practition] is a physician1 !
 practition] mu/ meet "o or m ( ! foll[+
 conditions3  7i7 ,! physician holds a  
bo>d c]tification 9 addiction psy*iatry 
or addiction m$ic9e f ! ,am]ican ,bo>d (
 ,m$ical ,specialties4  7ii7 ,!         
physician holds an addiction            
c]tification or bo>d c]tification f !   
,am]ican ,society ( ,addiction ,m$ic9e  
or ! ,am]ican ,bo>d ( ,addiction        
,m$ic9e4  7iii7 ,! physician holds a    
bo>d c]tification 9 addiction m$ic9e f !
 ,am]ican ,o/eopa?ic ,association4  7iv7
 ,! physician has1 ) respect to !       
treatm5t & managem5t ( pati5ts ) opioid 
& o!r sub/ance use disord]s1 complet$ n 
less ?an #h h\rs ( tra9+ 7?r\gh         
classroom situations1 sem9>s at         
pr(essional society meet+s1 electronic  
communications1 or o!rwise7 t is provid$
 by ! ,am]ican ,society ( ,addiction    
,m$ic9e1 ! ,am]ican ,academy (          
,addiction ,psy*iatry1 ! ,am]ican       
,m$ical ,association1 ! ,am]ican        

,o/eopa?ic ,association1 ! ,am]ican     
,psy*iatric ,association1 or any o!r    
organization t ! ,secret>y det]m9es is  
appropriate = purposes ( ?is clause4    
,su* tra9+ %all include--  7,i7 opioid  
ma9t5ance & detoxification2  7,,ii7     
appropriate cl9ical use ( all drugs     
approv$ by ! ,food & ,drug ,adm9i/ration
 = ! treatm5t ( a sub/ance use disord]2 
7,,iii7 initial & p]iodic pati5t        
assessm5ts 7includ+ sub/ance use        
monitor+72  7,,iv7 individualiz$        
treatm5t plann+1 ov]dose rev]sal1 &     
relapse prev5tion2  7,v7 c\nsel+ &      
recov]y support s]vices2  7,,vi7 /aff+  
roles & consid]ations2  7,,vii7 div]sion
 control2 &  7,,viii7 o!r be/ practices1
 su* z prev5tion ( addiction1 z id5tifi$
 by ! ,secret>y1 aft] consultation )    
practition]s f a v>iety ( m$ical        
specialties & :o practice 9 diff]5t     
sett+s 9 :i* controll$ sub/ances are    
prescrib$4  7v7 ,! physician has        
p>ticipat$ z an inve/igator 9 "o or m   
cl9ical trials lead+ to ! approval ( a  

n>cotic drug 9 s*$ule ,,iii1 ,,iv1 or ,v
 = ma9t5ance or detoxification treatm5t1
 z demon/rat$ by a /atem5t submitt$ to !
 ,secret>y by ! sponsor ( su* approv$   
drug4  7vi7 ,! physician has su* o!r    
tra9+ or exp]i5ce z ! ,/ate m$ical      
lic5s+ bo>d ( ! ,/ate :]e ! physician w 
provide ma9t5ance or detoxification     
treatm5t consid]s to demon/rate !       
ability ( ! physician to treat & manage 
pati5ts ) opioid & o!r sub/ance use     
disord]s4  7vii7 ,! physician has su*   
o!r tra9+ or exp]i5ce z ! ,secret>y     
consid]s to demon/rate ! ability ( !    
physician to treat & manage pati5ts )   
opioid & o!r sub/ance use disord]s4 ,any
 crit]ia ( ! ,secret>y "u ?is clause    
%all be e/abli%$ by regulation4 ,any su*
 crit]ia are effective only = #c ye>s   
aft] ! date on :i* ! crit]ia are        
promulgat$1 b may be ext5d$ = su*       
additional discrete #c-ye> p]iods z !   
,secret>y consid]s appropriate =        
purposes ( ?is clause4 ,su* an ext5sion 
( crit]ia may only be effectuat$ ?r\gh a

 /atem5t publi%$ 9 ! ,f$]al ,regi/] by !
 ,secret>y dur+ ! #cj-;day p]iod prec$+ 
! end ( ! #c-ye> p]iod involv$4  7viii7 
,! physician graduat$ 9 good /&+ f an   
accr$it$ s*ool ( allopa?ic m$ic9e or    
o/eopa?ic m$ic9e 9 ! ,unit$ ,/ates dur+ 
! #e-ye> p]iod imm$iately prec$+ ! date 
on :i* ! physician fir/ regi/]s or r5ews
 "u ?is section & has successfully      
complet$ a compreh5sive allopa?ic or    
o/eopa?ic m$ic9e curriculum or accr$it$ 
m$ical resid5cy t--  7,i7 includ$ n less
 ?an #h h\rs ( tra9+ on treat+ & manag+ 
pati5ts ) opioid & o!r sub/ance use     
disord]s2 &  7,,ii7 includ$1 at a       
m9imum-- 7aa7 ! tra9+ describ$ 9        
subclauses 7,i7 ?r\gh 7,,viii7 ( clause 
7iv72 &  7bb7 tra9+ ) respect to any o!r
 be/ practice ! ,secret>y det]m9es %\ld 
be includ$ 9 ! curriculum1 :i* may      
include tra9+ on pa9 managem5t1 includ+ 
assessm5t & appropriate use ( opioid &  
non-opioid alt]natives4  7,b7 ,if !     
practition] is n a physician1 !         
practition] mu/ meet "o or m ( ! foll[+ 

conditions3  7i7 ,complet$ n few] ?an   
#bd h\rs ( initial tra9+ address+ ea* ( 
! topics li/$ 9 subp>agraph 7,a77iv7    
7?r\gh classroom situations1 sem9>s at  
pr(essional society meet+s1 electronic  
communications1 or o!rwise7 provid$ by !
 ,am]ican ,society ( ,addiction ,m$ic9e1
 ! ,am]ican ,academy ( ,addiction       
,psy*iatry1 ! ,am]ican ,m$ical          
,association1 ! ,am]ican ,o/eopa?ic     
,association1 ! ,am]ican ,nurses        
,cr$5tial+ ,c5t]1 ! ,am]ican ,psy*iatric
 ,association1 ! ,am]ican ,association (
 ,nurse ,practition]s1 ! ,am]ican       
,academy ( ,physician ,assi/ants1 or any
 o!r organization t ! ,secret>y det]m9es
 is appropriate = purposes ( ?is clause4
  7ii7 ,has su* o!r tra9+ or exp]i5ce z 
! ,secret>y det]m9es w demon/rate !     
ability ( ! practition] to treat &      
manage pati5ts ) opioid & o!r sub/ance  
use disord]s4  7iii7 ,graduat$ 9 good   
/&+ f an accr$it$ physician assi/ant    
s*ool or s*ool ( advanc$ practice nurs+ 
9 ! ,unit$ ,/ates dur+ ! #e-ye> p]iod   

imm$iately prec$+ ! date on :i* !       
practition] fir/ regi/]s or r5ews "u ?is
 section & has successfully complet$ a  
compreh5sive physician assi/ant or      
advanc$ practice nurs+ curriculum t     
includes n less ?an #bd h\rs ( tra9+ on 
treat+ & manag+ pati5ts ) opioid & o!r  
sub/ance use disord]s &1 at a m9imum--  
7,i7 ! tra9+ describ$ 9 subclauses 7,i7 
?r\gh 7,,viii7 ( subp>agraph 7,a77iv72 &
  7,,ii7 tra9+ ) respect to any o!r be/ 
practice ! ,secret>y det]m9es %\ld be   
includ$ 9 ! curriculum1 :i* may include 
tra9+ on pa9 managem5t1 includ+         
assessm5t & appropriate use ( opioid &  
non-opioid alt]natives4  7#c7           
,reciprocal treatm5t  7,a7 ,physicians  
,a physician :o meets "o or m ( !       
conditions li/$ 9 p>agraph 7#b77;,a7 is 
deem$ to meet "o or m ( ! conditions    
li/$ 9 subsection 7g77#b77;,g77ii71 & a 
physician :o meets "o or m ( !          
conditions li/$ 9 subsection            
7g77#b77;,g77ii7 is deem$ to meet "o or 
m ( ! conditions li/$ 9 p>agraph        

7#b77;,a74  7,b7 ,o!r practition]s ,a   
practition] :o is n a physician1 & :o   
meets "o or m ( ! conditions li/$ 9     
p>agraph 7#b77;,b71 is deem$ to meet "o 
or m ( ! conditions li/$ 9 subsection   
7g77#b77;,g77iv77,,ii71 & a practition] 
:o is n a physician1 & :o meets "o or m 
( ! conditions li/$ 9 subsection        
7g77#b77;,g77iv77,,ii71 is deem$ to meet
 "o or m ( ! conditions li/$ 9 p>agraph 
7#b77;,b74  4  7b7 ,tra9+ requir$  7#a7 
,physicians ,section                    
#cjc7;g77#b77;,g77ii77,,iv77hh7 ( !     
,controll$ ,sub/ances ,act 7#ba         
,u4,s4,c4 #hbc7;g77#b77;,g77ii77,,iv77  
is am5d$ by ins]t+ su* z prev5tion (    
addiction1 aft] o!r be/ practices14     
7#b7 ,o!r practition]s ,section         
#cjc7;g77#b77;,g77iv77,,ii7 ( !         
,controll$ ,sub/ances ,act 7#ba         
,u4,s4,c4 #hbc7;g77#b77;,g77iv77,,ii77  
is am5d$--  7,a7 9 item 7aa71 by /rik+  
or at ! end2  7,b7 9 item 7bb71 by /rik+
 ! p]iod at ! end & ins]t+ 2 or2 &  7,c7
 by add+ at ! end ! foll[+ new item3    

7cc7 graduat$ 9 good /&+ f an accr$it$  
physician assi/ant s*ool or s*ool (     
advanc$ practice nurs+ 9 ! ,unit$ ,/ates
 dur+ ! #e-ye> p]iod imm$iately prec$+ !
 date on :i* ! practition] submits to ! 
,secret>y a writt5 notification "u      
subp>agraph 7,b7 & has successfully     
complet$ a compreh5sive physician       
assi/ant or advanc$ practice nurs+      
curriculum t includes n less ?an #bd    
h\rs ( tra9+ on treat+ & manag+         
opioid-dep5d5t pati5ts &1 at a m9imum-- 
7,,aa7 ! tra9+ describ$ 9 items 7aa7    
?r\gh 7hh7 ( clause 7ii77,,iv72 & 7,,bb7
 tra9+ ) respect to any o!r be/ practice
 ! ,secret>y det]m9es %\ld be includ$ 9 
! curriculum1 :i* may include tra9+ on  
pa9 managem5t1 includ+ assessm5t &      
appropriate use ( opioid & non-opioid   
alt]natives4  4  7#c7 ,te*nical         
correction ,section                     
#cjc7;g77#b77;,g77iv77,,ii77bb7 ( !     
,controll$ ,sub/ances ,act 7#ba         
,u4,s4,c4                               
#hbc7;g77#b77;,g77iv77,,ii77bb77 is     

am5d$ by /rik+ has be=e su* o!r tra9+4