,,ii #aafth ,,congress #ast ,session ,s4 #bjgd ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,july #aj1 #bjai,ms4 ,hassan 7for herself and ,ms4 ,murkowski7 introduced the following bill2 which was read twice and referred to the ,committee on ,health1 ,education1 ,labor1 and ,pensions ,a ,,bill ,to amend section #cjc7;g7 of the ,controlled ,substances ,act 7#ba ,u4,s4,c4 #hbc7;g77 to eliminate the separate registration requirement for dispensing narcotic drugs in schedule ,,iii1 ,,iv1 or ,v1 such as buprenorphine1 for maintenance or detoxification treatment1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,mainstreaming ,addiction ,treatment ,act of #bjai4 #b4 ,eliminating separate registration requirement for dispensing narcotic drugs in schedules ,,iii1 ,,iv1 and ,v for maintenance or detoxification treatment 7a7 ,in general ,section #cjc7;g7 of the ,controlled ,substances ,act 7#ba ,u4,s4,c4 #hbc7;g77 is amended-- 7#a7 by striking paragraph 7#b72 7#b7 by striking 7g77#a7 ,except as provided in paragraph 7#b71 practitioners who dispense narcotic drugs to individuals for maintenance treatment or detoxification treatment and inserting 7g7 ,practitioners who dispense narcotic drugs 7other than narcotic drugs in schedule ,,iii1 ,,iv1 or ,v7 to individuals for maintenance treatment or detoxification treatment2 7#c7 by redesignating subparagraphs 7,a71 7,b71 and 7,c7 as paragraphs 7#a71 7#b71 and 7#c71 respectively2 and 7#d7 in paragraph 7#b71 as redesignated1 by redesignating clauses 7i7 and 7ii7 as subparagraphs 7,a7 and 7,b71 respectively4 7b7 ,technical and conforming edits 7#a7 ,section #cjd of the ,controlled ,substances ,act 7#ba ,u4,s4,c4 #hbd7 is amended-- 7,a7 in subsection 7a71 by striking #cjc7;g77#a7 each place it appears and inserting #cjc7;g72 and 7,b7 in subsection 7d77#a71 by striking #cjc7;g77#a7 and inserting #cjc7;g74 7#b7 ,section #cji;,a7a7 of the ,controlled ,substances ,act 7#ba ,u4,s4,c4 #hbi;a7a77 is amended by striking paragraph 7#b7 and inserting the following3 7#b7 the controlled substance-- 7,a7 is a narcotic drug in schedule ,,iii1 ,,iv1 or ,v to be administered for the purpose of maintenance or detoxification treatment2 and 7,b7 is to be administered by injection or implantation2 4 7#c7 ,section #ebj;,e-#d7;c7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#cf;d7c77 is amended1 in the matter preceding paragraph 7#a71 by striking information on any qualified practitioner that is certified to prescribe medication for opioid dependency under section #cjc7;g77#b77;,b7 of the ,controlled ,substances ,act and inserting information on any practitioner who prescribes narcotic drugs in schedule ,,iii1 ,,iv1 or ,v of section #bjb of the ,controlled ,substances ,act for the purpose of maintenance or detoxification treatment4 7#d7 ,section #edd7;a77#c7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;dd-#c7 is amended by striking any practitioner dispensing narcotic drugs pursuant to section #cjc7;g7 of the ,controlled ,substances ,act and inserting any practitioner dispensing narcotic drugs for the purpose of maintenance or detoxification treatment4 7#e7 ,section #ahcc7;bb77#c77;,b7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciel7bb77#c77;,b77 is amended by striking first receives a waiver under section #cjc7;g7 of the ,controlled ,substances ,act on or after ,january #a1 #bjai and inserting first begins prescribing narcotic drugs in schedule ,,iii1 ,,iv1 or ,v of section #bjb of the ,controlled ,substances ,act for the purpose of maintenance or detoxification treatment on or after ,january #a1 #bjai4 7#f7 ,section #ahcd7o77#c77;,c77ii7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciem7o77#c77;,c77ii77 is amended by striking first receives a waiver under section #cjc7;g7 of the ,controlled ,substances ,act on or after ,january #a1 #bjai and inserting first begins prescribing narcotic drugs in schedule ,,iii1 ,,iv1 or ,v of section #bjb of the ,controlled ,substances ,act for the purpose of maintenance or detoxification treatment on or after ,january #a1 #bjai4 7#g7 ,section #ahff;,f7c77#c7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acie;cc-#f7;c77#c77 is amended-- 7,a7 in subparagraph 7,a71 by inserting and at the end2 7,b7 in subparagraph 7,b71 by striking 2 and and inserting a period2 and 7,c7 by striking subparagraph 7,c74 7#h7 ,section #aijc7;aa77#b77;,c7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acif;b7aa77#b77;,c77 is amended-- 7,a7 in clause 7i71 by inserting and at the end2 7,b7 by striking clause 7ii72 and 7,c7 by redesignating clause 7iii7 as clause 7ii74 #c4 ,national education campaign 7a7 ,in general ,the ,secretary of ,health and ,human ,services1 acting through the ,assistant ,secretary for ,mental ,health and ,substance ,use1 shall conduct a national campaign to educate practitioners with respect to the elimination of the separate registration requirement under section #cjc7;g7 of the ,controlled ,substances ,act 7#ba ,u4,s4,c4 #hbc7;g771 as in effect on the day before the date of enactment of this ,act1 for dispensing narcotic drugs in schedule ,,iii1 ,,iv1 and ,v for maintenance or detoxification treatment4 7b7 ,required components ,the national education campaign under subsection 7a7 shall-- 7#a7 encourage practitioners to integrate substance use treatment into their practices2 and 7#b7 include education on publicly available educational resources and training modules that can assist practitioners in treating patients with a substance use disorder4 #d4 ,community health aides and community health practitioners 7a7 ,practice of telemedicine ,section #ajb of the ,controlled ,substances ,act 7#ba ,u4,s4,c4 #hjb7 is amended-- 7#a7 in paragraph 7#ed77;,a71 by striking clause 7i7 and inserting the following3 7i7 while the patient is-- 7,i7 being treated by1 and physically located in1 a hospital or clinic registered under section #cjc7;f72 or 7,,ii7 for purposes of section #cjb7;h71 being treated by a community health aide or community health practitioner2 and 2 7#b7 by redesignating paragraph 7#eh7 as paragraph 7#ei72 7#c7 by redesignating the second paragraph designated as paragraph 7#eg7 as paragraph 7#eh72 7#d7 by moving paragraphs 7#eg71 7#eh7 7as so redesignated71 and 7#ei7 7as so redesignated7 #b ems to the left2 and 7#e7 by adding at the end the following3 7#fj7 ,the terms community health aide and community health practitioner have the meanings within the meaning of section #aai of the ,indian ,health ,care ,improvement ,act 7#be ,u4,s4,c4 #afafl74 4 7b7 ,dispensation of narcotic drugs in schedule ,,iii1 ,,iv1 or ,v ,section #cjb of the ,controlled ,substances ,act 7#ba ,u4,s4,c4 #hbb7 is amended by adding at the end the following3 7h7 ,dispensation of narcotic drugs in schedule ,,iii1 ,,iv1 or ,v by certain practitioners 7#a7 ,in general ,notwithstanding subsection 7a77#b71 a community health aide or community health practitioner may dispense a narcotic drug in schedule ,,iii1 ,,iv1 or ,v1 such as buprenorphine1 or a combination of such drugs1 to an individual for maintenance treatment or detoxification treatment 7or both7 without being registered under this title if the drug is prescribed by a practitioner through the practice of telemedicine4 7#b7 ,preemption ,notwithstanding section #gjh1 a ,state may not require a community health aide or community health practitioner to be licensed by the ,state in order to dispense narcotic drugs in accordance with paragraph 7#a7 of this subsection4 4