,,ii  #aaf? ,,congress  #a/ ,session    
,s4 #bajb  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,july #aa1 #bjai ,mrs4 
,%ahe5 introduc$ ! foll[+ bill2 :i* 0   
read twice & ref]r$ to ! ,committee on  
,heal?1 ,education1 ,labor1 & ,p5sions  
,a ,,bill  ,to provide fund+ = programs 
& activities "u ! ,,support = ,pati5ts &
 ,communities ,act4  #a4 ,%ort title    
,?is ,act may be cit$ z ! ,turn ! ,tide 
,act4  #b4 ,controll$ sub/ance          
provisions ( ! ,,support = ,pati5ts &   
,communities ,act  7a7 ,grants ,to      
enhance access to sub/ance use disord]  
treatm5t ,section #cbjc7;b7 ( !         
,sub/ance ,use-,disord] ,prev5tion t    
,promotes ,opioid ,recov]y & ,treatm5t =
 ,pati5ts & ,communities ,act 7,public  
,law #aae-bga7 is am5d$ to read z       
foll[s3  7b7 ,appropriations ,= grants  
"u subsection 7a71 !re is au?oriz$ to be
 appropriat$1 & !re is appropriat$1 out 
( any monies 9 ! ,treasury n o!rwise    
appropriat$1 #d1jjj1jjj = ea* ( fiscal  
ye>s #bjbj ?r\gh #bjbc4  4  7b7 ,access 

to increas$ drug disposal ,section #cbfj
 ( ! ,sub/ance ,use-,disord] ,prev5tion 
t ,promotes ,opioid ,recov]y & ,treatm5t
 = ,pati5ts & ,communities ,act 7,public
 ,law #aae-bga7 is am5d$ to read z      
foll[s3  #cbfj4 ,appropriations ,to c>ry
 out ?is *apt]1 !re is au?oriz$ to be   
appropriat$1 & !re is appropriat$1 out (
 any monies 9 ! ,treasury n o!rwise     
appropriat$1 su* sums z may be necess>y 
= ea* fiscal ye>4  4  #c4 ,public ,heal?
 provisions ( ! ,,support = ,pati5ts &  
,communities ,act  7a7 ,fir/ respond]   
tra9+ ,section #edf7;h7 ( ! ,public     
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#bij;ee-#a7;h77 is am5d$ to read z      
foll[s3  7h7 ,appropriations ,to c>ry   
out ?is section1 !re is au?oriz$ to be  
appropriat$1 & !re is appropriat$1 out (
 any monies 9 ! ,treasury n o!rwise     
appropriat$1 #cf1jjj1jjj = ea* ( fiscal 
ye>s #bjbj ?r\gh #bjbc4  4  7b7 ,public 
heal? laboratories pilot program        
,section #gjaa7;d7 ( ! ,sub/ance        
,use-,disord] ,prev5tion t ,promotes    

,opioid ,recov]y & ,treatm5t = ,pati5ts 
& ,communities ,act 7,public ,law       
#aae-bga7 is am5d$ to read z foll[s3    
7d7 ,appropriations ,to c>ry out ?is    
section1 !re is au?oriz$ to be          
appropriat$1 & !re is appropriat$1 out (
 any monies 9 ! ,treasury n o!rwise     
appropriat$1 #ae1jjj1jjj = ea* ( fiscal 
ye>s #bjbj ?r\gh #bjbc4  4  7c7         
,national recov]y h\s+ be/ practices    
,section #eej7;g7 ( ! ,public ,heal?    
,s]vice ,act 7#db ,u4,s4,c4             
#bij;ee-#e7;g77 is am5d$ to read z      
foll[s3  7g7 ,appropriations ,to c>ry   
out ?is section1 !re is au?oriz$ to be  
appropriat$1 & !re is appropriat$1 out (
 any monies 9 ! ,treasury n o!rwise     
appropriat$1 #c1jjj1jjj = ! p]iod (     
fiscal ye>s #bjbj ?r\gh #bjba4  4  7d7  
,model tra9+ programs = sub/ance use    
disord] pati5t records ,section         
#gjec7;e7 ( ! ,sub/ance ,use-,disord]   
,prev5tion t ,promotes ,opioid ,recov]y 
& ,treatm5t = ,pati5ts & ,communities   
,act 7,public ,law #aae-bga7 is am5d$ to

 read z foll[s3  7e7 ,appropriations ,to
 c>ry out ?is section1 !re is au?oriz$  
to be appropriat$1 & !re is appropriat$1
 out ( any monies 9 ! ,treasury n       
o!rwise appropriat$--  7#a7 #d1jjj1jjj =
 fiscal ye>s #bjbj2  7#b7 #b1jjj1jjj =  
ea* ( fiscal ye> #bjba2 &  7#c7         
#a1jjj1jjj = ea* ( fiscal ye>s #bjbb &  
#bjbc4  4  7e7 ,resid5tial treatm5t     
programs = pregnant & po/p>tum wom5     
,section #ejh7s7 ( ! ,public ,heal?     
,s]vice ,act 7#db ,u4,s4,c4             
#bij;bb-#a7s77 is am5d$ by /rik+ ! fir/ 
s5t5ce & ins]t+ ! foll[+3 ,to c>ry out  
?is section1 !re is au?oriz$ to be      
appropriat$1 & !re is appropriat$1 out (
 any monies 9 ! ,treasury n o!rwise     
appropriat$1 #bi1ica1jjj = ea* ( fiscal 
ye>s #bjbj ?r\gh #bjbc44  7f7 ,pr5atal &
 po/natal heal? ,section #cag,l7d7 ( !  
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bdg;b-#ac7;d77 is am5d$ to   
read z foll[s3  7d7 ,appropriations ,to 
c>ry out ?is section1 !re is au?oriz$ to
 be appropriat$1 & !re is appropriat$1  

out ( any monies 9 ! ,treasury n o!rwise
 appropriat$1 su* sums z may be necess>y
 = ea* ( fiscal ye>s #bjbj ?r\gh #bjbc4 
4  7g7 ,program = education & tra9+ 9   
pa9 c>e ,section #gei7;e7 ( ! ,public   
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#bid;i7e77 is am5d$ to read z foll[s3   
7e7 ,appropriations ,to c>ry out ?is    
section1 !re is au?oriz$ to be          
appropriat$1 & !re is appropriat$1 out (
 any monies 9 ! ,treasury n o!rwise     
appropriat$1 su* sums z may be necess>y 
= ea* ( fiscal ye>s #bjbj ?r\gh #bjbc4  
,am\nts appropriat$ "u ?is subsection   
%all rema9 available until exp5d$4  4   
7h7 ,m5tal & behavioral heal? education 
& tra9+ grants ,section #gef7;f7 ( !    
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bid;e-#a7;f77 is am5d$ to    
read z foll[s3  7f7 ,appropriations ,to 
c>ry out ?is section1 !re is au?oriz$ to
 be appropriat$1 & !re is appropriat$1  
out ( any monies 9 ! ,treasury n o!rwise
 appropriat$1 #ej1jjj1jjj = ea* ( fiscal
 ye>s #bjbj ?r\gh #bjbc4  4  7i7        

,coord9ation & cont9uation ( c>e = drug 
ov]dose pati5ts ,section #gjha7;f7 ( !  
,sub/ance ,use-,disord] ,prev5tion t    
,promotes ,opioid ,recov]y & ,treatm5t =
 ,pati5ts & ,communities ,act 7,public  
,law #aae-bga7 is am5d$ to read z       
foll[s3  7f7 ,appropriations ,to c>ry   
out ?is section1 !re is au?oriz$ to be  
appropriat$1 & !re is appropriat$1 out (
 any monies 9 ! ,treasury n o!rwise     
appropriat$1 #aj1jjj1jjj = ea* ( fiscal 
ye>s #bjbj ?r\gh #bjbc4  4  7j7 ,em]g5cy
 dep>tm5t alt]natives to opioids        
demon/ration program ,section #gjia7;g7 
( ! ,sub/ance ,use-,disord] ,prev5tion t
 ,promotes ,opioid ,recov]y & ,treatm5t 
= ,pati5ts & ,communities ,act 7,public 
,law #aae-bga7 is am5d$ to read z       
foll[s3  7g7 ,appropriations ,to c>ry   
out ?is section1 !re is au?oriz$ to be  
appropriat$1 & !re is appropriat$1 out (
 any monies 9 ! ,treasury n o!rwise     
appropriat$1 #aj1jjj1jjj = ea* ( fiscal 
ye>s #bjbj ?r\gh #bjbc4  4  7k7         
,regional c5t]s ( excell5ce 9 sub/ance  

use disord] education ,section #eea7;f7 
( ! ,public ,heal? ,s]vice ,act 7#db    
,u4,s4,c4 #bij;ee-#f7;f77 is am5d$ to   
read z foll[s3  7f7 ,appropriations ,to 
c>ry out ?is section1 !re is au?oriz$ to
 be appropriat$1 & !re is appropriat$1  
out ( any monies 9 ! ,treasury n o!rwise
 appropriat$1 #d1jjj1jjj = ea* ( fiscal 
ye>s #bjbj ?r\gh #bjbc4  4  7l7 ,y\?    
prev5tion & recov]y ,section            
#gajb7;c77#i7 ( ! ,sub/ance             
,use-,disord] ,prev5tion t ,promotes    
,opioid ,recov]y & ,treatm5t = ,pati5ts 
& ,communities ,act 7,public ,law       
#aae-bga7 is am5d$ to read z foll[s3    
7#i7 ,appropriations ,to c>ry out ?is   
subsection1 !re is au?oriz$ to be       
appropriat$1 & !re is appropriat$1 out (
 any monies 9 ! ,treasury n o!rwise     
appropriat$1 #aj1jjj1jjj = ea* ( fiscal 
ye>s #bjbj ?r\gh #bjbc4  4  7m7         
,compreh5sive opioid recov]y c5t]s      
,section #eeb7;j7 ( ! ,public ,heal?    
,s]vice ,act 7#db ,u4,s4,c4             
#bij;ee-#g7;j77 is am5d$ to read z      

foll[s3  7j7 ,appropriations ,to c>ry   
out ?is section1 !re is au?oriz$ to be  
appropriat$1 & !re is appropriat$1 out (
 any monies 9 ! ,treasury n o!rwise     
appropriat$1 #aj1jjj1jjj = ea* ( fiscal 
ye>s #bjbj ?r\gh #bjbc4  4  7n7 ,,cdc   
surveillance & data collection ,section 
#gaca7;e7 ( ! ,sub/ance ,use-,disord]   
,prev5tion t ,promotes ,opioid ,recov]y 
& ,treatm5t = ,pati5ts & ,communities   
,act 7,public ,law #aae-bga7 is am5d$ to
 read z foll[s3  7e7 ,appropriations ,to
 c>ry out ?is section1 !re is au?oriz$  
to be appropriat$1 & !re is appropriat$1
 out ( any monies 9 ! ,treasury n       
o!rwise appropriat$1 #b1jjj1jjj = ea* ( 
fiscal ye>s #bjbj ?r\gh #bjbc4  4  7o7  
,national *ild traumatic /ress          
initiative ,section #ehb7;j7 ( ! ,public
 ,heal? ,s]vice ,act 7#db ,u4,s4,c4     
#bij;hh-#a7;j77 is am5d$ to read z      
foll[s3  7j7 ,appropriations ,to c>ry   
out ?is section1 !re is au?oriz$ to be  
appropriat$1 & !re is appropriat$1 out (
 any monies 9 ! ,treasury n o!rwise     

appropriat$1 #fc1hhg1jjj = ea* ( fiscal 
ye>s #bjbj ?r\gh #bjbc4  4  7p7 ,trauma 
support s]vices & m5tal heal? c>e       
,section #gacd7l7 ( ! ,sub/ance         
,use-,disord] ,prev5tion t ,promotes    
,opioid ,recov]y & ,treatm5t = ,pati5ts 
& ,communities ,act 7,public ,law       
#aae-bga7 is am5d$ to read z foll[s3    
7l7 ,appropriations ,to c>ry out ?is    
section1 !re is au?oriz$ to be          
appropriat$1 & !re is appropriat$1 out (
 any monies 9 ! ,treasury n o!rwise     
appropriat$1 #ej1jjj1jjj = ea* ( fiscal 
ye>s #bjbj ?r\gh #bjbc4  4  7q7         
,surveillance & education reg>d+        
infections associat$ ) illicit drug use 
& o!r risk factors ,section #cag,n7d7 ( 
! ,public ,heal? ,s]vice ,act 7#db      
,u4,s4,c4 #bdg;b-#ae7;d77 is am5d$ to   
read z foll[s3  7d7 ,appropriations ,to 
c>ry out ?is section1 !re is au?oriz$ to
 be appropriat$1 & !re is appropriat$1  
out ( any monies 9 ! ,treasury n o!rwise
 appropriat$1 #dj1jjj1jjj = ea* ( fiscal
 ye>s #bjbj ?r\gh #bjbc4  4  7r7 ,build+

 communities ( recov]y ,section #edg7;f7
 ( ! ,public ,heal? ,s]vice ,act 7#db   
,u4,s4,c4 #bij;ee-#b7;f77 is am5d$ to   
read z foll[s3  7f7 ,appropriations ,to 
c>ry out ?is section1 !re is au?oriz$ to
 be appropriat$1 & !re is appropriat$1  
out ( any monies 9 ! ,treasury n o!rwise
 appropriat$1 #e1jjj1jjj = ea* ( fiscal 
ye>s #bjbj ?r\gh #bjbc4  4  7s7 ,pe]    
support te*nical assi/ance c5t] ,section
 #edg;,a7e7 ( ! ,public ,heal? ,s]vice  
,act 7#db ,u4,s4,c4 #bij;ee-#b;a7e77 is 
am5d$ to read z foll[s3  7e7            
,appropriations ,to c>ry out ?is        
section1 !re is au?oriz$ to be          
appropriat$1 & !re is appropriat$1 out (
 any monies 9 ! ,treasury n o!rwise     
appropriat$1 #a1jjj1jjj = ea* ( fiscal  
ye>s #bjbj ?r\gh #bjbc4  4  7t7 ,prev5t+
 ov]doses ( controll$ sub/ances ,section
 #cib;,a7d7 ( ! ,public ,heal? ,s]vice  
,act 7#db ,u4,s4,c4 #bhj;b-#a7;d77 is   
am5d$ to read z foll[s3  7d7            
,appropriations ,to c>ry out ?is        
section1 !re is au?oriz$ to be          

appropriat$1 & !re is appropriat$1 out (
 any monies 9 ! ,treasury n o!rwise     
appropriat$1 #dif1jjj1jjj = ea* ( fiscal
 ye>s #bjbj ?r\gh #bjbc4  4  7u7 ,c>e]  
,act ,section #gahc7k7 ( ! ,sub/ance    
,use-,disord] ,prev5tion t ,promotes    
,opioid ,recov]y & ,treatm5t = ,pati5ts 
& ,communities ,act 7,public ,law       
#aae-bga7 is am5d$ to read z foll[s3    
7k7 ,appropriations ,to c>ry out ?is    
section1 !re is au?oriz$ to be          
appropriat$1 & !re is appropriat$1 out (
 any monies 9 ! ,treasury n o!rwise     
appropriat$1 #e1jjj1jjj = ea* ( fiscal  
ye>s #bjbj ?r\gh #bjbc4  4  #d4 ,h\s+ & 
dep>tm5t ( ju/ice provisions ( !        
,,support = ,pati5ts & ,communities ,act
  7a7 ,assi/ance ,to help individuals 9 
recov]y f sub/ance use disord] become   
/ably h\s$ ,section #hjga7;a7 ( !       
,sub/ance ,use-,disord] ,prev5tion t    
,promotes ,opioid ,recov]y & ,treatm5t =
 ,pati5ts & ,communities ,act 7,public  
,law #aae-bga7 is am5d$ by ins]t+ 1 &   
!re are appropriat$1 out ( any monies 9 

! ,treasury n o!rwise appropriat$1 aft] 
appropriat$ "u ?is section4  7b7 ,build+
 capacity = family-,focus$ resid5tial   
treatm5t ,section #hjhc7;c7 ( !         
,sub/ance ,use-,disord] ,prev5tion t    
,promotes ,opioid ,recov]y & ,treatm5t =
 ,pati5ts & ,communities ,act 7,public  
,law #aae-bga7 is am5d$ to read z       
foll[s3  7c7 ,appropriations ,to c>ry   
out ?is section1 !re is au?oriz$ to be  
appropriat$1 & !re is appropriat$1 out (
 any monies 9 ! ,treasury n o!rwise     
appropriat$1 #bj1jjj1jjj = fiscal ye>s  
#bjbj1 :i* %all rema9 available ?r\gh   
fiscal ye> #bjbc4  4  7c7 ,compreh5sive 
,opioid ,abuse ,grant ,program ,section 
#ajja7;a77#bg7 ( title ,i ( ! ,omnibus  
,crime ,control & ,safe ,/reets ,act (  
#aifh 7#cd ,u4,s4,c4 #ajbfa7;a77#bg77 is
 am5d$ to read z foll[s3  7#bg7 ,to c>ry
 out "p ,,ll1 !re is au?oriz$ to be     
appropriat$1 & !re is appropriat$1 out (
 any monies 9 ! ,treasury n o!rwise     
appropriat$1 #ejj1jjj1jjj = ea* ( fiscal
 ye>s #bjbj ?r\gh #bjbc4  4  7d7 ,(fice 

( ,national ,drug ,control ,policy      
,section #gad ( ! ,(fice ( ,national    
,drug ,control ,policy ,reau?orization  
,act ( #aiih 7#ba ,u4,s4,c4 #agaa7 is   
am5d$ to read z foll[s3  #gad4          
,au?orization ( appropriations2         
appropriations ,to c>ry out ?is title1  
except activities o!rwise specifi$1 !re 
is au?oriz$ to be appropriat$1 & !re is 
appropriat$1 out ( any monies 9 !       
,treasury n o!rwise appropriat$1        
#ej1jjj1jjj = ea* ( fiscal ye>s #bjbj   
?r\gh #bjbc1 to rema9 available until   
exp5d$4  4  7e7 ,drug-,free ,communities
 ,program ,section #ajbd ( ! ,anti-,drug
 ,abuse ,act ( #aihh 7#ba ,u4,s4,c4     
#aebd7 is am5d$-- 7#a7 9 ! head+1 by    
ins]t+ 2 appropriations aft]            
,au?orization ( appropriations2 &  7#b7 
by /rik+ subsection 7a7 & ins]t+ !      
foll[+3  7a7 ,9 g5]al ,to c>ry out ?is  
*apt]1 !re is au?oriz$ to be appropriat$
 to ! ,(fice ( ,national ,drug ,control 
,policy1 & !re is appropriat$1 out ( any
 monies 9 ! ,treasury n o!rwise         

appropriat$1 #aej1jjj1jjj = ea* ( fiscal
 ye>s #bjbj ?r\gh #bjbc4  4  7f7        
,high-,int5sity ,drug ,traffick+ ,area  
,program ,section #gjg7p7 ( ! ,(fice (  
,national ,drug ,control ,policy        
,reau?orization ,act ( #aihh 7#ba       
,u4,s4,c4 #agjf7p77 is am5d$--  7#a7 by 
r$esignat+ p>agraphs 7#a7 ?r\gh 7#f7 z  
subp>agraphs 7,a7 ?r\gh 7,f71           
respectively1 & adju/+ ! m>g9s          
accord+ly2  7#b7 by /rik+ ,!re is       
au?oriz$ & ins]t+ ! foll[+3  7#a7 ,9    
g5]al ,!re is au?oriz$  2  7#c7 9       
p>agraph 7#a71 z s designat$-- 7,a7 9   
subp>agraph 7,e71 z s r$esignat$1 by    
/rik+ ea* (2 &  7,b7 9 subp>agraph 7,f71
 z s r$esignat$1 by /rik+ ea* ( fiscal  
ye>s #bjah ?r\gh #bjbc & ins]t+ fiscal  
ye> #bjah2 &  7#d7 by add+ at ! end !   
foll[+3  7#b7 ,appropriations ,to c>ry  
out ?is section1 !re is au?oriz$ to be  
appropriat$ to ! ,(fice ( ,national     
,drug ,control ,policy1 & !re is        
appropriat$1 out ( any monies 9 !       
,treasury n o!rwise appropriat$1        

#bhj1jjj1jjj = ea* ( fiscal ye>s #bjbj  
?r\gh #bjbc4  4  7g7 ,drug ,c\rt        
,program ,section #ajja7;a77#be77;,a7 ( 
title ,i ( ! ,omnibus ,crime ,control & 
,safe ,/reets ,act ( #aifh 7#cd         
,u4,s4,c4 #ajbfa7;a77#be77;,a77 is am5d$
 to read z foll[s3  7#be7 7,a7 ,except z
 provid$ 9 subp>agraph 7,c71 to c>ry out
 "p ,,ee1 !re is au?oriz$ to be         
appropriat$1 & !re is appropriat$1 out (
 any monies 9 ! ,treasury n o!rwise     
appropriat$1 #ge1jjj1jjj = ea* ( fiscal 
ye>s #bjbj ?r\gh #bjbc4  4  7h7 ,drug   
,c\rt ,tra9+ & ,te*nical ,assi/ance     
,section #gje7;e77#b7 ( ! ,(fice (      
,national ,drug ,control ,policy        
,reau?orization ,act ( #aihh 7#ba       
,u4,s4,c4 #agjd7;e77#b77 is am5d$ to    
read z foll[s3  7#b7 ,au?orization (    
appropriations2 appropriations ,to c>ry 
out ?is subsection1 !re is au?oriz$ to  
be appropriat$1 & !re is appropriat$1   
out ( any monies 9 ! ,treasury n o!rwise
 appropriat$1 #b1jjj1jjj = ea* ( fiscal 
ye>s #bjbj ?r\gh #bjbc4  4  7i7         

,adm9i/ration ( ! ,(fice ( ,national    
,drug ,control ,policy ,section         
#gjd7;i77#b7 ( ! ,(fice ( ,national     
,drug ,control ,policy ,reau?orization  
,act ( #aiih 7#ba ,u4,s4,c4             
#agjc7;i77#b77 is am5d$ to read z       
foll[s3  7#b7 ,au?orization (           
appropriations2 appropriations ,to c>ry 
out ?is subsection1 !re is au?oriz$ to  
be appropriat$1 & !re is appropriat$1   
out ( any monies 9 ! ,treasury n o!rwise
 appropriat$1 #a1bej1jjj = ea* ( fiscal 
ye>s #bjbj ?r\gh #bjbc4  4  7j7 ,em]g+  
,?reats ,committee1 ,plan1 & ,m$ia      
,campaign ,section #gji7;g7 ( ! ,(fice (
 ,national ,drug ,control ,policy       
,reau?orization ,act ( #aiih 7#ba       
,u4,s4,c4 #agjh7;g77 is am5d$ to read z 
foll[s3  7g7 ,au?orization (            
appropriations2 appropriations ,to c>ry 
out ?is section1 !re is au?oriz$ to be  
appropriat$ to ! ,(fice1 & !re is       
appropriat$1 out ( any monies 9 !       
,treasury n o!rwise appropriat$1        
#be1jjj1jjj = ea* ( fiscal ye>s #bjbj   

?r\gh #bjbc4  4  #e4 ,bol/]+ commitm5ts 
to ,/ate grants = sub/ance use disord]  
treatm5t & prev5tion  7a7 ,/ate opioid  
response grants  7#a7 ,9 g5]al ,to c>ry 
out activities "u section #ajjc ( ! #ba/
 ,c5tury ,cures ,act 7#db ,u4,s4,c4     
#bij;ee-#c note7 relat+ to opioids by ! 
,/ate ag5cy responsible = adm9i/]+ !    
sub/ance abuse prev5tion & treatm5t     
block grant "u subp>t ,,ii ( "p ,b (    
title ,,xix ( ! ,public ,heal? ,s]vice  
,act 7#db ,u4,s4,c4 #cjjx-#ba et seq471 
!re is au?oriz$ to be appropriat$1 & !re
 is appropriat$1 #e1ejj1jjj1jjj = ea* ( 
fiscal ye>s #bjbj ?r\gh #bjbd4  7#b7    
,flexibility 9 use ( funds ,section     
#ajjc7;b7 ( ! #ba/ ,c5tury ,cures ,act  
7#db ,u4,s4,c4 #bij;ee-#c note7 is am5d$
 by add+ at ! end ! foll[+3  7#c7       
,flexibility ,/ates & ,indian tribes may
 use am\nts provid$ "u grants "u ?is    
subsection to support sub/ance use      
disord] treatm5t c>e & relat$ s]vices   
reg>dless ( :e!r ! pati5t involv$ has a 
prim>y diagnosis ( opioid use disord]1 s

 long z ! individual has a sub/ance use 
disord] diagnosis4  7#d7 ,rule (        
con/ruction ,no?+ 9 ?is subsection %all 
be con/ru$ to prohibit ,/ates f us+     
grant funds "u ?is subsection to        
allocate am\nts to local gov]nm5ts to   
e/abli% subgrantee aw>ds 9 su*          
localities4  4  7#c7 ,sub/ance abuse    
prev5tion & treatm5t block grants       
,section #aice7;a7 ( ! ,public ,heal?   
,s]vice ,act 7#db ,u4,s4,c4             
#cjjx-#ce7;a77 is am5d$ to read z       
foll[s3  7a7 ,appropriations ,to c>ry   
out ?is subp>t1 subp>t ,,iii1 & section 
#eje7;d71 !re is au?oriz$ to be         
appropriat$1 & !re is appropriat$1 out (
 any monies 9 ! ,treasury n o!rwise     
appropriat$1 #c1jjj1jjj1jjj = ea* (     
fiscal ye>s #bjbj ?r\gh #bjbd1 &        
#b1ejj1jjj1jjj = ea* ( fiscal ye>s #bjbe
 ?r\gh #bjbi4  4  7b7 ,requirem5ts ,= ! 
purposes ( c>ry+ out activities ) am\nts
 appropriat$ "u ?is section 7& ! am5dm5t
 made by ?is section71 ! ,secret>y (    
,heal? & ,human ,s]vices %all ensure t !

 foll[+ requirem5ts are compli$ )3  7#a7
 ,( ! am\nt appropriat$ = ea* fiscal ye>
 "u subsection 7a7 7& ! am5dm5t made by 
su* subsection71 #ej1jjj1jjj %all be    
made available to ,indian ,tribes or    
tribal organizations4  7#b7 ,( su*      
rema9+ am\nts = ea* su* fiscal ye>1 #ae 
p]c5t %all be made available to ! ,/ates
 ) ! highe/ mortality rate relat$ to    
opioid use disord]s4  7#c7 ,( ! am\nt   
made available = ea* fiscal ye> "u      
subsections 7a77#a7 = ,/ate ,opioid     
,response ,grants1 n m ?an #b p]c5t (   
su* am\nt %all be available = ,f$]al    
adm9i/rative exp5ses1 tra9+1 te*nical   
assi/ance1 & evaluation4  7#d7 ,( !     
am\nts n res]v$ "u p>agraphs 7#a7 ?r\gh 
7#c71 ! ,secret>y %all make allocations 
to ,/ates1 t]ritories1 & ! ,di/rict (   
,columbia accord+ to a =mula us+        
national survey results t ! ,secret>y   
det]m9es are ! mo/ objective & reliable 
measure ( drug use & drug-relat$ dea?s4 
7#e7 ,! =mula me?odology "u p>agraph    
7#d7 %all be submitt$ to ! ,committees  

on ,appropriations ( ! ,h\se (          
,repres5tatives & ! ,committee on       
,appropriations ( ! ,s5ate n less ?an   
#ae days prior to publi%+ a ,fund+      
,opportunity ,ann\ncem5t4  7#f7 ,!      
prev5tion & treatm5t activities fund$   
?r\gh grants "u ?is section may include 
education1 treatm5t 7includ+ ! provision
 ( m$ication71 behavioral heal? s]vices 
= individuals 9 treatm5t programs1      
ref]ral to treatm5t s]vices1 recov]y    
support1 & m$ical scre5+ associat$ ) su*
 treatm5t4  7#g7 ,ea* ,/ate1 includ+ !  
,di/rict ( ,columbia1 %all receive n    
less ?an #d1jjj1jjj "u grants "u ?is    
section4  7#h7 ,9 addition to am\nts    
appropriat$ "u ?is section 7& ! am5dm5t 
made by ?is section71 ! foll[+ am\nts   
%all be available "u section #bda ( !   
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bch;j73  7,a7 #gi1bjj1jjj to 
c>ry out subp>t ,,ii ( "p ,b ( title    
,,xix ( ! ,public ,heal? ,s]vice ,act to
 fund section #aice7;b7 7#db ,u4,s4,c4  
#cjjx-#ce7 7relat+ to te*nical          

assi/ance1 national data1 data          
collection & evaluation activities7 & ! 
total available "u ?is ,act = activities
 "u su* section #aice7;b7 %all n exce$  
#e p]c5t ( ! am\nts appropriat$ = su*   
subp>t ,,ii ( "p ,b ( title ,,xix4  7,b7
 #b1jjj1jjj to evaluate sub/ance abuse  
treatm5t programs4  7#i7 ,none ( ! funds
 provid$ = "u section #aiba ( ! ,public 
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#cjjx-#ba7 or ,/ate ,opioid ,response   
,grants "u ?is section %all be subject  
to section #bda ( su* ,act 7#db         
,u4,s4,c4 #bch;j74  #f4 ,elim9at+       
insurance b>ri]s to m$ication-assi/$    
treatm5t  7a7 ,limitation on use (      
utilization control policies or         
proc$ures = m$ication-,assi/$ treatm5ts 
,subp>t ,,ii ( "p ,a ( title ,,xxvii ( !
 ,public ,heal? ,s]vice ,act 7#db       
,u4,s4,c4 #cjj;gg-#aa et seq47 is am5d$ 
by add+ at ! end ! foll[+3  #bgbi;,a4   
,elim9at+ b>ri]s to m$ication-assi/$    
treatm5t ,a gr\p heal? plan 7o!r ?an a  
self-insur$ plan7 or a heal? insurance  

issu] (f]+ gr\p or individual heal?     
insurance cov]age %all n impose any     
utilization control policies or         
proc$ures 7z def9$ by ! ,secret>y71     
includ+ prior au?orization requirem5ts1 
) respect to m$ication-assi/$ treatm5t  
cov]$ "u ! plan or cov]age4  4  7b7 ,no 
prior au?orization or o!r utilization   
re/rictions "u ,m$icaid  7#a7           
,prohibition ,section #aijc7;i7 ( !     
,social ,security ,act 7#db ,u4,s4,c4   
#acif;b7i77 is am5d$ by ins]t+ aft]     
p>agraph 7#h71 ! foll[+3  7#i7 ) respect
 to any am\nt exp5d$ = m$ical assi/ance 
= m$ication-assi/$ treatm5t 7z def9$ 9  
section #aije7;ee77 if ! ,/ate imposes  
any utilization control policies or     
proc$ures 7z def9$ by ! ,secret>y71     
includ+ any prior au?orization          
requirem5ts1 ) respect to ! provision ( 
su* assi/ance2 or  4  7#b7 ,con=m+      
am5dm5t ,section #aije7;a77#bi7 ( !     
,social ,security ,act 7#db ,u4,s4,c4   
#acif;d7a77#bi77 is am5d$ by ins]t+ &   
section #aijc7;i77#i7 aft] subsection   

7ee74  7#c7 ,effective date ,! am5dm5ts 
made by ?is subsection take effect on   
,octob] #a1 #bjai4  #g4 ,limitations on 
co/-%>+ = opioid ov]dose rev]sal        
m$ications  7a7 ,limitations on co/-,%>+
 ,subp>t ,,ii ( "p ,a ( title ,,xxvii ( 
! ,public ,heal? ,s]vice ,act 7#db      
,u4,s4,c4 #cjj;gg-#aa et seq471 z am5d$ 
by section #f1 is fur!r am5d$ by add+ at
 ! end ! foll[+3  #bgbi;,b4 ,limitations
 on co/-%>+ = opioid ov]dose rev]sal    
m$ications  7a7 ,9 g5]al ,a gr\p heal?  
plan 7o!r ?an a self-insur$ plan7 or a  
heal? insurance issu] (f]+ gr\p or      
individual heal? insurance cov]age %all 
n impose any co/-%>+ requirem5t "u !    
plan or cov]age ) respect to at lea/ "o 
br& or g5]ic v]sion ( opioid ov]dose    
rev]sal drug4  7b7 ,def9ition ,9 ?is    
section1 ! t]m opioid ov]dose rev]sal   
drug means a drug or biological approv$ 
by ! ,food & ,drug ,adm9i/ration =--    
7#a7 complete or p>tial rev]sal ( opioid
 depression1 includ+ respiratory        
depression1 induc$ by opioids2 or  7#b7 

em]g5cy treatm5t ( a kn[n or suspect$   
opioid ov]dose1 z manife/$ by           
respiratory or c5tral n]v\s sy/em       
depression4  4  7b7 ,limitations on     
co/-,%>+ "u ,m$ic>e "p ,d  7#a7 ,9 g5]al
 ,section #ahfj;,d-#b7;b7 ( ! ,social   
,security ,act 7#db ,u4,s4,c4           
#aciew-#ajb7;b77 is am5d$-- 7,a7 9      
p>agraph 7#a77;,a71 by /rik+ ,! cov]age 
& ins]t+ ,subject to p>agraph 7#h71 !   
cov]age2  7,b7 9 p>agraph 7#b77;,a71 by 
/rik+ & 7,d7 & ins]t+ & 7,d7 & p>agraph 
7#h72  7,c7 9 p>agraph 7#c77;,a71 by    
/rik+ & 7#d7 & ins]t+ 7#d71 & 7#h72     
7,d7 9 p>agraph 7#d77;,a77i71 by /rik+  
,! cov]age & ins]t+ ,subject to p>agraph
 7#h71 ! cov]age2 &  7,e7 by add+ at !  
end ! foll[+ new p>agraph3  7#h7        
,limitations on co/-%>+ = opioid ov]dose
 rev]sal drugs  7,a7 ,9 g5]al ,= plan   
ye> #bjba & ea* subsequ5t plan ye>1 ea* 
prescription drug plan & ,,ma-,,pd plan 
%all n impose any co/-%>+ requirem5t "u 
! plan ) respect to at lea/ "o br& or   
g5]ic v]sion ( an opioid ov]dose rev]sal

 drug 7z def9$ 9 section #bgbi;,b ( !   
,public ,heal? ,s]vice ,act74 ,!        
requirem5t "u ! prec$+ s5t5ce %all also 
apply to co/-%>+ applicable to subsidy  
eligible individuals "u section         
#ahad;,d-#ad4  7,b7 ,co/-%>+ ,= purposes
 ( subp>agraph 7,a71 ! elim9ation (     
co/-%>+ %all include ! foll[+3 7i7 ,no  
application ( d$uctible ,! waiv] ( !    
d$uctible "u p>agraph 7#a74  7ii7 ,no   
application ( co9surance ,! waiv] (     
co9surance "u p>agraph 7#b74  7iii7 ,no 
application ( initial cov]age limit ,!  
initial cov]age limit "u p>agraph 7#c7  
%all n apply4  7iv7 ,no co/-%>+ above   
annual out-(-pocket ?re%old ,! waiv] (  
co/-%>+ "u p>agraph 7#d74  4  7#b7      
,con=m+ am5dm5ts to co/-%>+ = l[-income 
individuals ,section #ahfj;,d-#ad7;a7 ( 
! ,social ,security ,act 7#db ,u4,s4,c4 
#aciew-#aad7;a77 is am5d$--  7,a7 9     
p>agraph 7#a71 9 ! matt] prec$+         
subp>agraph 7,a71 by /rik+ ,9 ! case &  
ins]t+ ,subject to section              
#ahfj;,d-#b7;b77#h71 9 ! case2 &  7,b7 9

 p>agraph 7#b71 9 ! matt] prec$+        
subp>agraph 7,a71 by /rik+ ,9 ! case &  
ins]t+ ,subject to section              
#ahfj;,d-#b7;b77#h71 9 ! case4  #h4     
,t>get+ heal? work=ce loan repaym5t     
assi/ance to h>de/-hit ,/ates  7a7 ,loan
 repaym5t program = sub/ance use disord]
 treatm5t work=ce ,section #gha7;j7 ( ! 
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bie;h7j77 is am5d$ to read z 
foll[s3  7j7 ,appropriations  7#a7 ,9   
g5]al ,to c>ry out ?is section 7o!r ?an 
p>agraph 7#b771 !re is au?oriz$ to be   
appropriat$1 & !re is appropriat$1 out (
 any monies 9 ! ,treasury n o!rwise     
appropriat$1 #be1jjj1jjj = ea* ( fiscal 
ye>s #bjbj ?r\gh #bjbc4  7#b7 ,/ates )  
highe/ drug ov]dose dea? rates  7,a7 ,9 
g5]al ,to c>ry out ! program "u ?is     
section ) respect to individuals :o     
agree to provide obligat$ s]vice 9      
,/ates describ$ 9 subp>agraph 7,b71 !re 
is au?oriz$ to be appropriat$1 & !re is 
appropriat$1 out ( any monies 9 !       
,treasury n o!rwise appropriat$1        

#be1jjj1jjj = ea* ( fiscal ye>s #bjbj   
?r\gh #bjbd4  7,b7 ,/ates describ$ ,a   
,/ate describ$ 9 ?is subp>agraph is a   
,/ate t is 9 ! top qu9tile ( all ,/ates 
9 t]ms ( ! highe/ mean drug ov]dose dea?
 rate p] #ajj1jjj resid5ts = ! #c-ye>   
p]iod imm$iately prec$+ ! ye> = :i* !   
det]m9ation is be+ made1 z det]m9$ by ! 
,secret>y4  7,c7 ,application ( section 
,except z provid$ 9 ?is p>agraph1 !     
requirem5ts ( ?is section o!rwise       
applicable to individuals "u ?is section
 %all apply to individuals receiv+      
assi/ance "u ?is p>agraph4  4  7b7      
,tra9+ demon/ration program ,section    
#gfj7;g7 ( ! ,public ,heal? ,s]vice ,act
 7#db ,u4,s4,c4 #bidk7g77 is am5d$ to   
read z foll[s3  7g7 ,appropriations     
7#a7 ,9 g5]al ,to c>ry out ?is section  
7o!r ?an p>agraph 7#b771 !re is au?oriz$
 to be appropriat$1 & !re is            
appropriat$1 out ( any monies 9 !       
,treasury n o!rwise appropriat$1        
#aj1jjj1jjj = ea* ( fiscal ye>s #bjbj   
?r\gh #bjbd4  7#b7 ,/ates ) highe/ drug 

ov]dose dea? rates  7,a7 ,9 g5]al ,to   
c>ry out ! program "u ?is section )     
respect to grantees locat$ 9 ,/ates     
describ$ 9 subp>agraph 7,b71 !re is     
au?oriz$ to be appropriat$1 & !re is    
appropriat$1 out ( any monies 9 !       
,treasury n o!rwise appropriat$1        
#bj1jjj1jjj = ea* ( fiscal ye>s #bjbj   
?r\gh #bjbd4  7,b7 ,/ates describ$ ,a   
,/ate describ$ 9 ?is subp>agraph is a   
,/ate t is 9 ! top qu9tile ( all ,/ates 
9 t]ms ( ! highe/ mean drug ov]dose dea?
 rate p] #ajj1jjj resid5ts = ! #c-ye>   
p]iod imm$iately prec$+ ! ye> = :i* !   
det]m9ation is be+ made1 z det]m9$ by ! 
,secret>y4  7,c7 ,application ( section 
,except z provid$ 9 ?is p>agraph1 !     
requirem5ts ( ?is section o!rwise       
applicable to grantees "u ?is section   
%all apply to grantees receiv+ assi/ance
 "u ?is p>agraph4  4  #i4 ,m$icaid      
paym5ts = behavioral heal? & m5tal heal?
 provid]s  7a7 ,9 g5]al  7#a7           
,fee-=-s]vice ,section #aijb ( ! ,social
 ,security ,act 7#db ,u4,s4,c4 #acif;a7 

is am5d$-- 7,a7 9 subsection 7a77#ac7-- 
7i7 by /rik+ & at ! end ( subp>agraph   
7,b72  7ii7 by add+ & at ! end (        
subp>agraph 7,c72 &  7iii7 by add+ at ! 
end ! foll[+ new subp>agraph3  7,d7     
paym5t = m5tal heal? & behavioral heal? 
s]vices 7z def9$ 9 subsection 7qq77#a77 
furni%$ on or aft] ,octob] #a1 #bjai1 & 
be=e ,octob] #a1 #bjbd1 by a physician  
or applicable pr(essional 7z def9$ 9    
subsection 7qq77#b77 at a rate n less   
?an #ajj p]c5t ( ! paym5t rate t applies
 to su* s]vices & physician or          
applicable pr(essional "u "p ,b ( title 
,,xviii 7or1 if great]1 ! paym5t rate t 
w\ld be applicable "u su* "p if !       
conv]sion factor "u section #ahdh7;d7 = 
! ye> involv$ 7 ! conv]sion factor "u   
su* section = #bjai1 &1 if su* s]vices  
are n cov]$ "u su* "p1 ! reasonable &   
cu/om>y rate ! ,secret>y det]m9es w\ld  
apply to su* s]vices & physician or     
applicable pr(essional72  2 &  7,b7 by  
add+ at ! end ! foll[+ new subsection3  
7qq7 ,m5tal heal? & behavioral heal?    

s]vices ,= purposes ( subsection        
7a77#ac77;,d73  7#a7 ,m5tal heal? &     
behavioral heal? s]vices  7,a7 ,9 g5]al 
,! t]m m5tal heal? & behavioral heal?   
s]vices means ! foll[+ s]vices1 :5      
provid$ to a pati5t ) a diagnosis (     
sub/ance use disord] 7z def9$ 9         
subp>agraph 7,b77 z a "p ( ! managem5t  
or treatm5t ( ! pati5t's sub/ance use   
disord] 7z det]m9$ 9 accordance )       
regulations promulgat$ by ! ,secret>y "u
 subp>agraph 7,c773  7i7 ,evaluation &  
managem5t s]vices t are proc$ure codes  
7= s]vices cov]$ "u title ,,xviii7 =    
s]vices 9 ! category designat$          
,evaluation & ,managem5t 9 ! ,heal?c>e  
,common ,proc$ure ,cod+ ,sy/em 7e/abli%$
 by ! ,secret>y "u section #ahdh7;c77#e7
 z ( ,decemb] #ca1 #bjah1 & z           
subsequ5tly modifi$74  7ii7 ,c\nsel+    
s]vices1 z def9$ by ! ,secret>y4  7iii7 
,paym5t codes e/abli%$ by ! ,secret>y = 
opioid use disord] treatm5t s]vices "u  
section #ahff;,f4  7iv7 ,any o!r s]vices
 ! ,secret>y det]m9es are necess>y = !  

managem5t or treatm5t ( a pati5t ) a    
diagnosis ( sub/ance use disord]4  7,b7 
,pati5t ) a diagnosis ( sub/ance use    
disord] ,= purposes ( subp>agraph 7,a71 
! t]m pati5t ) a diagnosis ( sub/ance   
use disord] means an individual :o has  
be5 diagnos$ ) #a or m diagnosis codes  
)9 ! code set entitl$ ! ,m5tal heal? &  
behavioral disord]s due to psy*oactive  
sub/ance use "u ! #aj? revision ( !     
,int]national ,/ati/ical ,classification
 ( ,diseases & ,relat$ ,heal? ,problems4
  7,c7 ,regulations ,n lat] ?an #ij days
 aft] ! enactm5t ( ?is subsection1 !    
,secret>y %all promulgate regulations   
reg>d+ :5 s]vices are suffici5tly relat$
 to "p ( ! managem5t or treatm5t ( a    
pati5t's sub/ance use disord]4  7#b7    
,applicable pr(essional ,! t]m          
applicable pr(essional means-- 7,a7 a   
cl9ical psy*ologi/ 7z def9$ = purposes (
 section #ahfa7;ii772  7,b7 a cl9ical   
social work] 7z def9$ 9 section         
#ahfa7;hh77#a772  7,c7 a m$ical         
pr(essional approv$ to furni%           

m$ication-assi/$ treatm5t "u section    
#cjc7;g77#b7 ( ! ,controll$ ,sub/ances  
,act2 or  7,d7 a m$ical pr(essional t is
 au?oriz$ "u ! ,/ate plan to furni%     
m5tal & behavioral heal? s]vices 7z     
def9$ 9 p>agraph 7#a774  4  7#b7 ,manag$
 c>e ,section #aicb7;f7 ( su* ,act 7#db 
,u4,s4,c4 #acifu-#b7;f77 is am5d$-- 7,a7
 9 ! subsection head+1 by ins]t+ & m5tal
 heal? & behavioral heal? s]vices aft]  
c>e s]vices2 &  7,b7 by ins]t+ be=e !   
p]iod at ! end ! foll[+3 1 &1 9 ! case (
 m5tal heal? & behavioral heal? s]vices 
describ$ 9 section #aijb7;a77#ac77;,d71 
consi/5t ) ! m9imum paym5t rates        
specifi$ 9 su* section 7reg>dless ( !   
mann] 9 :i* su* paym5ts are made1       
includ+ 9 ! =m ( capitation or p>tial   
capitation74  7b7 ,increas$ ,,fmap =    
additional co/s  7#a7 ,9 g5]al ,section 
#aije ( ! ,social ,security ,act 7#db   
,u4,s4,c4 #acif;d7 is am5d$ by add+ at !
 end ! foll[+ new subsection3  7ff7     
,increas$ ,,fmap = additional           
exp5ditures = m5tal heal? & behavioral  

heal? s]vices ,not)/&+ subsection 7b71 )
 respect to ! portion ( ! am\nts exp5d$ 
= m$ical assi/ance = s]vices describ$ 9 
section #aijb7;a77#ac77;,d7 furni%$ on  
or aft] ,octob] #a1 #bjai1 & be=e       
,octob] #a1 #bjbd1 t is attributable to 
! am\nt by :i* ! m9imum paym5t rate     
requir$ "u su* section 7or1 by          
application1 section #aicb7;f77 exce$s !
 paym5t rate applicable to su* s]vices  
"u ! ,/ate plan or a waiv] ( su* plan z 
( ,july #a1 #bjai1 ! ,f$]al m$ical      
assi/ance p]c5tage = a ,/ate %all be    
equal to #ajj p]c5t4 ,! prec$+ s5t5ce   
%all n be con/ru$ z prohibit+ ! paym5t (
 ,f$]al f9ancial p>ticipation bas$ on ! 
,f$]al m$ical assi/ance p]c5tage = !    
portion ( ! am\nts exp5d$ = m$ical      
assi/ance = su* s]vices t is            
attributable to ! am\nt 7if any7 by :i* 
! paym5t rate applicable to su* s]vices 
"u ! ,/ate plan or waiv] exce$s su*     
m9imum paym5t rate4  4  7#b7 ,disreg>d (
 limits on paym5ts to t]ritories        
,section #aajh7;g77#d7 ( ! ,social      

,security ,act 7#db ,u4,s4,c4           
#acjh7;g77#d77 is am5d$-- 7,a7 by /rik+ 
,) respect to fiscal ye>s beg9n+ )      
fiscal ye> #bjji1 & ins]t+ ! foll[+3    
7,a7 ,9 g5]al ,) respect to fiscal ye>s 
beg9n+ ) fiscal ye> #bjji1  2 &  7,b7 by
 add+ at ! end ! foll[+3  7,b7 ,o!r     
exp5ditures ,! am\nts receiv$ by a      
commonweal? or t]ritory = a cal5d> qu>t]
 ( a fiscal ye> t are attributable to ! 
application ( section #aije7;ff71 %all n
 be tak5 into acc\nt 9 apply+ subsection
 7f7 7z increas$ 9 accordance )         
p>agraphs 7#a71 7#b71 7#c71 & 7#e7 ( ?is
 subsection7 to su* commonweal? or      
t]ritory = su* fiscal ye>4  4  #aj4     
,ext5sion ( ,m$icaid deliv]y sy/em re=m 
& inc5tive paym5t waiv]s  7a7 ,ext5sion 
( waiv]s ,9 ! case ( a ,m$icaid section 
#aaae waiv] describ$ 9 subsection 7b71 n
 lat] ?an #fj days aft] ! date (        
enactm5t ( ?is ,act1 ! ,secret>y (      
,heal? & ,human ,s]vices %all--  7#a7   
ext5d ! t]m9ation date = ! waiv] to     
,decemb] #ca1 #bjbe 7or su* e>li] date z

 ! ,/ate conduct+ ! waiv] may elect72   
7#b7 apply ! same annual doll> allotm5t 
= ! p]iod = :i* ! waiv] is ext5d$ "u    
p>agraph 7#a7 z ! annual doll> allotm5t 
t appli$ to ! waiv] p]iod 9 effect on ! 
date ( enactm5t ( ?is ,act2 &  7#c7 all[
 any ,/ate ) su* a waiv] to use funds   
provid$ dur+ ! p]iod = :i* ! waiv] is   
ext5d$ "u p>agraph 7#a7 to support !    
tra9+ ( direct s]vice work]s t provide  
home & community-bas$ s]vices4  7b7     
,m$icaid section #aaae waiv] describ$ ,!
 ,m$icaid section #aaae waiv] describ$ 9
 ?is subsection is a waiv] approv$ "u   
section #aaae ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #acae7 relat+ to deliv]y
 sy/em re=m inc5tive paym5ts t--  7#a7 z
 ( ! date ( enactm5t ( ?is ,act1 is to  
t]m9ate on or be=e ,decemb] #ca1 #bjbj2 
7#b7 is 9 effect on ! date ( enactm5t ( 
?is ,act2 &  7#c7 0 approv$ = any ,/ate 
t ranks 9 ! top qu9tile ( all ,/ates 9  
t]ms ( ! highe/ mean drug ov]dose dea?  
rate p] #ajj1jjj resid5ts = ! mo/ rec5t 
#c-ye> p]iod prec$+ ! date ( enactm5t ( 

?is ,act = :i* data is available4  #aa4 
,sep>ate ambulatory paym5t              
classifications 7,,apc7 codes "u !      
,m$ic>e hospital outpati5t dep>tm5t     
prospective paym5t sy/em & ! ,m$ic>e    
ambulatory surgical c5t] paym5t sy/em = 
surg]ies utiliz+ non-opioid pa9         
managem5t drugs  7a7 ,hospital outpati5t
 dep>tm5t prospective paym5t sy/em      
,section #ahcc7t7 ( ! ,social ,security 
,act 7#db ,u4,s4,c4 #aciel7t77 is       
am5d$-- 7#a7 9 p>agraph 7#b77;,a71 by   
/rik+ ! ,secret>y & ins]t+ subject to   
p>agraph 7#bc71 ! ,secret>y2 &  7#b7 by 
add+ at ! end ! foll[+ new p>agraph3    
7#bc7 ,sep>ate ,a,p,cs = surg]ies us+   
non-opioid pa9 managem5t drugs  7,a7 ,9 
g5]al ,9 ! case ( cov]$ ,,opd s]vices   
furni%$ on or aft] ,janu>y #a1 #bjba1 ! 
classification sy/em develop$ "u        
p>agraph 7#b77;,a7 %all provide =       
sep>ate ambulatory paym5t classification
 codes =--  7i7 surg]ies t utilize      
non-opioid drugs1 includ+ su* drugs     
deliv]$ us+ an ext]nal infusion pump & !

 deliv]y me*anisms necess>y = ! deliv]y 
( su* drugs1 to treat pa9 aft] ! surg]y2
 &  7ii7 surg]ies t utilize opioid drugs
 to treat pa9 aft] ! surg]y4  7,b7      
,application ,= purposes ( ?is p>agraph1
 ! ,secret>y %all-- 7i7 treat any drug )
 a ,food & ,drug ,adm9i/ration          
indication = pa9 managem5t dur+ & aft]  
surg]y t is also non-opioid z a         
non-opioid drug2 &  7ii7 e/abli% a cle> 
def9ition = non-opioid pa9 managem5t    
drugs t d n h a ,food & ,drug           
,adm9i/ration indication = pa9 managem5t
 dur+ or aft] ! surg]y4  4  7b7         
,ambulatory surgical c5t] paym5t sy/em  
,section #ahcc7;i77#b77;,d7 ( ! ,social 
,security ,act 7#db ,u4,s4,c4           
#aciel7i77#b77;,d77 is am5d$-- 7#a7 by  
align+ ! m>g9s ( clause 7v7 ) ! m>g9s ( 
clause 7iv72  7#b7 by r$esignat+ clause 
7vi7 z clause 7vii72 &  7#c7 by ins]t+  
aft] clause 7v7 ! foll[+ new clause3    
7vi7 ,9 ! case ( surgical s]vices       
furni%$ on or aft] ,janu>y #a1 #bjba1 ! 
paym5t sy/em describ$ 9 clause 7i7 %all 

provide = sep>ate ambulatory paym5t     
classification codes =--  7,i7 consi/5t 
) subsection 7t77#bc71 surg]ies t       
utilize non-opioid drugs1 includ+ su*   
drugs deliv]$ us+ an ext]nal infusion   
pump & ! deliv]y me*anisms necess>y = ! 
deliv]y ( su* drugs1 to treat pa9 aft] !
 surg]y2 &  7,,ii7 surg]ies t utilize   
opioid drugs to treat pa9 aft] ! surg]y4
  4  #ab4 ,adv]se *ildhood exp]i5ces    
response team grant program ,title ,i ( 
! ,omnibus ,crime ,control & ,safe      
,/reets ,act ( #aifh 7#cd ,u4,s4,c4     
#ajaja et seq47 is am5d$ by add+ at !   
end ! foll[+3  ,,oo ,adv]se *ildhood    
exp]i5ces response team grant program   
#cjea4 ,grants = adv]se *ildhood        
exp]i5ces response teams  7a7 ,grants   
au?oriz$ ,f am\nts made available to    
c>ry out ?is section1 ! ,attorney       
,g5]al1 9 coord9ation ) ! ,secret>y (   
,heal? & ,human ,s]vices1 %all make     
grants to ,/ates1 units ( local         
gov]nm5t1 ,indian ,tribes1 &            
neighborhood or community-bas$          

organizations to address adv]se *ildhood
 exp]i5ces associat$ ) exposure to      
trauma4  7b7 ,use ( funds ,am\nts       
receiv$ "u a grant "u ?is section may be
 us$ to e/abli% an adv]se *ildhood      
exp]i5ces response team1 includ+ by--   
7#a7 e/abli%+ protocols to foll[ :5     
enc\nt]+ a *ild or y\? expos$ to trauma 
to facilitate access to s]vices2  7#b7  
develop+ ref]ral p>tn]%ip agreem5ts )   
behavioral heal? provid]s1 sub/ance     
treatm5t facilities1 & recov]y s]vices =
 family memb]s ( *ildr5 expos$ to       
trauma2  7#c7 integrat+ law en=cem5t1   
m5tal heal?1 & crisis s]vices to respond
 to situations :]e *ildr5 h be5 expos$  
to trauma2  7#d7 implem5t+ compreh5sive1
 evid5ce-bas$ programs & practices to   
support *ildr5 expos$ to trauma2  7#e7  
id5tify+ b>ri]s = *ildr5 to access      
trauma-in=m$ c>e 9 _! communities2  7#f7
 provid+ tra9+ 9 trauma-in=m$ c>e to    
em]g5cy response provid]s1 victim s]vice
 provid]s1 *ild protective s]vice       
pr(essionals1 educational in/itutions1 &

 o!r community p>tn]s2 &  7#g7 support+ 
cross-sy/em plann+ & collaboration among
 (fic]s & employees :o "w 9 law         
en=cem5t1 c\rt sy/ems1 *ild welf>e      
s]vices1 correctional re5try programs1  
em]g5cy m$ical s]vices1 heal? c>e       
s]vices1 public heal?1 & sub/ance abuse 
treatm5t & recov]y support4  7c7        
,application ,a ,/ate1 unit ( local     
gov]nm5t1 ,indian ,tribe1 or            
neighborhood or community-bas$          
organization desir+ a grant "u ?is      
section %all submit to ! ,attorney      
,g5]al an application 9 su* =m1 &       
conta9+ su* in=mation1 z ! ,attorney    
,g5]al may reasonably require4  7d7     
,fund+ ,to c>ry out ?is section1 !re is 
au?oriz$ to be appropriat$1 & !re is    
appropriat$1 out ( any monies 9 !       
,treasury n o!rwise appropriat$1        
#bj1jjj1jjj = ea* ( fiscal ye>s #bjbj   
?r\gh #bjbc4  4  #ac4 ,exp&+ drug free  
communities support grants ,section     
#ajcb ( ! ,anti-,drug ,abuse ,act (     
#aihh 7#ba ,u4,s4,c4 #aecb7 is am5d$--  

7#a7 9 subsection 7b7--  7,a7 9 p>agraph
 7#c7-- 7i7 9 subp>agraph 7,a71 by /rik+
 subp>agraph 7,f7 & ins]t+ subp>agraph  
7,h72  7ii7 by r$esignat+ subp>agraphs  
7,d71 7,e71 & 7,f7 z subp>agraphs 7,f71 
7,g71 & 7,h71 respectively2  7iii7 by   
ins]t+ aft] subp>agraph 7,c7 ! foll[+3  
7,d7 ,subsequ5t additional grants       
,subject to subp>agraph 7,h71 !         
,adm9i/rator may aw>d a subsequ5t       
additional grant to a grant recipi5t "u 
subp>agraph 7,a71 = ea* fiscal ye> dur+ 
! #d-;fiscal-ye> p]iod foll[+ ! fiscal  
ye> = :i* ! initial additional grant "u 
subp>agraph 7,a7 is aw>d$1 9 an am\nt n 
to exce$ ! am\nt ( non-,f$]al funds1    
includ+ 9-k9d contributions1 rais$ by ! 
grant recipi5t = ! fiscal ye> = :i* !   
subsequ5t additional grant is aw>d$4    
7,e7 ,r5ewal grants ,subject to         
subp>agraph 7,h71 ! ,adm9i/rator may    
aw>d a r5ewal grant to a grant recipi5t 
"u subp>agraph 7,d71 = ! fir/ fiscal ye>
 foll[+ ! #d-;fiscal-ye> p]iod = :i* !  
subsequ5t additional grant "u           

subp>agraph 7,d7 is aw>d$1 9 an am\nt n 
to exce$ ! am\nt ( non-,f$]al funds1    
includ+ 9-k9d contributions1 rais$ by ! 
grant recipi5t = ! fiscal ye> = :i* !   
r5ewal grant is aw>d$4  2 &  7iv7 9     
subp>agraph 7,f71 z s r$esignat$-- 7,i7 
9 ! subp>agraph head+1 by /rik+ r5ewal &
 ins]t+ subsequ5t r5ewal2 &  7,,ii7 9 ! 
matt] prec$+ clause 7i7-- 7aa7 by /rik+ 
subp>agraph 7,f7 & ins]t+ subp>agraph   
7,h72  7bb7 by /rik+ r5ewal grant to a  
grant recipi5t "u ?is p>agraph & ins]t+ 
subsequ5t r5ewal grant to a grant       
recipi5t "u subp>agraph 7,e72 &  7cc7 by
 /rik+ initial additional grant "u      
subp>agraph 7,a7 & ins]t+ r5ewal grant  
"u subp>agraph 7,e72 &  7,b7 9 p>agraph 
7#d71 by /rik+ 7#c77;,e7 & ins]t+       
7#c77;,g72  7#b7 9 subsection 7d7--     
7,a7 by /rik+ ,9 aw>d+ & ins]t+ !       
foll[+3  7#a7 ,priority = economically  
disadvantag$ areas ,9 aw>d+  2 &  7,b7  
by add+ at ! end ! foll[+3  7#b7        
,priority = /ates demon/rat+ high       
mortality rates relat+ to opioid use    

disord]  7,a7 ,grants to m ?an #a       
eligible coalition repres5t+ a community
 ,9 aw>d+ grants "u subsection          
7b77#a77;,b77ii71 ! ,adm9i/rator %all   
give priority to eligible coalitions t  
s]ve #a or m communities 9 a ,/ate t has
 a high mortality rate relat+ to opioid 
use disord]4  7,b7 ,subsequ5t additional
 grants ,9 aw>d+ subsequ5t additional   
grants "u subsection 7b77#c77;,d71 !    
,adm9i/rator %all give priority to an   
eligible coalition t s]ves #a or m      
communities 9 a ,/ate t has a high      
mortality rate relat+ to opioid use     
disord]4  2 &  7#c7 by add+ at ! end !  
foll[+3  7e7 ,limitation on subsequ5t   
r5ewal grants ,a recipi5t ( a subsequ5t 
r5ewal grant aw>d$ "u subsection        
7b77#c77;,f7 may n be aw>d$ any fur!r   
grant "u ?is section4  4  #ad4 ,support 
= law en=cem5t m5tal heal? & wellness   
,!re is au?oriz$ to be appropriat$1 &   
!re is appropriat$1 out ( any monies 9 !
 ,treasury n o!rwise appropriat$1       
#aj1jjj1jjj = ea* ( fiscal ye>s #bjbj   

?r\gh #bjbc = grants "u section         
#agja7;b77#bc7 ( title ,i ( ! ,omnibus  
,crime ,control & ,safe ,/reets ,act (  
#aifh 7#cd ,u4,s4,c4 #ajcha7;b77#bc77 to
 e/abli% pe] m5tor+ m5tal heal? &       
wellness pilot programs )9 ,/ate1       
tribal1 & local law en=cem5t ag5cies4