,,ii  #aaf? ,,congress  #b;d ,session   
,s4 #dbdb  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,july #ba1 #bjbj ,mr4  
,durb9 introduc$ ! foll[+ bill2 :i* 0   
read twice & ref]r$ to ! ,committee on  
,f9ance  ,a ,,bill  ,to e/abli% programs
 relat$ to prev5tion ( prescription     
opioid misuse1 & = o!r purposes4  #a4   
,%ort title ,?is ,act may be cit$ z !   
,addiction ,prev5tion & ,responsible    
,opioid ,practices ,act4  #b4 ,excise   
tax on opioid pa9 reliev]s  7a7 ,9 g5]al
 ,sub*apt] ,e ( *apt] #cb ( ! ,int]nal  
,rev5ue ,code ( #aihf is am5d$ by add+  
at ! end ! foll[+ new section3  #daib4  
,opioid pa9 reliev]s  7a7 ,9 g5]al ,!re 
is h]eby impos$ on ! manufactur] or     
produc] ( any taxable active opioid a   
tax equal to ! am\nt det]m9$ "u         
subsection 7b74  7b7 ,am\nt det]m9$ ,!  
am\nt det]m9$ "u ?is subsection )       
respect to a manufactur] or produc] = a 
cal5d> ye> is #a c5t p] milligram (     
taxable active opioid 9 ! production or 
manufactur+ quota det]m9$ = su*         

manufactur] or produc] = ! cal5d> ye> "u
 section #cjf ( ! ,controll$ ,sub/ances 
,act 7#ba ,u4,s4,c4 #hbf74  7c7 ,taxable
 active opioid ,= purposes ( ?is        
section-- 7#a7 ,9 g5]al ,! t]m taxable  
active opioid means any controll$       
sub/ance 7z def9$ 9 section #ajb ( !    
,controll$ ,sub/ances ,act 7#ba         
,u4,s4,c4 #hjb71 z 9 effect on ! date ( 
! enactm5t ( ?is section7 manufactur$ 9 
! ,unit$ ,/ates :i* is opium1 an opiate1
 or any d]ivative !re(4  7#b7           
,exclusions  7,a7 ,o!r +r$i5ts ,9 ! case
 ( a product t includes a taxable active
 opioid & ano!r +r$i5t1 subsection 7a7  
%all apply only to ! portion ( su*      
product t is a taxable active opioid4   
7,b7 ,drugs us$ 9 addiction treatm5t ,! 
t]m taxable active opioid %all n include
 any controll$ sub/ance 7z s def9$7 :i* 
is us$ exclusively = ! treatm5t ( opioid
 addiction z "p ( a m$ication-assi/$    
treatm5t4  4  7b7 ,cl]ical am5dm5ts     
7#a7 ,! head+ ( sub*apt] ,e ( *apt] #cb 
( ! ,int]nal ,rev5ue ,code ( #aihf is   

am5d$ by /rik+ ,m$ical devices & ins]t+ 
,o!r m$ical products4  7#b7 ,! table (  
sub*apt]s = *apt] #cb ( su* ,code is    
am5d$ by /rik+ ! item relat+ to sub*apt]
 ,e & ins]t+ ! foll[+ new item3         
,sub*apt] ,e4 ,o!r m$ical products  4   
7#c7 ,! table ( sections = sub*apt] ,e (
 *apt] #cb ( su* ,code is am5d$ by add+ 
at ! end ! foll[+ new item3  ,sec4      
#daib4 ,opioid pa9 reliev]s4  4  7c7    
,effective date ,! am5dm5ts made by ?is 
section %all apply to cal5d> ye>s beg9n+
 aft] ! date ( ! enactm5t ( ?is ,act4   
#c4 ,opioid consum] abuse r$uction      
program  7a7 ,opioid take-,back program 
,section #cjb ( ! ,controll$ ,sub/ances 
,act 7#ba ,u4,s4,c4 #hbb7 is am5d$ by   
add+ at ! end ! foll[+3  7h7 7#a7 ,!    
,attorney ,g5]al %all e/abli% a national
 take-back program = ! safe &           
environm5tally responsible disposal (   
controll$ sub/ances4  7#b7 ,9 e/abli%+ !
 take-back program requir$ "u p>agraph  
7#a71 ! ,attorney ,g5]al-- 7,a7 %all    
consult ) ! ,secret>y & ! ,adm9i/rator (

 ! ,environm5tal ,protection ,ag5cy2 &  
7,b7 may coord9ate ) ,/ates1 law        
en=cem5t ag5cies1 wat] res\rce managem5t
 ag5cies1 manufactur]s1 practition]s1   
ph>maci/s1 public heal? entities1       
transportation & inc9]ation s]vice      
contractors1 & o!r entities &           
individuals1 z appropriate4  7#c7 ,!    
take-back program e/abli%$ "u p>agraph  
7#a7--  7,a7 %all-- 7i7 ensure          
appropriate geographic di/ribution s z  
to provide--  7,i7 reasonably conv5i5t &
 equitable access to p]man5t take-back  
locations1 includ+ n less ?an #a        
disposal site = e #be1jjj resid5ts & n  
less ?an #a physical disposal site p]   
t[n1 city1 c\nty1 or o!r unit ( local   
gov]nm5t1 :]e possible2 &  7,,ii7       
p]iodic collection ev5ts & mail-back    
programs1 includ+ public notice ( su*   
ev5ts & programs1 z a supplem5t to !    
p]man5t take-back locations describ$ 9  
subclause 7,i71 p>ticul>ly 9 areas 9 :i*
 ! provision ( access to su* locations  
at ! level describ$ 9 t subclause is n  

possible2  7ii7 e/abli% a process = !   
accurate catalogu+ & report+ ( !        
quantities ( controll$ sub/ances        
collect$2 &  7iii7 include a public     
aw>5ess campaign & education (          
practition]s & ph>maci/s2 &  7,b7 may "w
 9 coord9ation ) ,/ate & locally        
implem5t$ public & private take-back    
programs4  7#d7 ,f "t to "t1 beg9n+ 9 ! 
second cal5d> ye> t beg9s aft] ! date ( 
enactm5t ( ?is subsection1 ! ,secret>y (
 ! ,treasury %all transf] f ! g5]al fund
 ( ! ,treasury an am\nt equal to "o-half
 ( ! total am\nt ( taxes collect$ "u    
section #daib ( ! ,int]nal ,rev5ue ,code
 ( #aihf to ! ,attorney ,g5]al to c>ry  
out ?is subsection4 ,am\nts transf]r$ "u
 ?is subp>agraph %all rema9 available   
until exp5d$4  4  7b7 ,fund+ ( sub/ance 
abuse programs ,f "t to "t1 beg9n+ 9 !  
second cal5d> ye> t beg9s aft] ! date ( 
enactm5t ( ?is ,act1 ! ,secret>y ( !    
,treasury %all transf] f ! g5]al fund ( 
! ,treasury an am\nt equal to "o-half ( 
! total am\nt ( taxes collect$ "u       

section #daib ( ! ,int]nal ,rev5ue ,code
 ( #aihf1 z add$ by ?is ,act1 to !      
,director ( ! ,c5t] = ,sub/ance ,abuse  
,treatm5t ( ! ,sub/ance ,abuse & ,m5tal 
,heal? ,s]vices ,adm9i/ration = programs
 ( ! ,c5t]1 includ+ ! ,block ,grants =  
,prev5tion & ,treatm5t ( ,sub/ance      
,abuse program "u subp>t ,,ii ( "p ,b ( 
title ,,xix ( ! ,public ,heal? ,s]vice  
,act 7#db ,u4,s4,c4 #cjjx-#ba et seq47 &
 ,programs ( ,regional & ,national      
,significance4 ,am\nts transf]r$ "u ?is 
subsection %all rema9 available until   
exp5d$4  #d4 ,,gao /udy ,n lat] ?an #a  
ye> aft] ! date ( enactm5t ( ?is ,act1 !
 ,comptroll] ,g5]al ( ! ,unit$ ,/ates   
%all--  7#a7 conduct a /udy exam9+ !    
cov]age (f]$ "u comm]cial heal?         
insurance plans & reimbursem5t rates "u 
! ,m$ic>e program & ,/ate ,m$icaid plans
 ) respect to-- 7,a7 sub/ance use       
disord] treatm5t s]vices1 z comp>$ to   
o!r heal? s]vices1 & h[ any disp>ity    
id5tifi$ "u ?is p>agraph may contribute 
to diff]5ces 9 sal>y & turnov] among    

sub/ance abuse disord] provid]s2 &  7,b7
 rates ( cov]age or reimbursem5t1 z     
applicable1 = sub/ance abuse disord]    
s]vices provid$ via teleheal?1 z comp>$ 
to su* s]vices provid$ 9-p]son2 &  7#b7 
provide recomm5dations ) respect to     
address+ any disp>ities id5tifi$ "u     
subp>agraph 7,a7 or 7,b7 ( p>agraph 7#a7
 9 ord] to bol/] ret5tion ( sub/ance    
abuse disord] provid]s & ! provision (  
sub/ance abuse disord] s]vices4  #e4    
,exp&+ access to sub/ance use disord] & 
m5tal heal? s]vices furni%$ ?r\gh       
teleheal? "u ! ,m$ic>e program ,section 
#ahcd7m77#g7 ( ! ,social ,security ,act 
7#db ,u4,s4,c4 #aciem7m77#g77 is am5d$--
 7#a7 9 ! p>agraph head+1 by ins]t+ &   
m5tal heal? s]vices aft] sub/ance use   
disord] s]vices2  7#b7 by ins]t+ or1 on 
or aft] ! fir/ day aft] ! end ( ! public
 heal? em]g5cy describ$ 9 section       
#aace7;g77#a77;,b71 to an eligible      
teleheal? individual = purposes (       
diagnosis ( a sub/ance use disord] or   
diagnosis or treatm5t ( a m5tal heal?   

disord]1 z det]m9$ by ! ,secret>y1 aft] 
z det]m9$ by ! ,secret>y14  #f4 ,ensur+ 
p>ity = m5tal heal? & addiction treatm5t
 s]vices ,title ,v ( ! ,public ,heal?   
,s]vice ,act 7#db ,u4,s4,c4 #bijll et   
seq47 is am5d$--  7#a7 9 "p ,k1 by      
r$esignat+ section #eej 7#db ,u4,s4,c4  
#bij;ee-#aj71 relat+ to sobriety        
treatm5t & recov]y teams1 z section #eec
 & transf]r+ su* section to appe> aft]  
section #eeb 9 "p ,d2 &  7#b7 by add+ at
 ! end ( su* "p ,d ! foll[+3  #eed4     
,compliance ) m5tal heal? & addiction   
treatm5t p>ity  7a7 ,9 g5]al ,!         
,secret>y1 9 coord9ation ) ! ,secret>y (
 ,labor1 %all aw>d grants to1 or ent]   
into coop]ative agreem5ts )1 ,/ates to  
ensure t heal? insurance issu]s 9 !     
,/ate comply ) section #bgbf4  7b7 ,use 
( grant ,a ,/ate %all use am\nts receiv$
 "u a grant or coop]ative agreem5t "u   
?is section to--  7#a7 e/abli% cle>     
guidel9es = p>ity compliance = m5tal    
heal? & sub/ance use disord] b5efits2   
7#b7 ensure p>ity compliance dur+ public

 heal? em]g5cies ) be/ practices =      
deliv]+ evid5ce-bas$ m5tal heal? &      
sub/ance use disord] treatm5t1 includ+  
to ensure virtual1 video1 int]net1      
telephonic1 & o!r remote s]vices are    
appropriately cov]$1 includ+ alignm5t ) 
au?orities1 flexibilities1 & cov]age    
promulgat$ by ! ,c5t]s = ,m$ic>e        
,m$icaid ,s]vices2  7#c7 engage ) heal? 
insurance issu]s to ensure t !y comply )
 ! guidel9es promulgat$ & o!r provisions
 ( section #bgbf1 includ+ ?r\gh audits1 
m>ket conduct exam9ations1 secret %opp] 
programs1 or o!r means2  7#d7 %>e       
in=mation ) o!r ,/ates :o receive grants
 "u ?is section2  7#e7 submit a report  
to ! ,secret>y & ! ,secret>y ( ,labor on
 in=mation1 actions1 recomm5dations1 &  
su* o!r in=mation z su* secret>ies may  
require2 &  7#f7 publicly po/ a summ>y (
 ! report submitt$ "u p>agraph 7#f7 on !
 websites ( ! ,dep>tm5t ( ,heal? &      
,human ,s]vices & ! ,dep>tm5t ( ,labor4 
7c7 ,au?orization ( appropriations ,!re 
are au?oriz$ to be appropriat$ to c>ry  

out ?is section #aj1jjj1jjj = ea* (     
fiscal ye>s #bjba ?r\gh #bjbe4  4  #g4  
,f$]al lic5sure ( ph>maceutical         
repres5tatives :o promote c]ta9 opioids 
,sub*apt] ,e ( *apt] ,v ( ! ,f$]al      
,food1 ,drug1 & ,cosmetic ,act 7#ba     
,u4,s4,c4 #cfj;bbb et seq47 is am5d$ by 
add+ at ! end ! foll[+3  #efi;,e4 ,f$]al
 lic5sure ( ph>maceutical repres5tatives
 :o promote c]ta9 opioids  7a7 ,9 g5]al 
,! ,secret>y1 9 consultation ) !        
,attorney ,g5]al1 %all e/abli% a        
lic5sure program = ph>maceutical        
repres5tatives describ$ 9 subsection    
7b74  7b7 ,lic5sure program  7#a7       
,requirem5t ,beg9n+ on ,july #a1 #bjba1 
no individual describ$ 9 p>agraph 7#b7  
may engage 9 ! m>ket+ or promot+ (      
opioid drugs unless su* individual is   
lic5s$ "u ?is section4  7#b7            
,individuals requir$ to obta9 lic5sure  
,an individual requir$ to obta9 a lic5se
 "u ?is section is any individual :o1 on
 behalf ( a drug manufactur]1 engag$1 on
 m ?an #ae days 9 a cal5d> ye>1 9 !     

m>ket+ or promotion to heal? c>e        
pr(essionals1 includ+ educational or    
sales communications1 meet+s or paid    
ev5ts1 & ! provision ( goods1 gifts1 &  
samples1 ( any opioid drug 7o!r ?an     
me?adone7 t is li/$ 9 s*$ule ,,ii (     
section #bjb7;c7 ( ! ,controll$         
,sub/ances ,act4  7#c7 ,lic5sure p]iod  
,ea* lic5se issu$ "u ?is section %all be
 valid = #c ye>s1 & may be r5ew$ =      
additional #c-ye> p]iods4  7c7          
,requirem5ts ,an individual requir$ to  
obta9 a lic5se "u ?is section %all--    
7#a7 submit to ! ,secret>y1 at su* "t & 
9 su* mann] z ! ,secret>y may require-- 
7,a7 su* in=mation z ! ,secret>y may    
require2 &  7,b7 a regi/ration fee 9 !  
am\nt ( #c1jjj2  7#b7 c]tify t su*      
individual has complet$ tra9+ on e?ics1 
ph>maceutical m>ket+ regulations1 !     
,,cdc ,guidel9es = ,prescrib+ ,opioids =
 ,*ronic ,pa91 publi%$ by ! ,c5t]s =    
,disease ,control & ,prev5tion 9 #bjaf  
7or any successor docum5t7 or ! ,,fda   
,bluepr9t = ,prescrib] ,education =     

,ext5d$-,release & ,long-,act+ ,opioid  
,analgesics1 & applicable ,f$]al laws   
p]ta9+ to drug m>ket+1 label+1 & cl9ical
 trials1 z ! ,secret>y may require2     
7#c7 c]tify t su* individual w n engage 
9 any illegal1 fraudul5t1 mislead+1 or  
o!r deceptive m>ket+ ( s*$ule ,,ii      
opioid drugs2 &  7#d7 file ) ! ,secret>y
 annual reports disclos+ ! names (      
provid]s visit$ & any drug samples or   
gifts su* individual gives any su*      
provid]4  7d7 ,manufactur] report+      
requirem5ts ,! manufactur] :o employs or
 contracts ) any individual requir$ to  
obta9 a lic5se "u ?is section %all      
include 9 reports requir$ "u section    
#aabh;,g ( ! ,social ,security ,act ! "n
 ( ea* su* lic5s$ individual t provides 
paym5ts or o!r transf]s ( value requir$ 
to be report$ "u su* section #aabh;,g t 
relates to an opioid drug t is li/$ 9   
s*$ule ,,ii ( ! ,controll$ ,sub/ances   
,act4  4  #h4 ,)drawal ( approval (     
c]ta9 opioids  7a7 ,9 g5]al ,not)/&+ any
 o!r provision ( law1 any               

ultra-high-dose opioid %all be consid]$ 
a drug t pres5ts an imm95t haz>d to !   
public heal? )9 ! mean+ ( section       
#eje7;e7 ( ! ,f$]al ,food1 ,drug1 &     
,cosmetic ,act 7#ba ,u4,s4,c4 #cee7;e771
 & ! ,secret>y ( ,heal? & ,human        
,s]vices %all susp5d ! approval ( su*   
drug1 9 accordance ) su* section        
#eje7;e74  7b7 ,def9ition ,9 ?is        
section1 ! t]m ultra-high-dose opioid   
means an opioid drug = :i* ! daily      
dosage provid$ = 9 ! approv$ label      
exce$s ! morph9e milligram equival5ts p]
 day outl9$ 9 ! report entitl$ ,,cdc    
,guidel9es = ,prescrib+ ,opioids =      
,*ronic ,pa91 publi%$ by ! ,c5t]s =     
,disease ,control & ,prev5tion 9 #bjaf  
7or any successor docum5t74  #i4        
,cont9u+ m$ical education & prescription
 drug monitor+ program regi/ration =    
prescrib]s ,section #cjc ( ! ,controll$ 
,sub/ances ,act 7#ba ,u4,s4,c4 #hbc7 is 
am5d$-- 7#a7 by r$esignat+ subsection   
7k7 z subsection 7l72 &  7#b7 by ins]t+ 
aft] subsection 7j7 ! foll[+3  7k7 7#a7 

,! ,attorney ,g5]al %all n regi/]1 or   
r5ew ! regi/ration (1 a practition] "u  
subsection 7f7 :o is lic5s$ "u ,/ate law
 to prescribe controll$ sub/ances 9     
s*$ule ,,ii1 ,,iii1 or ,,iv1 unless !   
practition] submits to ! ,attorney      
,g5]al1 = ea* su* regi/ration or r5ewal 
reque/1 a writt5 c]tification t--  7,a7 
7i7 ! practition] has1 dur+ ! #a-ye>    
p]iod prec$+ ! regi/ration or r5ewal    
reque/1 complet$ a tra9+ program        
describ$ 9 p>agraph 7#b72 or  7ii7 !    
practition]1 dur+ ! applicable          
regi/ration p]iod1 w n prescribe su*    
controll$ sub/ances 9 am\nts 9 excess ( 
a #gb-;h\r supply 7= :i* no refill is   
available72 &  7,b7 ! practition] has   
regi/]$ ) ! prescription drug monitor+  
program ( ! ,/ate 9 :i* ! practition]   
practices1 if ! ,/ate has su* program4  
7#b7 ,a tra9+ program describ$ 9 ?is    
p>agraph is a tra9+ program t--  7,a7   
foll[s ! be/ practices = pa9 managem5t1 
z describ$ 9 ! ,guidel9e = ,prescrib+   
,opioids = ,*ronic ,pa9 z publi%$ by !  

,c5t]s = ,disease ,control & ,prev5tion 
9 #bjaf1 or any successor !reto1 or !   
,,fda ,bluepr9t = ,prescrib] ,education 
= ,ext5d$-,release & ,long-,act+ ,opioid
 ,analgesics z publi%$ by ! ,food &     
,drug ,adm9i/ration 9 #bjag1 or any     
successor !reto2  7,b7 includes         
in=mation on--  7i7 recomm5d+ non-opioid
 & non-ph>macological !rapy2  7ii7      
e/abli%+ treatm5t goals & evaluat+      
pati5t risks2  7iii7 prescrib+ ! l[e/   
dose & fewe/ numb] ( pills consid]$     
effective2  7iv7 addictive & ov]dose    
risks ( opioids2  7v7 diagnos+ & manag+ 
sub/ance use disord]s1 includ+ l9k+     
pati5ts to evid5ce-bas$ treatm5t2  7vi7 
id5tify+ n>cotics-seek+ behaviors2 &    
7vii7 us+ prescription drug monitor+    
programs2 &  7,c7 is approv$ by !       
,secret>y4  4  #aj4 ,report on prescrib]
 education c\rses = m$ical & d5tal      
/ud5ts ,ea* s*ool ( m$ic9e1 s*ool (     
o/eopa?ic m$ic9e1 & s*ool ( d5ti/ry     
p>ticipat+ 9 a program "u title ,,iv ( !
 ,high] ,education ,act ( #aife 7#bj    

,u4,s4,c4 #ajgj;a et seq471 z a         
condition = su* p>ticipation1 %all      
submit an annual report to ! ,secret>y (
 ,education & ! ,secret>y ( ,heal? &    
,human ,s]vices on any prescrib]        
education c\rses focus$ specifically on 
pa9 managem5t & responsible opioid      
prescrib+ practices t su* s*ool requires
 /ud5ts to take1 & :e!r su* c\rses are  
consi/5t ) ! mo/ rec5tly publi%$ v]sion 
( ! ,guidel9e = ,prescrib+ ,opioids =   
,*ronic ,pa9 ( ! ,c5t]s = ,disease      
,control & ,prev5tion or ! ,,fda        
,bluepr9t = ,prescrib] ,education =     
,ext5d$-,release & ,long-,act+ ,opioid  
,analgesics1 z publi%$ by ! ,food &     
,drug ,adm9i/ration 9 #bjag4 ,!         
,secret>y ( ,education & ! ,secret>y (  
,heal? & ,human ,s]vices %all compile ! 
reports submitt$ by su* s*ools & submit 
an annual summ>y ( su* reports to       
,congress4  #aa4 ,requirem5ts "u        
,prescription ,drug ,monitor+ ,programs 
7a7 ,9 g5]al ,beg9n+ #a ye> aft] ! date 
( enactm5t ( ?is ,act1 ea* ,/ate t      

receives fund+ "u any ( ! programs      
describ$ 9 subsection 7c7 %all--  7#a7  
require practition]s1 or _! designees1 9
 ! ,/ate to consult ! database ( !      
prescription drug monitor+ program be=e 
writ+ prescriptions = controll$         
sub/ances 7z su* t]m is def9$ 9 section 
#ajb ( ! ,controll$ ,sub/ances ,act 7#ba
 ,u4,s4,c4 #hjb77 9 s*$ule ,,ii1 ,,iii1 
or ,,iv "u section #bjb ( su* ,act 7#ba 
,u4,s4,c4 #hab72  7#b7 require disp5s]s 
( controll$ sub/ances 9 s*$ule ,,ii1    
,,iii1 or ,,iv1 or _! designees1 to     
input data into ! database ( !          
prescription drug monitor+ program )9   
#bd h\rs ( fill+ a qualify+             
prescription1 z requir$ by ! ,attorney  
,g5]al & ! ,secret>y ( ,heal? & ,human  
,s]vices1 includ+ pati5t id5tifi]       
in=mation1 ! national drug code ( !     
disp5s$ drug1 date ( disp5s+ ! drug1    
quantity & dosage ( ! drug disp5s$1 =m (
 paym5t1 ,drug ,en=cem5t ,adm9i/ration  
regi/ration numb] ( ! practition]1 ,drug
 ,en=cem5t ,adm9i/ration regi/ration    

numb] ( ! disp5s]2  7#c7 all[           
practition]s & disp5s]s to designate o!r
 appropriate individuals to act z ag5ts 
( su* practition]s & disp5s]s = purposes
 ( obta9+ & inputt+ data f ! database = 
purposes ( comply+ ) p>agraphs 7#a7 &   
7#b71 z applicable2  7#d7 provide       
in=mational mat]ials = practition]s &   
disp5s]s to id5tify & ref] pati5ts )    
possible sub/ance use disord]s to       
pr(essional treatm5t speciali/s2  7#e7  
e/abli% =mal data %>+ agreem5ts to fo/] 
electronic connectivity ) ! prescription
 drug monitor+ programs ( ea* ,/ate 7if 
su* ,/ate has su* a program7 ) :i* !    
,/ate %>es a bord]1 to facilitate !     
ex*ange ( in=mation ?r\gh an e/abli%$   
te*nology ar*itecture t ensures common  
data /&>ds1 privacy protection1 & secure
 & /reaml9$ in=mation %>+2  7#f7        
au?orize direct access to ! ,/ate's     
database ( ! prescription drug monitor+ 
program to all ,/ate law en=cem5t       
ag5cies1 ,/ate bo>ds responsible = !    
lic5sure1 regulation1 or discipl9e (    

practition]s1 ph>maci/s1 or o!r p]sons  
au?oriz$ to prescribe1 adm9i/]1 or      
disp5se controll$ sub/ances2 &  7#g7 9  
ord] to enhance acc\ntability 9         
prescrib+ & disp5s+ patt]ns1 n few] ?an 
#d times p] ye>1 proactively provide    
in=mational reports on aggregate tr5ds &
 individual outli]s1 bas$ on in=mation  
available ?r\gh ! ,/ate prescription    
drug monitor+ program to-- 7,a7 ! ,/ate 
entities & p]sons describ$ 9 p>agraph   
7#f72 &  7,b7 ! ,m$icaid ag5cy & !      
dep>tm5t ( public heal? ( ! ,/ate4  7b7 
,transp>5cy 9 ,prescrib+ ,practices &   
,int]v5tion = ,high ,prescrib]s  7#a7   
,/ate report+ requirem5t ,ea* ,/ate t   
receives fund+ "u any ( ! programs      
describ$ 9 subsection 7c7 %all1 twice p]
 ye>1 submit to ! ,secret>y ( ,heal? &  
,human ,s]vices & ! ,adm9i/rator ( !    
,drug ,en=cem5t ,adm9i/ration--  7,a7 a 
li/ ( all practition]s & disp5s]s :o1 9 
! applicable report+ p]iod1 h prescrib$ 
or disp5s$ s*$ule ,,ii1 ,,iii1 or ,,iv  
opioids 9 ! ,/ate2  7,b7 ! am\nt (      

s*$ule ,,ii1 ,,iii1 or ,,iv opioids t 7 
prescrib$ & disp5s$ by ea* individual   
practition] & disp5s] describ$ 9        
subp>agraph 7,a72 &  7,c7 any additional
 in=mation t ! ,secret>y & ,adm9i/rator 
may require to support surveillance &   
evaluation ( tr5ds 9 prescrib+ or       
disp5s+ ( s*$ule ,,ii1 ,,iii1 or ,,iv   
opioids1 or to id5tify possible         
non-m$ical use & div]sion ( su*         
sub/ances4  7#b7 ,annual report ,n lat] 
?an #a ye> aft] ! date ( enactm5t ( ?is 
,act1 & annually !reaft]1 ! ,secret>y ( 
,heal? & ,human ,s]vices1 9 consultation
 ) ! ,adm9i/rator ( ! ,drug ,en=cem5t   
,adm9i/ration1 ! ,secret>y ( ,def5se1 ! 
,secret>y ( ,vet]ans ,affairs1 & !      
,director ( ! ,indian ,heal? ,s]vice1   
%all submit to ,congress1 & make public1
 a report id5tify+ outli]s among !      
m$ical specialties & geographic areas ) 
! highe/ rates ( opioid prescrib+ 9 !   
,nation1 by ,,zip code4  7#c7           
,developm5t ( action plan  7,a7 ,initial
 plan ,n lat] ?an #a ye> aft] ! date (  

enactm5t ( ?is ,act1 ! ,secret>y (      
,heal? & ,human ,s]vices1 9 consultation
 ) ! ,adm9i/rator ( ! ,drug ,en=cem5t   
,adm9i/ration1 ! ,secret>y ( ,def5se1 ! 
,secret>y ( ,vet]ans ,affairs1 & !      
,director ( ! ,indian ,heal? ,s]vice1   
%all submit to ,congress a plan (       
action1 includ+ w>n+ lett]s & en=cem5t  
me*anisms1 = address+ outli]s 9 opioid  
prescrib+ practices & ensur+ an adequate
 ,f$]al response to protect ! public    
heal?4  7,b7 ,updat$ plan ,! ,secret>y (
 ,heal? & ,human ,s]vices %all submit to
 ,congress updates to ! plan ( action   
describ$ 9 subp>agraph 7,a71 z su*      
,secret>y1 9 consultation ) ! heads (   
ag5cies describ$ 9 su* subp>agraph1     
det]m9es appropriate4  7c7 ,programs    
describ$ ,! programs describ$ 9 ?is     
subsection are-- 7#a7 ! ,h>old ,rog]s   
,prescription ,drug ,monitor+ ,program  
e/abli%$ "u ! ,dep>tm5ts ( ,comm]ce1    
,ju/ice1 & ,/ate1 ! ,judici>y1 & ,relat$
 ,ag5cies ,appropriations ,act1 #bjjb   
7,public ,law #ajg-gg2 #aae ,/at4 #gdh72

  7#b7 ! controll$ sub/ance monitor+    
program "u section #cii,o ( ! ,public   
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#bhj;g-#c72  7#c7 ! ,prescription ,drug 
,ov]dose3 ,prev5tion = ,/ates program ( 
! ,c5t]s = ,disease ,control &          
,prev5tion2  7#d7 ! ,prescription ,drug 
,ov]dose3 ,data-,driv5 ,prev5tion       
,initiative ( ,c5t]s = ,disease ,control
 & ,prev5tion2  7#e7 ! ,enhanc$ ,/ate   
,opioid ,ov]dose ,surveillance program (
 ! ,c5t]s = ,disease ,control &         
,prev5tion2  7#f7 ! opioid grant program
 "u section #ajjc ( ! #ba/ ,c5tury      
,cures ,act 7,public ,law #aad-bee72 &  
7#g7 ! ,/ate ,opioid ,response ,grant   
program describ$ "u ! head+ ,sub/ance   
abuse treatm5t "u ! head+ ,sub/ance     
abuse & m5tal heal? s]vices adm9i/ration
 ( title ,,ii ( division ,a ( ! ,fur!r  
,consolidat$ ,appropriations ,act1 #bjbj
 7,public ,law #aaf-id74  7d7           
,def9itions ,9 ?is section1 ! t]ms      
disp5s] & practition] h ! mean+s giv5   
su* t]ms 9 section #ajb ( ! ,controll$  

,sub/ances ,act 7#ba ,u4,s4,c4 #hjb74   
#ab4 ,int]op]ability ( c]tifi$ heal?    
in=mation te*nology ,section            
#cjja7;c77#e7 ( ! ,public ,heal? ,s]vice
 ,act 7#db ,u4,s4,c4                    
#cjj;jj-#aa7;c77#e77 is am5d$ by add+ at
 ! end ! foll[+3  7,f7 ,int]op]ability  
,beg9n+ on ,janu>y #a1 #bjba1 !         
,national ,coord9ator %all n c]tify     
electronic heal? records z heal?        
in=mation te*nology t is 9 compliance ) 
applicable c]tification crit]ia "u ?is  
p>agraph unless su* te*nology is        
int]op]able ) ! prescription drug       
monitor+ programs ( ea* ,/ate t1 at ! "t
 ( ! reque/ = su* c]tification1 has su* 
a program4  4  #ac4 ,/udies relat$ to   
ov]dose dis*>ge & foll[-up policies  7a7
 ,/udy ,n lat] ?an ,janu>y #a1 #bjba1 ! 
,secret>y ( ,heal? & ,human ,s]vices    
%all--  7#a7 conduct a /udy on ! scope &
 circum/ances ( non-fatal opioid        
ov]doses1 ! policies & proc$ures t      
,/ates1 heal? c>e sy/ems1 & fir/        
respond]s h implem5t$2 &  7#b7 9        

p>tn]%ip ) /akehold] organizations )    
subject matt] exp]tise1 e/abli%         
guidel9es = hospital proc$ures foll[+   
non-fatal opioid ov]dose & !            
adm9i/ration ( ov]dose rev]sal          
m$ication4  7b7 ,/udy & developm5t (    
quality measures "u ,m$ic>e relat$ to   
opioid abuse & sub/ance use disord]     
,section #ahij;,a7e7 ( ! ,social        
,security ,act 7#db ,u4,s4,c4           
#acie;aaa-#a7;e77 is am5d$-- 7#a7 by    
/rik+ measures4--,! ,adm9i/rator &      
ins]t+ 8measures4--  7#a7 ,9 g5]al ,!   
,adm9i/rator  2 &  7#b7 by add+ at ! end
 ! foll[+ new p>agraph3  7#b7 ,/udy &   
developm5t ( quality measures relat$ to 
opioid abuse & sub/ance use disord]     
,beg9n+ n lat] ?an #a ye> aft] ! date ( 
enactm5t ( ?is p>agraph1 ! ,adm9i/rator 
( ! ,c5t] = ,m$ic>e  ,m$icaid ,s]vices  
%all /udy1 & ?r\gh contracts develop1 9 
coord9ation ) appropriate subject matt] 
organizations 7su* z ! entity ) a       
contract "u section #ahij71 = use "u ?is
 ,act1 quality measures relat$ to /&>ds 

( c>e = treat+ individuals ) non-fatal  
opioid ov]dose1 dis*>ge proc$ures1 &    
l9kages to appropriate sub/ance use     
disord] treatm5t & community support    
s]vices4  4  #ad4 ,m$icaid opioid drug  
mapp+ tool  7a7 ,9 g5]al ,! ,secret>y ( 
,heal? & ,human ,s]vices %all create an 
int]active opioid drug mapp+ tool1 :i*  
%all be made publicly available on !    
int]net website ( ! ,c5t]s = ,m$ic>e    
,m$icaid ,s]vices1 %[+ prescrib+        
practices ( provid]s t p>ticipate 9     
,/ate ,m$icaid programs & geographic    
comp>isons1 at ! ,/ate1 c\nty1 & ,,zip  
code levels1 ( de-id5tifi$ opioid       
prescription claims made "u ,/ate       
,m$icaid programs "u title ,,xix ( !    
,social ,security ,act 7#db ,u4,s4,c4   
#acif et seq474  7b7 ,collection ( data 
f ,/ates ,! ,secret>y ( ,heal? & ,human 
,s]vices may reque/ f ,/ates su* data z 
! ,secret>y det]m9es necess>y to create 
! opioid mapp+ tool describ$ 9          
subsection 7a74  #ae4 ,national         
,academies /udy  7a7 ,/udy ,! ,secret>y 

( ,heal? & ,human ,s]vices %all ent]    
into a contract ) ! ,national ,academies
 ( ,sci5ce1 ,eng9e]+1 & ,m$ic9e 7ref]r$ 
to 9 ?is section z ! ,national          
,academies7 to c>ry out a /udy on !     
addition ( cov]age "u ! ,m$ic>e program 
"u title ,,xviii ( ! ,social ,security  
,act ( alt]native treatm5t modalities   
7su* z integrative m$ic9e1 includ+      
acupuncture & ex]cise !rapy1 neural     
/imulation1 bi(e$back1 radi(requ5cy     
ablation1 & trigg] po9t injections7     
furni%$ to ,m$ic>e b5efici>ies :o suff] 
f acute or *ronic l[] back pa94 ,su*    
/udy %all1 pursuant to ! contract "u ?is
 p>agraph1 include an analysis (--  7#a7
 sci5tific rese>* on ! %ort-t]m &       
long-t]m impact ( ! addition ( su*      
cov]age on cl9ical efficacy = pa9       
managem5t ( su* b5efici>ies2  7#b7 :e!r 
! lack ( ,m$ic>e cov]age = alt]native   
treatm5t modalities impacts ! volume (  
opioids prescrib$ = b5efici>ies2 &  7#c7
 ! co/ to ! ,m$ic>e program ( ! addition
 ( su* cov]age to treat pa9 & mitigate !

 progression ( *ronic pa91 z weigh$     
aga9/ ! co/ ( opioid use disord]1       
ov]dose1 readmission1 subsequ5t         
surg]ies1 & utilization & exp5ditures "u
 p>ts ,b & ,d ( su* title4  7b7 ,report 
,n lat] ?an #a ye> aft] ! date (        
enactm5t ( ?is ,act1 pursuant to !      
contract "u subsection 7a71 ! ,national 
,academies %all submit to ,congress a   
report on ! /udy "u subsection 7a74  7c7
 ,au?orization ( appropriations ,to c>ry
 out ?is section1 !re are au?oriz$ to be
 appropriat$ su* sums z may be necess>y4