,,ii  #aaf? ,,congress  #b;d ,session   
,s4 #dfdj  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,septemb] #bb1         
#bjbj,mr4 ,b5net 7= himself & ,ms4      
,coll9s7 introduc$ ! foll[+ bill2 :i* 0 
read twice & ref]r$ to ! ,committee on  
,heal?1 ,education1 ,labor1 & ,p5sions  
,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]s1 :i* %all also satisfy c]ta9   
tra9+ requirem5ts to receive a waiv] =  
disp5s+ n>cotic drugs = ma9t5ance or    
detoxification treatm5t1 & = o!r        
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,m$ication ,access & ,tra9+
 ,expansion ,act ( #bjbj or ! ,,mate    
,act ( #bjbj4  #b4 ,requir+ prescrib]s (
 controll$ 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 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 t occurs on or aft] ! date t is 
#ij days aft] ! date ( enactm5t ( !     
,m$ication ,access & ,tra9+ ,expansion  
,act ( #bjbj4  7#b7 ,tra9+ requir$ ,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[+ conditions3 7,a7 ,9 ! case ( a   
practition] :o is a physician1 !        
physician %all meet n less ?an #a ( !   
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$ic9e f !
 ,am]ican ,o/eopa?ic ,association4  7iv7
 ,! physician has complet$ n less ?an #h
 h\rs ( tra9+ on ! treatm5t & managem5t 
( pati5ts ) opioid & o!r sub/ance use   
disord]s t-- 7,i7 is provid$ ?r\gh      
classroom situations1 sem9>s at         
pr(essional society meet+s1 electronic  
communication1 or o!r means2  7,,ii7 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 ano!r      
organization t ! ,secret>y det]m9es     
appropriate2 &  7,,iii7 includes cont5t 
relat+ to-- 7aa7 opioid ma9t5ance &     
detoxification2  7bb7 ! appropriate     
cl9ical use ( all drugs approv$ by !    

,food & ,drug ,adm9i/ration = ! treatm5t
 ( a sub/ance use disord]2  7cc7 initial
 & p]iodic pati5t assessm5ts1 includ+   
sub/ance use monitor+2  7dd7            
individualiz$ treatm5t plann+1 ov]dose  
rev]sal1 & relapse prev5tion2  7ee7     
c\nsel+ & recov]y support s]vices2  7ff7
 /aff+ roles & consid]ations1 includ+   
bias & anti-racism tra9+ to r$uce racial
 & e?nic disp>ities2  7gg7 div]sion     
control2 &  7hh7 o!r be/ practices1 su* 
z addiction prev5tion1 z id5tifi$ by !  
,secret>y 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 ( ! approv$     
drug4  7vi7 ,! physician has o!r tra9+  
or exp]i5ce t ! m$ical lic5s+ bo>d ( !  

,/ate :]e ! physician w provide         
ma9t5ance or detoxification treatm5t    
consid]s demon/rative ( ! ability ( !   
physician to treat & manage pati5ts )   
opioid & o!r sub/ance use disord]s4     
7vii7 7,i7 ,! physician has o!r tra9+ or
 exp]i5ce t ! ,secret>y id5tifies1 9 a  
regulation promulgat$ 9 accordance )    
subclause 7,,ii71 z demon/rative ( !    
ability ( ! physician to treat & manage 
pati5ts ) opioid & o!r sub/ance use     
disord]s4  7,,ii7 7aa7 ,! ,secret>y may 
by regulation e/abli% crit]ia = purposes
 ( subclause 7,i74  7bb7 ,subject to    
item 7cc71 any crit]ia e/abli%$ by !    
,secret>y "u item 7aa7 %all be effective
 = a #c-ye> p]iod4  7cc7 ,dur+ !        
#cj-;day p]iod prec$+ ! expiration ( a  
#c-ye> p]iod ( effectiv5ess ( crit]ia   
e/abli%$ "u ?is subclause1 ! ,secret>y  
may ext5d ! effectiv5ess ( ! crit]ia =  
an additional #c-ye> p]iod by publi%+ a 
notice ( ! ext5sion 9 ! ,f$]al ,regi/]4 
7viii7 ,! physician-- 7,i7 graduat$ 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 prec$+ ! date
 ( ! fir/ regi/ration or r5ewal (       
regi/ration by ! physician describ$ 9   
p>agraph 7#a77;,b72 &  7,,ii7 has       
successfully complet$ a compreh5sive    
allopa?ic or o/eopa?ic m$ic9e curriculum
 or accr$it$ m$ical resid5cy t includ$--
 7aa7 n less ?an #h h\rs ( tra9+ on     
treat+ & manag+ pati5ts ) opioid & o!r  
sub/ance use disord]s2 &  7bb7 at a     
m9imum-- 7,,aa7 ! tra9+ describ$ 9 items
 7aa7 ?r\gh 7hh7 ( clause 7iv77,,iii72 &
 7,,bb7 tra9+ ) respect to any o!r be/  
practice ! ,secret>y det]m9es necess>y1 
:i* may include tra9+ on pa9 managem5t1 
includ+ assessm5t & appropriate use (   
opioid & non-opioid alt]natives4  7,b7  
,9 ! case ( a practition] :o is n a     
physician1 ! practition] %all meet n    
less ?an #a ( ! foll[+ conditions3 7i7  
,! practition] has complet$ n less ?an  
#h h\rs ( initial tra9+ on ! topics li/$
 9 subp>agraph 7,a77iv77,,iii7 t-- 7,i7 
is provid$ ?r\gh classroom situations1  

sem9>s at pr(essional society meet+s1   
electronic communication1 or o!r means2 
&  7,,ii7 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 ,nurses        
,cr$5tial+ ,c5t]1 ! ,am]ican ,psy*iatric
 ,association1 ! ,am]ican ,association (
 ,nurse ,practition]s1 ! ,am]ican       
,academy ( ,physician ,assi/ants1 or any
 o!r organization t ! ,secret>y det]m9es
 appropriate4  7ii7 ,! practition] has  
o!r tra9+ or exp]i5ce t ! ,secret>y     
id5tifies z demon/rative ( ! ability ( !
 practition] to treat & manage pati5ts )
 opioid & o!r sub/ance use disord]s4    
7iii7 ,! practition]-- 7,i7 graduat$ 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 ( 
! fir/ regi/ration or r5ewal (          
regi/ration by ! practition] describ$ 9 

p>agraph 7#a77;,b72 &  7,,ii7 has       
successfully complet$ a compreh5sive    
physician assi/ant or advanc$ practice  
nurs+ curriculum t includes-- 7aa7 n    
less ?an #h h\rs ( tra9+ on treat+ &    
manag+ pati5ts ) opioid & o!r sub/ance  
use disord]s2 &  7bb7 at a m9imum--     
7,,aa7 ! tra9+ describ$ 9 items 7aa7    
?r\gh 7hh7 ( subp>agraph                
7,a77iv77,,iii72 & 7,,bb7 tra9+ )       
respect to any o!r be/ practice !       
,secret>y det]m9es necess>y1 :i* may    
include tra9+ on pa9 managem5t1 includ+ 
assessm5t & appropriate use ( opioid &  
non-opioid alt]natives4  7#c7           
,reciprocal treatm5t  7,a7 ,physicians  
7i7 ,meet+ conditions = prescrib+ ,a    
physician :o meets "o or m ( !          
conditions li/$ 9 p>agraph 7#b77;,a7    
%all be deem$ to meet "o or m ( !       
conditions li/$ 9 subsection            
7g77#b77;,g77ii74  7ii7 ,meet+          
conditions = waiv] = disp5s+ ,a         
physician :o meets "o or m ( !          
conditions li/$ 9 subsection            

7g77#b77;,g77ii7 %all be deem$ to meet  
"o or m ( ! conditions li/$ 9 p>agraph  
7#b77;,a74  7,b7 ,o!r practition]s  7i7 
,meet+ conditions = prescrib+ ,a        
practition] :o is n a physician1 & :o   
meets "o or m ( ! conditions li/$ 9     
p>agraph 7#b77;,b71 %all be deem$ to    
meet "o or m ( ! conditions li/$ 9      
subsection 7g77#b77;,g77iv77,,ii74  7ii7
 ,meet+ conditions = waiv] = disp5s+ ,a 
practition] :o is n a physician1 & :o   
meets "o or m ( ! conditions li/$ 9     
subsection 7g77#b77;,g77iv77,,ii71 %all 
be 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,,iv77hh77 is     
am5d$ by ins]t+ aft] 1 z id5tifi$ by !  
,secret>y ! foll[+3 1 :i* may include   
be/ practices = addiction prev5tion4    
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$-- 7,a7 9 item 7aa71 by /rik+ or
 at ! end2  7,b7 9 item 7bb71 by /rik+ !
 p]iod at ! end & ins]t+ 2 or2 &  7,c7  
by add+ at ! end ! foll[+3  7cc7        
graduat$ 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 notification "u subp>agraph 
7,b7 & has successfully complet$ a      
compreh5sive physician assi/ant or      
advanc$ practice nurs+ curriculum t     
includes-- 7,,aa7 n less ?an #h h\rs (  
tra9+ on treat+ & manag+ opioid-dep5d5t 
pati5ts2 7,,bb7 ! tra9+ describ$ 9 items
 7aa7 ?r\gh 7hh7 ( clause 7ii77,,iv72 & 
7,,cc7 tra9+ ) respect to any o!r be/   
practice ! ,secret>y det]m9es necess>y1 
:i* may include tra9+ on pa9 managem5t1 
includ+ assessm5t & appropriate use (   
opioid & non-opioid alt]natives4  4     
7#c7 ,te*nical corrections ,section     

#cjc7;g77#b77;,g7 ( ! ,controll$        
,sub/ances ,act 7#ba ,u4,s4,c4          
#hbc7;g77#b77;,g77 is am5d$-- 7,a7 9    
clause 7ii7-- 7i7 by mov+ subclauses    
7,i7 & 7,,ii7 #d ems to ! left2  7ii7 9 
subclause 7,,viii7-- 7,i7 9 item 7bb71  
by mov+ subitems 7,,aa7 & 7,,bb7 #b ems 
to ! "r2 &  7,,ii7 by mov+ items 7aa7 & 
7bb7 #b ems to ! "r2 &  7iii7 by mov+   
subclause 7,,viii7 #b ems to ! "r2 &    
7,b7 9 clause 7iv77,,ii77bb71 by /rik+  
has be=e su* o!r tra9+4