,i #aag? ,,congress #a/ ,session ,h4 ,r4 #ebbd ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,septemb] #aj1 #bjba,mr4 ,hill 7= himself & ,mrs4 ,d+ell7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce ,a ,,bill ,to am5d ! ,public ,heal? ,s]vice ,act to au?orize grants to eligible entities to develop /rategic response plans ) respect to ! opioid crisis1 & to require heal? c>e practition]s prescrib+ an opioid = c]ta9 pati5ts to also prescribe an opioid ov]dose rev]sal drug1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,prev5t+ ,ov]doses & ,sav+ ,lives ,act ( #bjba4 #b4 ,/ate demon/ration grants = compreh5sive opioid abuse data ,title ,,iii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bda et seq47 is am5d$ by ins]t+ aft] section #cag,u ( su* ,act 7#db ,u4,s4,c4 #bdg;b-#bc7 ! foll[+3 #cag,v4 ,/ate demon/ration grants = compreh5sive opioid abuse data 7a7 ,9 g5]al ,! ,secret>y1 9 conjunction ) ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 may aw>d grants to eligible entities-- 7#a7 to conduct rese>* & develop a /rategic response plan ) respect to ! opioid crisis2 & 7#b7 to e/abli% & implem5t a co-prescrib+ program4 7b7 ,am\nt ( grants 7#a7 ,9 g5]al ,! ,secret>y %all det]m9e ! am\nt ( ea* grant aw>d$ "u ?is section on an annual basis4 ,9 allocat+ su* am\nts across grantees = a fiscal ye>1 ! ,secret>y %all aw>d-- 7,a7 a m9imum am\nt to ea* grantee 9 accordance ) p>agraph 7#b72 & 7,b7 an additional am\nt to ea* grantee 9 accordance ) p>agraph 7#c74 7#b7 ,m9imum am\nt ,! ,secret>y %all-- 7,a7 det]m9e ! basis = det]m9+ ! m9imum am\nt ( a grant "u p>agraph 7#a77;,a72 & 7,b7 apply su* basis consi/5tly across all grantees "u ?is section4 7#c7 ,additional am\nt ,9 allocat+ additional am\nts across all grantees "u ?is section = a fiscal ye>1 ! ,secret>y %all give priority 9 sett+ su* am\nts to grantees ) ! highe/ opioid disp5s+ rates z det]m9$ by ! ,c5t]s = ,disease ,control & ,prev5tion4 7c7 ,priority 9 selection ,9 select+ grantees "u ?is section1 ! ,secret>y %all give priority to eligible entities ) ! highe/ opioid disp5s+ rates z det]m9$ by ! ,c5t]s = ,disease ,control & ,prev5tion4 7d7 ,allocation ( funds by a grantee ,a grantee "u ?is section %all allocate ! funds receiv$ ?r\gh ! grant z foll[s3 7#a7 ,n m ?an #hj p]c5t ( ! funds receiv$ ?r\gh ! grant %all be us$ to conduct rese>* & develop a /rategic plan 9 accordance ) subsection 7e74 7#b7 ,at lea/ #bj p]c5t ( ! grant %all be us$ by ! grantee to adm9i/] a co-prescrib+ program 9 accordance ) subsection 7f74 7e7 ,rese>*2 /rategic plan 7#a7 ,9 g5]al ,subject to subsection 7d71 a grantee "u ?is section %all use ! grant funds-- 7,a7 to conduct rese>* on ! impacts ( ! opioid crisis )9 ! jurisdiction ( ! grantee2 & 7,b7 to develop a /rategic plan to respond to ! opioid crisis )9 su* jurisdiction4 7#b7 ,/rategic plan cont5ts ,a /rategic plan requir$ by p>agraph 7#a77;,b7 %all include plans =-- 7,a7 increas+ public aw>5ess ab\t ! opioid crisis )9 ! jurisdiction ( ! grantee2 7,b7 full-spectrum prev5tion )9 su* jurisdiction2 7,c7 int]v5tion )9 su* jurisdiction2 7,d7 treatm5t & recov]y )9 su* jurisdiction2 & 7,e7 coord9at+ ) law en=cem5t )9 su* jurisdiction4 7f7 ,co-,prescrib+ program 7#a7 ,9 g5]al ,subject to subsection 7d71 a grantee "u ?is section %all use funds receiv$ ?r\gh ! grant to c>ry out a co-prescrib+ program "u :i* ! grantee requires-- 7,a7 heal? c>e practition]s 9 ! jurisdiction ( ! grantee :o prescribe an opioid = any pati5t to also prescribe an opioid ov]dose rev]sal drug = su* pati5t if-- 7i7 ! opioid dosage prescrib$ is equal to or 9 excess ( #ej morph9e milligram equival5ts p] day2 7ii7 ! practition] prescribes a b5zodiazep9e = ! pati5t or kn[s or reasonably %\ld "k a b5zodiazep9e has be5 prescrib$ = ! pati5t 9 ! pa/2 7iii7 ! practition] prescribes m$ication-assi/$ treatm5t = ! pati5t or kn[s or reasonably %\ld "k m$ication assi/$ treatm5t has be5 prescrib$ = ! pati5t 9 ! pa/2 or 7iv7 ! practition] kn[s or reasonably %\ld "k ! pati5t has a hi/ory ( sub/ance use disord]2 7,b7 su* heal? c>e practition]s to complete cont9u+ education on opioid prescrib+2 & 7,c7 coron]s 9 ! jurisdiction ( ! grantee to complete cont9u+ education on recogniz+ fatalities attributable to an opioid ov]dose4 7#b7 ,waiv] ,if ! laws1 regulations1 or ord]s ( an applicant = a grant "u ?is section conflict 9 any respect ) ! requirem5ts ( subp>agraph 7,a71 7,b71 or 7,c7 ( p>agraph 7#a71 ! ,secret>y %all waive su* requirem5ts to ! ext5t necess>y to all[ ! grantee to c>ry out a co-prescrib+ program "u ?is section4 7g7 ,supplem5t1 n supplant ,grant funds "u ?is section %all be us$ to supplem5t1 n supplant1 fund+ f o!r s\rces = ! activities fund$ ?r\gh ! grant4 7h7 ,application ,to seek a grant "u ?is section1 an eligible entity %all submit an application at su* "t1 9 su* mann]1 & conta9+ su* in=mation & assurances z ! ,secret>y may require4 7i7 ,report+ ,n lat] ?an ! end ( ea* ( fiscal ye>s #bjbd & #bjbf1 a grantee "u ?is section %all submit to ! ,secret>y1 ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 & ! appropriate congressional committees1 & make publicly available1 a report on ! activities fund$ ?r\gh ! grant = ea* fiscal ye> cov]$ by ! report1 includ+-- 7#a7 ! allocation ( funds = activities "u subsection 7e7 v]sus activities "u subsection 7f72 7#b7 a description ( ! rese>* conduct$ by ! grantee "u subsection 7e77#a77;,a71 includ+ ! results ( su* rese>*2 7#c7 an up-to-date v]sion ( ! /rategic plan develop$ "u subsection 7e77#a77;,b72 & 7#d7 a description ( ! co-prescrib+ program "u subsection 7f71 includ+ an analysis ( ! effectiv5ess ( ! program4 7j7 ,def9itions ,9 ?is section3 7#a7 ,appropriate congressional committees ,! t]m appropriate congressional committees means ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives & ! ,committee on ,h\s+1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate4 7#b7 ,eligible entity ,! t]m eligible entity means any ,/ate1 any ,indian ,tribe1 ! ,di/rict ( ,columbia1 or any t]ritory ( ! ,unit$ ,/ates4 7#c7 ,indian ,tribe ,! t]m ,indian ,tribe has ! mean+ giv5 to su* t]m 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act4 7#d7 ,opioid ov]dose rev]sal drug ,! t]m opioid ov]dose rev]sal drug means-- 7,a7 naloxone2 or 7,b7 any o!r em]g5cy opioid antagoni/ approv$ by ! ,food & ,drug ,adm9i/ration to treat an opioid ov]dose4 7k7 ,au?orization ( appropriations ,to c>ry out ?is section1 !re are au?oriz$ to be appropriat$ su* sums z may be necess>y = ea* ( fiscal ye>s #bjbb ?r\gh #bjbf4 4