,,ii  #aag? ,,congress  #a/ ,session    
,s4 #adeg  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,april #bi1 #bjba,mr4  
,m>key 7= himself1 ,ms4 ,w>r51 ,mr4     
,:iteh\se1 ,ms4 ,baldw91 & ,mr4 ,book]7 
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,heal?1 ,education1 ,labor1 & ,p5sions  
,a ,,bill  ,to e/abli% programs to      
address addiction & ov]doses caus$ by   
illicit f5tanyl & o!r opioids1 & = o!r  
purposes4  #a4 ,%ort title2 table (     
cont5ts  7a7 ,%ort title ,?is ,act may  
be cit$ z ! ,support1 ,treatm5t1 &      
,ov]dose ,prev5tion ( ,f5tanyl ,act (   
#bjba or ! ,,/op ,f5tanyl ,act ( #bjba4 
7b7 ,table ( cont5ts ,! table ( cont5ts 
= ?is ,act is z foll[s3 ,sec4 #a4 ,%ort 
title2 table ( cont5ts4,sec4 #b4        
,def9itions4,sec4 #c4 ,f9d+s4,,title    
,i--,f5tanyl ,rese>* & ,education,sec4  
#aja4 ,enhanc$ f5tanyl                  
surveillance4,sec4 #ajb4 ,collection (  
ov]dose data4,sec4 #ajc4 ,f5tanyl       
detection4,sec4 #ajd4 ,,gao report on   

int]national mail & c>go scre5+4,sec4   
#aje4 ,cont+5cy managem5t               
program4,,title ,,ii--,ov]dose          
,prev5tion & ,sub/ance ,use ,disord]    
,treatm5t ,programs,sec4 #bja4 ,,nam    
report on ov]dose prev5tion c5t]s4,sec4 
#bjb4 ,naloxone4,sec4 #bjc4 ,good       
,sam>itan immunity4,sec4 #bjd4          
,m$ication-assi/$ treatm5t4,sec4 #bje4  
,teleheal? = sub/ance use disord]       
treatm5t4,sec4 #bjf4 ,grant program on  
h>ms ( drug misuse4,sec4 #bjg4 ,opioid  
treatm5t education4,,title              
,,iii--,public ,heal? ,data & ,tra9+    
,support = ,f5tanyl ,detection,sec4     
#cja4 ,public heal? support = law       
en=cem5t4,sec4 #cjb4 ,report on c\ntries
 t produce syn!tic drugs4,sec4 #cjc4    
,grants to improve public heal?         
surveillance 9 =5sic laboratories4  #b4 
,def9itions ,9 ?is ,act1 except z       
o!rwise provid$3 7#a7 ,! t]m ,assi/ant  
,secret>y means ! ,assi/ant ,secret>y = 
,m5tal ,heal? & ,sub/ance ,use4  7#b7 ,!
 t]m ,secret>y means ! ,secret>y (      

,heal? & ,human ,s]vices4  7#c7 ,! t]m  
f5tanyl-relat$ sub/ance has ! mean+ giv5
 ! t]m 9 section #acjh4aa7;h77#cj77;i7 (
 title #ba1 ,code ( ,f$]al ,regulations 
7or successor regulations74  #c4 ,f9d+s 
,congress f9ds ! foll[+3 7#a7 ,! opioid 
epidemic has l$ to a rise 9 ov]dose     
dea?s across ! ,nation4  7#b7 ,9 #bjag1 
! numb] ( ov]dose dea?s involv+ opioids1
 includ+ f5tanyl1 0 #f times high] ?an 9
 #aiii4  7#c7 ,! age-adju/$ rate ( drug 
ov]dose dea?s involv+ syn!tic opioids   
o!r ?an me?adone increas$ by #aj p]c5t f
 #bjag to #bjah4  7#d7 ,! ,,covid-#ai   
p&emic has be5 associat$ ) sub/ance use4
 ,accord+ to ! ,c5t]s = ,disease        
,control & ,prev5tion 7,,cdc71 #ac p]c5t
 ( survey$ adults _h />t$ or increas$   
sub/ance use to cope ) /ress or emotions
 relat$ to ,,covid-#ai4  7#e7 ,f$]al    
ag5cies1 along ) ,f$]al1 ,/ate1 & local 
lawmak]s1 h work$ toge!r to respond to !
 rise 9 ov]dose dea?s ?r\gh increas$    
fund+ & t>get$ policy initiatives4  7#f7
 ,?is includes ! successful passage ( ! 

,compreh5sive ,addiction & ,recov]y ,act
 ( #bjaf 7,,c>a71 ! #ba/ ,c5tury ,cures 
,act1 & ! ,sub/ance ,use-,disord]       
,prev5tion t ,promotes ,opioid ,recov]y 
& ,treatm5t = ,pati5ts & ,communities   
,act 7,,support = ,pati5t & ,communities
 ,act74  7#g7 ,^! ef=ts h help$ prev5t1 
treat1 & combat ! opioid epidemic1 b !  
rise 9 ov]dose dea?s involv+ syn!tic    
opioids l f5tanyl means t n all         
communities are see+ a r$uction 9       
fatalities4  7#h7 ,drug ov]dose dea?s 9 
! ,unit$ ,/ates involv+ f5tanyl h ris5 f
 #bjaa ?r\gh #bjaf1 gr[+ f #a1fjj       
f5tanyl ov]dose relat$ dea?s 9 #bjaa &  
#bjab to #ah1jjj dea?s 9 #bjaf4  7#i7   
,?is rise 9 f5tanyl ov]dose relat$ dea?s
 has disproportionately impact$         
communities ( color4  7#aj7 ,accord+ to 
! ,c5t]s = ,disease ,control &          
,prev5tion 7,,cdc71 drug ov]dose dea?   
rates involv+ f5tanyl = non-,hispanic   
,african ,am]icans _h ! l>ge/ annual    
p]c5tage increase f #bjaa to #bjaf at   
#adj4f p]c5t p] ye>1 foll[$ by ,hispanic

 p]sons at #aah4c p]c5t p] ye>4         
,f5tanyl-involv$ ov]dose rates =        
non-,hispanic ,:ite p]sons increas$ by  
#ajh4h p]c5t f #bjac to #bjaf4  7#aa7   
,accord+ to ! ,,cdc1 rates ( drug       
ov]dose dea?s involv+ f5tanyl increas$  
expon5tially f #bjaa ?r\gh #bjaf = mo/  
regions ( ! ,unit$ ,/ates4  7#ab7       
,f5tanyl is increas+ly be+ id5tifi$ 9   
nonopioid sub/ances1 l me?amphetam9e &  
coca9e4  7#ac7 ,by #bjag1 ov] half (    
h]o9 & coca9e ov]dose dea? records      
involv$ syn!tic opioids4  7#ad7 ,previ\s
 policies to c\nt] ! widespread use (   
illicit sub/ances ?r\gh t\gh] s5t5c+    
guidel9es disproportionately impact     
communities ( color4  7#ae7 ,!re is a   
gr[+ ne$ = a compreh5sive plan focus$ on
 monitor+1 rese>*+1 treat+1 & prev5t+   
f5tanyl ov]dose dea?s4  7#af7 ,tak+ a   
public heal? approa* to rev]s+ ov]dose  
dea? tr5ds & promot+ equity %\ld        
emphasize increas+ rese>* & exp&+ access
 to treatm5t4  ,i ,f5tanyl ,rese>* &    
,education  #aja4 ,enhanc$ f5tanyl      

surveillance  7a7 ,9 g5]al ,! ,director 
( ! ,c5t]s = ,disease ,control &        
,prev5tion %all enhance ! drug          
surveillance program ( ! ,c5t]s by--    
7#a7 exp&+ su* surveillance program to  
include all #ej ,/ates1 ! t]ritories ( !
 ,unit$ ,/ates1 & all ,tribes & ,tribal 
organizations2  7#b7 increas+ &         
accel]at+ ! collection ( data on        
f5tanyl1 f5tanyl-relat$ sub/ances1 o!r  
syn!tic opioids1 & new em]g+ drugs (    
abuse1 includ+ relat$ ov]dose data f    
m$ical exam9]s & drug treatm5t          
admissions & in=mation reg>d+ drug      
seizures2 &  7#c7 utiliz+ available &   
em]g+ in=mation on f5tanyl1             
f5tanyl-relat$ sub/ances1 o!r syn!tic   
opioids1 & new em]g+ drugs ( abuse1     
includ+ in=mation f-- 7,a7 ! ,national  
,drug ,e>ly ,w>n+ ,sy/em2  7,b7 ,/ate & 
local public heal? au?orities2  7,c7    
,f$]al1 ,/ate1 & local public heal?     
laboratories2 &  7,d7 drug seizures by  
,f$]al1 ,/ate1 & local law en=cem5t     
ag5cies1 includ+ in=mation f ! ,national

 ,seizure ,sy/em & ! ,national ,=5sic   
,laboratory ,in=mation ,sy/em ( ! ,drug 
,en=cem5t ,adm9i/ration4  7b7 ,in=mation
 %>+ ,! ,director ( ! ,c5t]s = ,disease 
,control & ,prev5tion %all %>e !        
in=mation collect$ ?r\gh ! drug         
surveillance program ( ! ,c5t]s )       
entities includ+ ! ,(fice ( ,national   
,drug ,control ,policy1 ,/ate & local   
public heal? ag5cies1 & ,f$]al1 ,/ate1 &
 local law en=cem5t ag5cies4  7c7 ,law  
en=cem5t report+ ,ea* ,f$]al law        
en=cem5t ag5cy %all report in=mation on 
all drug seizures by t ag5cy to ! ,drug 
,en=cem5t ,adm9i/ration = inclusion 9 ! 
,national ,seizure ,sy/em4  7d7 ,,gao   
report ,n lat] ?an #b ye>s aft] ! date (
 enactm5t ( ?is ,act1 ! ,comptroll]     
,g5]al ( ! ,unit$ ,/ates %all-- 7#a7    
publi% a report analyz+ h[ ,f$]al       
ag5cies c improve _! collection1        
report+1 %>+1 & analytic use ( drug     
seizure data across ,f$]al ag5cies & )  
,/ate & local gov]nm5ts2 &  7#b7 include
 9 su* report an analysis ( h[ well     

available data on drug seizures c       
measure progress t[>d r$uc+ drug        
traffick+ into & )9 ! c\ntry1 z outl9$ 9
 /rategies su* z ! ,national ,drug      
,control ,/rategy ( ! ,(fice ( ,national
 ,drug ,control ,policy4  7e7           
,au?orization ( appropriations ,to c>ry 
out ?is section1 !re is au?oriz$ to be  
appropriat$ #abe1jjj1jjj = ea* ( fiscal 
ye>s #bjbb ?r\gh #bjbf4  #ajb4          
,collection ( ov]dose data  7a7 ,9 g5]al
 ,n lat] ?an "o ye> aft] ! date (       
enactm5t ( ?is ,act1 ! ,secret>y %all   
conduct a /udy on h[ to mo/ effici5tly  
track ov]doses by type ( drug1 includ+  
f5tanyl4  7b7 ,grant program  7#a7 ,9   
g5]al ,^u completion ( ! /udy "u        
subsection 7a71 & tak+ into consid]ation
 ! results ( su* /udy1 ! ,secret>y %all 
aw>d grants to ,/ates to facilitate !   
collection ( data ) respect to          
f5tanyl-involv$ ov]doses4  7#b7         
,requirem5t ,z a condition on receipt ( 
a grant "u ?is subsection1 an applicant 
%all agree to %>e ! data collect$       

pursuant to ! grant ) ! ,c5t]s =        
,disease ,control & ,prev5tion4  7#c7   
,pref]5ce ,9 aw>d+ grants "u ?is        
subsection1 ! ,secret>y %all give       
pref]5ce to applicants ^: grant         
proposals demon/rate ! greate/ ne$ =    
collect+ timely & accurate data on      
ov]doses4  #ajc4 ,f5tanyl detection  7a7
 ,te/+ ( contam9ants  7#a7 ,9 g5]al ,!  
,secret>y1 act+ ?r\gh ! ,assi/ant       
,secret>y & 9 coord9ation ) ! ,director 
( ! ,c5t]s = ,disease ,control &        
,prev5tion1 %all e/abli% a pilot program
 ?r\gh :i* #e entities1 9 #e ,/ates     
repres5t+ div]se regions1 use *emical   
scre5+ devices to id5tify contam9ants1  
includ+ f5tanyl & f5tanyl-relat$        
sub/ances1 9 illicit /reet drugs4  7#b7 
,evaluation ,n lat] ?an ! end ( fiscal  
ye> #bjbe1 ! ,secret>y %all-- 7,a7      
complete an evaluation ( ! mo/ effective
 ways ( exp&+ ! pilot program "u ?is    
subsection to decrease rates ( ov]dose2 
&  7,b7 submit a report to ! appropriate
 congressional committees on ! results (

 su* evaluation4  7#c7 ,def9ition ,9 ?is
 subsection1 ! t]m *emical scre5+ device
 means an infr>$ spectrophotomet]1 mass 
spectromet]1 nucle> magnetic resonance  
spectromet]1 ,raman spectrophotomet]1   
ion mobility spectromet]1 or any o!r    
device or o!r te*nology t is able to    
det]m9e ! pres5ce (1 or id5tify1 "o or m
 contam9ants 9 illegal /reet drugs4     
7#d7 ,au?orization ( appropriations ,to 
c>ry out ?is subsection1 !re is au?oriz$
 to be appropriat$ #e1jjj1jjj = ea* (   
fiscal ye>s #bjbb ?r\gh #bjbf4  7b7     
,rese>* into te*nologies  7#a7 ,9 g5]al 
,! ,secret>y %all conduct or support    
rese>* = ! developm5t or improvem5t (   
portable & af=dable te*nologies relat$  
to te/+ drugs = f5tanyl & f5tanyl-relat$
 sub/ances1 includ+ *emical scre5+      
device me?ods4  7#b7 ,au?orization (    
appropriations ,to c>ry out ?is         
subsection1 !re is au?oriz$ to be       
appropriat$ #be1jjj1jjj = ea* ( fiscal  
ye>s #bjbb ?r\gh #bjbf4  #ajd4 ,,gao    
report on int]national mail & c>go      

scre5+ ,n lat] ?an #a ye> aft] ! date ( 
enactm5t ( ?is ,act1 ! ,comptroll]      
,g5]al ( ! ,unit$ ,/ates %all submit to 
,congress a report review+ ! impact (   
illicit f5tanyl & f5tanyl-relat$        
sub/ances import$ ?r\gh int]national    
mail & c>go1 includ+ discussion ( !     
foll[+3 7#a7 ,! volume ( f5tanyl &      
f5tanyl-relat$ sub/ances be+ import$    
into ! ,unit$ ,/ates by means (         
int]national mail & c>go4  7#b7 ,!      
pot5tial impact ( increas$ scre5+ =     
illicit f5tanyl & f5tanyl-relat$        
sub/ances on-- 7,a7 det]r+ drug         
traffick+ 9 ! ,unit$ ,/ates2  7,b7      
int]dict+ f5tanyl & f5tanyl-relat$      
sub/ances t 7 manufactur$ outside ( !   
,unit$ ,/ates & int5d$1 or attempt$1 to 
be import$ into ! ,unit$ ,/ates2  7,c7 !
 numb] ( ,f$]al crim9al prosecutions    
bas$ on ! manufacture1 di/ribution1 or  
possession ( f5tanyl or f5tanyl-relat$  
sub/ances1 disaggregat$ by demographic  
data1 includ+ sex1 race1 & e?nicity1 ( !
 (f5d]2  7,d7 ! *>ges br\ght 9          

prosecutions describ$ 9 subp>agraph     
7,c72  7,e7 ! impacts ( prosecutions    
describ$ 9 subp>agraph 7,c7 on r$uc+    
dem& =1 & availability to us]s (1       
f5tanyl & f5tanyl-relat$ sub/ances2 &   
7,f7 ! developm5t ( new f5tanyl-relat$  
sub/ances4  7#c7 ,! ne$ = non-invasive  
te*nology 9 scre5+ = f5tanyl &          
f5tanyl-relat$ sub/ances1 tak+ into     
acc\nt ! f9d+s "u p>agraphs 7#a7 & 7#b74
  #aje4 ,cont+5cy managem5t program  7a7
 ,9 g5]al ,! ,secret>y %all-- 7#a7      
develop & implem5t a program ( us+      
cont+5cy managem5t pr9ciples to         
disc\rage ! use ( illicit drugs2 &  7#b7
 z "p ( su* program use inc5tive-bas$   
int]v5tions-- 7,a7 to increase sub/ance 
misuse treatm5t ret5tion2 &  7,b7 to    
promote adh]5ce to treatm5t goals1      
includ+ negative ur9alysis4  7b7        
,au?orization ( appropriations ,to c>ry 
out ?is section1 !re is au?oriz$ to be  
appropriat$ #be1jjj1jjj = ea* ( fiscal  
ye>s #bjbb ?r\gh #bjbf4  ,,ii ,ov]dose  
,prev5tion & ,sub/ance ,use ,disord]    

,treatm5t ,programs  #bja4 ,,nam report 
on ov]dose prev5tion c5t]s ,n lat] ?an  
"o ye> aft] ! date ( enactm5t ( ?is     
,act1 ! ,comptroll] ,g5]al ( ! ,unit$   
,/ates %all ent] into an arrangem5t ) ! 
,national ,academy ( ,m$ic9e 7or1 if !  
,academy decl9es1 ano!r appropriate     
entity7 to-- 7#a7 submit to ,congress a 
report on ov]dose prev5tion c5t]s2 &    
7#b7 include 9 su* report-- 7,a7 a      
review ( ! effectiv5ess ( legally       
au?oriz$ ov]dose prev5tion c5t]s 9 !    
,unit$ ,/ates & abroad on l[]+ ov]dose  
dea?s2 &  7,b7 an assessm5t ( !         
effectiv5ess ( ov]dose prev5tion c5t]s  
on improv+ access to m$ication-assi/$   
treatm5t & recov]y s]vices4  #bjb4      
,naloxone  7a7 ,naloxone pric+          
transp>5cy  7#a7 ,report+ requirem5t ,n 
lat] ?an ! date t is "o ye> aft] ! date 
( enactm5t ( ?is ,act1 & annually       
!reaft]1 to bett] und]/& h[ rese>* &    
developm5t co/s1 manufactur+ & m>ket+   
co/s1 acquisitions1 ,f$]al inve/m5ts1   
rev5ues & sales1 & o!r factors influ5ce 

drug prices1 ea* manufactur] ( naloxone 
or any o!r drug approv$ by ! ,food &    
,drug ,adm9i/ration = opioid ov]dose    
rev]sal %all report to ! ,secret>y--    
7,a7 ) respect to naloxone 7or su* o!r  
drug7-- 7i7 total exp5ditures ( !       
manufactur] on-- 7,i7 mat]ials &        
manufactur+ = su* drug2  7,,ii7 acquir+ 
pat5ts & lic5s+2 &  7,,iii7 co/s to     
pur*ase or acquire ! drug f ano!r       
company1 if applicable2  7ii7 ! p]c5tage
 ( total exp5ditures ( ! manufactur] on 
rese>* & developm5t = su* drug t 0 d]iv$
 f ,f$]al funds2  7iii7 ! total         
exp5ditures ( ! manufactur] on rese>* & 
developm5t = su* drug2  7iv7 ! total    
rev5ue & net pr(it g5]at$ f ! applicable
 drug = ea* cal5d> ye> s9ce drug        
approval2  7v7 ! total exp5ditures ( !  
manufactur] t are associat$ ) m>ket+ &  
adv]tis+ = su* drug2  7vi7 ! :olesale   
acquisition co/ = su* drug2  7vii7 !    
av]age out-(-pocket co/ ( su* drug to ! 
consum]2 &  7viii7 pati5t utilization   
rates = su* drug2 &  7,b7 additional    

in=mation specific to ! manufactur] z ! 
,secret>y may require1 to include at a  
m9imum-- 7i7 ! total rev5ue & net pr(it 
( ! manufactur] = ! report+ p]iod2  7ii7
 metrics us$ to det]m9e executive       
comp5sation2 &  7iii7 any additional    
in=mation relat$ to drug pric+ decisions
 ( ! manufactur]1 su* z total           
exp5ditures on-- 7,i7 drug rese>* &     
developm5t2 or  7,,ii7 cl9ical trials on
 drugs t fail$ to receive approval by ! 
,food & ,drug ,adm9i/ration4  7#b7      
,report+ p]iod ,! report+ p]iod = !     
reports "u p>agraph 7#a7 %all be z      
foll[s3 7,a7 ,= ! initial report "u     
p>agraph 7#a71 ! #aj-ye> p]iod prec$+ ! 
report4  7,b7 ,= subsequ5t reports1 !   
#ab-mon? p]iod prec$+ ! respective      
reports4  7#c7 ,publicly available  7,a7
 ,9 g5]al ,subject to subp>agraph 7,b71 
n lat] ?an #cj days aft] receiv+ !      
in=mation "u p>agraph 7#a71 ! ,secret>y 
%all po/ on ! int]net website ( ! ,c5t]s
 = ,m$ic>e  ,m$icaid ,s]vices !         
in=mation report$ "u p>agraph 7#a7 9    

writt5 =mat & us+ language t is easily  
und]/&able by b5efici>ies "u titles     
,,xviii & ,,xix ( ! ,social ,security   
,act 7#db ,u4,s4,c4 #acie et seq42 #acif
 et seq474  7,b7 ,exclusion ( propriet>y
 in=mation ,! ,secret>y %all exclude    
propriet>y in=mation1 su* z trade       
secrets & intellectual prop]ty1 submitt$
 by ! manufactur] "u p>agraph 7#a7 f !  
po/+ describ$ 9 subp>agraph 7,a74  7b7  
,/udy on classification ( naloxone z a  
prescription drug ,! ,commission] (     
,food & ,drugs %all-- 7#a7 n lat] "o ye>
 aft] ! date ( enactm5t ( ?is ,act1     
det]m9e :e!r naloxone %\ld rema9 subject
 to ! requirem5ts ( section #ejc7;b77#a7
 ( ! ,f$]al ,food1 ,drug1 & ,cosmetic   
,act 7#ba ,u4,s4,c4 #cec7;b77#a77 or be 
reclassifi$ z an ov]-!-c\nt] drug2 &    
7#b7 take su* actions z may be          
appropriate1 consi/5t ) su* det]m9ation4
  #bjc4 ,good ,sam>itan immunity  7a7   
,limitation on civil liability =        
individuals :o adm9i/] opioid ov]dose   
rev]sal drugs  7#a7 ,9 g5]al ,not)/&+   

any o!r provision ( law1 except z       
provid$ 9 p>agraph 7#b71 no individual  
%all be liable 9 any ,f$]al or ,/ate    
proce$+ = h>m caus$ by ! em]g5cy        
adm9i/ration ( an opioid ov]dose rev]sal
 drug to an individual :o has or        
reasonably appe>s to h suff]$ an ov]dose
 f h]o9 or ano!r opioid1 if-- 7,a7 !    
individual :o adm9i/]s ! opioid ov]dose 
rev]sal drug obta9$ ! drug f-- 7i7 a    
heal? c>e pr(essional z "p ( an opioid  
ov]dose prev5tion program2 or  7ii7 any 
s\rce z p]mitt$ "u applicable ,/ate law2
 or  7,b7 ! individual adm9i/]s ! opioid
 ov]dose rev]sal drug 9 good fai?4  7#b7
 ,exception ,p>agraph 7#a7 %all n apply 
to an individual if ! h>m 0 caus$ by !  
gross neglig5ce or reckless misconduct (
 ! individual :o adm9i/]s ! drug4  7#c7 
,def9itions ,9 ?is subsection3 7,a7 ,!  
t]m heal? c>e pr(essional means a p]son 
lic5s$ by a ,/ate to prescribe          
prescription drugs4  7,b7 ,! t]m opioid 
ov]dose rev]sal drug means a drug       
approv$ "u section #eje ( ! ,f$]al      

,food1 ,drug1 & ,cosmetic ,act 7#ba     
,u4,s4,c4 #cee7 t is indicat$ = ! p>tial
 or complete rev]sal ( ! ph>macological 
effects ( an opioid ov]dose 9 ! human   
body4  7,c7 ,! t]m opioid ov]dose       
prev5tion program means a program op]at$
 by a local heal? dep>tm5t1 h>m r$uction
 or o!r community-bas$ organization1    
sub/ance abuse treatm5t organization1   
law en=cem5t ag5cy1 fire dep>tm5t1 o!r  
fir/ respond] dep>tm5t1 or volunt>y     
association1 or a program fund$ by a    
,f$]al1 ,/ate1 or local gov]nm5t1 t     
works to prev5t opioid ov]doses by 9 "p 
provid+ opioid ov]dose rev]sal drugs &  
education-- 7i7 to individuals at risk (
 exp]i5c+ an opioid ov]dose2 or  7ii7 to
 an individual 9 a position to assi/    
ano!r individual at risk ( exp]i5c+ an  
opioid ov]dose4  7b7 ,immunity f        
liability  7#a7 ,9 g5]al ,an individual 
:o1 9 good fai? & 9 a timely mann]--    
7,a7 seeks m$ical assi/ance = ano!r     
individual :o is exp]i5c+ a drug ov]dose
 %all n be cit$1 arre/$1 prosecut$1     

crim9ally liable1 or subject to any     
sanction = a violation ( a condition (  
sup]vis$ release "u section #djd ( !    
,controll$ ,sub/ances ,act 7#ba         
,u4,s4,c4 #hdd7 = ! possession or use ( 
a controll$ sub/ance1 or "u any o!r     
provision ( ,f$]al law regulat+ ! misuse
 ( prescription drugs1 z a result (     
seek+ su* m$ical assi/ance2 or  7,b7    
seeks m$ical assi/ance = himself or     
h]self = a drug ov]dose1 or is ! subject
 ( a reque/ = m$ical assi/ance describ$ 
9 subp>agraph 7,a71 %all n be cit$1     
arre/$1 prosecut$1 crim9ally liable1 or 
subject to any sanction = a violation ( 
a condition ( sup]vis$ release1 "u      
section #djd ( ! ,controll$ ,sub/ances  
,act 7#ba ,u4,s4,c4 #hdd7 = ! possession
 or use ( a controll$ sub/ance1 or "u   
any o!r provision ( ,f$]al law regulat+ 
! misuse ( prescription drugs1 z a      
result ( seek+ su* m$ical assi/ance4    
7#b7 ,preemption ,?is subsection        
preempts ! laws ( a ,/ate or any        
political subdivision ( a ,/ate to !    

ext5t t su* laws are inconsi/5t ) ?is   
section1 unless su* laws provide great] 
protection f liability4  7#c7           
,def9itions ,9 ?is section3 7,a7 ,! t]m 
controll$ sub/ance has ! mean+ giv5 !   
t]m 9 section #ajb ( ! ,controll$       
,sub/ances ,act 7#ba ,u4,s4,c4 #hjb74   
7,b7 ,! t]m drug ov]dose means an acute 
condition result+ f or believ$ to be    
result+ f ! use ( a controll$ sub/ance1 
:i* an individual1 :o is n a heal? c>e  
pr(essional1 w\ld reasonably believe    
requires m$ical assi/ance4  7,c7 ,! t]m 
prescription drug means a drug subject  
to section #ejc7;b77#a7 ( ! ,f$]al      
,food1 ,drug1 & ,cosmetic ,act 7#ba     
,u4,s4,c4 #cec7;b77#a774  7,d7 ,! t]ms  
seeks m$ical assi/ance & seek+ su*      
m$ical assi/ance include-- 7i7 report+ a
 drug or alcohol ov]dose or o!r m$ical  
em]g5cy to a law en=cem5t au?ority1 !   
#i-a-a sy/em1 a poison control c5t]1 or 
a m$ical provid]2  7ii7 assi/+ ano!r    
individual :o is mak+ a report describ$ 
9 clause 7i72 or  7iii7 provid+ c>e to  

someone :o is exp]i5c+ a drug or alcohol
 ov]dose or o!r m$ical em]g5cy :ile     
await+ ! arrival ( m$ical assi/ance4    
7c7 ,seek+ assi/ance z a mitigat+ factor
 ,section #ceec ( title #ah1 ,unit$     
,/ates ,code1 is am5d$-- 7#a7 by        
r$esignat+ subsection 7g7 z subsection  
7h72 &  7#b7 by ins]t+ aft] subsection  
7f7 ! foll[+3  7g7 ,seek+ m$ical        
assi/ance  7#a7 ,9 g5]al ,not)/&+ any   
o!r provision ( law1 9 impos+ a s5t5ce  
pursuant to guidel9es promulgat$ by !   
,unit$ ,/ates ,s5t5c+ ,commission "u    
section #iid ( title #bh aga9/ a        
def5dant convict$ ( an (f5se z a result 
( seek+ m$ical assi/ance = ano!r        
individual :o is exp]i5c+ a drug        
ov]dose1 or = himself or h]self = a drug
 ov]dose1 o!r ?an an (f5se describ$ 9   
section #bjc7;b77#a77;,a7 ( ! ,,/op     
,f5tanyl ,act ( #bjba1 ! c\rt %all      
consid] ! act ( seek+ m$ical assi/ance z
 a mitigat+ factor4  7#b7 ,def9itions ,9
 ?is subsection1 ! t]ms drug ov]dose &  
seek+ m$ical assi/ance h ! mean+s giv5  

to su* t]ms 9 section #bjc7;b7 ( ! ,,/op
 ,f5tanyl ,act ( #bjba4  4  #bjd4       
,m$ication-assi/$ treatm5t  7a7 ,opioid 
treatm5t program regulations  7#a7      
,def9ition ,9 ?is subsection1 ! t]m     
opioid treatm5t program means a program 
or practition] engag$ 9 opioid treatm5t 
( individuals ) an opioid agoni/        
treatm5t m$ication regi/]$ "u section   
#cjc7;g77#a7 ( ! ,controll$ ,sub/ances  
,act 7#ba ,u4,s4,c4 #hbc7;g77#a774  7#b7
 ,elim9ation ( pati5t eligibility       
requirem5t ,! ,secret>y %all am5d       
section #h4ab7;e77#a7 ( title #db1 ,code
 ( ,f$]al ,regulations 7& su* o!r       
regulations 9 "p #h ( su* title #db z   
may be necess>y7 to elim9ate !          
requirem5t t ! p]son became addict$ at  
lea/ #a ye> be=e admission = ma9t5ance  
treatm5t "u an opioid treatm5t program4 
7#c7 ,survey  7,a7 ,9 g5]al ,n lat] ?an 
"o ye> aft] ! date ( enactm5t ( ?is     
,act1 ! ,assi/ant ,secret>y %all-- 7i7  
complete a survey ( ! use 9 opioid      
treatm5t programs ( take-home           

prescription m$ications2 &  7ii7 submit 
a report to ,congress on ! f9d+s ( !    
survey4  7,b7 ,requir$ assessm5t ,!     
survey "u p>agraph 7#a7 %all assess--   
7i7 ! frequ5cy ( use ( take-home        
m$ication1 z all[$ "u section #h4ab7;i7 
( title #db1 ,code ( ,f$]al             
,regulations2  7ii7 ! ext5t to :i* !    
limitations on doses = take-home use    
li/$ 9 section #h4ab7;i77#c77;i71 7ii71 
7iii71 & 7iv7 ( su* title #db unduly    
burd5 treatm5t ( individuals ) opioid   
use disord]2 &  7iii7 :e!r & h[         
individuals receiv+ m$ications =        
take-home use receive all s]vices li/$ 9
 section #h4ab7;f7 ( su* title #db4  7b7
 ,treatm5t 9 rural & und]s]v$           
populations ,n lat] ?an #a ye> aft] !   
date ( enactm5t ( ?is ,act1 ! ,assi/ant 
,secret>y %all complete a /udy & submit 
a report to ,congress on ways 9 :i* !   
,sub/ance ,abuse & ,m5tal ,heal?        
,s]vices ,adm9i/ration c provide &      
support heal? s]vices1 includ+ treatm5t 
= sub/ance use disord]s1 to individuals 

9 rural 7includ+ agricultural7 &        
m$ically und]s]v$ communities 7z def9$ 9
 section #gii;,b ( ! ,public ,heal?     
,s]vice ,act 7#db ,u4,s4,c4 #biep771    
tak+ into acc\nt ! foll[+3 7#a7 ,/igma4 
7#b7 ,us+ data4  7#c7 ,telem$ic9e4  7#d7
 ,manag+ fiscal res\rces 9 a community  
impact$ by addiction4  7#e7 ,work=ce    
developm5t4  7#f7 ,broadb&4  7#g7       
,ov]com+ economic *all5ges4  7#h7       
,prev5tion4  7#i7 ,transportation4      
7#aj7 ,nutritional s]vices4  7#aa7      
,m$ication-assi/$ treatm5t4  7#ab7      
,educat+ law en=cem5t p]sonnel ab\t     
addiction4  7#ac7 ,drug c\rts4  7#ad7   
,educat+ ! fai? community ab\t          
addiction4  7#ae7 ,recov]y support4     
7#af7 ,h\s+4  7#ag7 ,h>m r$uction       
s]vices4  7c7 ,prisons &                
m$ication-,assi/$ treatm5t  7#a7 ,9     
g5]al ,! ,director ( ! ,bureau (        
,prisons %all e/abli% a program to (f]--
 7,a7 m$ication-assi/$ treatm5t = opioid
 use disord] to individuals 9 ! cu/ody (
 ! ,bureau ( ,prisons & include 9 su*   

treatm5t all drugs t are approv$ by !   
,food & ,drug ,adm9i/ration to treat    
opioid use disord]2 &  7,b7 )drawal     
managem5t s]vices to individuals 9 !    
cu/ody ( ! ,bureau ( ,prisons to provide
 a compreh5sive treatm5t approa* to     
sub/ance use disord]s4  7#b7            
,au?orization ( appropriations ,to c>ry 
out ?is subsection1 !re is au?oriz$ to  
be appropriat$ to ! ,director ( !       
,bureau ( ,prisons #aej1jjj1jjj = ea* ( 
fiscal ye>s #bjbb ?r\gh #bjbf4  7d7     
,resid5tial sub/ance abuse treatm5t =   
,/ate prison]s ,section #aijd7;d7 (     
title ,i ( ! ,omnibus ,crime ,control & 
,safe ,/reets ,act ( #aifh 7#cd         
,u4,s4,c4 #ajdbd7;d77 is am5d$-- 7#a7 by
 /rik+ means & ins]t+ ! foll[+3  7#a7   
means  2 &  7#b7 by /rik+ ! p]iod at !  
end & ins]t+ 2 &2 &  7#c7 by add+ at !  
end ! foll[+3  7#b7 includes any su*    
c\rse ( compreh5sive individual & gr\p  
sub/ance abuse treatm5t s]vices us+     
m$ication-assi/$ treatm5t = opioid use  
disord] 7includ+ ! use ( any drug       

approv$ or lic5s$ by ! ,food & ,drug    
,adm9i/ration = su* treatm5t74  4  #bje4
 ,teleheal? = sub/ance use disord]      
treatm5t ,section #cji7;e77#b7 ( !      
,controll$ ,sub/ances ,act 7#ba         
,u4,s4,c4 #hbi7;e77#b77 is am5d$-- 7#a7 
9 subp>agraph 7,a77i7-- 7,a7 by /rik+ at
 lea/ #a 9-p]son m$ical evaluation &    
ins]t+ ! foll[+3 at lea/-- 7,i7 #a      
9-p]son m$ical evaluation  2 &  7,b7 by 
add+ at ! end ! foll[+3  7,,ii7 =       
purposes ( prescrib+ a controll$        
sub/ance 9 s*$ule ,,iii or ,,iv1 #a     
teleheal? evaluation2 or  2 &  7#b7 by  
add+ at ! end ! foll[+3  7,d7 7i7 ,! t]m
 teleheal? evaluation means a m$ical    
evaluation t is conduct$ 9 accordance ) 
applicable ,f$]al & ,/ate laws by a     
practition] 7o!r ?an a ph>maci/7 :o is  
at a location remote f ! pati5t & is    
communicat+ ) ! pati5t us+ a            
telecommunications sy/em ref]r$ to 9    
section #ahcd7m7 ( ! ,social ,security  
,act 7#db ,u4,s4,c4 #aciem7m77 t        
includes1 at a m9imum1 audio & video    

equipm5t p]mitt+ two-way1 real-"t       
int]active communication betwe5 ! pati5t
 & di/ant site practition]4  7ii7 ,no?+ 
9 clause 7i7 %all be con/ru$ to imply t 
#a teleheal? evaluation demon/rates t a 
prescription has be5 issu$ = a          
legitimate m$ical purpose )9 ! usual    
c\rse ( pr(essional practice4  7iii7 ,a 
practition] :o prescribes ! drugs or    
comb9ation ( drugs t are cov]$ "u       
section #cjc7;g77#b77;,c7 us+ ! au?ority
 "u subp>agraph 7,a77i77,,ii7 ( ?is     
p>agraph %all adh]e to nationally       
recogniz$ evid5ce-bas$ guidel9es = !    
treatm5t ( pati5ts ) opioid use disord]s
 & a div]sion control plan1 z ^? t]ms   
are def9$ 9 section #h4b ( title #db1   
,code ( ,f$]al ,regulations1 z 9 effect 
on ! date ( enactm5t ( ?is subp>agraph4 
4  #bjf4 ,grant program on h>ms ( drug  
misuse  7a7 ,9 g5]al ,! ,assi/ant       
,secret>y1 9 consultation ) ! ,director 
( ! ,c5t]s = ,disease ,control &        
,prev5tion1 %all aw>d grants to ,/ates1 
political subdivisions ( ,/ates1        

,tribes1 ,tribal organizations1 &       
community-bas$ entities to support !    
deliv]y ( ov]dose prev5tion1 syr+e      
s]vices programs1 & o!r h>m r$uction    
s]vices t address ! h>ms ( drug misuse1 
includ+ by-- 7#a7 prev5t+ & controll+ ! 
spread ( infecti\s diseases1 su* z      
,,hiv_/,,aids & viral hepatitis1 & !    
consequ5ces ( su* diseases = individuals
 ) sub/ance use disord]2  7#b7 di/ribut+
 opioid antagoni/s1 su* z naloxone1 to  
individuals at risk ( ov]dose2  7#c7    
connect+ individuals at risk =1 or )1 a 
sub/ance use disord] to ov]dose         
education1 c\nsel+1 & heal? education2 &
  7#d7 enc\rag+ su* individuals to take 
/eps to r$uce ! negative p]sonal &      
public heal? impacts ( sub/ance use or  
misuse4  7b7 ,consid]ations ,9 aw>d+    
grants "u ?is section1 ! ,assi/ant      
,secret>y %all prioritize grants to     
applicants t are-- 7#a7 culturally      
specific organizations1 ,tribal         
behavioral heal? & sub/ance use disord] 
provid]s1 or organizations t are        

int5tional ab\t s]v+ populations :]e    
,,covid-#ai has _h ! mo/ impact2 or     
7#b7 propos+ to s]ve areas )-- 7,a7 a   
high] proportion ( ! population :o meet 
crit]ia = dep5d5ce on1 or abuse (1      
illicit drugs2  7,b7 a high] drug       
ov]dose dea? rate2  7,c7 a great]       
telem$ic9e infra/ructure ne$2 &  7,d7 a 
great] behavioral heal? & sub/ance use  
disord] work=ce ne$4  7c7 ,use ( grant  
aw>ds ,a recipi5t ( a grant "u ?is      
section may use su* grant funds = !     
foll[+ purposes3 7#a7 ,adapt1 ma9ta91 & 
exp& ess5tial s]vices provid$ by h>m    
r$uction s]vice organizations to address
 ! risks ( ,,covid-#ai1 drug ov]dose1 & 
contraction ( infecti\s disease4  7#b7  
,ma9ta9 or hire /aff4  7#c7 ,support    
program op]ational co/s1 includ+ /aff1  
r5t1 & vehicle pur*ase or ma9t5ance4    
7#d7 ,program supplies4  7#e7 ,support &
 case managem5t s]vices4  7d7           
,au?orization ( appropriations ,to c>ry 
out ?is section1 !re is au?oriz$ to be  
appropriat$ #ej1jjj1jjj = fiscal ye>    

#bjbb1 to rema9 available until exp5d$4 
#bjg4 ,opioid treatm5t education  7a7 ,9
 g5]al ,! ,secret>y %all aw>d grants to 
,/ates & local gov]nm5tal entities to   
provide education to /akehold]s1 includ+
 heal? c>e provid]s1 crim9al ju/ice     
pr(essionals1 & sub/ance use disord]    
treatm5t p]sonnel1 on ! curr5t /ate (   
rese>* on treatm5t = opioid dep5d5ce1   
includ+-- 7#a7 ! use ( opioid agoni/s or
 p>tial agoni/s2 &  7#b7 ! pot5tial     
b5efits ( ! use ( opioid agoni/s or     
p>tial agoni/s = affect$ individuals4   
7b7 ,au?orization ( appropriations ,to  
c>ry out ?is section1 !re is au?oriz$ to
 be appropriat$ #ajj1jjj1jjj = ea* (    
fiscal ye>s #bjbb ?r\gh #bjbf4  ,,iii   
,public ,heal? ,data & ,tra9+ ,support =
 ,f5tanyl ,detection  #cja4 ,public     
heal? support = law en=cem5t  7a7       
,support = f5tanyl detection & h&l+ ,!  
,secret>y1 9 consultation ) ! ,attorney 
,g5]al1 %all e/abli% a program to       
provide to ,f$]al1 ,/ate1 & local law   
en=cem5t ag5cies public heal? tra9+ on  

h[ to detect & h&le f5tanyl4  7b7       
,evid5ce-,bas$ ,! program "u subsection 
7a7 %all comply ) evid5ce-bas$          
guidel9es1 includ+ ! ,f5tanyl ,safety   
,recomm5dations = ,fir/ ,respond]s 7or  
any successor guidel9es7 ( ! ,(fice (   
,national ,drug ,control ,policy4  7c7  
,au?orization ( appropriations ,to c>ry 
out ?is section1 !re is au?oriz$ to be  
appropriat$ #e1jjj1jjj = ea* ( fiscal   
ye>s #bjbb ?r\gh #bjbf4  #cjb4 ,report  
on c\ntries t produce syn!tic drugs ,n  
lat] ?an #a ye> aft] ! date ( enactm5t (
 ?is ,act1 ! ,secret>y ( ,/ate %all     
submit to ,congress a report-- 7#a7     
id5tify+ ! c\ntries ! ,secret>y det]m9es
 are ! pr9cipal produc]s ( syn!tic drugs
 traffick$ into ! ,unit$ ,/ates2  7#b7  
assess+ h[ & :y ^? c\ntries are produc+ 
su* drugs2 &  7#c7 describ+ measures !  
,secret>y plans to take to r$uce ! fl[ (
 su* drugs into ! ,unit$ ,/ates4  #cjc4 
,grants to improve public heal?         
surveillance 9 =5sic laboratories ,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  ,,pp ,confront+ ! ,use ( 
,h]o91 ,f5tanyl1 & ,associat$ ,syn!tic  
,drugs  #cjfa4 ,au?ority to make grants 
to address public safety ?r\gh improv$  
=5sic laboratory data  7a7 ,purpose ,!  
purpose ( ?is section is to assi/ ,/ates
 & units ( local gov]nm5t 9-- 7#a7 c>ry+
 out programs to improve surveillance ( 
seiz$ h]o91 f5tanyl1 & associat$ syn!tic
 drugs to enhance public heal?2 &  7#b7 
improv+ ! ability ( ,/ate1 tribal1 &    
local gov]nm5t in/itutions to c>ry out  
su* programs4  7b7 ,grant au?orization  
,! ,attorney ,g5]al1 act+ ?r\gh !       
,director ( ! ,bureau ( ,ju/ice         
,assi/ance1 may make grants to ,/ates & 
units ( local gov]nm5t to improve       
surveillance ( seiz$ h]o91 f5tanyl1 &   
associat$ syn!tic drugs to enhance      
public heal?4  7c7 ,grant projects ,to  
improve surveillance ( seiz$ h]o91      
f5tanyl1 & associat$ syn!tic drugs      
,grants made "u subsection 7b7 %all be  

us$ = programs1 projects1 & o!r         
activities to-- 7#a7 reimburse ,/ate1   
local1 or o!r =5sic sci5ce laboratories 
to help address backlogs ( unte/$       
samples ( h]o91 f5tanyl1 & associat$    
syn!tic drugs2  7#b7 reimburse ,/ate1   
local1 or o!r =5sic sci5ce laboratories 
= procur+ equipm5t1 te*nology1 or o!r   
support sy/ems if ! applicant = ! grant 
demon/rates to ! satisfaction ( !       
,attorney ,g5]al t exp5ditures = su*    
purposes w\ld result 9 improv$ effici5cy
 ( laboratory te/+ & help prev5t future 
backlogs2  7#c7 reimburse ,/ate1 local1 
or o!r =5sic sci5ce laboratories =      
improv$1 real-"t data ex*ange ) ! ,c5t]s
 = ,disease ,control & ,prev5tion on    
f5tanyl1 f5tanyl-relat$ sub/ances1 & o!r
 syn!tic drugs pres5t 9 ! local         
communities2 &  7#d7 support ,/ate1     
tribal1 & local heal? dep>tm5t s]vices  
deploy$ to address ! use ( h]o91        
f5tanyl1 & associat$ syn!tic drugs4  7d7
 ,limitation ,n less ?an #fj p]c5t ( !  
am\nts made available to c>ry out ?is   

section %all be aw>d$ = ! purposes "u   
p>agraph 7#a7 or 7#b7 ( subsection 7c74 
7e7 ,au?orization ( appropriations ,!re 
are au?oriz$ to be appropriat$ to c>ry  
out ?is section #aj1jjj1jjj = ea* (     
fiscal ye>s #bjbb & #bjbc4  7f7         
,allocation  7#a7 ,population allocation
 ,sev5ty-five p]c5t ( ! am\nt made      
available to c>ry out ?is section 9 a   
fiscal ye> %all be allocat$ to ea* ,/ate
 t meets ! requirem5ts ( section #bhjb s
 t ea* ,/ate %all receive an am\nt t    
be>s ! same ratio to ! #ge p]c5t ( !    
total am\nt made available to c>ry out  
?is section = t fiscal ye> z !          
population ( ! ,/ate be>s to !          
population ( all ,/ates4  7#b7          
,discretion>y allocation ,tw5ty-five    
p]c5t ( ! am\nt made available to c>ry  
out ?is section 9 a fiscal ye> %all be  
allocat$ pursuant to ! discretion ( !   
,attorney ,g5]al = competitive grants to
 ,/ates or units ( local gov]nm5t ) high
 rates ( prim>y treatm5t admissions =   
h]o9 & o!r opioids1 = use by ,/ate or   

local law en=cem5t ag5cies4  7#c7       
,m9imum requirem5t ,ea* ,/ate %all      
receive n less ?an #j4f p]c5t ( ! am\nt 
made available to c>ry out ?is section 9
 ea* fiscal ye>4  7#d7 ,c]ta9 t]ritories
  7,a7 ,9 g5]al ,= purposes ( !         
allocation "u ?is section1 ,am]ican     
,samoa & ! ,commonweal? ( ! ,nor!rn     
,m>iana ,isl&s %all be consid]$ z #a    
,/ate4  7,b7 ,allocation among/ c]ta9   
t]ritories ,= purposes ( subp>agraph    
7,a71 #fg p]c5t ( ! am\nt allocat$ %all 
be allocat$ to ,am]ican ,samoa & #cc    
p]c5t %all be allocat$ to ! ,commonweal?
 ( ! ,nor!rn ,m>iana ,isl&s4  4