,,ii  #aagth ,,congress  #ast ,session  
,s4 #bbce  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,june #bd1     
#bjba,mr4 ,bennet 7for himself and ,ms4 
,collins7 introduced the following bill2
 which was read twice and referred to   
the ,committee on ,health1 ,education1  
,labor1 and ,pensions  ,a ,,bill  ,to   
amend the ,controlled ,substances ,act  
to require physicians and other         
prescribers of controlled substances to 
complete training on treating and       
managing patients with opioid and other 
substance use disorders1 and for other  
purposes4  #a4 ,short title ,this ,act  
may be cited as the ,medication ,access 
and ,training ,expansion ,act of #bjba  
or the ,,mate ,act of #bjba4  #b4       
,requiring prescribers of controlled    
substances to complete training on      
treating and managing patients with     
opioid and other substance use disorders
 ,section #cjc of the ,controlled       
,substances ,act 7#ba ,u4,s4,c4 #hbc7 is
 amended by adding at the end the       

following3  7l7 ,required training for  
prescribers on treating and managing    
patients with opioid and other substance
 use disorders  7#a7 ,applicability     
,this subsection applies-- 7,a7 with    
respect to any practitioner who is      
licensed under ,state law to prescribe  
controlled substances and is not a      
veterinarian2 and  7,b7 beginning with  
the first registration or renewal of    
registration by the practitioner under  
this section occurring not less than    
#ahj days after the date of enactment of
 the ,medication ,access and ,training  
,expansion ,act of #bjba4  7#b7         
,training required ,as a condition on   
registration under this section to      
dispense controlled substances in       
schedule ,,ii1 ,,iii1 ,,iv1 or ,v1 the  
,attorney ,general shall require any    
practitioner described in paragraph     
7#a77;,a7 to meet the following3 7,a7   
,if the practitioner is a physician1 the
 practitioner shall meet #a or more of  
the following conditions3 7i7 ,the      

physician holds a board certification in
 addiction psychiatry or addiction      
medicine from the ,american ,board of   
,medical ,specialties4  7ii7 ,the       
physician holds a board certification   
from the ,american ,board of ,addiction 
,medicine4  7iii7 ,the physician holds a
 board certification in addiction       
medicine from the ,american ,osteopathic
 ,association4  7iv7 ,with respect to   
the treatment and management of patients
 with opioid and other substance use    
disorders1 including the appropriate    
clinical use of any drug approved or    
authorized by the ,food and ,drug       
,administration for the treatment of a  
substance use disorder1 the physician   
has completed not less than #h hours of 
training 7through classroom situations1 
seminars at professional society        
meetings1 electronic communications1 or 
otherwise7 that is provided by-- 7,i7   
the ,american ,society of ,addiction    
,medicine1 the ,american ,academy of    
,addiction ,psychiatry1 the ,american   

,medical ,association1 the ,american    
,osteopathic ,association1 the ,american
 ,psychiatric ,association1 the         
,american ,academy of ,hospice and      
,palliative ,medicine1 the ,american    
,academy of ,pain ,medicine1 or any     
other organization accredited by the    
,accreditation ,council for ,continuing 
,medical ,education 7referred to in this
 subsection as the ,,accme72  7,,ii7 any
 organization accredited by a ,state    
medical society accreditor recognized by
 the ,,accme2 or  7,,iii7 any           
organization accredited by the ,american
 ,osteopathic ,association to provide   
continuing medical education4  7v7 ,the 
physician graduated in good standing    
from an accredited school of allopathic 
medicine or osteopathic medicine in the 
,united ,states during the #e-year      
period immediately preceding the date on
 which the physician first registers or 
renews under this section and has       
successfully completed a comprehensive  
allopathic or osteopathic medicine      

curriculum or accredited medical        
residency that included not less than #h
 hours of training on treating and      
managing patients with opioid and other 
substance use disorders1 including the  
appropriate clinical use of all drugs   
approved or authorized by the ,food and 
,drug ,administration for the treatment 
of a substance use disorder4  7,b7 ,if  
the practitioner is not a physician1 the
 practitioner shall meet #a or more of  
the following conditions3 7i7 ,the      
practitioner has completed not less than
 #h hours of training with respect to   
the treatment and medication management 
of patients with opioid and other       
substance use disorders 7through        
classroom situations1 seminars at       
professional society meetings1          
electronic communications1 or otherwise7
 provided by the ,american ,society of  
,addiction ,medicine1 the ,american     
,academy of ,addiction ,psychiatry1 the 
,american ,medical ,association1 the    
,american ,osteopathic ,association1 the

 ,american ,nurses ,credentialing       
,center1 the ,american ,psychiatric     
,association1 the ,american ,association
 of ,nurse ,practitioners1 the ,american
 ,academy of ,physician ,assistants1 the
 ,american ,academy of ,hospice and     
,palliative ,medicine1 the ,american    
,academy of ,pain ,medicine1 the        
,american ,dental ,association1 or any  
other organization that the ,secretary  
determines is appropriate for purposes  
of this clause4  7ii7 ,the practitioner 
graduated in good standing from an      
accredited physician assistant school1  
an accredited school of advanced        
practice nursing1 or an accredited      
dental school in the ,united ,states    
during the #e-year period immediately   
preceding the date on which the         
practitioner first registers or renews  
under this section and has successfully 
completed a comprehensive physician     
assistant1 advanced practice nursing1 or
 dental curriculum that included not    
less than #h hours of training on       

treating and managing patients with     
opioid and other substance use          
disorders1 including the appropriate    
clinical use of all drugs approved or   
authorized by the ,food and ,drug       
,administration for the treatment of a  
substance use disorder4  7#c7 ,one-time 
training ,the ,attorney ,general shall  
not require any practitioner to complete
 the training described in clause 7iv7  
or 7v7 of paragraph 7#b77;,a7 or clause 
7i7 or 7ii7 of paragraph 7#b77;,b7 more 
than once4  7#d7 ,rule of construction  
,nothing in this subsection shall be    
construed to prevent a practitioner from
 using the same training to satisfy the 
training requirement under this         
subsection and for another purpose1 such
 as satisfying ,state licensing         
requirements4  4  #c4 ,practitioner     
education grant program ,title ,v of the
 ,public ,health ,service ,act is       
amended by inserting after section #eji 
of such ,act 7#db ,u4,s4,c4 #bij;bb-#b7 
the following3  #eaj4 ,practitioner     

education grant program  7a7 ,in general
 ,the ,secretary shall carry out a      
program to award grants to eligible     
entities to expand the integration of   
substance use disorder education1       
including training on treatment and     
medication management1 into the standard
 curriculum of relevant health care and 
health services education programs1     
thereby expanding the number of         
practitioners who deliver high-quality1 
evidence-based substance use disorder   
treatment4  7b7 ,eligible entities ,to  
be eligible to receive a grant under    
this section1 an entity shall be-- 7#a7 
a private nonprofit or public           
professional association representing   
health care professionals in the field  
of medicine1 physician assistants1      
nursing1 dentistry1 pharmacy1 social    
work1 psychology1 marriage and family   
therapy1 or health services             
administration2 or  7#b7 a private      
nonprofit or public entity that is a    
university1 college1 or other           

professional school4  7c7 ,authorization
 of appropriations ,to carry out this   
section1 there is authorized to be      
appropriated such sums as may be        
necessary for each of fiscal years #bjbb
 through #bjbg4  4