,,ii  #aag? ,,congress  #b;d ,session   
,s4 #cfbi  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,febru>y #aj1 #bjbb,mr4
 ,m>key 7= himself & ,mr4 ,paul7        
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,heal?1 ,education1 ,labor1 & ,p5sions  
,a ,,bill  ,to au?orize a /udy on c]ta9 
exemptions = treatm5t ( opioid use      
disord] ?r\gh opioid treatm5t programs  
dur+ ! ,,covid-#ai public heal? em]g5cy1
 & = o!r purposes4  #a4 ,%ort title ,?is
 ,act may be cit$ z ! ,opioid ,treatm5t 
,access ,act ( #bjbb4  #b4 ,/udy on     
exemptions = treatm5t ( opioid use      
disord] ?r\gh opioid treatm5t programs  
dur+ ! ,,covid-#ai public heal? em]g5cy 
7a7 ,/udy ,! ,assi/ant ,secret>y =      
,m5tal ,heal? & ,sub/ance ,use %all     
conduct a /udy1 9 consultation ) pati5ts
 & o!r /akehold]s1 on activities c>ri$  
out pursuant to exemptions grant$-- 7#a7
 to a ,/ate 7includ+ ! ,di/rict (       
,columbia or any t]ritory ( ! ,unit$    
,/ates7 or an opioid treatm5t program2  

7#b7 pursuant to section #h4aa7;h7 (    
title #db1 ,code ( ,f$]al ,regulations2 
&  7#c7 dur+ ! p]iod-- 7,a7 beg9n+ on ! 
decl>ation ( ! public heal? em]g5cy = ! 
,,covid-#ai p&emic "u section #cai ( !  
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bgd72 &  7,b7 end+ on ! e>li]
 (-- 7i7 ! t]m9ation ( su* public heal? 
em]g5cy1 includ+ ext5sions !re( pursuant
 to su* section #cai2 &  7ii7 ! end (   
cal5d> ye> #bjbb4  7b7 ,issues ,to be   
/udi$ ,! /udy "u subsection 7a7 %all1 ) 
respect to exemptions describ$ 9 su*    
subsection1 include consid]ation ( ea* (
 ! foll[+3 7#a7 ,! numb] ( p>ticipat+   
pati5ts 9 ea* ,/ate4  7#b7 ,! p]c5tage (
 p>ticipat+ pati5ts 9 ea* ,/ate relative
 to ! total numb] ( pati5ts 9 !         
respective ,/ate receiv+ treatm5t ?r\gh 
an opioid treatm5t program4  7#c7 ,!    
numb] ( p>ticipat+ pati5ts 9 ea* ,/ate  
:o cease treatm5t4  7#d7 ,! numb] (     
p>ticipat+ pati5ts 9 ea* ,/ate :o       
ov]dose on an opioid & cease treatm5t4  
7#e7 ,! numb] ( p>ticipat+ pati5ts 9 ea*

 ,/ate :o ov]dose on an opioid & cont9ue
 treatm5t4  7#f7 ,! numb] ( p>ticipat+  
opioid treatm5t programs 9 ea* ,/ate4   
7#g7 ,! p]c5tage ( p>ticipat+ opioid    
treatm5t programs 9 ea* ,/ate relative  
to ! total numb] ( opioid treatm5t      
programs 9 ! respective ,/ate4  7#h7 ,! 
demographic1 socioeconomic1 & geographic
 *>act]i/ics ( ! p>ticipat+ pati5ts &   
opioid treatm5t programs4  7#i7 ,any    
additional co/s or sav+s f exemptions 9 
ea* ,/ate4  7#aj7 ,an analysis (        
diff]5ces 9 ! use ( exemptions among    
,/ates4  7#aa7 ,rates ( m$ication       
adh]5ce & div]sion4  7c7 ,privacy ,!    
section does n au?orize ! disclosure by 
! ,dep>tm5t ( ,heal? & ,human ,s]vices (
 individually id5tifiable in=mation ab\t
 pati5ts4  7d7 ,fe$back ,9 conduct+ !   
/udy "u subsection 7a71 ! ,assi/ant     
,secret>y = ,m5tal ,heal? & ,sub/ance   
,use %all ga!r fe$back f ! ,/ates &     
opioid treatm5t programs on _! exp]i5ces
 9 implem5t+ exemptions describ$ 9      
subsection 7a74  7e7 ,report ,n lat] ?an

 #ahj days aft] ! end ( ! p]iod describ$
 9 subsection 7a77#c77;,b71 & subject to
 subsection 7c71 ! ,assi/ant ,secret>y =
 ,m5tal ,heal? & ,sub/ance ,use %all    
publi% a report on ! results ( ! /udy "u
 ?is section4  #c4 ,*anges to ,f$]al    
opioid treatm5t /&>ds  7a7 ,mobile      
m$ication units ,section #cjb7;e7 ( !   
,controll$ ,sub/ances ,act 7#ba         
,u4,s4,c4 #hbb7;e77 is am5d$ by add+ at 
! end ! foll[+3  7#c7 ,not)/&+ p>agraph 
7#a71 a regi/rant t is disp5s+ pursuant 
to section #cjc7;g7 n>cotic drugs to    
individuals = ma9t5ance treatm5t or     
detoxification treatm5t %all n be       
requir$ to h a sep>ate regi/ration to   
incorporate "o or m mobile m$ication    
units into ! regi/rant's practice to    
disp5se su* n>cotics at locations o!r   
?an ! regi/rant's pr9cipal place (      
bus9ess or pr(essional practice describ$
 9 p>agraph 7#a71 s long z ! regi/rant  
meets su* /&>ds = op]ation ( a mobile   
m$ication unit z ! ,attorney ,g5]al may 
e/abli%4  4  7b7 ,cl>ification 9        

consid]ation ( pati5ts' responsibility 9
 h&l+ opioid drugs = unsup]vis$ use ,n  
lat] ?an #ij days aft] ! date ( enactm5t
 ( ?is ,act1 ! ,secret>y ( ,heal? &     
,human ,s]vices %all promulgate a f9al  
regulation1 or issue guidance1 cl>ify+  
section #h4ab7;i77#b77;i7 ( title #db1  
,code ( ,f$]al ,regulations 7& mak+ su* 
o!r *anges z may be necess>y7 s t a     
m$ical director may det]m9e t a pati5t  
is suffici5tly responsible 9 h&l+ opioid
 drugs = unsup]vis$ use1 z describ$ 9   
su* section #h4ab7;i77#b7 ( su* title   
#db1 ev5 if !re is evid5ce ( rec5t use (
 drugs 7opioid or nonn>cotic1 includ+   
alcohol74  7c7 ,p]iods = take-,home     
supply requirem5ts  7#a7 ,fir/          
regulation ,n lat] ?an #ij days aft] !  
date ( enactm5t ( ?is ,act1 ! ,secret>y 
( ,heal? & ,human ,s]vices %all         
promulgate a f9al regulation am5d+      
p>agraphs 7i77#c77;i7 ?r\gh 7i77#c77vi7 
( section #h4ab ( title #db1 ,code (    
,f$]al ,regulations 7& mak+ su* o!r     
*anges z may be necess>y7 s t-- 7,a7 !  

ref]5ces to #ij days 9 p>agraphs        
7i77#c77;i7 ?r\gh 7i77#c77;iii7 ( su*   
section #h4ab are ea* r$uc$ to n m ?an  
#de days2  7,b7 ! ref]5ce to ! rema9+   
mon?s ( ! fir/ ye> 9 p>agraph           
7i77#c77;iv7 ( su* section #h4ab is     
r$uc$ to ! rema9+ days ( n m ?an ! fir/ 
six mon?s ( treatm5t2  7,c7 ! ref]5ce to
 #a ye> 9 p>agraph 7i77#c77v7 ( su*     
section #h4ab is r$uc$ to n m ?an #f    
mon?s2 &  7,d7 ! ref]5ce to #b ye>s 9   
p>agraph 7i77#c77vi7 ( su* section #h4ab
 is r$uc$ to n m ?an #a ye>4  7#b7 ,/udy
 ,n lat] ?an #ah mon?s aft] ! date (    
enactm5t ( ?is ,act1 ! ,assi/ant        
,secret>y = ,m5tal ,heal? & ,sub/ance   
,use %all-- 7,a7 complete a /udy1 9     
consultation ) pati5ts & o!r /akehold]s1
 on ! impacts on pati5t rehabilitation (
 ! *anges made by ! regulation "u       
p>agraph 7#a7 to ! p]iods specifi$ 9    
section #h4ab7;i77#c7 ( title #db1 ,code
 ( ,f$]al ,regulations2  7,b7 submit a  
report to ! ,congress on ! results ( su*
 /udy2 &  7,c7 include 9 su* report     

recomm5dations = policy *anges4  7#c7   
,second regulation  7,a7 ,9 g5]al ,n    
lat] ?an two ye>s aft] ! date ( enactm5t
 ( ?is ,act1 ! ,secret>y ( ,heal? &     
,human ,s]vices %all promulgate a f9al  
regulation am5d+ p>agraphs 7i77#c77;i7  
?r\gh 7i77#c77vi7 ( section #h4ab (     
title #db1 ,code ( ,f$]al ,regulations1 
z appropriate bas$ on ! f9d+s ( ! /udy  
"u p>agraph 7#b74  7,b7 ,limitation ,!  
regulation "u subp>agraph 7,a7 %all n   
am5d section #h4ab ( title #db1 ,code ( 
,f$]al ,regulations1 s z to-- 7i7 all[ !
 disp5s+ ( m ?an two consecutive doses (
 me?adone = take-home use p] week be=e !
 pati5t's #cj? day ( treatm5t2 or  7ii7 
prohibit a pati5t det]m9$ to be         
responsible 9 h&l+ opioids f be+ giv5 a 
maximum ( a "o-mon? supply ( me?adone = 
take-home use aft] two ye>s ( cont9u\s  
treatm5t4  #d4 ,expansion ( take-home   
prescrib+ ( me?adone ?r\gh ph>macies    
7a7 ,regi/ration2 o!r c>e by teleheal?  
,section #cjc7;g7 ( ! ,controll$        
,sub/ances ,act 7#ba ,u4,s4,c4 #hbc7;g77

 is am5d$-- 7#a7 9 p>agraph 7#a71 by    
/rik+ 9 p>agraph 7#b7 & ins]t+ 9        
p>agraphs 7#b7 & 7#c72 &  7#b7 by add+  
at ! end ! foll[+3  7#c7 7,a7 ,at !     
reque/ ( a ,/ate1 ! ,attorney ,g5]al1 9 
consultation ) ! ,secret>y1 may1        
pursuant to p>agraph 7#a71 regi/] p]sons
 describ$ 9 subp>agraph 7,b7 to         
prescribe me?adone to be disp5s$ ?r\gh a
 ph>macy = individuals = unsup]vis$ use4
  7,b7 ,p]sons describ$ 9 ?is           
subp>agraph are p]sons :o-- 7i7 are     
lic5s$1 regi/]$1 or o!rwise p]mitt$1 by 
! ,unit$ ,/ates or ! jurisdiction 9 :i* 
!y practice1 to prescribe controll$     
sub/ances 9 ! c\rse ( pr(essional       
practice2 &  7ii7 are-- 7,i7 employees  
or contractors ( an opioid treatm5t     
program2 or  7,,ii7 addiction m$ic9e    
physicians or addiction psy*iatri/s :o  
hold a subspecialty bo>d c]tification 9 
addiction m$ic9e f ! ,am]ican ,bo>d (   
,prev5tive ,m$ic9e1 a bo>d c]tification 
9 addiction m$ic9e f ! ,am]ican ,bo>d ( 
,addiction ,m$ic9e1 a subspecialty bo>d 

c]tification 9 addiction psy*iatry f !  
,am]ican ,bo>d ( ,psy*iatry &           
,neurology1 or a subspecialty bo>d      
c]tification 9 addiction m$ic9e f !     
,am]ican ,o/eopa?ic ,association4  7,c7 
,! prescrib+ ( me?adone pursuant to     
subp>agraph 7,a7 %all be-- 7i7          
exclusively by electronic prescrib+2    
7ii7 = a supply ( n m ?an #a mon?       
pursuant to ea* prescription2 &  7iii7  
subject to ! re/rictions li/$ 9 section 
#h4ab7;i77#c7 ( title #db1 ,code (      
,f$]al ,regulations1 includ+ any        
am5dm5ts or exemptions to su* section   
pursuant to section #c7;c7 ( ! ,opioid  
,treatm5t ,access ,act ( #bjbb1 or      
successor regulations or guidance4  7,d7
 ,! disp5s+ ( me?adone to an individual 
pursuant to subp>agraph 7,a7 %all be 9  
addition to ! o!r c>e :i* ! individual  
cont9ues to h access to ?r\gh an opioid 
treatm5t program4  7,e7 ,p]sons regi/]$ 
9 a ,/ate pursuant to subp>agraph 7,a7  
%all-- 7i7 ensure & docum5t1 ) respect  
to ea* pati5t treat$ pursuant to        

subp>agraph 7,a71 in=m$ cons5t to       
treatm5t2 &  7ii7 include 9 su* in=m$   
cons5t1 specific in=m$ cons5t reg>d+    
diff]5ces 9 confid5tiality protections  
applicable :5 disp5s+ ?r\gh an opioid   
treatm5t program v]sus disp5s+ ?r\gh a  
ph>macy pursuant to subp>agraph 7,a74   
7,f7 ,at ! reque/ ( a ,/ate1 ! ,attorney
 ,g5]al1 9 consultation ) ! ,secret>y1  
%all-- 7i7 cease regi/]+ p]sons 9 !     
,/ate pursuant to subp>agraph 7,a72 &   
7ii7 )draw any su* regi/ration 9 effect 
= a p]son 9 ! ,/ate4  7,g7 ,ma9t5ance   
treatm5t or detoxification treatm5t     
provid$ pursuant to subp>agraph 7,a71 z 
well z o!r c>e provid$ 9 conjunction )  
su* treatm5t1 su* z c\nsel+ & o!r       
ancill>y s]vices1 may be provid$ by     
means ( teleheal? z det]m9$ jo9tly by ! 
,/ate & ! ,secret>y to be feasible &    
appropriate4  4  7b7 ,annual report+ ,n 
lat] ?an #f mon?s aft] ! date ( enactm5t
 ( ?is ,act1 & annually !reaft]1 !      
,assi/ant ,secret>y = ,m5tal ,heal? &   
,sub/ance ,use & ! ,adm9i/rator ( !     

,drug ,en=cem5t ,ag5cy1 act+ jo9tly1    
%all submit a report to ! ,congress     
includ+-- 7#a7 ! numb] ( p]sons regi/]$ 
pursuant to section #cjc7;g77#c7 ( !    
,controll$ ,sub/ances ,act1 z add$ by   
subsection 7a72  7#b7 ! numb] ( pati5ts 
be+ prescrib$ me?adone pursuant to su*  
section #cjc7;g77#c72 &  7#c7 a li/ ( ! 
,/ates 9 :i* p]sons are regi/]$ pursuant
 to su* section #cjc7;g77#c74  #e4 ,s5se
 ( ,congress on ne$ to r$uce b>ri]s to  
pati5t c>e ?r\gh opioid treatm5t        
programs ,x is ! s5se ( ! ,congress t-- 
7#a7 pati5ts receiv+ s]vices ?r\gh      
opioid treatm5t programs face b>ri]s to 
_! c>e2 &  7#b7 ea* ,/ate %\ld align its
 regulation ( opioid treatm5t programs 9
 a mann] t is consi/5t ) ! int5t ( ?is  
,act4