,,ii  #aagth ,,congress  #b;d ,session  
,s4 #cfde  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,february #ad1 
#bjbb,mr4 ,manchin 7for himself and ,mr4
 ,rubio7 introduced the following bill2 
which was read twice and referred to the
 ,committee on ,health1 ,education1     
,labor1 and ,pensions  ,a ,,bill  ,to   
prohibit the use of ,federal funds for  
local substance use disorder services   
for the purchase of sterile needles or  
syringes for the injection of illegal   
drugs1 or to procure1 supply1 or        
distribute pipes1 cylindrical objects1  
or other paraphernalia that can be used 
to smoke1 inhale1 or ingest narcotics4  
#a4 ,short title ,this ,act may be cited
 as the ,preventing ,illicit            
,paraphernalia for ,exchange ,systems   
,act or the ,,pipes ,act4  #b4          
,prohibition on certain uses of funds   
,section #bgjf of the ,american ,rescue 
,plan ,act of #bjba 7,public ,law       
#aag-b7 is amended by adding at the end 
the following3  7c7 ,prohibited uses of 

funds  7#a7 ,in general ,notwithstanding
 any other provision of this section1 no
 funds appropriated in this section     
shall be used-- 7,a7 subject to         
paragraph 7#b71 to purchase sterile     
needles or syringes for the hypodermic  
injection of any illegal drug2 or  7,b7 
to procure1 supply1 or distribute pipes1
 cylindrical objects1 or other          
paraphernalia that can be used to smoke1
 inhale1 or ingest narcotics4  7#b7     
,exception ,the limitation under        
paragraph 7#a77;,a7 does not apply to   
the use of funds for elements of a      
program other than making purchases     
described in such paragraph if the      
relevant ,state1 local1 territorial1 or 
,tribal health department1 in           
consultation with the ,centers for      
,disease ,control and ,prevention1      
determines that the ,state1 local1      
territorial1 or ,tribal jurisdiction1 as
 applicable1 is experiencing1 or is at  
risk for1 a significant increase in     
hepatitis infections or an ,,hiv        

outbreak due to injection drug use1 and 
such program is operating in accordance 
with applicable law4  4