,i #aah? ,,congress #a/ ,session ,h4 ,r4 #deca ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,july #aa1 #bjbc,mr4 ,gu?rie 7= himself & ,ms4 ,ku/]7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce1 & 9 addition to ! ,committees on ! ,judici>y1 & ,education & ! ,work=ce1 = a p]iod to be subsequ5tly det]m9$ by ! ,speak]1 9 ea* case = consid]ation ( su* provisions z fall )9 ! jurisdiction ( ! committee conc]n$ ,a ,,bill ,to reau?orize c]ta9 programs t provide = opioid use disord] prev5tion1 recov]y1 & treatm5t1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,support = ,pati5ts & ,communities ,reau?orization ,act4 #b4 ,table ( cont5ts ,! table ( cont5ts = ?is ,act is z foll[s3 ,sec4 #a4 ,%ort title4,sec4 #b4 ,table ( cont5ts4,title ,i--,public ,health,sec4 #aja4 ,monitor+ & education reg>d+ infections associat$ ) illicit drug use & o!r risk factors4,sec4 #ajb4 ,prev5t+ ov]doses ( controll$ sub/ances4,sec4 #ajc4 ,resid5tial treatm5t programs = pregnant & po/p>tum wom54,sec4 #ajd4 ,fir/ respond] tra9+4,sec4 #aje4 ,build+ communities ( recov]y4,sec4 #ajf4 ,national ,pe]-,run ,tra9+ & ,te*nical ,assi/ance ,c5t] = ,addiction ,recov]y ,support4,sec4 #ajg4 ,compreh5sive opioid recov]y c5t]s4,sec4 #ajh4 ,grants to address ! problems ( p]sons :o exp]i5ce viol5ce relat$ /ress4,sec4 #aji4 ,m5tal & behavioral heal? education & tra9+ grants4,sec4 #aaj4 ,loan repaym5t program = ! sub/ance use disord] treatm5t work=ce4,sec4 #aaa4 ,pilot program = public heal? laboratories to detect f5tanyl & o!r syn!tic opioids4,sec4 #aab4 ,monitor+ & report+ ( *ild1 y\?1 & adult trauma4,sec4 #aac4 ,task =ce to develop be/ practices = trauma-in=m$ id5tification1 ref]ral1 & support4,sec4 #aad4 ,treatm5t1 recov]y1 & work=ce support grants4,sec4 #aae4 ,grant program = ,/ate & ,tribal response to opioid use disord]s4,sec4 #aaf4 ,ref]5ces to opioid ov]dose rev]sal ag5ts 9 ,,hhs grant programs4,sec4 #aag4 ,address+ o!r concurr5t sub/ance use disord]s ?r\gh grant program = ,/ate & ,tribal response to opioid use disord]s4,sec4 #aah4 ,provid+ = a /udy on ! effects ( remote monitor+ on individuals :o are prescrib$ opioids4,title ,,ii--,controll$ ,substances,sec4 #bja4 ,deliv]y ( c]ta9 sub/ances by a ph>macy to an adm9i/]+ practition]4,sec4 #bjb4 ,review+ ! s*$ul+ ( approv$ products conta9+ a comb9ation ( bupr5orph9e & naloxone4,sec4 #bjc4 ,combat+ illicit xylaz9e4,sec4 #bjd4 ,te*nical corrections4,title ,,iii--,medicaid,sec4 #cja4 ,ext5d+ requirem5t = ,/ate ,m$icaid plans to provide cov]age = m$ication-assi/$ treatm5t4,sec4 #cjb4 ,exp&+ requir$ reports on ,t-,,msis sub/ance use disord] data to include m5tal heal? condition data4,sec4 #cjc4 ,monitor+ prescrib+ ( antipsy*otic m$ications4 ,i ,public ,heal? #aja4 ,monitor+ & education reg>d+ infections associat$ ) illicit drug use & o!r risk factors ,section #cag,n ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;b-#ae7 is am5d$-- 7#a7 9 ! section head+1 by /rik+ ,surveillance & & ins]t+ ,monitor+ &2 & 7#b7 9 subsection 7d71 by /rik+ fiscal ye>s #bjai ?r\gh #bjbc & ins]t+ fiscal ye>s #bjbd ?r\gh #bjbh4 #ajb4 ,prev5t+ ov]doses ( controll$ sub/ances 7a7 ,evid5ce-,bas$ prev5tion grants ,section #cib;,a7a77#b77;,d7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bhj;b-#a7;a77#b77;,d77 is am5d$ by ins]t+ aft] new & em]g+ public heal? crises ! foll[+3 1 su* z ! f5tanyl crisis14 7b7 ,au?orization ( appropriations ,section #cib;,a7e7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bhj;b-#a7;e77 is am5d$ by /rik+ #dif1jjj1jjj = ea* ( fiscal ye>s #bjai ?r\gh #bjbc & ins]t+ #eje1egi1jjj = ea* ( fiscal ye>s #bjbd ?r\gh #bjbh4 #ajc4 ,resid5tial treatm5t programs = pregnant & po/p>tum wom5 ,section #ejh7s7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#a7s77 is am5d$ by /rik+ #bi1ica1jjj = ea* ( fiscal ye>s #bjai ?r\gh #bjbc & ins]t+ #ch1ica1jjj = ea* ( fiscal ye>s #bjbd ?r\gh #bjbh4 #ajd4 ,fir/ respond] tra9+ ,section #edf7;h7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;ee-#a7;h77 is am5d+ by /rik+ #cf1jjj1jjj = ea* ( fiscal ye>s #bjai ?r\gh #bjbc & ins]t+ #ef1jjj1jjj = ea* ( fiscal ye>s #bjbd ?r\gh #bjbh4 #aje4 ,build+ communities ( recov]y ,section #edg7;f7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;ee-#b7;f77 is am5d$ by /rik+ #e1jjj1jjj = ea* ( fiscal ye>s #bjai ?r\gh #bjbc & ins]t+ #af1jjj1jjj = ea* ( fiscal ye>s #bjbd ?r\gh #bjbh4 #ajf4 ,national ,pe]-,run ,tra9+ & ,te*nical ,assi/ance ,c5t] = ,addiction ,recov]y ,support ,section #edg;,a7e7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;ee-#b;a7e77 is am5d$ by /rik+ #a1jjj1jjj = ea* ( fiscal ye>s #bjai ?r\gh #bjbc & ins]t+ #b1jjj1jjj = ea* ( fiscal ye>s #bjbd ?r\gh #bjbh4 #ajg4 ,compreh5sive opioid recov]y c5t]s 7a7 ,reau?orization ,section #eeb7;j7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;ee-#g7;j77 is am5d$ by /rik+ #bjai ?r\gh #bjbc & ins]t+ #bjbd ?r\gh #bjbh4 7b7 ,docum5tation = evid5ce ( capacity ,to c>ry out requir$ activities ,section #eeb7;d7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;ee-#g7;d77 is am5d$ by add+ at ! end ! foll[+3 7#c7 ,docum5tation 7,a7 ,9 g5]al ,evid5ce requir$ to be provid$ "u p>agraph 7#a7 may be provid$ ?r\gh a lett] ( int5t f p>tn] ag5cies or o!r relevant docum5tation 7z def9$ by ! ,secret>y74 7,b7 ,p>tn] ag5cy def9$ ,9 ?is p>agraph1 ! t]m p>tn] ag5cy means a non-gov]nm5tal organization or o!r public or private entity-- 7i7 ! prim>y purpose ( :i* is ! deliv]y ( m5tal heal? or sub/ance use disord] treatm5t s]vices2 & 7ii7 ) :i* ! applicant coord9ates to provide ! full cont9uum ( treatm5t s]vices 7z specifi$ 9 subsection 7g77#a77;,b77 t ! applicant is unable to (f] on site4 4 7c7 ,c5t] activities c>ri$ out ?r\gh ?ird p>ties ,section #eeb7;g7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;ee-#g7;g77 is am5d$ 9 ! matt] prec$+ p>agraph 7#a7 by /rik+ ,ea* ,c5t] %all & all t foll[s ?r\gh subsection 7f73 & ins]t+ ! foll[+3 ,ea* ,c5t] %all1 at a m9imum1 c>ry out ! activities specifi$ 9 ?is subsection directly1 ?r\gh ref]ral1 or ?r\gh contractual arrangem5ts4 ,if a ,c5t] elects to c>ry out su* activities ?r\gh contractual arrangem5ts1 ! ,secret>y may issue guidance on be/ practices to ensure t ! ,c5t] is capable ( c>ry+ out su* activities1 includ+ c>ry+ out su* activities ?r\gh te*nology-enabl$ collaborative le>n+ & capacity build+ models describ$ 9 subsection 7f7 & coord9at+ ! full cont9uum ( treatm5t s]vices specifi$ 9 subp>agraph 7,b74 ,su* activities include ! foll[+34 #ajh4 ,grants to address ! problems ( p]sons :o exp]i5ce viol5ce relat$ /ress ,section #ehb7;j7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;hh-#a7;j77 is am5d$ by /rik+ #fc1hhg1jjj = ea* ( fiscal ye>s #bjai ?r\gh #bjbc & ins]t+ #ic1hhg1jjj = ea* ( fiscal ye>s #bjbd ?r\gh #bjbh4 #aji4 ,m5tal & behavioral heal? education & tra9+ grants ,section #gef7;f7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bid;e-#a7;f77 is am5d$ by /rik+ fiscal ye>s #bjbc ?r\gh #bjbg & ins]t+ fiscal ye>s #bjbd ?r\gh #bjbh4 #aaj4 ,loan repaym5t program = ! sub/ance use disord] treatm5t work=ce ,section #gha7;j7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bie;h7j77 is am5d$ by /rik+ #be1jjj1jjj = ea* ( fiscal ye>s #bjai ?r\gh #bjbc & ins]t+ #dj1jjj1jjj = ea* ( fiscal ye>s #bjbd ?r\gh #bjbh4 #aaa4 ,pilot program = public heal? laboratories to detect f5tanyl & o!r syn!tic opioids ,section #gjaa7;d7 ( ! ,,support = ,pati5ts & ,communities ,act 7#db ,u4,s4,c4 #bdg;d-#aj7;d77 is am5d$ by /rik+ fiscal ye>s #bjai ?r\gh #bjbc & ins]t+ fiscal ye>s #bjbd ?r\gh #bjbh4 #aab4 ,monitor+ & report+ ( *ild1 y\?1 & adult trauma ,section #gaca7;e7 ( ! ,,support = ,pati5ts & ,communities ,act 7#db ,u4,s4,c4 #bdbt7e77 is am5d$ by /rik+ #b1jjj1jjj = ea* ( fiscal ye>s #bjai ?r\gh #bjbc & ins]t+ #i1jjj1jjj = ea* ( fiscal ye>s #bjbd ?r\gh #bjbh4 #aac4 ,task =ce to develop be/ practices = trauma-in=m$ id5tification1 ref]ral1 & support ,section #gacb ( ! ,,support = ,pati5ts & ,communities ,act 7,public ,law #aae-bga7 is am5d$-- 7#a7 9 subsection 7g7-- 7,a7 9 p>agraph 7#a71 by /rik+ & at ! end2 7,b7 9 p>agraph 7#b71 by /rik+ ! p]iod at ! end & ins]t+ 2 &2 & 7,c7 by add+ at ! end ! foll[+3 7#c7 additional reports & updates to exi/+ reports1 z necess>y4 2 & 7#b7 by /rik+ subsection 7i74 #aad4 ,treatm5t1 recov]y1 & work=ce support grants ,section #gahc ( ! ,,support = ,pati5ts & ,communities ,act 7#db ,u4,s4,c4 #bij;ee-#h7 is am5d$-- 7#a7 9 subsection 7b71 by ins]t+ ea* be=e = a p]iod2 7#b7 by am5d+ subsection 7c77#b7 to read z foll[s3 7#b7 ,rates ,! rates describ$ 9 ?is p>agraph are ! foll[+3 7,a7 ,! am\nt by :i* ! av]age rate ( drug ov]dose dea?s 9 ! ,/ate1 adju/$ = age1 = ! p]iod ( #e cal5d> ye>s = :i* !re is available data1 includ+ if necess>y provisional data1 imm$iately prec$+ ! grant cycle 7:i* %all be ! p]iod ( cal5d> ye>s #bjah ?r\gh #bjbb = ! fir/ grant cycle foll[+ ! enactm5t ( ! ,support = ,pati5ts & ,communities ,reau?orization ,act7 is above ! av]age national ov]dose mortality rate1 z det]m9$ by ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 = ! same p]iod4 7,b7 ,! am\nt by :i* ! av]age rate ( unemploym5t = ! ,/ate1 bas$ on data provid$ by ! ,bureau ( ,labor ,/ati/ics1 = ! p]iod ( #e cal5d> ye>s = :i* !re is available data1 includ+ if necess>y provisional data1 imm$iately prec$+ ! grant cycle 7:i* %all be ! p]iod ( cal5d> ye>s #bjah ?r\gh #bjbb = ! fir/ grant cycle foll[+ ! enactm5t ( ! ,support = ,pati5ts & ,communities ,reau?orization ,act7 is above ! national av]age = ! same p]iod4 7,c7 ,! am\nt by :i* ! av]age rate ( labor =ce p>ticipation 9 ! ,/ate1 bas$ on data provid$ by ! ,bureau ( ,labor ,/ati/ics1 = ! p]iod ( #e cal5d> ye>s = :i* !re is available data1 includ+ if necess>y provisional data1 imm$iately prec$+ ! grant cycle 7:i* %all be ! p]iod ( cal5d> ye>s #bjah ?r\gh #bjbb = ! fir/ grant cycle foll[+ ! enactm5t ( ! ,support = ,pati5ts & ,communities ,reau?orization ,act7 is bel[ ! national av]age = ! same p]iod4 2 7#c7 9 subsection 7g7-- 7,a7 9 p>agraphs 7#a7 & 7#c71 by r$esignat+ subp>agraphs 7,a7 & 7,b7 z clauses 7i7 & 7ii71 respectively1 & adju/+ ! m>g9s accord+ly2 7,b7 by r$esignat+ p>agraphs 7#a7 ?r\gh 7#c7 z subp>agraphs 7,a7 ?r\gh 7,c71 respectively1 & adju/+ ! m>g9s accord+ly2 7,c7 by /rik+ ,an entity & ins]t+ ! foll[+3 7#a7 ,9 g5]al ,an entity 2 & 7,d7 by add+ at ! end ! foll[+3 7#b7 ,transportation s]vices ,an entity receiv+ a grant "u ?is section may use ! funds = provid+ transportation = individuals to p>ticipate 9 an activity support$ by a grant "u ?is section1 :i* transportation %all be to or f a place ( "w or a place :]e ! individual is receiv+ vocational education or job tra9+ s]vices or receiv+ s]vices directly l9k$ to treatm5t ( or recov]y f a sub/ance use disord]4 2 7#d7 9 subsection 7j7-- 7,a7 9 p>agraph 7#a71 by ins]t+ = ea* grant cycle aft] grant p]iod2 & 7,b7 9 p>agraph 7#b7-- 7i7 9 ! matt] prec$+ subp>agraph 7,a7-- 7,i7 by /rik+ ! prelim9>y report & ins]t+ ea* prelim9>y report2 & 7,,ii7 by ins]t+ = ! grant cycle aft] f9al report2 & 7ii7 9 subp>agraph 7,a71 by /rik+ 7g77#c7 & ins]t+ 7g77#a77;,c72 & 7#e7 9 subsection 7k71 by /rik+ #e1jjj1jjj = ea* ( fiscal ye>s #bjai ?r\gh #bjbc & ins]t+ #ab1jjj1jjj = ea* ( fiscal ye>s #bjbd ?r\gh #bjbh4 #aae4 ,grant program = ,/ate & ,tribal response to opioid use disord]s ,section #ajjc7;b77#d77;,a7 ( ! #ba/ ,c5tury ,cures ,act 7#db ,u4,s4,c4 #bij;ee-#c;a7b77#d77;,a77 is am5d$ aft] :i* may include drugs or devices approv$1 cle>$1 or o!rwise legally m>ket$ "u ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act by ins]t+ or f5tanyl or xylaz9e te/ /rips4 #aaf4 ,ref]5ces to opioid ov]dose rev]sal ag5ts 9 ,,hhs grant programs 7a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices %all ensure t1 :5ev] ! ,dep>tm5t ( ,heal? & ,human ,s]vices issues a regulation1 guidance1 or o!r docum5t = any grant program address+ opioid misuse & use disord]s1 any ref]5ce to an opioid ov]dose rev]sal ag5t 7su* z a ref]5ce to naloxone7 is inclusive ( any opioid ov]dose rev]sal ag5t t has be5 approv$ or o!rwise au?oriz$ = use by ! ,food & ,drug ,adm9i/ration4 7b7 ,exi/+ ref]5ces 7#a7 ,update ,n lat] ?an ! end ( cal5d> ye> #bjbc1 ! ,secret>y ( ,heal? & ,human ,s]vices %all update all ref]5ces describ$ 9 p>agraph 7#b7 to be inclusive ( any opioid ov]dose rev]sal ag5t t has be5 approv$ or o!rwise au?oriz$ = use by ! ,food & ,drug ,adm9i/ration4 7#b7 ,ref]5ces ,a ref]5ce describ$ 9 ?is p>agraph is any ref]5ce to an opioid ov]dose rev]sal ag5t 7su* z naloxone7 9 any regulation1 guidance1 or o!r docum5t ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices t-- 7,a7 0 issu$ be=e ! date ( enactm5t ( ?is ,act2 & 7,b7 is =-- 7i7 ! grant program = ,/ate & ,tribal response to opioid use disord]s "u section #ajjc ( ! #ba/ ,c5tury ,cures ,act 7#db ,u4,s4,c4 #bij;ee-#c note2 commonly ref]r$ to z ,/ate ,opioid ,response ,grants & ,tribal ,opioid ,response ,grants72 or 7ii7 ! grant program = priority sub/ance use disord] prev5tion ne$s ( regional & national significance "u section #eaf ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#bb74 #aag4 ,address+ o!r concurr5t sub/ance use disord]s ?r\gh grant program = ,/ate & ,tribal response to opioid use disord]s 7a7 ,additional use ( funds ,section #ajjc7;b7 ( ! #ba/ ,c5tury ,cures ,act 7#db ,u4,s4,c4 #bij;ee-#c note7 is am5d$ by add+ at ! end ! foll[+3 7#e7 ,o!r concurr5t sub/ance use disord]s ,! ,secret>y may au?orize ! recipi5t ( a grant "u ?is subsection1 9 addition to us+ ! grant = activities describ$ 9 p>agraph 7#d7 ) respect to opioid misuse & use disord]s & /imulant misuse & use disord]s1 to use ! grant to = simil> activities ) respect to o!r concurr5t sub/ance use disord]s4 4 7b7 ,annual report to ,congress ,section #ajjc7;f7 ( ! #ba/ ,c5tury ,cures ,act 7#db ,u4,s4,c4 #bij;ee-#c note7 is am5d$-- 7#a7 9 p>agraph 7#b71 /rike & at ! end2 7#b7 9 p>agraph 7#c71 /rike ! p]iod at ! end & ins]t a semicolon2 & 7#c7 by add+ at ! end ! foll[+3 7#d7 ! am\nt ( funds ea* ,/ate t receiv+ a grant "u subsection 7b7 receiv$ = ! #ab-mon? grant cycle cov]$ by ! report2 7#e7 ! am\nt ( grant funds ea* su* ,/ate sp5t = su* grant cycle1 disaggregat$ by ! uses = :i* su* funds 7 sp5t1 includ+ ea* all[able use "u p>agraphs 7#d7 & 7#e7 ( subsection 7b72 7#f7 h[ _m su* ,/ates = su* grant cycle did n sp5d ! all ( ! grant funds be=e su* grant cycle expir$2 7#g7 h[ _m su* ,/ates = su* grant cycle reque/$ waiv]s to ext5d ! grant cycle2 & 7#h7 *all5ges = su* ,/ates to sp5d all ( ! funds allocat$ & ! reason = su* *all5ges1 includ+ to :at ext5t report+ requirem5ts or o!r requirem5ts plac$ an increas$ burd5 on ! ability ( su* ,/ates to sp5d all ( ! funds4 4 7c7 ,o!r concurr5t sub/ance use disord]s def9$ ,section #ajjc7;h7 ( ! #ba/ ,c5tury ,cures ,act 7#db ,u4,s4,c4 #bij;ee-#c note7 is am5d$-- 7#a7 by r$esignat+ p>agraphs 7#b7 ?r\gh 7#d7 z p>agraphs 7#c7 ?r\gh 7#e72 & 7#b7 by ins]t+ be=e p>agraph 7#c71 z r$esignat$1 ! foll[+3 7#b7 ,o!r concurr5t sub/ance use disord]s ,! t]m o!r sub/ance use disord]s includes alcohol use disord]s co-occurr+ ) opioid misuse & use disord]s & alcohol use disord]s co-occurr+ ) /imulant misuse & use disord]s1 includ+ polydrug use & alcohol use disord]4 4 7d7 ,rule ( con/ruction ,no?+ 9 ?is ,act or ! am5dm5ts made by ?is ,act %all be con/ru$ to *ange ! allocation ( funds among grantees pursuant to ! m9imum allocations & =mula me?odology "u section #ajjc ( ! #ba/ ,c5tury ,cures ,act 7#db ,u4,s4,c4 #bij;ee-#c note74 #aah4 ,provid+ = a /udy on ! effects ( remote monitor+ on individuals :o are prescrib$ opioids 7a7 ,9 g5]al ,n lat] ?an #ah mon?s aft] ! date ( enactm5t ( ?is ,act1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all conduct a /udy & submit to ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives & ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions & ! ,committee on ,f9ance ( ! ,s5ate a report on ! use ( remote monitor+ ) respect to individuals :o are prescrib$ opioids4 7b7 ,report ,! report describ$ 9 subsection 7a7 %all include-- 7#a7 an assessm5t ( sci5tific evid5ce relat$ to ! efficacy1 individual outcomes1 & pot5tial co/ sav+s associat$ ) remote monitor+ = individuals :o are prescrib$ opioids comp>$ to su* individuals :o are n s monitor$2 7#b7 an assessm5t ( ! curr5t preval5ce ( remote monitor+ = individuals :o are prescrib$ opioids1 includ+ ! use ( su* monitor+ = su* individuals 9 o!r c\ntries2 & 7#c7 recomm5dations to improve availability1 access1 & cov]age = remote monitor+ = individuals :o are prescrib$ opioids1 includ+ ?r\gh *anges to ,f$]al heal? c>e programs 7z def9$ 9 section #aabh;,b ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acbj;a-#g;b77 &1 if det]m9$ appropriate by ! ,comptroll] ,g5]al1 an id5tification ( cohorts ( individuals :o /& to b5efit ! mo/ f remote monitor+ :5 prescrib$ opioids4 ,,ii ,controll$ ,sub/ances #bja4 ,deliv]y ( c]ta9 sub/ances by a ph>macy to an adm9i/]+ practition] ,p>agraph 7#b7 ( section #cji;,a7a7 ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hbi;a7a77 is am5d$ to read z foll[s3 7#b7 ! controll$ sub/ance is a drug 9 s*$ule ,,iii1 ,,iv1 or ,v t is1 pursuant to ! approval or lic5sure ( su* drug "u ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act or section #cea ( ! ,public ,heal? ,s]vice ,act1 to be adm9i/]$ by1 or "u ! sup]vision (1 ! practition]2 4 #bjb4 ,review+ ! s*$ul+ ( approv$ products conta9+ a comb9ation ( bupr5orph9e & naloxone 7a7 ,secret>y ( ,,hhs ,! ,secret>y ( ,heal? & ,human ,s]vices %all1 consi/5t ) ! requirem5ts & proc$ures set =? 9 sections #bja & #bjb ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #haa2 #hab7-- 7#a7 review ! relevant data p]ta9+ to ! s*$ul+ ( products conta9+ a comb9ation ( bupr5orph9e & naloxone t h be5 approv$ "u section #eje ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cee72 & 7#b7 if appropriate1 reque/ t ! ,attorney ,g5]al initiate rulemak+ proce$+s to revise ! s*$ules accord+ly ) respect to su* products4 7b7 ,attorney ,g5]al ,! ,attorney ,g5]al %all review any reque/ made by ! ,secret>y ( ,heal? & ,human ,s]vices "u subsection 7a77#b7 & det]m9e :e!r to initiate proce$+s to revise ! s*$ules 9 accordance ) ! crit]ia set =? 9 sections #bja & #bjb ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #haa2 #hab74 #bjc4 ,combat+ illicit xylaz9e 7a7 ,def9itions 7#a7 ,9 g5]al ,9 ?is section1 ! t]m xylaz9e has ! mean+ giv5 ! t]m 9 p>agraph 7#fj7 ( section #ajb ( ! ,controll$ ,sub/ances ,act1 z add$ by p>agraph 7#b74 7#b7 ,controll$ ,sub/ances ,act ,section #ajb ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hjb7 is am5d$-- 7,a7 by r$esignat+ ! second p>agraph 7#eg7 7relat+ to s]i\s drug felony7 & p>agraph 7#eh7 z p>agraphs 7#eh7 & 7#ei71 respectively2 7,b7 by mov+ ! m>g9 ( p>agraph 7#eg7 #b ems to ! left2 7,c7 by mov+ ! m>g9s ( p>agraphs 7#eh7 & 7#ei71 z r$esignat$1 #b ems to ! left2 & 7,d7 by add+ at ! end ! foll[+3 7#fj7 7,a7 ,! t]m xylaz9e means ! sub/ance xylaz9e z well z its salts1 isom]s1 & salts ( isom]s :5ev] ! exi/5ce ( su* salts1 isom]s1 & salts ( isom]s is possible4 7,b7 ,except z provid$ 9 subp>agraph 7,e71 su* t]m does n include a sub/ance describ$ 9 subp>agraph 7,a7 to ! ext5t-- 7i7 su* sub/ance is us$ or int5d$ = use 9 animals o!r ?an humans & is an animal drug t has be5 approv$ by ! ,secret>y ( ,heal? & ,human ,s]vices "u section #eab ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act1 conditionally approv$ "u section #ega ( su* ,act1 index li/$ "u section #egc ( su* ,act1 or subject to an exemption = inve/igational use "u section #eab7;j7 ( su* ,act1 & su* use or int5d$ use con=ms to ! approv$ application or index li/+1 includ+ ! manufactur+1 importation1 hold+1 or di/ribution = su* use2 7ii7 su* sub/ance is us$ or int5d$ = use 9 animals o!r ?an humans z p]mitt$ "u section #eab7;a77#d7 ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act2 7iii7 su* sub/ance is manufactur$1 import$1 held1 di/ribut$1 or us$-- 7,i7 z an active ph>maceutical +r$i5t = manufactur+ an animal drug approv$ "u section #eab ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act1 conditionally approv$ "u section #ega ( su* ,act1 index li/$ "u section #egc ( ! su* ,act1 or subject to an exemption = inve/igational use "u section #eab7;j7 ( su* ,act2 or 7,,ii7 z a bulk *emical = ph>maceutical comp\nd+ ( a new animal drug 7z def9$ 9 section #bja ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act7 by or "u ! direct sup]vision ( a lic5s$ ph>maci/ or by or on ! lawful writt5 or oral ord] ( a lic5s$ vet]9>ian )9 ! context ( a vet]9>ian-cli5t-pati5t relation%ip1 z def9$ by ! ,secret>y ( ,heal? & ,human ,s]vices2 7iv7 su* sub/ance is held or us$ z a comp\nd$ new animal drug describ$ 9 clause 7iii77,,ii72 7v7 su* sub/ance is o!rwise us$ or int5d$ = use 9 animals o!r ?an humans1 & su* use is approv$ or o!rwise au?oriz$ "u ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act provid$ any su* use con=ms to su* approval or au?orization2 7vi7 su* sub/ance is subject to an exemption = inve/igational use "u section #eje7;i7 or #ebj7;g7 ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act2 7vii7 su* sub/ance is import$1 held1 di/ribut$1 or us$ = ! developm5t1 manufactur+1 or p]=mance ( te/s = detection ( xylaz9e 7includ+ xylaz9e us$ z a control or calibration /&>d7 by p]sons :o are pr(essionally1 regul>ly1 & lawfully engag$ 9 su* activities2 or 7viii7 su* sub/ance is held1 di/ribut$1 or us$ 9 a comm]cially manufactur$ te/ = ! detection ( xylaz9e1 provid$ su* te/ does n conta9 xylaz9e 9 a =m t c be extract$4 7,c7 ,not)/&+ subp>agraph 7,b71 ! ,attorney ,g5]al may place any sub/ance li/$ 9 su* subp>agraph on a s*$ule "u section #bjb 9 accordance ) subsections 7a7 ?r\gh 7c7 ( section #bja4 7,d7 ,no?+ 9 ?is p>agraph %all be con/ru$ z a basis = inf]r+ t a comp\nd$ animal drug is n a new animal drug subject to ! requirem5ts ( section #eab7;a7 ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act4 7,e7 ,if any p]son prescribes1 disp5ses1 di/ributes1 manufactures1 or imports xylaz9e = human use1 su* p]son %all be consid]$ to h prescrib$1 disp5s$1 di/ribut$1 manufactur$1 or import$ xylaz9e n subject to an exclusion "u subp>agraph 7,b74 4 7b7 ,placem5t ( xylaz9e on s*$ule ,,iii ,s*$ule ,,iii 9 section #bjb7;c7 ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hab7;c77 is am5d$ by add+ at ! end ! foll[+3 7f7 ,xylaz9e4 4 7c7 ,report to ,congress on xylaz9e 7#a7 ,initial report ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,attorney ,g5]al1 act+ ?r\gh ! ,adm9i/rator ( ! ,drug ,en=cem5t ,adm9i/ration & 9 coord9ation ) ! ,commission] ( ,food & ,drugs1 %all submit to ,congress a report on ! preval5ce ( illicit use ( xylaz9e 9 ! ,unit$ ,/ates & ! impacts ( su* use1 includ+-- 7,a7 :]e ! drug is be+ div]t$2 7,b7 :]e ! drug is orig9at+2 7,c7 :e!r any analogues to su* drug pres5t a sub/antial risk ( abuse2 7,d7 :e!r & to :at ext5t ! illicit supply ( xylaz9e d]ives f ! licit supply *a92 & 7,e7 recomm5dations = ,congress ) respect to :e!r xylaz9e %\ld be transf]r$ to ano!r s*$ule "u section #bjb ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hab74 7#b7 ,additional report ,n lat] ?an #d ye>s aft] ! date ( enactm5t ( ?is ,act1 ! ,attorney ,g5]al1 act+ ?r\gh ! ,adm9i/rator ( ! ,drug ,en=cem5t ,adm9i/ration & 9 coord9ation ) ! ,commission] ( ,food & ,drugs1 %all submit to ,congress a report updat+ ,congress on ! preval5ce ( xylaz9e traffick+1 misuse1 & prolif]ation 9 ! ,unit$ ,/ates1 includ+ recomm5dations = ,congress ) respect to :e!r xylaz9e %\ld be transf]r$ to ano!r s*$ule "u section #bjb ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hab7 or remov$ f s*$ule ,,iii ( su* "p4 #bjd4 ,te*nical corrections ,effective z if includ$ 9 ! enactm5t ( ,public ,law #aag-cbh-- 7#a7 section #abeb7;a7 ( division ,,ff ( ,public ,law #aag-cbh is am5d$1 9 ! matt] be+ ins]t$ into section #cjb7;e7 ( ! ,controll$ ,sub/ances ,act1 by /rik+ #cjc7;g7 & ins]t+ #cjc7;h72 7#b7 section #abfb ( division ,,ff ( ,public ,law #aag-cbh is am5d$-- 7,a7 9 subsection 7a7-- 7i7 9 ! matt] prec$+ p>agraph 7#a71 by /rik+ #cjc7;g7 & ins]t+ #cjc7;h72 7ii7 9 ! matt] be+ /rick5 by subsection 7a77#b71 by /rik+ 7g77#a7 & ins]t+ 7h77#a72 & 7iii7 9 ! matt] be+ ins]t$ by subsection 7a77#b71 by /rik+ 7g7 ,practition]s & ins]t+ 7h7 ,practition]s2 & 7,b7 9 subsection 7b7-- 7i7 9 ! matt] be+ /rick5 by p>agraph 7#a71 by /rik+ #cjc7;g77#a7 & ins]t+ #cjc7;h77#a72 7ii7 9 ! matt] be+ ins]t$ by p>agraph 7#a71 by /rik+ #cjc7;g7 & ins]t+ #cjc7;h72 7iii7 9 ! matt] be+ /rick5 by p>agraph 7#b77;,a71 by /rik+ #cjc7;g77#b7 & ins]t+ #cjc7;h77#b72 7iv7 9 ! matt] be+ /rick5 by p>agraph 7#c71 by /rik+ #cjc7;g77#b77;,b7 & ins]t+ #cjc7;h77#b77;,b72 7v7 9 ! matt] be+ /rick5 by p>agraph 7#e71 by /rik+ #cjc7;g7 & ins]t+ #cjc7;h72 & 7vi7 9 ! matt] be+ /rick5 by p>agraph 7#f71 by /rik+ #cjc7;g7 & ins]t+ #cjc7;h72 & 7#c7 section #abfc7;b7 ( division ,,ff ( ,public ,law #aag-cbh is am5d$-- 7,a7 by /rik+ #cjc7;g77#b7 & ins]t+ #cjc7;h77#b72 & 7,b7 by /rik+ 7#ba ,u4,s4,c4 #hbc7;g77#b77 & ins]t+ 7#ba ,u4,s4,c4 #hbc7;h77#b774 ,,iii ,m$icaid #cja4 ,ext5d+ requirem5t = ,/ate ,m$icaid plans to provide cov]age = m$ication-assi/$ treatm5t 7a7 ,9 g5]al ,section #aije ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7 is am5d$-- 7#a7 9 subsection 7a77#bi71 by /rik+ = ! p]iod beg9n+ ,octob] #a1 #bjbj1 & end+ ,septemb] #cj1 #bjbe1 & ins]t+ beg9n+ on ,octob] #a1 #bjbj12 & 7#b7 9 subsection 7ee77#b71 by /rik+ = ! p]iod specifi$ 9 su* p>agraph1 if be=e ! beg9n+ ( su* p]iod ! ,/ate c]tifies to ! satisfaction ( ! ,secret>y & ins]t+ if su* ,/ate c]tifies1 n less ?an e #e ye>s & to ! satisfaction ( ! ,secret>y14 7b7 ,con=m+ am5dm5t ,section #ajjf7;b77#d77;,a7 ( ! ,sub/ance ,use-,disord] ,prev5tion t ,promotes ,opioid ,recov]y & ,treatm5t = ,pati5ts & ,communities ,act 7#db ,u4,s4,c4 #acif;a note7 is am5d$ by /rik+ 1 & be=e ,octob] #a1 #bjbe4 #cjb4 ,exp&+ requir$ reports on ,t-,,msis sub/ance use disord] data to include m5tal heal? condition data 7a7 ,9 g5]al ,section #ajae7;a7 ( ! ,,support = ,pati5ts & ,communities ,act 7#db ,u4,s4,c4 #acbj;d-#b note7 is am5d$-- 7#a7 9 ! head+1 by /rik+ sub/ance use disord] data book & ins]t+ behavioral heal? data book2 7#b7 9 p>agraph 7#b7-- 7,a7 9 ! matt] prec$+ subp>agraph 7,a71 by ins]t+ 1 includ+ z updat$ 9 accordance ) p>agraph 7#c71 aft] p>agraph 7#a72 7,b7 9 subp>agraph 7,a71 by ins]t+ 1 m5tal heal? condition1 or a m5tal heal? condition co-occurr+ ) sub/ance use disord] aft] sub/ance use disord]2 7,c7 9 subp>agraph 7,b71 by ins]t+ & m5tal heal? treatm5t s]vices aft] sub/ance use disord] treatm5t s]vices2 7,d7 9 subp>agraph 7,c7-- 7i7 by ins]t+ 1 m5tal heal? condition1 or a m5tal heal? condition co-occurr+ ) a sub/ance use disord] diagnosis aft] sub/ance use disord] diagnosis2 & 7ii7 by ins]t+ or m5tal heal? treatm5t s]vices1 respectively1 aft] sub/ance use disord] treatm5t s]vices2 7,e7 9 subp>agraph 7,d71 by ins]t+ 1 m5tal heal? condition1 or a m5tal heal? condition co-occurr+ ) sub/ance use disord] aft] sub/ance use disord] diagnosis2 7,f7 9 subp>agraph 7,e71 by ins]t+ or m5tal heal? treatm5t aft] sub/ance use disord] treatm5t2 & 7,g7 9 subp>agraph 7,f71 by ins]t+ 1 individuals ) a m5tal heal? condition :o receive m5tal heal? treatm5t s]vices1 & individuals ) a co-occurr+ m5tal heal? condition & sub/ance use disord] :o receive sub/ance use disord] treatm5t s]vices & m5tal heal? treatm5t s]vices1 aft] sub/ance use disord] treatm5t s]vices2 & 7#c7 9 p>agraph 7#c71 by /rik+ ?r\gh #bjbd4 7b7 ,application ,! am5dm5ts made by subsection 7a77#a7 %all apply beg9n+ ) respect to ! fir/ update made pursuant to section #ajae7;a77#c7 ( ! ,,support = ,pati5ts & ,communities ,act 7#db ,u4,s4,c4 #acbj;d-#b note7 aft] ! date t is #ab mon?s aft] ! date ( enactm5t ( ?is ,act4 #cjc4 ,monitor+ prescrib+ ( antipsy*otic m$ications ,section #aijb7oo7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;a7oo77 is am5d$-- 7#a7 9 p>agraph 7#a77;,b7-- 7,a7 9 ! subp>agraph head+1 by /rik+ by *ildr52 & 7,b7 by ins]t+ 1 & beg9n+ on ! date t is #bd mon?s aft] ! date ( enactm5t ( ! ,support = ,pati5ts & ,communities ,reau?orization ,act1 individuals ov] ! age ( #ah1 individuals receiv+ home & community-bas$ s]vices 7z def9$ 9 section #ihag7;a77#b77;,b7 ( ,public ,law #aag-b71 & individuals resid+ 9 in/itutional c>e sett+s 7includ+ nurs+ facilities & int]m$iate c>e facilities = individuals ) intellectual disabilities7 enroll$1 aft] *ildr5 enroll$2 & 7#b7 9 p>agraph 7#c7-- 7,a7 9 subp>agraph 7,a77ii71 by /rik+ is a resid5t & ins]t+ subject to subp>agraph 7,c71 is a resid5t2 & 7,b7 by add+ at ! end ! foll[+ new subp>agraph3 7,c7 ,application 9 case ( program to monitor antipsy*otic m$ications ,subp>agraph 7,a77ii7 %all n apply to ! drug review & utilization requirem5t describ$ 9 p>agraph 7#a77;,b7 ) respect to an individual to :om su* subp>agraph applies by reason ( ! am5dm5ts made by section #cjc7a7 ( ! ,support = ,pati5ts & ,communities ,reau?orization ,act4 4