,i #aahth ,,congress #b;d ,session ,h4 ,r4 #hegj ,,in ,,the ,,house ,,of ,,representatives ,may #bd1 #bjbd,mr4 ,hudson introduced the following bill2 which was referred to the ,committee on ,energy and ,commerce ,a ,,bill ,to establish a pharmacy program to award grants for safe in-home drug disposal and practical medication safety education1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,safe ,in-,home ,drug ,disposal ,initiative ,act of #bjbd or the ,,siddi ,act of #bjbd4 #b4 ,safe in-home drug disposal initiative 7a7 ,in general ,not later than #ahj days after the date of enactment of this ,act1 the ,secretary of ,health and ,human ,services1 acting through the ,assistant ,secretary for ,mental ,health and ,substance ,use1 7in this section referred to as the ,secretary7 shall establish a program to award grants to ,states to implement targeted ,state demonstration initiatives 7in this section referred to as ,t,s,d,is74 ,such ,t,s,d,is shall reimburse licensed pharmacies that choose to participate in the ,,tsdi 7in this section referred to as participating pharmacies7 for the provision to eligible patients1 in coordination with the delivery of drug prescriptions1 of in-home drug disposal systems and standard medication safety education4 7b7 ,application ,to be eligible to receive a grant under this section1 a ,state shall submit to the ,secretary an application at such time1 in such manner1 and containing such information as the ,secretary may require4 ,such an application shall-- 7#a7 identify the ,state agency that oversees pharmaceutical care and will be responsible for administering a ,,tsdi through a grant under this section2 7#b7 identify the single pharmacy benefit manager 7commonly known as a ,,pbm7 that will be responsible for-- 7,a7 adjudicating claims under the ,,tsdi2 7,b7 reimbursing participating pharmacies2 and 7,c7 facilitating the type of customization required to successfully administer a custom1 fully transparent program1 with pass-through claims adjudication services benefitting patients1 plans1 and pharmacies2 7#c7 outline the process by which participating pharmacies will submit usual and customary costs related to the reimbursement and remuneration of services1 including detailed reporting on-- 7,a7 criteria of patient selection2 7,b7 initial activity2 and 7,c7 patient engagement factors2 7#d7 detail the process through which standard medication safety education will be communicated by each participating pharmacist or pharmacy technician at the point of dispensing1 allowing for unique needs and education to be tailored for ,state-1 county-1 town-1 and municipality-specific needs2 7#e7 detail a plan to increase participation rates of pharmacists and pharmacy technicians through a single electronic pharmacy claim process2 7#f7 state the remuneration amounts for the provision of standard medication safety education1 and the reimbursement amounts for in-home drug disposal systems1 which for each eligible patient shall be assessed separately but processed through a single electronic claim2 7#g7 describe how the ,state will select pharmacies to be served under the ,,tsdi2 and 7#h7 include the number of eligible patients to be served under the ,,tsdi4 7c7 ,number ,the ,secretary shall award grants under this section to not more than #e ,states4 7d7 ,grant period ,a grant awarded under this section shall be for a period of at least #c years4 7e7 ,accountability and oversight ,as a condition of receiving a grant under this section1 a ,state shall agree to submit to the ,secretary1 at such time and in such manner as the ,secretary may reasonably require1 a report on the ,,tsdi of the ,state implemented through such grant4 ,such report shall-- 7#a7 list the number of pharmacy locations that are reimbursed through the grant funds2 7#b7 describe the activities undertaken by the ,state using the grant amounts1 outlining the in-home drug disposal solutions distributed and the patient education delivered2 7#c7 survey pharmacies to collect demographic information on participating patients1 medication types prescribed1 and the effective use of the in-home drug disposal systems2 and 7#d7 contain performance measures relating to the effectiveness of the grant1 including changes in the participation rate of eligible patients and the engagement with pharmacists4 7f7 ,definitions ,in this section3 7#a7 ,eligible patients ,the term eligible patients means patients receiving an opioid prescription who are at risk of experiencing an opioid-related overdose1 including such patients-- 7,a7 with a first-time opioid prescription2 7,b7 with an acute opioid prescription prescribed for a short-term illness or condition2 or 7,c7 that have received a change in the opioid dosage of an acute or chronic opioid prescription4 7#b7 ,in-home drug disposal system ,the term in-home drug disposal system means a system of drug disposal-- 7,a7 that changes the physical integrity of the formulation of a drug2 7,b7 that renders the active ingredients of such drug unusable for all practical purposes2 7,c7 that-- 7i7 is nontoxic and nonhazardous2 7ii7 poses no threat to the consumer2 and 7iii7 reduces drug exposure to the environment2 and 7,d7 that acts as a deterrent for misuse of drugs4 7#c7 ,standard medication safety education ,the term standard medication safety education means medication safety education-- 7,a7 provided by a pharmacist or pharmacy technician to eligible patients for a duration of not more than #e minutes per patient2 and 7,b7 that includes information relating to-- 7i7 proper medication storage2 7ii7 risks associated with keeping unused medication in the home2 7iii7 proper in-home disposal of unused medication2 and 7iv7 in the case of naloxone that is prescribed as an opioid medication1 the proper use of such naloxone 7#d7 ,state ,the term ,state means each of the several ,states1 the ,district of ,columbia1 and any territory of the ,united ,states4 7g7 ,authorization of appropriations ,there is authorized to be appropriated to carry out this section #ef1jjj1jjj for the period of fiscal years #bjbe through #bjbi4