,,ii  #aah? ,,congress  #a/ ,session    
,s4 #aghe  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,may #ca 7legislative  
day1 ,may #cj71 #bjbc ,mr4 ,m>key 7=    
himself1 ,ms4 ,w>r51 ,mr4 ,book]1 ,mr4  
,c>p]1 ,mr4 ,wyd51 ,mr4 ,wel*1 ,mr4     
,m55dez1 ,mr4 ,m]kley1 ,mr4 ,blum5?al1 &
 ,mr4 ,he9ri*7 introduc$ ! foll[+ bill2 
:i* 0 read twice & ref]r$ to !          
,committee on ,heal?1 ,education1       
,labor1 & ,p5sions  ,a ,,bill  ,to      
e/abli% programs to address addiction & 
ov]doses caus$ by illicit f5tanyl & o!r 
opioids1 & = o!r purposes4  #a4 ,%ort   
title2 table ( cont5ts  7a7 ,%ort title 
,?is ,act may be cit$ z ! ,/op ,f5tanyl 
,ov]doses ,act ( #bjbc4  7b7 ,table (   
cont5ts ,! table ( cont5ts = ?is ,act is
 z foll[s3  ,sec4 #a4 ,%ort title2 table
 ( cont5ts4 ,sec4 #b4 ,def9itions4      
,,title ,i--,f5tanyl ,sec4 #aja4        
,enhanc$ f5tanyl surveillance4 ,sec4    
#ajb4 ,collection ( ov]dose data4 ,sec4 
#ajc4 ,public heal? support = law       
en=cem5t4 ,sec4 #ajd4 ,f5tanyl          

detection4 ,sec4 #aje4 ,grants to       
improve public heal? surveillance 9     
=5sic laboratories4 ,,title ,,ii--,/emm+
 ! ,supply ( ,f5tanyl ,sec4 #bja4       
,report on c\ntries t produce syn!tic   
drugs4 ,sec4 #bjb4 ,,gao report on      
int]national mail & c>go scre5+4 ,,title
 ,,iii--,ov]dose prev5tion & sub/ance   
use disord] treatm5t programs ,sec4     
#cja4 ,opioid treatm5t education4 ,sec4 
#cjb4 ,,gao /udy on naloxone access4    
,sec4 #cjc4 ,increas+ access to         
m$ication = opioid ov]dose rev]sal2     
exemption f requirem5ts ( ! ,drug       
,supply ,*a9 ,security ,act4 ,sec4 #cjd4
 ,grant program on h>ms ( drug misuse4  
,sec4 #cje4 ,good ,sam>itan immunity4   
,sec4 #cjf4 ,report on ov]dose prev5tion
 c5t]s4 ,sec4 #cjg4 ,prisons & sub/ance 
use disord] treatm5t4  #b4 ,def9itions  
,9 ?is ,act3 7#a7 ,f5tanyl-relat$       
sub/ance ,! t]m f5tanyl-relat$ sub/ance 
has ! mean+ giv5 ! t]m 9 section        
#acjh4aa7;h77#cj77;i7 ( title #ba1 ,code
 ( ,f$]al ,regulations 7or successor    

regulations74  7#b7 ,secret>y ,! t]m    
,secret>y means ! ,secret>y ( ,heal? &  
,human ,s]vices4  ,i ,f5tanyl  #aja4    
,enhanc$ f5tanyl surveillance  7a7 ,,cdc
 surveillance program ,"p ,j ( title    
,,iii ( ! ,public ,heal? ,s]vice ,act is
 am5d$ by ins]t+ aft] section #cib;,a   
7#db ,u4,s4,c4 #bhj;b-#a7 ! foll[+3     
#cib;,b4 ,enhanc$ f5tanyl surveillance  
7a7 ,def9ition ,9 ?is section1 ! t]m    
f5tanyl-relat$ sub/ance has ! mean+ giv5
 ! t]m 9 section #acjh4aa7;h77#cj77;i7 (
 title #ba1 ,code ( ,f$]al ,regulations 
7or successor regulations74  7b7 ,data  
collection ,! ,director ( ! ,c5t]s =    
,disease ,control & ,prev5tion %all     
enhance ! ,ov]dose ,data to ,action     
program & o!r drug surveillance programs
 ( ! ,c5t]s = ,disease ,control &       
,prev5tion by--  7#a7 enc\rag+ ,/ates1  
political subdivisions ( ,/ates1 &      
t]ritories to p>ticipate 9 su* programs2
  7#b7 increas+ & accel]at+ ! collection
 ( data on f5tanyl1 f5tanyl-relat$      
sub/ances1 o!r syn!tic opioids1 & new   

em]g+ drugs ( abuse 7includ+ h>mful     
adult]ants ( f5tanyl1 su* z xylaz9e71   
includ+ ! collection ( relat$ ov]dose   
data f m$ical exam9]s & drug treatm5t   
admissions & in=mation reg>d+ drug      
seizures2 &  7#c7 utiliz+ available &   
em]g+ in=mation on f5tanyl1             
f5tanyl-relat$ sub/ances1 o!r syn!tic   
opioids1 & new em]g+ drugs ( abuse1     
includ+ in=mation f-- 7,a7 ! ,high      
,int5sity ,drug ,traffick+ ,areas       
program "u section #gjg ( ! ,(fice (    
,national ,drug ,control ,policy        
,reau?orization ,act ( #aiih2  7,b7 !   
,national ,drug ,e>ly ,w>n+ ,sy/em2     
7,c7 ,/ate & local public heal?         
au?orities2  7,d7 ,f$]al1 ,/ate1 & local
 public heal? laboratories2 &  7,e7 drug
 seizures by ,f$]al1 ,/ate1 & local law 
en=cem5t ag5cies1 includ+ in=mation f ! 
,national ,seizure ,sy/em & ! ,national 
,=5sic ,laboratory ,in=mation ,sy/em ( !
 ,drug ,en=cem5t ,adm9i/ration4  7c7    
,in=mation %>+ ,! ,director ( ! ,c5t]s =
 ,disease ,control & ,prev5tion %all    

publicly dissem9ate data collect$ "u ?is
 section4  7d7 ,au?orization (          
appropriations ,!re are au?oriz$ to be  
appropriat$ to c>ry out ?is section su* 
sums z are necess>y4  4  7b7 ,law       
en=cem5t report+ ,ea* ,f$]al law        
en=cem5t ag5cy %all report in=mation on 
all drug seizures by t ag5cy to ! ,drug 
,en=cem5t ,adm9i/ration = inclusion 9 ! 
,national ,seizure ,sy/em4  7c7 ,,gao   
report ,n lat] ?an #b ye>s aft] ! date (
 enactm5t ( ?is ,act1 ! ,comptroll]     
,g5]al ( ! ,unit$ ,/ates %all--  7#a7   
publi% a report analyz+ h[ ,f$]al       
ag5cies c improve _! collection1        
report+1 %>+1 & analytic use ( drug     
seizure data across ,f$]al ag5cies & )  
,/ates & local gov]nm5ts2 &  7#b7       
include 9 su* report an analysis ( h[   
well available data on drug seizures c  
measure progress t[>d r$uc+ drug        
traffick+ into & )9 ! ,unit$ ,/ates1 z  
outl9$ 9 /rategies su* z ! ,national    
,drug ,control ,/rategy ( ! ,(fice (    
,national ,drug ,control ,policy4  #ajb4

 ,collection ( ov]dose data  7a7 ,9     
g5]al ,n lat] ?an #b ye>s aft] ! date ( 
enactm5t ( ?is ,act1 ! ,secret>y %all   
comm5ce a /udy on h[ to mo/ effici5tly  
track ov]doses by type ( drug1 includ+  
f5tanyl4  7b7 ,grant program  7#a7 ,9   
g5]al ,^u completion ( ! /udy "u        
subsection 7a71 & tak+ into consid]ation
 ! results ( su* /udy1 ! ,secret>y %all 
aw>d grants to ,/ates to facilitate !   
collection ( data ) respect to          
f5tanyl-involv$ ov]doses4  7#b7         
,requirem5t ,z a condition on receipt ( 
a grant "u ?is subsection1 an applicant 
%all agree to %>e ! data collect$       
pursuant to ! grant ) ! ,c5t]s =        
,disease ,control & ,prev5tion4  7#c7   
,pref]5ce ,9 aw>d+ grants "u ?is        
subsection1 ! ,secret>y %all give       
pref]5ce to applicants ^: grant         
proposals demon/rate ! greate/ ne$ =    
collect+ timely & accurate data on      
ov]doses4  #ajc4 ,public heal? support =
 law en=cem5t  7a7 ,support = f5tanyl   
detection & h&l+ ,! ,secret>y1 9        

consultation ) ! ,attorney ,g5]al1 %all 
c>ry out a program to provide to ,f$]al1
 ,/ate1 & local law en=cem5t ag5cies    
tra9+ on accurate in=mation ab\t f5tanyl
 & h[ to detect & h&le f5tanyl4  7b7    
,evid5ce-,bas$ ,! program "u subsection 
7a7 %all comply ) evid5ce-bas$          
guidel9es1 includ+ ! ,f5tanyl ,safety   
,recomm5dations = ,fir/ ,respond]s 7or  
any successor guidel9es7 ( ! ,(fice (   
,national ,drug ,control ,policy4  #ajd4
 ,f5tanyl detection  7a7 ,te/+ (        
contam9ants ,! ,secret>y1 act+ ?r\gh !  
,assi/ant ,secret>y = ,m5tal ,heal? &   
,sub/ance ,use1 & 9 coord9ation ) !     
,director ( ! ,c5t]s = ,disease ,control
 & ,prev5tion1 %all cont9ue to improve  
ef=ts to enhance scre5+ & id5tification 
( contam9ants 9 drugs to prev5t         
ov]doses4  7b7 ,rese>* into te*nologies 
7#a7 ,def9ition ( *emical scre5+ device 
,9 ?is subsection1 ! t]m *emical scre5+ 
device means an infr>$ spectrophotomet]1
 mass spectromet]1 nucle> magnetic      
resonance spectromet]1 ,raman           

spectrophotomet]1 ion mobility          
spectromet]1 or any o!r device or o!r   
te*nology t is able to det]m9e ! pres5ce
 (1 or id5tify1 "o or m contam9ants 9   
drugs4  7#b7 ,rese>* ,! ,secret>y %all  
conduct or support rese>* = ! developm5t
 or improvem5t ( portable & af=dable    
te*nologies relat+ to te/+ drugs =      
f5tanyl & f5tanyl-relat$ sub/ances1     
includ+ *emical scre5+ device me?ods4   
7#c7 ,au?orization ( appropriations ,!re
 are au?oriz$ to be appropriat$ to c>ry 
out ?is subsection su* sums z are       
necess>y4  #aje4 ,grants to improve     
public heal? surveillance 9 =5sic       
laboratories ,title ,i ( ! ,omnibus     
,crime ,control & ,safe ,/reets ,act (  
#aifh 7#cd ,u4,s4,c4 #ajaja et seq47 is 
am5d$ by add+ at ! end ! foll[+3  ,,pp  
,confront+ ! use ( h]o91 f5tanyl1 &     
associat$ syn!tic drugs  #cjfa4         
,au?ority to make grants to address     
public safety ?r\gh improv$ =5sic       
laboratory data  7a7 ,purpose ,! purpose
 ( ?is section is to assi/ ,/ates &     

units ( local gov]nm5t 9--  7#a7 c>ry+  
out programs to improve surveillance (  
h]o91 f5tanyl1 f5tanyl-relat$ sub/ances1
 & associat$ syn!tic drugs to enhance   
public heal?2  7#b7 improv+ ! ability ( 
,/ates1 ,tribes1 & units ( local        
gov]nm5t to c>ry out su* programs2 &    
7#c7 c>ry+ out ! activities z describ$ 9
 section #aja ( ! ,,/op ,f5tanyl ,act ( 
#bjbc4  7b7 ,grant au?orization ,!      
,attorney ,g5]al1 act+ ?r\gh ! ,director
 ( ! ,bureau ( ,ju/ice ,assi/ance1 may  
make grants to ,/ates & units ( local   
gov]nm5t to improve surveillance ( h]o91
 f5tanyl1 f5tanyl-relat$ sub/ances1 &   
associat$ syn!tic drugs to enhance      
public heal?4  7c7 ,grant projects ,to  
improve surveillance ( seiz$ h]o91      
f5tanyl1 & associat$ syn!tic drugs      
,grants made "u subsection 7b7 %all be  
us$ = programs1 projects1 & o!r         
activities to-- 7#a7 reimburse ,/ate1   
local1 or =5sic sci5ce laboratories to  
help address backlogs ( unte/$ samples (
 h]o91 f5tanyl1 & associat$ syn!tic     

drugs2  7#b7 reimburse ,/ate1 local1 or 
o!r =5sic sci5ce laboratories = procur+ 
equipm5t1 te*nology1 or o!r support     
sy/ems if ! applicant = ! grant         
demon/rates to ! satisfaction ( !       
,attorney ,g5]al t exp5ditures = su*    
purposes w\ld result 9 improv$ effici5cy
 ( laboratory te/+ & help prev5t future 
backlogs2  7#c7 reimburse ,/ate1 local1 
or o!r =5sic sci5ce laboratories =      
improv$1 real "t data ex*ange ) ! ,c5t]s
 = ,disease ,control & ,prev5tion on    
f5tanyl1 f5tanyl-relat$ sub/ances1 & o!r
 associat$ syn!tic drugs pres5t 9 !     
local communities2 &  7#d7 support      
,/ate1 tribal1 & local heal? dep>tm5t   
s]vices deploy$ to address ! use ( h]o91
 f5tanyl1 & associat$ syn!tic drugs4    
7d7 ,limitation ,n less ?an #fj p]c5t ( 
! am\nts made available to c>ry out ?is 
section %all be aw>d$ = ! purposes "u   
p>agraph 7#a7 or 7#b7 ( subsection 7c74 
7e7 ,au?orization ( appropriations ,!re 
are au?oriz$ to be appropriat$ to c>ry  
out ?is section su* sums z are necess>y4

  7f7 ,allocation  7#a7 ,population     
allocation ,sev5ty-five p]c5t ( ! am\nt 
made available to c>ry out ?is section 9
 a fiscal ye> %all be allocat$ to ea*   
,/ate t meets ! requirem5ts ( section   
#bhjb s t ea* ,/ate %all receive an     
am\nt t be>s ! same ratio to ! #ge p]c5t
 ( ! total am\nt made available to c>ry 
out ?is section = t fiscal ye> z !      
population ( ! ,/ate be>s to !          
population ( all ,/ates4  7#b7          
,discretion>y allocation ,tw5ty-five    
p]c5t ( ! am\nt made available to c>ry  
out ?is section 9 a fiscal ye> %all be  
allocat$ pursuant to ! discretion ( !   
,attorney ,g5]al = competitive grants to
 ,/ates or units ( local gov]nm5t ) high
 rates ( prim>y treatm5t admissions =   
polysub/ance use1 includ+ h]o9 & o!r    
opioids1 = use by ,/ate or local law    
en=cem5t ag5cies4  7#c7 ,m9imum         
requirem5t ,not)/&+ p>agraphs 7#a7 &    
7#b71 ea* ,/ate %all receive n less ?an 
#j4f p]c5t ( ! am\nt made available to  
c>ry out ?is section 9 ea* fiscal ye>4  

7#d7 ,c]ta9 t]ritories  7,a7 ,9 g5]al ,=
 purposes ( ! allocation "u ?is section1
 ,am]ican ,samoa & ! ,commonweal? ( !   
,nor!rn ,m>iana ,isl&s %all be consid]$ 
z #a ,/ate4  7,b7 ,allocation among/    
c]ta9 t]ritories ,= purposes (          
subp>agraph 7,a71 #fg p]c5t ( ! am\nt   
allocat$ %all be allocat$ to ,am]ican   
,samoa & #cc p]c5t %all be allocat$ to !
 ,commonweal? ( ! ,nor!rn ,m>iana       
,isl&s4  4  ,,ii ,/emm+ ! ,supply (     
,f5tanyl  #bja4 ,report on c\ntries t   
produce syn!tic drugs ,n lat] ?an #a ye>
 aft] ! date ( enactm5t ( ?is ,act1 !   
,secret>y ( ,/ate %all submit to !      
,committee on ! ,judici>y & ! ,committee
 on ,=eign ,relations ( ! ,s5ate & !    
,committee on ,en]gy & ,comm]ce ( !     
,h\se ( ,repres5tatives a report-- 7#a7 
id5tify+ ! c\ntries ! ,secret>y det]m9es
 are ! pr9cipal produc]s ( syn!tic drugs
 traffick$ into ! ,unit$ ,/ates2  7#b7  
assess+ h[ & :y ^? c\ntries are produc+ 
su* drugs2 &  7#c7 describ+ measures !  
,secret>y plans to take to r$uce ! fl[ (

 su* drugs into ! ,unit$ ,/ates4  #bjb4 
,,gao report on int]national mail & c>go
 scre5+ ,n lat] ?an #a ye> aft] ! date (
 enactm5t ( ?is ,act1 ! ,comptroll]     
,g5]al ( ! ,unit$ ,/ates %all submit to 
,congress a report review+ ! impact ( ! 
,high ,int5sity ,drug ,traffick+ ,areas 
program on illicit f5tanyl &            
f5tanyl-relat$ sub/ances import$ ?r\gh  
int]national mail & c>go1 includ+       
discussion ( ! foll[+3 7#a7 ,! volume ( 
f5tanyl & f5tanyl-relat$ sub/ances be+  
import$ into ! ,unit$ ,/ates by means ( 
int]national mail & c>go4  7#b7 ,!      
pot5tial impact ( increas$ scre5+ =     
illicit f5tanyl & f5tanyl-relat$        
sub/ances on-- 7,a7 det]r+ drug         
traffick+ 9 ! ,unit$ ,/ates2  7,b7      
int]dict+ f5tanyl & f5tanyl-relat$      
sub/ances t 7 manufactur$ outside ( !   
,unit$ ,/ates & int5d$1 or attempt$1 to 
be import$ into ! ,unit$ ,/ates2  7,c7 !
 numb] ( ,f$]al crim9al prosecutions    
bas$ on ! manufacture1 di/ribution1 or  
possession ( f5tanyl or f5tanyl-relat$  

sub/ances1 disaggregat$ by demographic  
data1 includ+ sex1 race1 & e?nicity1 ( !
 (f5d]2  7,d7 ! *>ges br\ght 9 su*      
prosecutions2  7,e7 ! impacts (         
prosecutions on r$uc+ dem& &            
availability to us]s2 &  7,f7 !         
developm5t ( new f5tanyl-relat$         
sub/ances4  7#c7 ,! ne$ = non9vasive    
te*nology 9 scre5+ = f5tanyl &          
f5tanyl-relat$ sub/ances1 tak+ into     
acc\nt ! f9d+s pursuant to p>agraphs    
7#a7 & 7#b74  ,,iii ,ov]dose prev5tion &
 sub/ance use disord] treatm5t programs 
#cja4 ,opioid treatm5t education ,"p ,d 
( title ,v ( ! ,public ,heal? ,s]vice   
,act 7#db ,u4,s4,c4 #bij;dd et seq47 is 
am5d$ by add+ at ! end ! foll[+3  #eec4 
,opioid treatm5t education  7a7 ,9 g5]al
 ,! ,secret>y %all aw>d grants to ,/ates
 & local gov]nm5tal entities to provide 
education to /akehold]s1 includ+ heal?  
c>e provid]s1 crim9al ju/ice            
pr(essionals1 & sub/ance use disord]    
treatm5t p]sonnel1 on ! curr5t /ate (   
rese>* on treatm5t = opioid use disord]1

 includ+--  7#a7 ! use ( opioid agoni/s 
or p>tial agoni/s2 &  7#b7 ! pot5tial   
b5efits ( ! use ( opioid agoni/s or     
p>tial agoni/s = affect$ individuals4   
7b7 ,report ,n lat] ?an #a ye> aft] !   
date ( enactm5t ( ! ,,/op ,f5tanyl ,act 
( #bjbc1 ! ,secret>y %all submit to !   
,committee on ,heal?1 ,education1       
,labor1 & ,p5sions ( ! ,s5ate & !       
,committee on ,en]gy & ,comm]ce ( !     
,h\se ( ,repres5tatives a report t      
includes ! foll[+ data on ! education   
programs fund$ pursuant to grants "u    
subsection 7a73 7#a7 ,! numb] ( p rea*$ 
by educational mat]ials fund$ pursuant  
to grants "u subsection 7a74  7#b7 ,!   
geographic areas :]e p receiv$ su*      
educational mat]ials4  7#c7 ,! rema9+   
populations & areas t>get$ = aw>5ess (  
su* educational mat]ials1 includ+ !     
*>act]i/ics ( su* populations & areas1  
su* z ! type ( /akehold]4  7#d7 ,!      
outcomes ( education provid$ pursuant to
 grants "u subsection 7a71 z det]m9$ by 
! ,secret>y4  7c7 ,au?orization (       

appropriations ,!re are au?oriz$ to be  
appropriat$ to c>ry out ?is section su* 
sums z are necess>y4  4  #cjb4 ,,gao    
/udy on naloxone access  7a7 ,9 g5]al ,!
 ,comptroll] ,g5]al ( ! ,unit$ ,/ates   
%all conduct a /udy on actions t may be 
tak5 to ensure appropriate access &     
af=dability ( naloxone = individuals    
seek+ to pur*ase naloxone4 ,su* /udy    
%all address :at is kn[n ab\t-- 7#a7    
cov]age ( naloxone 79 any available =m71
 includ+ :e!r naloxone c be cov]$ z an  
ov]-!-c\nt] drug "u a gr\p heal? plan or
 gr\p or individual heal? insurance     
cov]age 7z su* t]ms are def9$ 9 section 
#bgia ( ! ,public ,heal? ,s]vice ,act   
7#db ,u4,s4,c4 #cjj;gg-#ia77 or =       
individuals entitl$ to b5efits "u "p ,a 
or enroll$ "u "p ,b ( title ,,xviii ( ! 
,social ,security ,act 7#db ,u4,s4,c4   
#acie et seq471 or receiv+ m$ical       
assi/ance "u a ,/ate plan "u title ,,xix
 ( su* ,act 7#db ,u4,s4,c4 #acif et     
seq47 or a waiv] ( su* plan2  7#b7 !    
out-(-pocket co/ to consum]s pur*as+    

naloxone-- 7,a7 ) a prescription1 ) &   
)\t cov]age "u any su* plan or cov]age2 
7,b7 ov]-!-c\nt]1 ) & )\t cov]age "u any
 su* plan or cov]age2 &  7,c7 via /&+   
ord]2 &  7#c7 o!r factors impact+       
cov]age1 includ+ b>ri]s 9 cov]+ naloxone
 z an ov]-!-c\nt] drug1 ! relative net  
co/s ( naloxone :5 pur*as$ ov]-!-c\nt]  
)\t insurance cov]age comp>$ to :5      
pur*as$ ) a prescription & cov]$ "u a   
gr\p heal? plan or heal? insurance      
cov]age1 & ! availability ( naloxone    
pur*as$ & di/ribut$ ?r\gh public heal?  
entities4  7b7 ,report ,n lat] ?an #b   
ye>s aft] ! date ( enactm5t ( ?is ,act1 
! ,comptroll] ,g5]al ( ! ,unit$ ,/ates  
%all submit to ,congress a report t     
conta9s ! f9d+s ( ! /udy conduct$ "u    
subsection 7a74  #cjc4 ,increas+ access 
to m$ication = opioid ov]dose rev]sal2  
exemption f requirem5ts ( ! ,drug       
,supply ,*a9 ,security ,act  7a7        
,transactions ,section #eha7bd77;,b7 ( !
 ,f$]al ,food1 ,drug1 & ,cosmetic ,act  
7#ba ,u4,s4,c4 #cfj;eee7#bd77;,b77 is   

am5d$-- 7#a7 by r$esignat+ clauses      
7xvii7 & 7xviii7 z clauses 7xviii7 &    
7xix71 respectively2 &  7#b7 by ins]t+  
aft] clause 7xvi7 ! foll[+3  7xvii7 !   
di/ribution ( an opioid antagoni/       
indicat$ = em]g5cy treatm5t ( opioid    
ov]dose1 su* z naloxone1 by or to an    
ov]dose prev5tion1 syr+e s]vices        
program1 or o!r h>m r$uction s]vice2  4 
7b7 ,:olesale di/ribution ,section      
#ejc7;e77#d7 ( ! ,f$]al ,food1 ,drug1 & 
,cosmetic ,act 7#ba ,u4,s4,c4           
#cec7;e77#d77 is am5d$-- 7#a7 by        
r$esignat+ subp>agraphs 7,r7 & 7,s7 z   
subp>agraphs 7,s7 & 7,t71 respectively2 
&  7#b7 by ins]t+ aft] subp>agraph 7,q7 
! foll[+3  7,r7 ! di/ribution ( an      
opioid antagoni/ indicat$ = em]g5cy     
treatm5t ( opioid ov]dose1 su* z        
naloxone1 by or to an ov]dose prev5tion1
 syr+e s]vices program1 or o!r h>m      
r$uction s]vice2  4  #cjd4 ,grant       
program on h>ms ( drug misuse ,"p ,d (  
title ,v ( ! ,public ,heal? ,s]vice ,act
 7#db ,u4,s4,c4 #bij;dd et seq47 7z     

am5d$ by section #cja7 is am5d$ by add+ 
at ! end ! foll[+3  #eed4 ,grant program
 on h>ms ( drug misuse  7a7 ,9 g5]al ,! 
,assi/ant ,secret>y1 9 consultation ) ! 
,director ( ! ,c5t]s = ,disease ,control
 & ,prev5tion1 %all aw>d grants to      
,/ates & political subdivisions ( ,/ates
 to support ! deliv]y ( ov]dose         
prev5tion s]vices1 includ+ di/ribution (
 opioid rev]sal ag5ts approv$ by ! ,food
 & ,drug ,adm9i/ration1 su* z naloxone1 
f5tanyl /rips1 & o!r h>m r$uction       
s]vices t address ! h>ms ( drug misuse1 
includ+ by--  7#a7 connect+ individuals 
at risk =1 or )1 a sub/ance use disord] 
to ov]dose education1 c\nsel+1 & heal?  
education2 &  7#b7 enc\rag+ su*         
individuals to take /eps to r$uce ! h>ms
 associat$ ) sub/ance misuse4  7b7      
,consid]ations ,9 aw>d+ grants "u ?is   
section1 ! ,assi/ant ,secret>y %all     
prioritize grants to applicants t are-- 
7#a7 organizations provid+ culturally   
compet5t c>e 9 t]ms ( consid]ations bas$
 on race1 language1 e?nicity1 g5d]1     

sexuality1 or disability2 or  7#b7      
propos+ to s]ve areas )-- 7,a7 a high]  
proportion ( ! population :o meet       
crit]ia = dep5d5ce on1 or abuse (1      
illicit drugs2  7,b7 a high] drug       
ov]dose dea? rate2 &  7,c7 a great]     
behavioral heal? & sub/ance use disord] 
work=ce ne$4  7c7 ,special consid]ations
 ,a recipi5t ( a grant "u ?is section   
%all-- 7#a7 ensure t n less ?an #fj     
p]c5t ( ! grant funds are us$ = h>m     
r$uction programs2 &  7#b7 prioritize ! 
deliv]y ( opioid antagoni/s to-- 7,a7 p 
:o use opioids or illicit drugs2  7,b7  
families ( su* p2  7,c7 fir/ respond]s1 
su* z law en=cem5t p]sonnel & nonem]g5cy
 s]vices1 su* z firefight]s & p>k       
rang]s2 &  7,d7 community s]vice        
provid]s1 su* z libr>y1 s*ool1 & public 
transportation p]sonnel4  7d7 ,use (    
grant aw>ds ,a recipi5t ( a grant "u ?is
 section may use grant funds = ! foll[+3
  7#a7 ,adapt+1 ma9ta9+1 & exp&+        
ess5tial s]vices provid$ by h>m r$uction
 s]vice organizations to address ! risks

 ( drug ov]dose & contraction (         
infecti\s disease4  7#b7 ,ma9ta9+ or    
hir+ /aff4  7#c7 ,support+ program      
op]ational co/s1 includ+ /aff1 r5t1 &   
vehicle pur*ase or ma9t5ance4  7#d7     
,program supplies4  7#e7 ,support & case
 managem5t s]vices4  7e7 ,au?orization (
 appropriations ,!re are au?oriz$ to be 
appropriat$ to c>ry out ?is section su* 
sums z are necess>y4  4  #cje4 ,good    
,sam>itan immunity  7a7 ,9 g5]al ,"p ,b 
( title ,,ii ( ! ,public ,heal? ,s]vice 
,act 7#db ,u4,s4,c4 #bch et seq47 is    
am5d$ by add+ at ! end ! foll[+3  #bdi4 
,good ,sam>itan immunity  7a7           
,limitation on civil liability =        
individuals :o adm9i/] opioid ov]dose   
rev]sal drugs  7#a7 ,9 g5]al ,not)/&+   
any o!r provision ( law1 except z       
provid$ 9 p>agraph 7#b71 no individual  
%all be liable 9 any ,f$]al or ,/ate    
proce$+ = h>m caus$ by ! em]g5cy        
adm9i/ration ( an opioid ov]dose rev]sal
 drug to an individual :o has or        
reasonably appe>s to h suff]$ an ov]dose

 f h]o9 or ano!r opioid1 if ! individual
 adm9i/]s ! opioid ov]dose rev]sal drug 
9 good fai?4  7#b7 ,exception ,p>agraph 
7#a7 %all n apply to an individual if ! 
h>m 0 caus$ by ! gross neglig5ce or     
reckless misconduct ( ! individual :o   
adm9i/]s ! drug4  7#c7 ,def9ition (     
opioid ov]dose rev]sal drug ,9 ?is      
subsection1 ! t]m opioid ov]dose rev]sal
 drug means a drug approv$ "u section   
#eje ( ! ,f$]al ,food1 ,drug1 &         
,cosmetic ,act t is indicat$ = ! p>tial 
or complete rev]sal ( ! ph>macological  
effects ( an opioid ov]dose 9 ! human   
body4  7b7 ,immunity f liability  7#a7  
,immunity  7,a7 ,9 g5]al ,an individual 
describ$ 9 subp>agraph 7,b7 %all n be   
cit$1 arre/$1 prosecut$1 crim9ally      
liable1 or subject to any sanction = a  
violation ( a condition ( sup]vis$      
release "u section #djd ( ! ,controll$  
,sub/ances ,act = ! possession or use ( 
a controll$ sub/ance1 or "u any o!r     
provision ( ,f$]al law regulat+ ! misuse
 ( prescription drugs1 z a result (     

seek+ m$ical assi/ance z describ$ 9     
clause 7i71 7ii71 or 7iii7 ( subp>agraph
 7,b74  7,b7 ,individual describ$ ,an   
individual ref]r$ to 9 subp>agraph 7,a7 
is an individual :o1 9 good fai? & 9 a  
timely mann]--  7i7 seeks m$ical        
assi/ance = ano!r individual :o is      
exp]i5c+ a drug ov]dose2  7ii7 seeks    
m$ical assi/ance = himself or h]self = a
 drug ov]dose2 or  7iii7 is ! subject ( 
a reque/ = m$ical assi/ance = ano!r     
individual :o is exp]i5c+ a drug        
ov]dose4  7#b7 ,preemption ,?is         
subsection preempts ! laws ( a ,/ate or 
any political subdivision ( a ,/ate to !
 ext5t t su* laws are inconsi/5t ) ?is  
subsection1 unless su* laws provide     
great] protection f liability4  7#c7    
,def9itions ,9 ?is section3 7,a7        
,controll$ sub/ance ,! t]m controll$    
sub/ance has ! mean+ giv5 ! t]m 9       
section #ajb ( ! ,controll$ ,sub/ances  
,act4  7,b7 ,drug ov]dose ,! t]m drug   
ov]dose means an acute condition result+
 f or believ$ to be result+ f ! use ( a 

controll$ sub/ance1 :i* an individual1  
:o is n a heal? c>e pr(essional1 w\ld   
reasonably believe requires m$ical      
assi/ance4  7,c7 ,prescription drug ,!  
t]m prescription drug means a drug      
subject to section #ejc7;b77#a7 ( !     
,f$]al ,food1 ,drug1 & ,cosmetic ,act4  
7,d7 ,seeks m$ical assi/ance2 seek+     
m$ical assi/ance ,! t]ms seeks m$ical   
assi/ance & seek+ su* m$ical assi/ance  
include-- 7i7 report+ a drug or alcohol 
ov]dose or o!r m$ical em]g5cy to a law  
en=cem5t au?ority1 ! #i-a-a sy/em1 a    
poison control c5t]1 or a m$ical        
provid]2  7ii7 assi/+ ano!r individual  
:o is mak+ a report describ$ 9 clause   
7i72 or  7iii7 provid+ c>e by adm9i/]+ a
 drug to someone :o is exp]i5c+ a drug  
or alcohol ov]dose or o!r m$ical em]g5cy
 :ile await+ ! arrival ( m$ical         
assi/ance4  4  7b7 ,public aw>5ess      
campaign ,! ,secret>y1 9 coord9ation ) !
 ,adm9i/rator ( ! ,drug ,en=cem5t       
,adm9i/ration1 %all c>ry out a campaign 
to increase public aw>5ess ( !          

limitations on civil & crim9al liability
 e/abli%$ by section #bdi ( ! ,public   
,heal? ,s]vice ,act 7z add$ by          
subsection 7a774  #cjf4 ,report on      
ov]dose prev5tion c5t]s ,! ,secret>y    
%all ent] into an agreem5t ) ! ,national
 ,academies ( ,sci5ces1 ,eng9e]+1 &     
,m$ic9e "u :i* ! ,national ,academies   
%all--  7#a7 n lat] ?an #b ye>s aft] !  
date ( ! agreem5t1 submit to ,congress a
 report on ov]dose prev5tion c5t]s2 &   
7#b7 include 9 ! report requir$ "u      
p>agraph 7#a7--  7,a7 id5tification (   
b>ri]s to op]at+ ov]dose prev5tion      
c5t]s2  7,b7 a compilation ( ! data     
available to measure effectiv5ess (     
ov]dose prev5tion c5t]s on prev5t+ &    
r$uc+ regional rates ( ov]dose dea?s1 & 
practices utiliz$ at ov]dose prev5tion  
c5t]s to improve access to m$ication =  
opioid use disord] & recov]y s]vices2   
7,c7 id5tification ( be/ practices at   
ov]dose prev5tion c5t]s to promote      
individual & public heal?1 provide      
res\rces to individuals & families1     

improve access to sub/ance use disord] &
 behavioral heal? s]vices1 & r$uce      
/igma2  7,d7 recomm5dations = develop+  
integrat$ c>e sett+s inclusive ( ov]dose
 prev5tion sites & incorporat+ ov]dose  
prev5tion sites into ref]ral networks2 &
  7,e7 recomm5d$ approa*es to ov]dose   
prev5tion s]vices t may s]ve z effective
 /rategies = recov]y = p us+ f5tanyl1   
f5tanyl-relat$ sub/ances1 o!r syn!tic   
opioids1 & new em]g+ drugs ( abuse      
7includ+ h>mful adult]ants ( f5tanyl1   
su* z xylaz9e74  #cjg4 ,prisons &       
sub/ance use disord] treatm5t  7a7      
,prisons & m$ication-,assi/$ treatm5t   
7#a7 ,9 g5]al ,! ,director ( ! ,bureau (
 ,prisons1 9 collaboration ) ! ,director
 ( ! ,(fice ( ,national ,drug ,control  
,policy1 %all e/abli% a program to (f]--
  7,a7 all drugs t are approv$ by !     
,food & ,drug ,adm9i/ration = treatm5t (
 a sub/ance use disord]2  7,b7 c\nsel+ &
 o!r psy*osocial treatm5ts = ! treatm5t 
( sub/ance use disord]2 &  7,c7         
evid5ce-bas$ )drawal managem5t s]vices  

to individuals 9 ! cu/ody ( ! ,bureau ( 
,prisons to provide a compreh5sive      
treatm5t approa* sub/ance use disord]s4 
7#b7 ,au?orization ( appropriations ,!re
 are au?oriz$ to be appropriat$ to c>ry 
out ?is subsection su* sums z are       
necess>y4  7b7 ,resid5tial sub/ance     
abuse treatm5t = ,/ate prison]s ,section
 #aijd7;d7 ( title ,i ( ! ,omnibus      
,crime ,control & ,safe ,/reets ,act (  
#aifh 7#cd ,u4,s4,c4 #ajdbd7;d77 is     
am5d$-- 7#a7 by /rik+ means & ins]t+ !  
foll[+3  7#a7 means  2  7#b7 by /rik+ ! 
p]iod at ! end & ins]t+ 2 &2 &  7#c7 by 
add+ at ! end ! foll[+3  7#b7 includes  
any su* c\rse ( compreh5sive individual 
& gr\p sub/ance abuse treatm5t s]vices  
us+ m$ication-assi/$ treatm5t = opioid  
use disord] 7includ+ ! use ( any drug   
approv$ or lic5s$ by ! ,food & ,drug    
,adm9i/ration = su* treatm5t74  4