,,ii #aah? ,,congress #a/ ,session ,s4 #bdcc ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,july #bj1 #bjbc,mr4 ,cassidy introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ,a ,,bill ,to reau?orize c]ta9 programs "u ! ,sub/ance ,use-,disord] ,prev5tion t ,promotes ,opioid ,recov]y & ,treatm5t = ,pati5ts & ,communities ,act1 & = o!r purposes4 #a4 ,%ort title2 table ( cont5ts 7a7 ,%ort title ,?is ,act may be cit$ z ! ,,support = ,pati5ts & ,communities ,reau?orization ,act ( #bjbc4 7b7 ,table ( cont5ts ,! table ( cont5ts = ?is ,act is z foll[s3 ,sec4 #a4 ,%ort title2 table ( cont5ts4,,title ,i--,reauthorizations,sec4 #aja4 ,fir/ respond] tra9+4,sec4 #ajb4 ,pilot program = public heal? laboratories to detect f5tanyl & o!r syn!tic opioids4,sec4 #ajc4 ,resid5tial treatm5t programs = pregnant & po/p>tum wom54,sec4 #ajd4 ,pr5atal & po/natal heal?4,sec4 #aje4 ,plans ( safe c>e4,sec4 #ajf4 ,loan repaym5t program = sub/ance use disord] treatm5t work=ce4,sec4 #ajg4 ,y\? prev5tion & recov]y4,sec4 #ajh4 ,compreh5sive opioid recov]y c5t]s4,sec4 #aji4 ,,cdc surveillance & data collection = *ild1 y\?1 & adult trauma4,sec4 #aaj4 ,task =ce to develop be/ practices = trauma-in=m$ id5tification1 ref]ral1 & support4,sec4 #aaa4 ,donald ,j4 ,coh5 ,national *ild traumatic /ress initiative4,sec4 #aab4 ,surveillance & education reg>d+ infections associat$ ) illicit drug use & o!r risk factors4,sec4 #aac4 ,build+ communities ( recov]y4,sec4 #aad4 ,pe] support te*nical assi/ance c5t]4,sec4 #aae4 ,prev5t+ ov]doses ( controll$ sub/ances4,sec4 #aaf4 ,,c>e] ,act4,,title ,,ii--,o!r provisions,sec4 #bja4 ,deliv]y ( a controll$ sub/ance by a ph>macy4,sec4 #bjb4 ,regulations relat+ to a special regi/ration = telem$ic9e4,sec4 #bjc4 ,review ( at-home drug disposal sy/ems4,sec4 #bjd4 ,report on at-home drug disposal sy/ems4,sec4 #bje4 ,ensur+ ,/ate *oice 9 ,,pdmp sy/ems4,sec4 #bjf4 ,m5tal heal? p>ity4,sec4 #bjg4 ,/ate guidance on cov]age = individuals ) s]i\s m5tal illness & *ildr5 ) s]i\s emotional di/urbance4,sec4 #bjh4 ,community m5tal heal? s]vices block grant s]vice provid]s4,sec4 #bji4 ,reports & /udies on m$ication treatm5ts = opioid use disord]4,sec4 #baj4 ,,fasd ,respect ,act4 ,i ,reau?orizations #aja4 ,fir/ respond] tra9+ ,section #edf7;h7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;ee-#a7;h77 is am5d$ by /rik+ #bjai ?r\gh #bjbc & ins]t+ #bjbd ?r\gh #bjbh4 #ajb4 ,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-#aj note7 is am5d$ by /rik+ #bjai ?r\gh #bjbc & ins]t+ #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+ #bjai ?r\gh #bjbc & ins]t+ #bjbd ?r\gh #bjbh4 #ajd4 ,pr5atal & po/natal heal? ,section #cag,l7d7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;b-#ac7;d77 is am5d$ by /rik+ #bjai ?r\gh #bjbc & ins]t+ #bjbd ?r\gh #bjbh4 #aje4 ,plans ( safe c>e ,section #aje7;a77#g77;,h7 ( ! ,*ild ,abuse ,prev5tion & ,treatm5t ,act 7#db ,u4,s4,c4 #eajf7;a77#g77;,h77 is am5d$ by /rik+ #bjbc & ins]t+ #bjbh4 #ajf4 ,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+ #bjai ?r\gh #bjbc & ins]t+ #bjbd ?r\gh #bjbh4 #ajg4 ,y\? prev5tion & recov]y ,section #gajb7;c77#i7 ( ! ,,support = ,pati5ts & ,communities ,act 7#db ,u4,s4,c4 #bij;bb-#g;a7c77#i77 is am5d$ by /rik+ #bjai ?r\gh #bjbc & ins]t+ #bjbd ?r\gh #bjbh4 #ajh4 ,compreh5sive opioid recov]y c5t]s ,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 #aji4 ,,cdc surveillance & data collection = *ild1 y\?1 & adult trauma ,section #gaca7;e7 ( ! ,,support = ,pati5ts & ,communities ,act 7#db ,u4,s4,c4 #bdbt7e77 is am5d$ by /rik+ #bjai ?r\gh #bjbc & ins]t+ #bjbd ?r\gh #bjbh4 #aaj4 ,task =ce to develop be/ practices = trauma-in=m$ id5tification1 ref]ral1 & support ,section #gacb7;i7 ( ! ,,support = ,pati5ts & ,communities ,act 7,public ,law #aae-bga7 is am5d$ by /rik+ #bjbc & ins]t+ #bjbh4 #aaa4 ,donald ,j4 ,coh5 ,national *ild traumatic /ress initiative ,section #ehb7;j7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;hh-#a7;j77 7relat+ to grants to address ! problems ( p]sons :o exp]i5ce viol5ce-relat$ /ress7 is am5d$ by /rik+ #bjai ?r\gh #bjbc & ins]t+ #bjbd ?r\gh #bjbh4 #aab4 ,surveillance & education reg>d+ infections associat$ ) illicit drug use & o!r risk factors ,section #cag,n7d7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;b-#ae7;d77 is am5d$ by /rik+ #bjai ?r\gh #bjbc & ins]t+ #bjbd ?r\gh #bjbh4 #aac4 ,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+ #bjai ?r\gh #bjbc & ins]t+ #bjbd ?r\gh #bjbh4 #aad4 ,pe] support te*nical assi/ance c5t] ,section #edg;,a7e7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;ee-#b;a7e77 is am5d$ by /rik+ #bjai ?r\gh #bjbc & ins]t+ #bjbd ?r\gh #bjbh4 #aae4 ,prev5t+ ov]doses ( controll$ sub/ances ,section #cib;,a7e7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bhj;b-#a7;e77 is am5d$ by /rik+ #bjai ?r\gh #bjbc & ins]t+ #bjbd ?r\gh #bjbh4 #aaf4 ,,c>e] ,act ,section #gahc7k7 ( ! ,,support = ,pati5ts & ,communities ,act 7#db ,u4,s4,c4 #bij;ee-#h7k77 is am5d$ by /rik+ #bjai ?r\gh #bjbc & ins]t+ #bjbd ?r\gh #bjbh4 ,,ii ,o!r provisions #bja4 ,deliv]y ( a controll$ sub/ance by a ph>macy ,section #cji;,a7a7 ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hbi;a7a77 is am5d$ by /rik+ p>agraph 7#b7 & ins]t+ ! foll[+3 7#b7 ! controll$ sub/ance is a drug 9 s*$ule ,,ii1 ,,iii1 ,,iv1 or ,v & is-- 7,a7 to be adm9i/]$ = ! purpose ( initiation1 ma9t5ance1 or detoxification treatm5t2 or 7,b7 subject to conditions ( approval impos$ by ! ,food & ,drug ,adm9i/ration pursuant to section #eje-a ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cee-a71 :i* may require ! drug to be adm9i/]$ ) po/-adm9i/ration monitor+ by a heal? c>e pr(essional2 4 #bjb4 ,regulations relat+ to a special regi/ration = telem$ic9e ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,attorney ,g5]al1 9 consultation ) ! ,secret>y ( ,heal? & ,human ,s]vices1 %all promulgate ! f9al regulations requir$ "u section #caa7;h77#b7 ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hca7;h77#b774 #bjc4 ,review ( at-home drug disposal sy/ems ,section #eje-a ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cee-a7 is am5d$ by add+ at ! end ! foll[+3 7n7 ,at-,home drug disposal /&>ds & sy/ems 7#a7 ,e/abli%m5t ( at-home drug disposal /&>ds ,n lat] ?an "o ye> aft] ! date ( enactm5t ( ! ,,support = ,pati5ts & ,communities ,reau?orization ,act ( #bjbc1 ! ,secret>y %all publi% guidance to facilitate ! use ( at-home safe disposal sy/ems = drugs subject to a risk evaluation & mitigation /rategy t includes an elem5t describ$ 9 subsection 7e77#d74 7#b7 ,guidance ,! guidance "u p>agraph 7#a7 %all include-- 7,a7 recomm5d$ /&>ds = effective at-home disposal sy/ems to meet ! public heal? or non-retrievability /&>d2 7,b7 recomm5d$ in=mation to include z in/ruction = use to dissem9ate ) at-home disposal sy/ems2 & 7,c7 be/ practices & educational tools to support ! use ( an at-home disposal sy/em4 7#c7 ,updates ,! ,secret>y %all update ! guidance "u ?is subsection n less frequ5tly ?an e #e ye>s4 4 #bjd4 ,report on at-home drug disposal sy/ems ,subsection 7n7 ( section #eje-a ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cee-a71 z add$ by section #e1 is am5d$ by add+ at ! end ! foll[+3 7#d7 ,report on at-home drug disposal sy/ems 7,a7 ,9 g5]al ,n lat] ?an "o ye> aft] ! date ( enactm5t ( ! ,,support = ,pati5ts & ,communities ,reau?orization ,act ( #bjbc1 ! ,secret>y1 9 consultation ) ! ,adm9i/rator ( ! ,drug ,en=cem5t ,adm9i/ration1 %all issue a report outl9+ /eps to improve access to at-home drug disposal sy/ems4 7,b7 ,report ,! report requir$ "u subp>agraph 7,a7 %all include-- 7i7 a review ( comm]cially available at-home drug disposal sy/ems2 7ii7 curr5t usage ( at-home drug disposal sy/ems2 7iii7 any b>ri]s to developm5t1 includ+ in=mation necess>y to indep5d5tly v]ify deactivation ( appropriate drugs & *all5ges ) real _w te/+2 7iv7 any b>ri]s to di/ribution ( at-home drug disposal sy/ems2 & 7v7 be/ practices = educational res\rces to in=m di/ribution & use ( at-home drug disposal sy/ems4 4 #bje4 ,ensur+ ,/ate *oice 9 ,,pdmp sy/ems ,section #cii,o7h7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bhj;g-#c7;h77 is am5d$ by add+ ! foll[+3 7#e7 ,ensur+ ,/ate *oice ,no?+ 9 ?is section %all be con/ru$ to-- 7,a7 direct1 require or enc\rage a ,/ate to use a specific int]/ate data %>+ program2 7,b7 limit or prohibit ! discretion ( a ,,pdmp to utilize int]op]ability connections ( its *oice2 7,c7 p]mit1 enc\rage1 or o!rwise condition ,f$]al f9ancial assi/ance to ,/ates bas$ ^u ! use ( op5 ar*itecture by ,,pdmp sy/ems or contract$ v5dors2 or 7,d7 limit or prohibit ! discretion ( ,/ates to utilize ,f$]al f9ancial assi/ance receiv$ "u ?is section to ent] into arrangem5ts ) v5dors ( _! *oice 9 ord] to c>ry out a program "u ?is section4 4 #bjf4 ,m5tal heal? p>ity 7a7 ,9 g5]al ,n lat] ?an ,janu>y #a1 #bjbe1 ! ,inspector ,g5]al ( ! ,dep>tm5t ( ,labor1 9 coord9ation ) ! ,inspector ,g5]al ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 %all report to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate & ! ,committee on ,en]gy & ,comm]ce & ! ,committee on ,education & ! ,work=ce ( ! ,h\se ( ,repres5tatives on ! foll[+3 7#a7 ,! non-quantitative treatm5t limit 7ref]r$ to 9 ?is section z ,,nqtl7 requirem5ts ) respect to m5tal heal? & sub/ance use disord] b5efits "u gr\p heal? plans & heal? insurance issu]s "u section #bgbf7;a77#h7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;gg-#bf7;a77#h771 section #gab7;a77#h7 ( ! ,employee ,retirem5t ,income ,security ,act ( #aigd 7#bi ,u4,s4,c4 #aahe;a7a77#h771 & section #ihab7;a77#h7 ( ! ,int]nal ,rev5ue ,code ( #aihf 7ref]r$ to 9 ?is section z ! ,,nqtl comp>ative analysis requirem5ts71 & ! requirem5ts = ! ,secret>y ( ,heal? & ,human ,s]vices1 ! ,secret>y ( ,labor1 & ! ,secret>y ( ! ,treasury to issue regulations1 a compliance program guide1 & additional guidance docum5ts & tools provid+ guidance relat+ to m5tal heal? p>ity requirem5ts "u section #bgbf7;a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;gg-#bf7;a771 section #gab7;a7 ( ! ,employee ,retirem5t ,income ,security ,act ( #aigd 7#bi ,u4,s4,c4 #aahe;a7a771 & section #ihab7;a7 ( ! ,int]nal ,rev5ue ,code ( #aihf4 7#b7 ,) respect to ! ,,nqtl comp>ative analysis requirem5ts describ$ 9 p>agraph 7#a71 an analysis ( ! actions tak5 by ! ,secret>y ( ,labor1 ! ,secret>y ( ! ,treasury1 & ! ,secret>y ( ,heal? & ,human ,s]vices to provide guidance to ensure t gr\p heal? plans & heal? insurance issu]s c fully comply ) m5tal heal? p>ity requirem5ts "u section #bgbf ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;gg-#bf1 section #gab ( ! ,employee ,retirem5t ,income ,security ,act ( #aigd 7#bi ,u4,s4,c4 #aahe;a71 & section #ihab ( ! ,int]nal ,rev5ue ,code ( #aihf & ! ,,nqtl comp>ative analysis requirem5ts describ$ 9 p>agraph 7#a71 includ+ an analysis (-- 7,a7 ! ext5t to :i* ! ,secret>y ( ,labor1 ! ,secret>y ( ! ,treasury1 & ! ,secret>y ( ,heal? & ,human ,s]vices h fulfill$ ! requirem5t "u section #bjc7;b7 ( division ,,bb ( ! ,consolidat$ ,appropriations ,act1 #bjba 7,public ,law #aaf-bfj7 to issue ! specific guidance & regulations p]ta9+ to ! requirem5ts = gr\p heal? plans & heal? insurance issu]s to demon/rate compliance ) ! ,,nqtl comp>ative analysis requirem5ts2 & 7,b7 :e!r suffici5t guidance & examples f ! ,dep>tm5t ( ,labor & ,dep>tm5t ( ,heal? & ,human ,s]vices1 & ! ,dep>tm5t ( ! ,treasury exi/ to guide & assi/ gr\p heal? plans & heal? insurance issu]s 9 comply+ ) ! requirem5ts to demon/rate compliance ) m5tal heal? p>ity ,,nqtl comp>ative analysis requirem5ts_/"u su* sections #bgbf7;a77#h71 #gab7;a77#h71 & #ihab7;a77#h74 7#c7 ,a review ( ! en=cem5t processes ( ! ,dep>tm5t ( ,labor & ! ,dep>tm5t ( ,heal? & ,human ,s]vices to evaluate ! consi/5cy ( int]pretation ( ! requirem5ts "u section #bgbf7;a77#h7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;gg-#bf7;a77#h771 section #gab7;a77#h7 ( ! ,employee ,retirem5t ,income ,security ,act ( #aigd 7#bi ,u4,s4,c4 #aahe;a7a77#h771 & section #ihab7;a77#h7 ( ! ,int]nal ,rev5ue ,code ( #aihf1 9 p>ticul> ) respect to processes utiliz$ = en=cem5t1 actions or inactions t con/itute noncompliance1 & avoidance among ! ag5cies ( duplication ( en=cem5t1 includ+ an evaluation ( compliance ) section #ajd ( ! ,heal? ,insurance ,portability & ,acc\ntability ,act ( #aiif 7,public ,law #ajd-aia74 7#d7 ,a review ( ! implem5tation1 by ! ,dep>tm5t ( ,labor1 ,dep>tm5t ( ,heal? & ,human ,s]vices1 & ,dep>tm5t ( ! ,treasury1 ( m5tal heal? p>ity requirem5ts "u section #bgbf ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;gg-#bf71 section #gab ( ! ,employee ,retirem5t ,income ,security ,act ( #aigd 7#bi ,u4,s4,c4 #aahe;a71 & section #ihab ( ! ,int]nal ,rev5ue ,code ( #aihf1 includ+ all su* requirem5ts 9 effect ?r\gh ! enactm5t ( ! ,m5tal ,heal? ,p>ity ,act ( #aiif 7,public ,law #ajd-bjd71 ! ,paul ,well/one & ,pete ,dom5ici ,m5tal ,heal? ,p>ity & ,addiction ,equity ,act ( #bjjh 7,public ,law #aaj-dfj71 ! #ba/ ,c5tury ,cures ,act 7,public ,law #aad-bee71 & ! ,consolidat$ ,appropriations ,act1 #bjbc 7,public ,law #aag-cbh7 7includ+ any am5dm5ts made by su* ,acts71 & includ+ ) respect to ! tim+ ( all actions1 delays ( any actions1 reasons = any su* delays1 m&at$ requirem5ts t 7 met only once b n ea* "t su* requirem5ts 7 m&at$4 7b7 ,def9itions ,9 ?is section1 ! t]ms gr\p heal? plan & heal? insurance issu] h ! mean+s giv5 su* t]ms 9 section #gcc ( ! ,employee ,retirem5t ,income ,security ,act ( #aigd 7#bi ,u4,s4,c4 #aaia;b74 #bjg4 ,/ate guidance on cov]age = individuals ) s]i\s m5tal illness & *ildr5 ) s]i\s emotional di/urbance 7a7 ,review ( use ( c]ta9 fund+ ,n lat] ?an #ahj days aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices1 act+ ?r\gh ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use1 %all conduct a review ( ! use by ,/ates ( funds made available "u ! ,community ,m5tal ,heal? ,s]vices ,block ,grant program "u subp>t ,i ( "p ,b ( title ,,xix ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx et seq47 = ,fir/ ,episode ,psy*osis activities4 ,su* review %all consid] ! foll[+3 7#a7 ,h[ ! ,/ates use funds = evid5ce-bas$ treatm5ts & s]vices accord+ to ! /&>d ( c>e = individuals ) s]i\s m5tal illness1 includ+ ! compreh5siv5ess ( su* treatm5ts to include all aspects ( ! recomm5d$ int]v5tion4 7#b7 ,h[ ,/ate m5tal heal? dep>tm5ts are coord9at+ ) ,/ate ,m$icaid dep>tm5ts 9 ! deliv]y ( ! treatm5ts & s]vices describ$ 9 p>agraph 7#a74 7#c7 ,:at p]c5tage ( ! ,/ate fund+ "u ! block grant program is be+ appli$ t[>d ,fir/ ,episode ,psy*osis 9 excess ( #aj p]c5t ( ! am\nt ( ! grant1 z brok5 d[n on a ,/ate-by-,/ate basis4 ,! review %all also id5tify any ,/ates t fail to exp5d ! requir$ #aj p]c5t ( block grant funds on ,fir/ ,episode ,psy*osis activities4 7#d7 ,h[ _m individuals are s]v$ by ! exp5ditures describ$ 9 p>agraph 7#c71 brok5 d[n on a p]-capita basis4 7#e7 ,h[ ! funds are us$ to rea* individuals 9 und]s]v$ populations1 includ+ individuals 9 rural areas & individuals f m9ority gr\ps4 7b7 ,report & guidance 7#a7 ,report ,n lat] ?an #f mon?s aft] ! completion ( ! review "u subsection 7a71 ! ,secret>y ( ,heal? & ,human ,s]vices1 act+ ?r\gh ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use1 %all submit to ! ,committee on ,appropriations1 ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions1 & ! ,committee on ,f9ance ( ! ,s5ate & to ! ,committee on ,appropriations & ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives a report on ! f9d+s made z a result ( ! review conduct$ "u subsection 7a74 ,su* report %all include any recomm5dations ) respect to any *anges to ! ,community ,m5tal ,heal? ,s]vices ,block ,grant program1 includ+ ! set aside requir$ = ,fir/ ,episode ,psy*osis1 t w\ld facilitate improv$ outcomes = ! t>get$ population involv$4 7#b7 ,guidance ,n lat] ?an #a ye> aft] ! date on :i* ! report is submitt$ "u p>agraph 7#a71 ! ,secret>y ( ,heal? & ,human ,s]vices1 act+ ?r\gh ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use1 %all update ! guidance provid$ to ,/ates "u ! ,community ,m5tal ,heal? ,s]vices ,block ,grant program bas$ on ! f9d+s & recomm5dations ( ! report4 7c7 ,te*nical assi/ance ,! ,director ( ! ,national ,in/itute ( ,m5tal ,heal? %all coord9ate ) ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use 9 provid+ te*nical assi/ance to ,/ate grantees & provid] subgrantees 9 ! deliv]y ( s]vices = ,fir/ ,episode ,psy*osis "u ! ,community ,m5tal ,heal? ,s]vices ,block ,grant program4 7d7 ,guidance = ,/ates relat+ to cov]age recomm5dations ( heal? c>e s]vices & int]v5tions = individuals ) s]i\s m5tal illness & *ildr5 ) s]i\s emotional di/urbance ,n lat] ?an #b ye>s aft] ! date ( enactm5t ( ?is ,act1 ! ,adm9i/rator ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices1 jo9tly ) ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use & ! ,director ( ! ,national ,in/itute ( ,m5tal ,heal?-- 7#a7 %all provide updat$ guidance to ,/ates conc]n+-- 7,a7 cov]age recomm5dations relat+ to heal? c>e s]vices & int]v5tions = individuals ) s]i\s m5tal illness1 specifically ,fir/ ,episode ,psy*osis2 & 7,b7 ! mann] 9 :i* ,f$]al fund+ provid$ to ,/ates ?r\gh programs adm9i/]$ by su* ag5cies1 includ+ ! ,community ,m5tal ,heal? ,s]vices ,block ,grant program "u subp>t ,i ( "p ,b ( title ,,xix ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx et seq471 may be coord9at$ to support individuals ) s]i\s m5tal illness & s]i\s emotional di/urbance2 & 7#b7 may /reaml9e relevant ,/ate report+ requirem5ts if su* /reaml9+ w\ld result 9 mak+ x easi] = ,/ates to coord9ate fund+ "u ! programs describ$ 9 p>agraph 7#a77;,b7 to improve treatm5ts = individuals ) s]i\s m5tal illness & s]i\s emotional di/urbance4 #bjh4 ,community m5tal heal? s]vices block grant s]vice provid]s ,subp>t ,i ( "p ,b ( title ,,xix ( ! ,public ,heal? ,s]vice ,act is am5d$-- 7#a7 9 section #aiac7;b77#a7 7#db ,u4,s4,c4 #cjjx-#b7;b77#a771 by ins]t+ 1 & :i* may include1 at ! discretion ( ! ,/ate1 appropriate programs op]at$ by =-pr(it entities aft] consum]-direct$ programs2 & 7#b7 9 section #aiaf7;a77#e7 7#db ,u4,s4,c4 #cjjx-#e7;a77#e771 by ins]t+ 1 or a =-pr(it entity select$ by a ,/ate pursuant to section #aiac7;b77#a7 be=e ! p]iod at ! end4 #bji4 ,reports & /udies on m$ication treatm5ts = opioid use disord] 7a7 ,,nih /udy on me?adone treatm5t ,n lat] ?an #f mon?s aft] ! date ( ! enactm5t ( ?is ,act1 & e #f mon?s !reaft]1 ! ,director ( ! ,national ,in/itutes ( ,heal?-- 7#a7 %all submit to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate & ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives a report on ongo+ & new cl9ical /udies conduct$ or fund$ by ! ,national ,in/itutes ( ,heal? on ! access to1 safety (1 & efficacy ( me?adone treatm5t = opioid use disord] 9 accr$it$ & c]tifi$ opioid treatm5t programs & 9 o!r programs or sett+s2 & 7#b7 9 conjunction ) ! ,adm9i/rator ( ! ,drug ,en=cem5t ,adm9i/ration1 %all brief ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate & ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives on-- 7,a7 int]im results f ! /udies describ$ 9 p>agraph 7#a72 & 7,b7 any b>ri]s t may prev5t adequate & timely enrollm5t ( pati5ts 9 any new cl9ical /udy describ$ 9 p>agraph 7#a74 7b7 ,/udy on m$ication treatm5ts = opioid use disord]s ,! ,secret>y ( ,heal? & ,human ,s]vices1 act+ ?r\gh ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use1 %all-- 7#a7 /udy-- 7,a7 ! e>ly impact on access to m$ication treatm5t = opioid use disord] & opioid-relat$ ov]dose dea?s ?r\gh bupr5orph9e prescrib+ pursuant to section #cjc7;g7 ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hbc7;g771 z am5d$ by section #abfb ( title ,i ( division ,,ff ( ! ,m5tal ,heal? & ,well-,be+ ,act ( #bjbb2 7,b7 an updat$ analysis ( ! effect ( me?adone on opioid-relat$ ov]dose dea? rates1 disaggregat$ by ,/ate2 7,c7 ! numb] ( pati5ts ) opioid use disord] :o are prescrib$ no m$ication = su* disord]1 & ! numb] ( pati5ts ) opioid use disord] :o are prescrib$ naltrexone1 bupr5orph9e1 or me?adone1 respectively1 at ea* opioid treatm5t program2 7,d7 ! preval5ce ( pati5ts ) opioid use disord]1 disaggregat$ by c\nty & ! numb] ( pati5ts ) opioid use disord] 9 ea* c\nty2 7,e7 ! numb] ( addiction psy*iatri/s & addiction m$ic9e physicians )9 a c\nty :o are n affiliat$ ) an opioid treatm5t program &1 ) respect to su* psy*iatri/s & physicians-- 7i7 :e!r su* provid]s accept new pati5ts2 7ii7 :i* types ( heal? insurance are accept$ by su* provid]s2 & 7iii7 wait times = new appo9tm5ts2 & 7,f7 a survey ( retail ph>macies nationwide1 disaggregat$ by ,/ate1 to det]m9e :i* ph>macies s]ve z me?adone disp5s+ units = opioid treatm5t programs1 & :i* su* ph>macies are int]e/$ 9 /ock+ or disp5s+ me?adone2 & 7#b7 submit to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate & ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives-- 7,a7 n lat] ?an ! e>li] ( #ah mon?s aft] ! date ( ! enactm5t ( ?is ,act or ,june #a1 #bjbe1 an initial report on ! /udy "u p>agraph 7#a72 & 7,b7 n lat] ?an ,decemb] #ca1 #bjbe1 a f9al report on ! /udy "u p>agraph 7#a74 #baj4 ,,fasd ,respect ,act 7a7 ,9 g5]al ,"p ,o ( title ,,iii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bhj;f et seq47 is am5d$-- 7#a7 by am5d+ ! "p head+ to read z foll[s3 ,fetal alcohol spectrum disord]s prev5tion & s]vices program2 7#b7 9 section #cii;,h 7#db ,u4,s4,c4 #bhj;f7-- 7,a7 9 ! section head+1 by /rik+ ,e/abli%m5t ( fetal alcohol syndrome prev5tion & ins]t+ ,fetal alcohol spectrum disord]s prev5tion1 int]v5tion12 7,b7 by /rik+ ,fetal ,alcohol ,syndrome & ,fetal ,alcohol ,effect ea* place x appe>s & ins]t+ ,,fasd2 7,c7 9 subsection 7a7-- 7i7 by am5d+ ! head+ to read z foll[s3 ,9 g5]al2 7ii7 9 ! matt] prec$+ p>agraph 7#a7-- 7,i7 by ins]t+ or cont9ue activities to support aft] %all e/abli%2 7,,ii7 by /rik+ ,,fasd 7z am5d$ by subp>agraph 7,b77 & ins]t+ fetal alcohol spectrum disord]s 7ref]r$ to 9 ?is section z ,,fasd72 7,,iii7 by /rik+ prev5tion1 int]v5tion & ins]t+ aw>5ess1 prev5tion1 id5tification1 int]v5tion12 & 7,,iv7 by /rik+ t %all & ins]t+ 1 :i* may2 7iii7 9 p>agraph 7#a7-- 7,i7 9 subp>agraph 7,a7-- 7aa7 by /rik+ m$ical s*ools & ins]t+ heal? pr(essions s*ools2 & 7bb7 by ins]t+ infants1 aft] provision ( s]vices =2 & 7,,ii7 9 subp>agraph 7,d71 by /rik+ m$ical & m5tal & ins]t+ ag5cies provid+2 7iv7 9 p>agraph 7#b7-- 7,i7 9 ! matt] prec$+ subp>agraph 7,a71 by /rik+ a prev5tion & diagnosis program to support cl9ical /udies1 demon/rations & o!r rese>* z appropriate & ins]t+ support+ & conduct+ rese>* on ,,fasd1 z appropriate1 includ+2 7,,ii7 9 subp>agraph 7,b7-- 7aa7 by /rik+ prev5tion s]vices & int]v5tions = pregnant1 alcohol-dep5d5t wom5 & ins]t+ culturally & l+ui/ically in=m$ evid5ce-bas$ or practice-bas$ int]v5tions & appropriate societal supports = prev5t+ pr5atal alcohol exposure1 :i* may co-occur ) exposure to o!r sub/ances2 & 7bb7 by /rik+ 2 & & ins]t+ a semicolon2 7v7 by /rik+ p>agraph 7#c7 & ins]t+ ! foll[+3 7#c7 integrat+ into surveillance practice an evid5ce-bas$ /&>d case def9ition = fetal alcohol syndrome &1 9 collaboration ) o!r ,f$]al & outside p>tn]s1 support organizations ( appropriate m$ical & m5tal heal? pr(essionals 9 _! developm5t & ref9em5t ( evid5ce-bas$ cl9ical diagno/ic guidel9es & crit]ia = all fetal alcohol spectrum disord]s2 & 7#d7 build+ ,/ate & ,tribal capacity = ! id5tification1 treatm5t1 & support ( individuals ) ,,fasd & _! families1 :i* may include-- 7,a7 utiliz+ & adapt+ exi/+ ,f$]al1 ,/ate1 or ,tribal programs to include ,,fasd id5tification & ,,fasd-in=m$ support2 7,b7 develop+ & exp&+ scre5+ & diagno/ic capacity = ,,fasd2 7,c7 develop+1 implem5t+1 & evaluat+ t>get$ ,,fasd-in=m$ int]v5tion programs = ,,fasd2 7,d7 increas+ aw>5ess ( ,,fasd2 7,e7 provid+ tra9+ ) respect to ,,fasd = pr(essionals across relevant sectors2 & 7,f7 dissem9at+ in=mation ab\t ,,fasd & support s]vices to affect$ individuals & _! families4 2 7,d7 9 subsection 7b7-- 7i7 by /rik+ describ$ 9 section #cii;,i2 7ii7 by /rik+ ,! ,secret>y & ins]t+ ! foll[+3 7#a7 ,9 g5]al ,! ,secret>y 2 & 7iii7 by add+ at ! end ! foll[+3 7#b7 ,eligible entities ,to be eligible to receive a grant1 or ent] into a coop]ative agreem5t or contract1 "u ?is section1 an entity %all-- 7,a7 be a ,/ate1 ,indian ,tribe or ,tribal organization1 local gov]nm5t1 sci5tific or academic in/itution1 or nonpr(it organization2 & 7,b7 prep>e & submit to ! ,secret>y an application at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y may require1 includ+ a description ( ! activities t ! entity int5ds to c>ry out us+ am\nts receiv$ "u ?is section4 7#c7 ,additional application cont5ts ,! ,secret>y may require t an entity us+ am\nts f a grant1 coop]ative agreem5t1 or contract "u ?is section = an activity "u subsection 7a77#d7 include 9 ! application = su* am\nts submitt$ "u p>agraph 7#b77;,b7-- 7,a7 a designation ( an individual to s]ve z a ,,fasd ,/ate or ,tribal coord9ator ( su* activity2 & 7,b7 a description ( an advisory committee ! entity w e/abli% to provide guidance = ! entity on develop+ & implem5t+ a /atewide or ,tribal /rategic plan to prev5t ,,fasd & provide = ! id5tification1 treatm5t1 & support ( individuals ) ,,fasd & _! families4 2 7,e7 by /rik+ subsections 7c7 & 7d72 & 7,f7 by add+ at ! end ! foll[+3 7c7 ,def9ition ( ,,fasd-,in=m$ ,= purposes ( ?is section1 ! t]m ,,fasd-in=m$1 ) respect to support or an int]v5tion program1 means t su* support or int]v5tion program uses culturally & l+ui/ically in=m$ evid5ce-bas$ or practice-bas$ int]v5tions & appropriate societal supports to support an improv$ quality ( life = an individual ) ,,fasd & ! family ( su* individual4 2 & 7#c7 by /rik+ sections #cii;,i1 #cii;,j1 & #cii,k 7#db ,u4,s4,c4 #bhj;f-#a1 #bhj;f-#b1 #bhj;f-#c7 & ins]t+ ! foll[+3 #cii;,i4 ,fetal alcohol spectrum disord]s ,c5t]s = ,excell5ce 7a7 ,9 g5]al ,! ,secret>y %all1 z appropriate1 aw>d grants1 coop]ative agreem5ts1 or contracts to public or nonpr(it entities ) demon/rat$ exp]tise 9 ! prev5tion (1 id5tification (1 & int]v5tion s]vices ) respect to1 fetal alcohol spectrum disord]s 7ref]r$ to 9 ?is section z ,,fasd7 & o!r relat$ adv]se conditions4 ,su* aw>ds %all be = ! purposes ( e/abli%+ ,fetal ,alcohol ,spectrum ,disord]s ,c5t]s = ,excell5ce to build local1 ,tribal1 ,/ate1 & national capacities to prev5t ! occurr5ce ( ,,fasd & o!r relat$ adv]se conditions1 & to respond to ! ne$s ( individuals ) ,,fasd & _! families by c>ry+ out ! programs describ$ 9 subsection 7b74 7b7 ,programs ,an entity receiv+ an aw>d "u subsection 7a7 may use su* aw>d = ! foll[+ purposes3 7#a7 ,initiat+ or exp&+ diagno/ic capacity = ,,fasd by increas+ scre5+1 assessm5t1 id5tification1 & diagnosis4 7#b7 ,develop+ & support+ public aw>5ess & outrea* activities1 includ+ ! use ( a range ( m$ia & public outrea*1 to raise public aw>5ess ( ! risks associat$ ) alcohol consumption dur+ pregnancy1 ) ! goals ( r$uc+ ! preval5ce ( ,,fasd & improv+ ! developm5tal1 heal? 7includ+ m5tal heal?71 & educational outcomes ( individuals ) ,,fasd & support+ families c>+ = individuals ) ,,fasd4 7#c7 ,act+ z a cle>+h\se = evid5ce-bas$ res\rces on ,,fasd prev5tion1 id5tification1 & culturally & l+ui/ically in=m$ be/ practices1 includ+ ! ma9t5ance ( a national data-bas$ directory on ,,fasd-specific s]vices 9 ,/ates1 ,indian ,tribes1 & local communities1 & dissem9at+ ongo+ rese>* & develop+ res\rces on ,,fasd to help in=m sy/ems ( c>e = individuals ) ,,fasd across _! lifespan4 7#d7 ,increas+ aw>5ess & und]/&+ ( efficaci\s1 evid5ce-bas$ ,,fasd scre5+ tools & culturally- & l+ui/ically-appropriate evid5ce-bas$ int]v5tion s]vices & be/ practices1 :i* may include by conduct+ national1 regional1 ,/ate1 ,tribal1 or pe] cross-,/ate web9>s1 work%ops1 or conf]5ces = tra9+ community lead]s1 m$ical & m5tal heal? & sub/ance use disord] pr(essionals1 education & disability pr(essionals1 families1 law en=cem5t p]sonnel1 judges1 individuals work+ 9 f9ancial assi/ance programs1 social s]vice p]sonnel1 *ild welf>e pr(essionals1 & o!r s]vice provid]s4 7#e7 ,improv+ capacity = ,/ate1 ,tribal1 & local affiliates d$icat$ to ,,fasd aw>5ess1 prev5tion1 & id5tification & family & individual support programs & s]vices4 7#f7 ,provid+ te*nical assi/ance to grantees "u section #cii;,h1 z appropriate4 7#g7 ,c>ry+ out o!r functions1 z appropriate4 7c7 ,application ,to be eligible = a grant1 contract1 or coop]ative agreem5t "u ?is section1 an entity %all submit to ! ,secret>y an application at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y may require4 7d7 ,subcontract+ ,a public or private nonpr(it entity may c>ry out ! foll[+ activities requir$ "u ?is section ?r\gh contracts or coop]ative agreem5ts ) o!r public & private nonpr(it entities ) demon/rat$ exp]tise 9 ,,fasd3 7#a7 ,prev5tion activities4 7#b7 ,scre5+ & id5tification4 7#c7 ,res\rce developm5t & dissem9ation1 tra9+ & te*nical assi/ance1 adm9i/ration1 & support ( ,,fasd p>tn] networks4 7#d7 ,int]v5tion s]vices4 #cii;,j4 ,au?orization ( appropriations ,!re are au?oriz$ to be appropriat$ to c>ry out ?is "p su* sums z may be necess>y = ea* ( fiscal ye>s #bjbd ?r\gh #bjbh4 4 7b7 ,report ,n lat] ?an #d ye>s aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all submit to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate & ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives a report on ! ef=ts ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices to advance public aw>5ess on1 & facilitate ! id5tification ( be/ practices relat$ to1 fetal alcohol spectrum disord]s id5tification1 prev5tion1 treatm5t1 & support4 7c7 ,te*nical am5dm5t ,section #eai;,d ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#be;d7 is repeal$4