,,ii #aahth ,,congress #ast ,session ,s4 #ccic ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,december #d1 #bjbc,mr4 ,sanders 7for himself and ,mr4 ,cassidy7 introduced the following bill2 which was read twice and referred to the ,committee on ,health1 ,education1 ,labor1 and ,pensions ,a ,,bill ,to reauthorize the ,,support for ,patients and ,communities ,act1 and for other purposes4 #a4 ,short title2 table of contents 7a7 ,short title ,this ,act may be cited as the ,,support for ,patients and ,communities ,reauthorization ,act4 7b7 ,table of contents ,the table of contents for this ,act is as follows3 ,sec4 #a4 ,short title2 table of contents4,,title ,i--,prevention,sec4 #aja4 ,first responder training program4,sec4 #ajb4 ,surveillance and education regarding infections associated with illicit drug use and other risk factors4,sec4 #ajc4 ,preventing overdoses of controlled substances4,sec4 #ajd4 ,pilot program for public health laboratories to detect fentanyl and other synthetic opioids4,sec4 #aje4 ,prenatal and postnatal health4,sec4 #ajf4 ,donald ,j4 ,cohen ,national ,child ,traumatic ,stress ,initiative4,sec4 #ajg4 ,surveillance and data collection for child1 youth1 and adult trauma4,sec4 #ajh4 ,preventing adverse childhood experiences4,sec4 #aji4 ,clarification of use of funds for products used to prevent overdose deaths4,sec4 #aaj4 ,support for individuals and families impacted by fetal alcohol spectrum disorder4,sec4 #aaa4 ,promoting ,state choice in ,,pdmp systems4,,title ,,ii--,treatment,sec4 #bja4 ,residential treatment program for pregnant and postpartum women4,sec4 #bjb4 ,loan repayment program for substance use disorder treatment workforce4,sec4 #bjc4 ,regional centers of excellence in substance use disorder education4,sec4 #bjd4 ,mental and behavioral health education and training program4,sec4 #bje4 ,grants to enhance access to substance use disorder treatment4,sec4 #bjf4 ,grants to improve trauma support services and mental health care for children and youth in educational settings4,sec4 #bjg4 ,development and dissemination of model training programs for substance use disorder patient records4,sec4 #bjh4 ,task force on best practices for trauma-informed identification1 referral1 and support4,sec4 #bji4 ,program to support coordination and continuation of care for drug overdose patients4,sec4 #baj4 ,regulations relating to special registration for telemedicine4,sec4 #baa4 ,mental health parity4,sec4 #bab4 ,state guidance related to individuals with serious mental illness and children with serious emotional disturbance4,sec4 #bac4 ,improving access to addiction medicine providers4,,title ,,iii--,recovery,sec4 #cja4 ,youth prevention and recovery4,sec4 #cjb4 ,comprehensive opioid recovery centers4,sec4 #cjc4 ,building communities of recovery4,sec4 #cjd4 ,peer support technical assistance center4,sec4 #cje4 ,,career ,act4,sec4 #cjf4 ,office of recovery4,,title ,,iv--,technical amendments,sec4 #dja4 ,delivery of a controlled substance by a pharmacy to an administering practitioner4,sec4 #djb4 ,technical correction on controlled substances dispensing4,sec4 #djc4 ,required training for prescribers of controlled substances4 ,i ,prevention #aja4 ,first responder training program ,section #edf of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;ee-#a7 is amended-- 7#a7 in subsection 7a71 by striking tribes and tribal and inserting ,tribes and ,tribal2 7#b7 in subsections 7a71 7c71 and 7d7-- 7,a7 by striking approved or cleared each place it appears and inserting approved1 cleared1 or otherwise legally marketed2 and 7,b7 by striking opioid each place it appears2 7#c7 in subsection 7f7-- 7,a7 by striking approved or cleared each place it appears and inserting approved1 cleared1 or otherwise legally marketed2 7,b7 in paragraph 7#a71 by striking opioid2 7,c7 in paragraph 7#b7-- 7i7 by striking opioid and heroin and inserting opioid1 heroin1 and other drug2 and 7ii7 by striking opioid overdose and inserting overdose2 and 7,d7 in paragraph 7#c71 by striking opioid and heroin2 and 7#d7 in subsection 7h71 by striking #cf1jjj1jjj for each of fiscal years #bjai through #bjbc and inserting #ef1jjj1jjj for each of fiscal years #bjbd through #bjbh4 #ajb4 ,surveillance and education regarding infections associated with illicit drug use and other risk factors ,section #cag,n7d7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bdg;b-#ae7;d77 is amended by striking #bjai through #bjbc and inserting #bjbd through #bjbh4 #ajc4 ,preventing overdoses of controlled substances ,section #cib;,a of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bhj;b-#a7 is amended-- 7#a7 in subsection 7a7-- 7,a7 in paragraph 7#b7-- 7i7 in subparagraph 7,c71 by inserting and associated risks before the period at the end2 and 7ii7 in subparagraph 7,d71 by striking opioids and inserting substances causing overdose2 7,b7 in paragraph 7#c77;,a7-- 7i7 by inserting identify substances causing overdose and after rapidly2 and 7ii7 by striking abuse1 and overdoses and inserting overdoses1 and associated risk factors2 7#b7 in subsection 7b77#b7-- 7,a7 in subparagraph 7,b71 by inserting 1 and associated risk factors1 after such overdoses2 7,b7 in subparagraph 7,c71 by striking coding and inserting monitoring and identifying2 7,c7 in subparagraph 7,e7-- 7i7 by inserting a comma after public health laboratories2 and 7ii7 by inserting and other emerging substances related after analogues2 and 7,d7 in subparagraph 7,f17 by inserting and associated risk factors after overdoses2 and 7#c7 in subsection 7e7 by striking #dif1jjj1jjj for each of fiscal years #bjai through #bjbc and inserting #eje1egi1jjj for each of fiscal years #bjbd through #bjbh4 #ajd4 ,pilot program for public health laboratories to detect fentanyl and other synthetic opioids ,section #gjaa of the ,,support for ,patients and ,communities ,act 7#db ,u4,s4,c4 #bdg;d-#aj note7 is amended by striking subsection 7d74 #aje4 ,prenatal and postnatal health ,section #cag,l7d7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bdgf;b-#ac7;d77 is amended by striking #bjai through #bjbc and inserting #bjbd through #bjbh4 #ajf4 ,donald ,j4 ,cohen ,national ,child ,traumatic ,stress ,initiative ,section #ehb of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;hh-#a7 is amended-- 7#a7 in the section heading1 by striking violence related stress and inserting traumatic events2 7#b7 in subsection 7a7-- 7,a7 in the matter preceding paragraph 7#a71 by striking tribes and tribal and inserting ,tribes and ,tribal2 and 7,b7 in paragraph 7#b71 by inserting and dissemination after the development2 7#c7 in subsection 7b71 by inserting and dissemination after the development2 7#d7 in subsection 7d7-- 7,a7 by striking ,the ,,nctsi and inserting the following3 7#a7 ,coordinating center ,the ,,nctsi 2 and 7,b7 by adding at the end the following3 7#b7 ,,nctsi grantees ,in carrying out subsection 7a77#b71 ,,nctsi grantees shall develop trainings and other resources1 as applicable and appropriate1 to support implementation of the evidence-based practices developed and disseminated under such subsection4 2 7#e7 in subsection 7e7-- 7,a7 by redesignating paragraphs 7#a7 and 7#b7 as subparagraphs 7,a7 and 7,b71 respectively1 and adjusting the margins accordingly2 7,b7 in subparagraph 7,a71 as so redesignated1 by inserting and implementation after the dissemination2 7,c7 by striking ,the ,,nctsi and inserting the following3 7#a7 ,coordinating center 2 and 7,d7 by adding at the end the following3 7#b7 ,,nctsi grantees ,,nctsi grantees shall1 as appropriate1 collaborate with other such grantees1 the ,,nctsi coordinating center1 and the ,secretary in carrying out subsections 7a77#b7 and 7d77#b74 2 7#f7 by amending subsection 7h7 to read as follows3 7h7 ,application and evaluation ,to be eligible to receive a grant1 contract1 or cooperative agreement under subsection 7a71 a public or nonprofit private entity or an ,indian ,tribe or ,tribal organization shall submit to the ,secretary an application at such time1 in such manner1 and containing such information and assurances as the ,secretary may require1 including-- 7#a7 a plan for the rigorous evaluation of the activities funded under the grant1 contract or agreement1 including both process and outcomes evaluation1 and the submission of an evaluation at the end of the project period2 and 7#b7 a description of how such entity1 ,indian ,tribe1 or ,tribal organization will support efforts led by the ,secretary or the ,,nctsi coordinating center1 as applicable1 to evaluate activities carried out under this section4 2 and 7#g7 in subsection 7j71 by striking 1 #fc1hhg1jjj for each of fiscal years #bjai through #bjbc and inserting #ic1hhg1jjj for each of fiscal years #bjbd and #bjbe1 #ajd1jjj1jjj for fiscal year #bjbf1 #aaj1jjj1jjj for fiscal year #bjbg1 and #aab1ffa1jjj for fiscal year #bjbh4 #ajg4 ,surveillance and data collection for child1 youth1 and adult trauma ,section #gaca7;e7 of the ,,support for ,patients and ,communities ,act 7#db ,u4,s4,c4 #bdbt7e77 is amended by striking #bjai through #bjbc and inserting #bjbd through #bjbh4 #ajh4 ,preventing adverse childhood experiences 7a7 ,grant program 7#a7 ,in general ,the ,secretary of ,health and ,human ,services 7referred to in this section as the ,secretary71 acting through the ,director of the ,centers for ,disease ,control and ,prevention1 may award grants or cooperative agreements to ,states1 territories1 ,indian ,tribes and ,tribal organizations 7as such terms are defined in section #d of the ,indian ,self-,determination and ,education ,assistance ,act 7#be ,u4,s4,c4 #ecjd771 and local governmental entities for purposes of carrying out public health activities to improve health outcomes by preventing or reducing adverse childhood experiences4 7#b7 ,use of funds ,recipients of an award under this subsection may use such award to-- 7,a7 identify1 implement1 and evaluate evidence-based public health activities to prevent or reduce adverse childhood experiences and improve health outcomes2 7,b7 improve data collection and analysis regarding the prevention and reduction of adverse childhood experiences1 including any such data described in section #gaca of the ,,support for ,patients and ,communities ,act 7#db ,u4,s4,c4 #bdbt71 to identify-- 7i7 any geographic areas or populations within the jurisdiction of the recipient of an award that have disproportionately high rates of adverse childhood experiences2 7ii7 any types of adverse childhood experiences of high prevalence within such jurisdiction2 and 7iii7 any short-term health outcomes and long-term health outcomes associated with adverse childhood experiences1 including mental health and substance use disorders2 and 7,c7 leverage such data and analysis to inform the identification1 implementation1 and evaluation of evidence-based public health activities under subparagraph 7,a74 7#c7 ,partnerships ,recipients of an award under this subsection may identify opportunities to establish1 or strengthen existing1 partnerships with other relevant public and private entities within such jurisdiction for purposes of carrying out such award4 7#d7 ,technical assistance ,the ,secretary may provide training and technical assistance to recipients of awards under this subsection4 7#e7 ,evaluation ,not later than #b years after the date of enactment of this ,act1 and annually thereafter1 the ,secretary shall report to the ,committee on ,health1 ,education1 ,labor1 and ,pensions of the ,senate and the ,committee on ,energy and ,commerce of the ,house of ,representatives on the specific activities supported through awards under this subsection1 including the effectiveness of such activities in preventing or reducing adverse childhood experiences4 7b7 ,research ,the ,secretary may1 as appropriate1 conduct research to evaluate public health activities to address adverse childhood experiences4 7c7 ,authorization of appropriations ,to carry out this section1 there is authorized to be appropriated #g1jjj1jjj for each of fiscal years #bjbd through #bjbh4 #aji4 ,clarification of use of funds for products used to prevent overdose deaths ,the activities carried out pursuant to section #ajjc7;b77#d77;,a7 of the #bast ,century ,cures ,act 7#db ,u4,s4,c4 #bij;ee-#c;a7b77#d77;,a77 may include facilitating access to products used to prevent overdose deaths by detecting the presence of one or more substances1 to the extent the purchase and possession of such products is consistent with ,federal and ,state law4 #aaj4 ,support for individuals and families impacted by fetal alcohol spectrum disorder 7a7 ,in general ,part ,o of title ,,iii of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bhj;f et seq47 is amended-- 7#a7 by amending the part heading to read as follows3 ,fetal ,alcohol ,spectrum ,disorders ,prevention and ,services ,program2 7#b7 in section #cii;,h 7#db ,u4,s4,c4 #bhj;f7-- 7,a7 in the section heading1 by striking ,establishment of fetal alcohol syndrome prevention and inserting ,fetal alcohol spectrum disorders prevention1 intervention12 7,b7 by striking ,fetal ,alcohol ,syndrome and ,fetal ,alcohol ,effect each place it appears and inserting ,,fasd2 7,c7 in subsection 7a7-- 7i7 by amending the heading to read as follows3 ,in general2 7ii7 in the matter preceding paragraph 7#a7-- 7,i7 by inserting or continue activities to support after shall establish2 7,,ii7 by striking ,,fasd 7as amended by subparagraph 7,b77 and inserting fetal alcohol spectrum disorders 7referred to in this section as ,,fasd72 7,,iii7 by striking prevention1 intervention and inserting awareness1 prevention1 identification1 intervention12 and 7,,iv7 by striking that shall and inserting 1 which may2 7iii7 in paragraph 7#a7-- 7,i7 in subparagraph 7,a7-- 7aa7 by striking medical schools and inserting health professions schools2 and 7bb7 by inserting infants1 after provision of services for2 and 7,,ii7 in subparagraph 7,d71 by striking medical and mental and inserting agencies providing2 7iv7 in paragraph 7#b7-- 7,i7 in the matter preceding subparagraph 7,a71 by striking a prevention and diagnosis program to support clinical studies1 demonstrations and other research as appropriate and inserting supporting and conducting research on ,,fasd1 as appropriate1 including2 7,,ii7 in subparagraph 7,b7-- 7aa7 by striking prevention services and interventions for pregnant1 alcohol-dependent women and inserting culturally and linguistically informed evidence-based or practice-based interventions and appropriate societal supports for preventing prenatal alcohol exposure1 which may co-occur with exposure to other substances2 and 7bb7 by striking 2 and and inserting a semicolon2 7v7 by striking paragraph 7#c7 and inserting the following3 7#c7 integrating into surveillance practice an evidence-based standard case definition for ,,fasd and1 in collaboration with other ,federal and outside partners1 support organizations of appropriate medical and mental health professionals in their development and refinement of evidence-based clinical diagnostic guidelines and criteria for all ,,fasd2 and 7#d7 building ,state and ,tribal capacity for the identification1 treatment1 and support of individuals with ,,fasd and their families1 which may include-- 7,a7 utilizing and adapting existing ,federal1 ,state1 or ,tribal programs to include ,,fasd identification and ,,fasd-informed support2 7,b7 developing and expanding screening and diagnostic capacity for ,,fasd2 7,c7 developing1 implementing1 and evaluating targeted ,,fasd-informed intervention programs for ,,fasd2 7,d7 increasing awareness of ,,fasd2 7,e7 providing training with respect to ,,fasd for professionals across relevant sectors2 and 7,f7 disseminating information about ,,fasd and support services to affected individuals and their families4 2 7,d7 in subsection 7b7-- 7i7 by striking described in section #cii;,i2 7ii7 by striking ,the ,secretary and inserting the following3 7#a7 ,in general ,the ,secretary 2 and 7iii7 by adding at the end the following3 7#b7 ,eligible entities ,to be eligible to receive a grant1 or enter into a cooperative agreement or contract1 under this section1 an entity shall-- 7,a7 be a ,state1 ,indian ,tribe or ,tribal organization1 local government1 scientific or academic institution1 or nonprofit organization2 and 7,b7 prepare and submit to the ,secretary an application at such time1 in such manner1 and containing such information as the ,secretary may require1 including a description of the activities that the entity intends to carry out using amounts received under this section4 7#c7 ,additional application contents ,the ,secretary may require that an entity using amounts from a grant1 cooperative agreement1 or contract under this section for an activity under subsection 7a77#d7 include in the application for such amounts submitted under paragraph 7#b77;,b7-- 7,a7 a designation of an individual to serve as a ,,fasd ,state or ,tribal coordinator of such activity2 and 7,b7 a description of an advisory committee the entity will establish to provide guidance for the entity on developing and implementing a statewide or ,tribal strategic plan to prevent ,,fasd and provide for the identification1 treatment1 and support of individuals with ,,fasd and their families4 2 and 7,e7 by striking subsections 7c7 and 7d72 and 7,f7 by adding at the end the following3 7c7 ,definition of ,,fasd-,informed ,for purposes of this section1 the term ,,fasd-informed1 with respect to support or an intervention program1 means that such support or intervention program uses culturally and linguistically informed evidence-based or practice-based interventions and appropriate societal supports to support an improved quality of life for an individual with ,,fasd and the family of such individual4 2 and 7#c7 by striking sections #cii;,i1 #cii;,j1 and #cii,k 7#db ,u4,s4,c4 #bhj;f-#a1 #bhj;f-#b1 #bhj;f-#c7 and inserting the following3 #cii;,i4 ,fetal alcohol spectrum disorders ,centers for ,excellence 7a7 ,in general ,the ,secretary shall1 as appropriate1 award grants1 cooperative agreements1 or contracts to public or nonprofit entities with demonstrated expertise in the prevention of1 identification of1 and intervention services with respect to1 fetal alcohol spectrum disorders 7referred to in this section as ,,fasd7 and other related adverse conditions4 ,such awards shall be for the purposes of establishing ,fetal ,alcohol ,spectrum ,disorders ,centers for ,excellence to build local1 ,tribal1 ,state1 and national capacities to prevent the occurrence of ,,fasd and other related adverse conditions1 and to respond to the needs of individuals with ,,fasd and their families by carrying out the programs described in subsection 7b74 7b7 ,programs ,an entity receiving an award under subsection 7a7 may use such award for the following purposes3 7#a7 ,initiating or expanding diagnostic capacity for ,,fasd by increasing screening1 assessment1 identification1 and diagnosis4 7#b7 ,developing and supporting public awareness and outreach activities1 including the use of a range of media and public outreach1 to raise public awareness of the risks associated with alcohol consumption during pregnancy1 with the goals of reducing the prevalence of ,,fasd and improving the developmental1 health 7including mental health71 and educational outcomes of individuals with ,,fasd and supporting families caring for individuals with ,,fasd4 7#c7 ,acting as a clearinghouse for evidence-based resources on ,,fasd prevention1 identification1 and culturally and linguistically informed best practices1 including the maintenance of a national data-based directory on ,,fasd-specific services in ,states1 ,indian ,tribes1 and local communities1 and disseminating ongoing research and developing resources on ,,fasd to help inform systems of care for individuals with ,,fasd across their lifespan4 7#d7 ,increasing awareness and understanding of efficacious1 evidence-based screening tools and culturally and linguistically appropriate evidence-based intervention services and best practices1 which may include by conducting national1 regional1 ,state1 ,tribal1 or peer cross-,state webinars1 workshops1 or conferences for training community leaders1 medical and mental health and substance use disorder professionals1 education and disability professionals1 families1 law enforcement personnel1 judges1 individuals working in financial assistance programs1 social service personnel1 child welfare professionals1 and other service providers4 7#e7 ,improving capacity for ,state1 ,tribal1 and local affiliates dedicated to ,,fasd awareness1 prevention1 and identification and family and individual support programs and services4 7#f7 ,providing technical assistance to recipients of grants1 cooperative agreements1 or contracts under section #cii;,h1 as appropriate4 7#g7 ,carrying out other functions1 as appropriate4 7c7 ,application ,to be eligible for a grant1 contract1 or cooperative agreement under this section1 an entity shall submit to the ,secretary an application at such time1 in such manner1 and containing such information as the ,secretary may require4 7d7 ,subcontracting ,a public or private nonprofit entity may carry out the following activities required under this section through contracts or cooperative agreements with other public and private nonprofit entities with demonstrated expertise in ,,fasd3 7#a7 ,prevention activities4 7#b7 ,screening and identification4 7#c7 ,resource development and dissemination1 training and technical assistance1 administration1 and support of ,,fasd partner networks4 7#d7 ,intervention services4 #cii;,j4 ,authorization of appropriations ,there are authorized to be appropriated to carry out this part such sums as may be necessary for each of fiscal years #bjbd through #bjbh4 4 7b7 ,report ,not later than #d years after the date of enactment of this ,act1 the ,secretary of ,health and ,human ,services shall submit to the ,committee on ,health1 ,education1 ,labor1 and ,pensions of the ,senate and the ,committee on ,energy and ,commerce of the ,house of ,representatives a report on the efforts of the ,department of ,health and ,human ,services to advance public awareness on1 and facilitate the identification of best practices related to1 fetal alcohol spectrum disorders identification1 prevention1 treatment1 and support4 7c7 ,technical amendment ,section #eai;,d of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#be;d7 is repealed4 #aaa4 ,promoting ,state choice in ,,pdmp systems ,section #cii,o7h7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bhj;g-#c7;h77 is amended by adding the following3 7#e7 ,promoting ,state choice ,nothing in this section shall be construed to authorize the ,secretary to require ,states to use a specific vendor or a specific interoperability connection other than to align with nationally recognized1 consensus-based open standards1 such as in accordance with sections #cjja and #cjjd4 4 ,,ii ,treatment #bja4 ,residential treatment program for pregnant and postpartum women ,section #ejh of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#a7 is amended-- 7#a7 in subsection 7d77#aa77;,c71 by striking providing health services and inserting providing health care services2 7#b7 in subsection 7g7-- 7,a7 by inserting a plan describing after will provide2 and 7,b7 by adding at the end the following3 ,such plan may include a description of how such applicant will target outreach to women disproportionately impacted by maternal substance use disorder42 and 7#c7 in subsection 7s71 by striking #bi1ica1jjj for each of fiscal years #bjai through #bjbc and inserting #ch1 #ica1jjj for each of fiscal years #bjbd through #bjbh4 #bjb4 ,loan repayment program for substance use disorder treatment workforce ,section #gha7;j7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bie;h7j77 is amended by striking #be1jjj1jjj for each of fiscal years #bjai through #bjbc and inserting #ej1jjj1jjj for each of fiscal years #bjbd through #bjbh4 #bjc4 ,regional centers of excellence in substance use disorder education ,section #eea of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;ee-#f7 is amended by striking subsection 7f74 #bjd4 ,mental and behavioral health education and training program ,section #gef7;f7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bid;e-#a7;f77 is amended to read as follows3 7f7 ,authorization of appropriations ,to carry out this section1 there is authorized to be appropriated the following3 7#a7 #ej1jjj1jjj for fiscal year #bjbd1 to be allocated as follows3 7,a7 ,for grants described in subsection 7a77#a71 #ae1jjj1jjj4 7,b7 ,for grants described in subsection 7a77#b71 #ae1jjj1jjj4 7,c7 ,for grants described in subsection 7a77#c71 #aj1jjj1jjj4 7,d7 ,for grants described in subsection 7a77#d71 #aj1jjj1jjj4 7#b7 #ee1jjj1jjj for fiscal year #bjbe1 to be allocated as follows3 7,a7 ,for grants described in subsection 7a77#a71 #af1ejj1jjj4 7,b7 ,for grants described in subsection 7a77#b71 #af1ejj1jjj4 7,c7 ,for grants described in subsection 7a77#c71 #aa1jjj1jjj4 7,d7 ,for grants described in subsection 7a77#d71 #aa1jjj1jjj4 7#c7 #fj1jjj1jjj for fiscal year #bjbf1 to be allocated as follows3 7,a7 ,for grants described in subsection 7a77#a71 #ah1jjj1jjj4 7,b7 ,for grants described in subsection 7a77#b71 #ah1jjj1jjj4 7,c7 ,for grants described in subsection 7a77#c71 #ab1jjj1jjj4 7,d7 ,for grants described in subsection 7a77#d71 #ab1jjj1jjj4 7#d7 #fe1jjj1jjj for fiscal year #bjbg1 to be allocated as follows3 7,a7 ,for grants described in subsection 7a77#a71 #ai1ejj1jjj4 7,b7 ,for grants described in subsection 7a77#b71 #ai1ejj1jjj4 7,c7 ,for grants described in subsection 7a77#c71 #ac1jjj1jjj4 7,d7 ,for grants described in subsection 7a77#d71 #ac1jjj1jjj4 7#e7 #ge1jjj1jjj for fiscal year #bjbh1 to be allocated as follows3 7,a7 ,for grants described in subsection 7a77#a71 #bb1ejj1jjj4 7,b7 ,for grants described in subsection 7a77#b71 #bb1ejj1jjj4 7,c7 ,for grants described in subsection 7a77#c71 #ae1jjj1jjj4 7,d7 ,for grants described in subsection 7a77#d71 #ae1jjj1jjj4 4 #bje4 ,grants to enhance access to substance use disorder treatment ,section #cbjc of the ,,support for ,patients and ,communities ,act 7#ba ,u4,s4,c4 #hbc note7 is amended-- 7#a7 by striking subsection 7b72 and 7#b7 by striking ,in general--,the ,secretary and inserting the following3 ,the ,secretary 4 #bjf4 ,grants to improve trauma support services and mental health care for children and youth in educational settings ,section #gacd of the ,,support for ,patients and ,communities ,act 7#db ,u4,s4,c4 #bhj;h-#g7 is amended-- 7#a7 in subsection 7a71 by striking tribal and inserting ,tribal2 7#b7 in subsection 7c7-- 7,a7 in paragraph 7#a71 by inserting early intervention1 after screening12 7,b7 in paragraph 7#c7-- 7i7 in the matter preceding subparagraph 7,a71 by inserting other staff1 after support personnel12 and 7ii7 in subparagraph 7,a71 by striking social and emotional learning and inserting developmentally appropriate practices2 and 7,c7 in paragraph 7#e71 by inserting reduce stigma associated with mental health care and after efforts to2 7#c7 in subsection 7d7-- 7,a7 in paragraph 7#d7-- 7i7 in subparagraph 7,a71 by striking 2 and and inserting a semicolon2 7ii7 in subparagraph 7,b7-- 7,i7 by striking tribal organizations as appropriate1 other school personnel and inserting ,tribal organizations as appropriate1 other staff2 and 7,,ii7 by striking the period and inserting 2 and2 and 7iii7 by adding at the end the following3 7,c7 parents and guardians will be informed of what trauma support services and mental health care are available to their students and what services and care their students receive1 in accordance with the parental consent requirements under subsection 7h77#b74 2 and 7,b7 by adding at the end the following3 7#g7 ,a plan for sustaining the program following the end of the award period4 2 7#d7 in subsection 7f77#a71 by inserting 1 which shall include a description of how the school obtains consent from the student's parent or guardian for the provision of trauma support services and mental health care after this section2 7#e7 in subsection 7g71 by striking tribal and inserting ,tribal2 7#f7 in subsection 7h7-- 7,a7 in the subsection heading1 by inserting 2 application of certain provisions after construction2 7,b7 by striking tribal each place it appears and inserting ,tribal2 7,c7 by redesignating paragraphs 7#a7 and 7#b7 as subparagraphs 7,a7 and 7,b71 respectively1 and adjusting the margins accordingly2 7,d7 by striking ,nothing in this section and inserting the following3 7#a7 ,in general ,nothing in this section 2 and 7,e7 by adding at the end the following3 7#b7 ,application of provisions 7,a7 ,rules ,section #djja of the ,elementary and ,secondary ,education ,act of #aife 7not including the exception under subsection 7a77#b77;,b77i7 of such section7 shall apply to an entity receiving a grant1 contract1 or cooperative agreement under this section in the same manner as such section #djja applies to an entity receiving funding under title ,,iv of such ,act4 7,b7 ,privacy protections ,any education record of a student collected or maintained under subsection 7c77#d7 shall have the protections required for education records under section #ddd of the ,general ,education ,provisions ,act4 4 7#g7 in subsection 7k7-- 7,a7 by redesignating paragraphs 7#e7 through 7#aa7 as paragraphs 7#f7 through 7#ab71 respectively2 and 7,b7 by inserting after paragraph 7#d7 the following3 7#e7 ,other staff ,the term other staff has the meaning given such term in section #haja of the ,elementary and ,secondary ,education ,act of #aife4 2 and 7#h7 in subsection 7l71 by striking #bjai through #bjbc and inserting #bjbd through #bjbh4 #bjg4 ,development and dissemination of model training programs for substance use disorder patient records ,section #gjec of the ,,support for ,patients and ,communities ,act 7#db ,u4,s4,c4 #bij;dd-#b note7 is amended by striking subsection 7e74 #bjh4 ,task force on best practices for trauma-informed identification1 referral1 and support ,section #gacb of the ,,support for ,patients and ,communities ,act 7,public ,law #aae-bga2 #acb ,stat4 #djdf7 is amended-- 7#a7 in subsection 7b77#a7-- 7,a7 by redesignating subparagraph 7,,cc7 as subparagraph 7,,dd72 and 7,b7 by inserting after subparagraph 7,,bb7 the following3 7,,cc7 ,the ,administration for ,community ,living4 2 7#b7 in subsection 7d77#a71 in the matter preceding subparagraph 7,a71 by inserting 1 developmental disability service providers before 1 individuals who are2 and 7#c7 in subsection 7i71 by striking #bjbc and inserting #bjbh4 #bji4 ,program to support coordination and continuation of care for drug overdose patients ,section #gjha of the ,,support for ,patients and ,communities ,act 7#db ,u4,s4,c4 #bij;dd-#d7 is amended by striking subsection 7f74 #baj4 ,regulations relating to special registration for telemedicine ,not later than #a year after the date of enactment of this ,act1 the ,attorney ,general1 in consultation with the ,secretary of ,health and ,human ,services1 shall promulgate the final regulations required under section #caa7;h77#b7 of the ,controlled ,substances ,act 7#ba ,u4,s4,c4 #hca7;h77#b774 #baa4 ,mental health parity 7a7 ,in general ,not later than ,january #a1 #bjbe1 the ,inspector ,general of the ,department of ,labor1 in coordination with the ,inspector ,general of the ,department of ,health and ,human ,services1 shall report to the ,committee on ,health1 ,education1 ,labor1 and ,pensions of the ,senate and the ,committee on ,energy and ,commerce and the ,committee on ,education and the ,workforce of the ,house of ,representatives on the following3 7#a7 ,the non-quantitative treatment limit 7referred to in this section as ,,nqtl7 requirements with respect to mental health and substance use disorder benefits under group health plans and health insurance issuers under section #bgbf7;a77#h7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjj;gg-#bf7;a77#h771 section #gab7;a77#h7 of the ,employee ,retirement ,income ,security ,act of #aigd 7#bi ,u4,s4,c4 #aahe;a7a77#h771 and section #ihab7;a77#h7 of the ,internal ,revenue ,code of #aihf 7referred to in this section as the ,,nqtl comparative analysis requirements71 and the requirements for the ,secretary of ,health and ,human ,services1 the ,secretary of ,labor1 and the ,secretary of the ,treasury to issue regulations1 a compliance program guide1 and additional guidance documents and tools providing guidance relating to mental health parity requirements under section #bgbf7;a7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjj;gg-#bf7;a771 section #gab7;a7 of the ,employee ,retirement ,income ,security ,act of #aigd 7#bi ,u4,s4,c4 #aahe;a7a771 and section #ihab7;a7 of the ,internal ,revenue ,code of #aihf4 7#b7 ,with respect to the ,,nqtl comparative analysis requirements described in paragraph 7#a71 an analysis of the actions taken by the ,secretary of ,labor1 the ,secretary of the ,treasury1 and the ,secretary of ,health and ,human ,services to provide guidance to ensure that group health plans and health insurance issuers can fully comply with mental health parity requirements under section #bgbf of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjj;gg-#bf71 section #gab of the ,employee ,retirement ,income ,security ,act of #aigd 7#bi ,u4,s4,c4 #aahe;a71 and section #ihab of the ,internal ,revenue ,code of #aihf and the ,,nqtl comparative analysis requirements described in paragraph 7#a71 including an analysis of-- 7,a7 the extent to which the ,secretary of ,labor1 the ,secretary of the ,treasury1 and the ,secretary of ,health and ,human ,services have fulfilled the requirement under section #bjc7;b7 of division ,,bb of the ,consolidated ,appropriations ,act1 #bjba 7,public ,law #aaf-bfj7 to issue the specific guidance and regulations pertaining to the requirements for group health plans and health insurance issuers to demonstrate compliance with the ,,nqtl comparative analysis requirements2 and 7,b7 whether sufficient guidance and examples from the ,department of ,labor and ,department of ,health and ,human ,services1 and the ,department of the ,treasury exist to guide and assist group health plans and health insurance issuers in complying with the requirements to demonstrate compliance with mental health parity ,,nqtl comparative analysis requirements_/under such sections #bgbf7;a77#h71 #gab7;a77#h71 and #ihab7;a77#h74 7#c7 ,a review of the enforcement processes of the ,department of ,labor and the ,department of ,health and ,human ,services to evaluate the consistency of interpretation of the requirements under section #bgbf7;a77#h7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjj;gg-#bf7;a77#h71 section #gab7;a77#h7 of the ,employee ,retirement ,income ,security ,act of #aigd 7#bi ,u4,s4,c4 #aahe;a7a77#h771 and section #ihab7;a77#h7 of the ,internal ,revenue ,code of #aihf1 in particular with respect to processes utilized for enforcement1 actions or inactions that constitute noncompliance1 and avoidance among the agencies of duplication of enforcement1 including an evaluation of compliance with section #ajd of the ,health ,insurance ,portability and ,accountability ,act of #aiif 7,public ,law #ajd-aia74 7#d7 ,a review of the implementation1 by the ,department of ,labor1 ,department of ,health and ,human ,services1 and ,department of the ,treasury1 of mental health parity requirements under section #bgbf of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjj;gg-#bf71 section #gab of the ,employee ,retirement ,income ,security ,act of #aigd 7#bi ,u4,s4,c4 #aahe;a71 and section #ihab of the ,internal ,revenue ,code of #aihf1 including all such requirements in effect through the enactment of the ,mental ,health ,parity ,act of #aiif 7,public ,law #ajd-bjd71 the ,paul ,wellstone and ,pete ,domenici ,mental ,health ,parity and ,addiction ,equity ,act of #bjjh 7,public ,law #aaj-dfj71 the #bast ,century ,cures ,act 7,public ,law #aad-bee71 and the ,consolidated ,appropriations ,act1 #bjbc 7,public ,law #aag-cbh7 7including any amendments made by such ,acts71 and including with respect to the timing of all actions1 delays of any actions1 reasons for any such delays1 mandated requirements that were met only once but not each time such requirements were mandated4 7b7 ,definitions ,in this section1 the terms group health plan and health insurance issuer have the meanings given such terms in section #gcc of the ,employee ,retirement ,income ,security ,act of #aigd 7#bi ,u4,s4,c4 #aaia;b74 #bab4 ,state guidance related to individuals with serious mental illness and children with serious emotional disturbance 7a7 ,review of use of certain funding ,not later than #a year 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 shall conduct a review of the use by ,states of funds made available under the ,community ,mental ,health ,services ,block ,grant program under subpart ,i of part ,b of title ,,xix of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjjx et seq47 for ,first ,episode ,psychosis activities4 ,such review shall consider the following3 7#a7 ,how the ,states use funds for evidence-based treatments and services1 such as coordinated specialty care1 according to the standard of care for individuals with early serious mental illness1 including the comprehensiveness of such treatments to include all aspects of the recommended intervention4 7#b7 ,how ,state mental health departments coordinate with ,state ,medicaid departments in the delivery of the treatments and services described in paragraph 7#a74 7#c7 ,the percentage of the ,state funding under the block grant program that is applied toward early serious mental illness and funding in excess of1 or under1 #aj percent of the amount of the grant1 broken down by ,state4 7#d7 ,the percentage of funds expended by ,states through such block grant program specifically on ,first ,episode ,psychosis1 to the extent such information is available4 7#e7 ,how many individuals are served by the expenditures described in paragraph 7#c7;and 7#d71 on a per-capita basis4 7#f7 ,how the funds are used to reach underserved populations1 including rural populations and racial and ethnic minority populations4 7b7 ,report and guidance 7#a7 ,report ,not later than #f months after the completion of the review under subsection 7a71 the ,secretary of ,health and ,human ,services1 acting through the ,assistant ,secretary for ,mental ,health and ,substance ,use1 shall submit to the ,committee on ,appropriations1 the ,committee on ,health1 ,education1 ,labor1 and ,pensions1 and the ,committee on ,finance of the ,senate and to the ,committee on ,appropriations and the ,committee on ,energy and ,commerce of the ,house of ,representatives a report on the findings made as a result of the review conducted under subsection 7a74 ,such report shall include any recommendations with respect to any changes to the ,community ,mental ,health ,services ,block ,grant program under subpart ,i of part ,b of title ,,xix of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjjx et seq471 including the set aside required for ,first ,episode ,psychosis1 that would facilitate improved outcomes for the targeted population involved4 7#b7 ,guidance ,not later than #a year after the date on which the report is submitted under paragraph 7#a71 the ,secretary of ,health and ,human ,services1 acting through the ,assistant ,secretary for ,mental ,health and ,substance ,use1 shall update the guidance provided to ,states under the ,community ,mental ,health ,services ,block ,grant program based on the findings and recommendations of the report4 7c7 ,additional guidance ,the ,director of the ,national ,institute of ,mental ,health shall coordinate with the ,assistant ,secretary for ,mental ,health and ,substance ,use in providing guidance to ,state grantees and provider subgrantees about research advances in the delivery of services for ,first ,episode ,psychosis under the ,community ,mental ,health ,services ,block ,grant program4 7d7 ,guidance for states relating to health care services and interventions for individuals with serious mental illness and children with serious emotional disturbance ,not later than #b years after the date of enactment of this ,act1 the ,assistant ,secretary for ,mental ,health and ,substance ,use1 jointly with the ,administrator of the ,centers for ,medicare ,medicaid ,services and the ,director of the ,national ,institute of ,mental ,health-- 7#a7 shall provide updated guidance to ,states concerning the manner in which ,federal funding provided to ,states through programs administered by such agencies1 including the ,community ,mental ,health ,services ,block ,grant program under subpart ,i of part ,b of title ,,xix of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjjx et seq471 may be coordinated to provide evidence-based health care services such as coordinated specialty care to individuals with serious mental illness and serious emotional disturbance1 and interventions for individuals with early serious mental illness1 including ,first ,episode ,psychosis2 and 7#b7 may streamline relevant ,state reporting requirements if such streamlining would result in making it easier for ,states to coordinate funding under the programs described in paragraph 7#a7 to improve treatments for individuals with serious mental illness and serious emotional disturbance4 #bac4 ,improving access to addiction medicine providers ,section #eig of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bijll7 is amended-- 7#a7 in subsection 7a77#a71 by inserting diagnosis1 after related to2 and 7#b7 in subsection 7b71 by inserting addiction medicine1 after psychiatry14 ,,iii ,recovery #cja4 ,youth prevention and recovery ,section #gajb7;c7 of the ,,support for ,patients and ,communities ,act 7#db ,u4,s4,c4 #bij;bb-#g;a7c77 is amended-- 7#a7 in paragraph 7#b7-- 7,a7 in subparagraph 7,a7-- 7i7 in clause 7i7-- 7,i7 by inserting 1 or a consortia of local educational agencies1 after a local educational agency2 and 7,,ii7 by striking high schools and inserting secondary schools2 and 7ii7 in clause 7vi71 by striking tribe1 or tribal and inserting ,tribe1 or ,tribal2 7,b7 by amending subparagraph 7,e7 to read as follows3 7,e7 ,indian ,tribe2 ,tribal organization ,the terms ,indian ,tribe and ,tribal organization have the meanings given such terms in section #d of the ,indian ,self-,determination and ,education ,assistance ,act 7#be ,u4,s4,c4 #ecjd74 2 7,c7 by redesignating subparagraph 7,k7 as subparagraph 7,l72 and 7,d7 by inserting after subparagraph 7,j7 the following3 7,k7 ,secondary school ,the term secondary school has the meaning given such term in section #haja of the ,elementary and ,secondary ,education ,act of #aife 7#bj ,u4,s4,c4 #ghja74 2 7#b7 in paragraph 7#c77;,a71 in the matter preceding clause 7i7-- 7,a7 by striking and abuse2 and 7,b7 by inserting at increased risk for substance misuse after specific populations2 7#c7 in paragraph 7#d7-- 7,a7 in the matter preceding subparagraph 7,a71 by striking ,indian tribes and inserting ,indian ,tribes2 7,b7 in subparagraph 7,a71 by striking and abuse2 and 7,c7 in subparagraph 7,b71 by striking peer mentoring and inserting peer-to-peer support2 7#d7 in paragraph 7#e71 by striking tribal and inserting ,tribal2 7#e7 in paragraph 7#f77;,a7-- 7,a7 in clause 7iv71 by striking 2 and and inserting a semicolon2 and 7,b7 by adding at the end the following3 7vi7 a plan to sustain the activities carried out under the grant program1 after the grant program has ended2 and 2 7#f7 in paragraph 7#h71 by striking #bjbb and inserting #bjbg2 and 7#g7 by amending paragraph 7#i7 to read as follows3 7#i7 ,authorization of appropriations ,to carry out this subsection1 there are authorized to be appropriated #aj1jjj1jjj for fiscal year #bjbd1 #ab1jjj1jjj for fiscal year #bjbe1 #ad1jjj1jjj for fiscal year #bjbf1 #af1jjj1jjj for fiscal year #bjbg1 and #ah1jjj1jjj for fiscal year #bjbh4 4 #cjb4 ,comprehensive opioid recovery centers ,section #eeb of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;ee-#g7 is amended-- 7#a7 in subsection 7d77#b7-- 7,a7 in the matter preceding subparagraph 7,a71 by striking and in such manner and inserting 1 in such manner1 and containing such information and assurances2 and 7,b7 in subparagraph 7,a71 by striking is capable of coordinating with other entities to carry out and inserting has the demonstrated capability to carry out1 through referral or contractual arrangements2 7#b7 in subsection 7h7-- 7,a7 by redesignating paragraphs 7#a7 through 7#d7 as subparagraphs 7,a7 through 7,d71 respectively1 and adjusting the margins accordingly2 7,b7 by striking ,with respect to and inserting the following3 7#a7 ,in general ,with respect to 2 and 7,c7 by adding at the end the following3 7#b7 ,additional reporting for certain eligible entities ,an entity carrying out activities described in subsection 7g7 through referral or contractual arrangements shall include in the submissions required under paragraph 7#a7 information related to the status of such referrals or contractual arrangements1 including an assessment of whether such referrals or contractual arrangements are supporting the ability of such entity to carry out such activities4 2 and 7#c7 in subsection 7j71 by striking #bjai through #bjbc and inserting #bjbd through #bjbh4 #cjc4 ,building communities of recovery ,section #edg7;f7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;ee-#b7;f77 is amended by striking #e1jjj1jjj for each of fiscal years #bjai through #bjbc and inserting #af1jjj1jjj for each of fiscal years #bjbd through #bjbh4 #cjd4 ,peer support technical assistance center ,section #edg;,a of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;ee-#b;a7 is amended-- 7#a7 in subsection 7b77#d71 by striking building2 and and inserting the following3 8building1 such as-- 7,a7 professional development of peer support specialists2 and 7,b7 making recovery support services available in nonclinical settings2 and 2 7#b7 by redesignating subsections 7d7 and 7e7 as subsections 7e7 and 7f71 respectively2 7#c7 by inserting after subsection 7c7 the following3 7d7 ,pilot program 7#a7 ,in general ,the ,secretary shall carry out a pilot program to establish one regional technical assistance center 7referred to in this subsection as the ,regional ,center7 to assist the ,center in carrying out activities described in subsection 7b7 within the geographic region of such ,regional ,center in a manner that is tailored to the needs of such region4 7#b7 ,evaluation ,not later than #d years after the date of enactment of the ,,support for ,patients and ,communities ,reauthorization ,act1 the ,secretary shall evaluate the activities of the ,regional ,center and submit to the ,committee on ,health1 ,education1 ,labor1 and ,pensions of the ,senate and the ,committee on ,energy and ,commerce of the ,house of ,representatives a report on the findings of such evaluation1 including-- 7,a7 a description of the distinct roles and responsibilities of the ,regional ,center and the ,center2 7,b7 available information relating to the outcomes of the pilot program under this subsection1 such as any impact the ,regional ,center had on the operations and efficiency of the ,center relating to requests for technical assistance and support within the region of such ,regional ,center2 7,c7 a description of any gaps or areas of duplication relating to the activities of the ,regional ,center and the ,center within such region2 and 7,d7 recommendations relating to the modification1 expansion1 or termination of the pilot program under this subsection4 7#c7 ,termination ,this subsection shall terminate on ,september #cj1 #bjbh4 2 and 7#d7 in subsection 7f71 as so redesignated1 by striking #a1jjj1jjj for each of fiscal years #bjai through #bjbc and inserting #b1jjj1jjj for each of fiscal years #bjbd through #bjbh4 #cje4 ,,career ,act 7a7 ,in general ,section #gahc of the ,,support for ,patients and ,communities ,act 7#db ,u4,s4,c4 #bij;ee-#h7 is amended-- 7#a7 in the section heading1 by inserting 2 treatment1 recovery1 and workforce support grants after ,,career ,act2 7#b7 in subsection 7b71 by inserting each before for a period2 7#c7 in subsection 7c7-- 7,a7 in paragraph 7#a71 by striking the rates described in paragraph 7#b7 and inserting the average rates for calendar years #bjah through #bjbb described in paragraph 7#b72 and 7,b7 by amending paragraph 7#b7 to read as follows3 7#b7 ,rates ,the rates described in this paragraph are the following3 7,a7 ,the highest age-adjusted average rates of drug overdose deaths for calendar years #bjah through #bjbb based on data from the ,centers for ,disease ,control and ,prevention1 including1 if necessary1 provisional data for calendar year #bjbb4 7,b7 ,the highest average rates of unemployment for calendar years #bjah through #bjbb based on data provided by the ,bureau of ,labor ,statistics4 7,c7 ,the lowest average labor force participation rates for calendar years #bjah through #bjbb based on data provided by the ,bureau of ,labor ,statistics4 2 7#d7 in subsection 7g7-- 7,a7 in each of paragraphs 7#a7 and 7#c71 by redesignating subparagraphs 7,a7 and 7,b7 as clauses 7i7 and 7ii71 respectively1 and adjusting the margins accordingly2 7,b7 by redesignating paragraphs 7#a7 through 7#c7 as subparagraphs 7,a7 through 7,c71 respectively1 and adjusting the margins accordingly2 7,c7 in the matter preceding subparagraph 7,a7 7as so redesignated71 by striking ,an entity and inserting the following3 7#a7 ,in general ,an entity 2 and 7,d7 by adding at the end the following3 7#b7 ,transportation services ,an entity receiving a grant under this section may use not more than #e percent of the funds for providing transportation for individuals to participate in an activity supported by a grant under this section1 which transportation shall be to or from a place of work or a place where the individual is receiving career and technical education or job training services or receiving services directly linked to treatment of or recovery from a substance use disorder4 7#c7 ,limitation ,the ,secretary may not require an entity to1 or give priority to an entity that plans to1 use the funds of a grant under this section for activities that are not specified in this subsection4 2 7#e7 in subsection 7i77#b71 by inserting 1 which shall include employment and earnings outcomes described in subclauses 7,i7 and 7,,iii7 of section #aaf7;b77#b77;,a77i7 of the ,workforce ,innovation and ,opportunity ,act 7#bi ,u4,s4,c4 #cada7;b77#b77;,a77i77 with respect to the participation of such individuals with a substance use disorder in programs and activities funded by the grant under this section after subsection 7g72 7#f7 in subsection 7j7-- 7,a7 in paragraph 7#a71 by inserting for grants awarded prior to the date of enactment of the ,,support for ,patients and ,communities ,reauthorization ,act after grant period under this section2 and 7,b7 in paragraph 7#b7-- 7i7 in the matter preceding subparagraph 7,a71 by striking #b years after submitting the preliminary report required under paragraph 7#a7 and inserting ,september #cj1 #bjbh2 and 7ii7 in subparagraph 7,a71 by striking 7g77#c7 and inserting 7g77#a77;,c72 and 7#g7 in subsection 7k71 by striking #e1jjj1jjj for each of fiscal years #bjai through #bjbc and inserting #ab1jjj1jjj for each of fiscal years #bjbd through #bjbh4 7b7 ,clerical amendment ,the table of contents in section #a7;b7 of the ,,support for ,patients and ,communities ,act 7,public ,law #aae-bga2 #acb ,stat4 #chid7 is amended by striking the item relating to section #gahc and inserting the following3 ,sec4 #gahc4 ,,career ,act2 treatment1 recovery1 and workforce support grants4 4 #cjf4 ,office of recovery ,part ,a of title ,v of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;aa et seq47 is amended by inserting after section #eja;,c 7#db ,u4,s4,c4 #bij;aa-#j;b7 the following3 #eja;,d4 ,office of recovery 7a7 ,in general ,there is established1 within the ,substance ,abuse and ,mental ,health ,services ,administration1 an ,office of ,recovery 7referred to in this section as the ,office74 7b7 ,responsibilities ,the ,office shall1 taking into account the perspectives of individuals with demonstrated experience in mental health or substance use disorder recovery-- 7#a7 identify new and emerging challenges related to the provision of recovery support services2 7#b7 support technical assistance1 data analysis1 and evaluation functions in order to assist ,states1 local governmental entities1 ,indian ,tribes1 and ,tribal organizations in implementing and strengthening recovery support services1 consistent with the needs of such ,states1 local governmental entities1 ,indian ,tribes1 and ,tribal organizations2 and 7#c7 ensure coordination of efforts to identify1 disseminate1 and evaluate best practices related to-- 7,a7 improving the capacity of1 and access to1 recovery support services2 and 7,b7 supporting the training1 education1 professional development1 and retention of peer support specialists4 7c7 ,report ,not later than #d years after the date of enactment of the ,,support for ,patients and ,communities ,reauthorization ,act1 the ,assistant ,secretary for ,mental ,health and ,substance ,use shall submit to the ,committee on ,health1 ,education1 ,labor1 and ,pensions of the ,senate and the ,committee on ,energy and ,commerce of the ,house of ,representatives a report on the activities conducted by the ,office1 including-- 7#a7 a description of the specific roles and responsibilities of the ,office2 7#b7 a description of the relationship between the ,office and other relevant components or programs of the ,substance ,abuse and ,mental ,health ,services ,administration2 7#c7 the identification of any gaps in the activities of the ,substance ,abuse and ,mental ,health ,services ,administration or challenges in coordination between the ,office and such relevant components or programs of such agency2 and 7#d7 recommendations related to the continued operations of the ,office4 7d7 ,sunset ,this section shall cease to have force or effect on ,september #cj1 #bjbh4 4 ,,iv ,technical amendments #dja4 ,delivery of a controlled substance by a pharmacy to an administering practitioner ,section #cji;,a7a7 of the ,controlled ,substances ,act 7#ba ,u4,s4,c4 #hbi;a7a77 is amended by striking paragraph 7#b7 and inserting the following3 7#b7 the controlled substance is a drug in schedule ,,iii1 ,,iv1 or ,v to be administered-- 7,a7 by injection or implantation for the purpose of maintenance or detoxification treatment2 or 7,b7 intranasally1 subject to risk evaluation and mitigation strategy pursuant to section #eje-a of the ,federal ,food1 ,drug1 and ,cosmetic ,act 7#ba ,u4,s4,c4 #cee-a71 with post-administration monitoring by a health care professional2 4 #djb4 ,technical correction on controlled substances dispensing ,effective as if included in the enactment of ,public ,law #aag-cbh-- 7#a7 section #abeb7;a7 of division ,,ff of ,public ,law #aag-cbh 7#acf ,stat4 #efha7 is amended1 in the matter being inserted into section #cjb7;e7 of the ,controlled ,substances ,act1 by striking #cjc7;g7 and inserting #cjc7;h72 7#b7 section #abfb of division ,,ff of ,public ,law #aag-cbh 7#acf ,stat4 #efha7 is amended-- 7,a7 in subsection 7a7-- 7i7 in the matter preceding paragraph 7#a71 by striking #cjc7;g7 and inserting #cjc7;h72 7ii7 in the matter being stricken by subsection 7a77#b71 by striking 7g77#a7 and inserting 7h77#a72 and 7iii7 in the matter being inserted by subsection 7a77#b71 by striking 7g7 ,practitioners and inserting 7h7 ,practitioners2 and 7,b7 in subsection 7b7-- 7i7 in the matter being stricken by paragraph 7#a71 by striking #cjc7;g77#a7 and inserting #cjc7;h77#a72 7ii7 in the matter being inserted by paragraph 7#a71 by striking #cjc7;g7 and inserting #cjc7;h72 7iii7 in the matter being stricken by paragraph 7#b77;,a71 by striking #cjc7;g77#b7 and inserting #cjc7;h77#b72 7iv7 in the matter being stricken by paragraph 7#c71 by striking #cjc7;g77#b77;,b7 and inserting #cjc7;h77#b77;,b72 7v7 in the matter being stricken by paragraph 7#e71 by striking #cjc7;g7 and inserting #cjc7;h72 and 7vi7 in the matter being stricken by paragraph 7#f71 by striking #cjc7;g7 and inserting #cjc7;h72 and 7#c7 section #abfc7;b7 of division ,,ff of ,public ,law #aag-cbh 7#acf ,stat4 #efhe7 is amended-- 7,a7 by striking #cjc7;g77#b7 and inserting #cjc7;h77#b72 and 7,b7 by striking 7#ba ,u4,s4,c4 #hbc7;g77#b77 and inserting 7#ba ,u4,s4,c4 #hbc7;h77#b774 #djc4 ,required training for prescribers of controlled substances 7a7 ,in general ,section #cjc of the ,controlled ,substances ,act 7#ba ,u4,s4,c4 #hbc7 is amended-- 7#a7 by redesignating the second subsection designated as subsection 7l7 as subsection 7m72 and 7#b7 in subsection 7m77#a71 as so redesignated-- 7,a7 in subparagraph 7,a7-- 7i7 ,in clause 7iv7-- 7,i7 ,in subclause 7,i7-- 7aa7 by inserting the ,american ,academy of ,family ,physicians1 the ,american ,podiatric ,medical ,association1 the ,academy of ,general ,dentistry1 before or any other organization2 7bb7 by striking or the ,commission and inserting the ,commission2 and 7cc7 by inserting 1 or the ,council on ,podiatric ,medical ,education before the semicolon at the end2 and 7,,ii7 in subclause 7,,iii71 by inserting or the ,american ,academy of ,family ,physicians after ,association2 and 7ii7 in clause 7v71 in the matter preceding subclause 7,i7-- 7,i7 by striking osteopathic medicine1 dental surgery and inserting osteopathic medicine1 podiatric medicine1 dental surgery2 and 7,,ii7 by striking or dental medicine curriculum and inserting or dental or podiatric medicine curriculum2 and 7,b7 in subparagraph 7,b7-- 7i7 in clause 7i71 by inserting the ,american ,pharmacists ,association1 the ,accreditation ,council on ,pharmacy ,education1 the ,american ,optometric ,association1 the ,american ,psychiatric ,nurses ,association1 the ,american ,academy of ,nursing1 the ,american ,academy of ,family ,physicians before 1 or any other organization2 and 7ii7 in clause 7ii7-- 7,i7 by striking or accredited school and inserting 1 an accredited school2 and 7,,ii7 by inserting 1 or an accredited school of pharmacy before in the ,united ,states4 7b7 ,effective date ,the amendment made by subsection 7a7 shall take effect as if enacted on ,december #bi1 #bjbb4