,,ii ,calendar ,no4 #cai #aahth ,,congress #b;d ,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 ,february #a1 #bjbd,reported by ,mr4 ,sanders1 with an amendment,strike out all after the enacting clause and insert the part printed in italic ,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 #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,sec4 #aab4 ,protecting ,suicide ,prevention ,lifeline from cybersecurity incidents4,sec4 #aac4 ,bruce's ,law4,sec4 #aad4 ,guidance on at-home drug disposal systems4,sec4 #aae4 ,review of opioid drugs and actions4,sec4 #aaf4 ,consideration of enriched enrollment randomized withdrawal methodology4,sec4 #aag4 ,approval of new opioid analgesic drugs4,sec4 #aah4 ,guidance on developing non-addictive medical products to treat pain or addiction4,sec4 #aai4 ,national ,chronic ,pain ,information ,system4,sec4 #abj4 ,requirements for electronic-prescribing for controlled substances under group health plans and group and individual health insurance coverage4,,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,sec4 #bad4 ,roundtable on using health information technology to improve mental health and substance use care outcomes4,sec4 #bae4 ,peer-to-peer mental health support4,sec4 #baf4 ,kid ,,proof pilot program4,,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 ,research and recommendations on criminal background check process for peer support specialists4,sec4 #cjg4 ,office of ,recovery4,sec4 #cjh4 ,review of ,grants4gov4,,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 7e71 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-#aj7 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 #bdg;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 contract1 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 appropriate evidence-based or evidence-informed 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 a 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 eligible entity include in the application submitted under paragraph 7#b77;,b7-- 7,a7 a designation of an individual to serve as a ,,fasd ,state or ,tribal coordinator of activities such eligible entity proposes to carry out through a grant1 cooperative agreement1 or contract under this section2 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 private 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 nationwide 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 appropriate 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 nationwide1 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 and treatment 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 of1 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 the application programming interface 7,,api7 requirements pursuant to sections #cjja and #cjjd4 4 #aab4 ,protecting ,suicide ,prevention ,lifeline from cybersecurity incidents 7a7 ,national suicide prevention lifeline program ,section #ebj;,e-#c7;b7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#cf;c7b77 is amended-- 7#a7 in paragraph 7#d71 by striking and at the end2 7#b7 in paragraph 7#e71 by striking the period at the end and inserting 2 and2 and 7#c7 by adding at the end the following3 7#f7 taking such steps as may be necessary to ensure the suicide prevention hotline is protected from cybersecurity incidents and eliminates known cybersecurity vulnerabilities4 4 7b7 ,reporting ,section #ebj;,e-#c of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#cf;c7 is amended-- 7#a7 by redesignating subsection 7f7 as subsection 7g72 and 7#b7 by inserting after subsection 7e7 the following3 7f7 ,cybersecurity reporting 7#a7 ,notification 7,a7 ,in general ,the program's network administrator receiving ,federal funding pursuant to subsection 7a7 shall report to the ,assistant ,secretary1 in a manner that protects personal privacy1 consistent with applicable ,federal and ,state privacy laws-- 7i7 any identified cybersecurity vulnerabilities to the program within a reasonable amount of time after identification of such a vulnerability2 and 7ii7 any identified cybersecurity incidents to the program within a reasonable amount of time after identification of such incident4 7,b7 ,local and regional crisis centers ,local and regional crisis centers participating in the program shall report to the program's network administrator identified under subparagraph 7,a71 in a manner that protects personal privacy1 consistent with applicable ,federal and ,state privacy laws-- 7i7 any identified cybersecurity vulnerabilities to the program within a reasonable amount of time after identification of such vulnerability2 and 7ii7 any identified cybersecurity incidents to the program within a reasonable amount of time after identification of such incident4 7#b7 ,notification ,if the program's network administrator receiving funding pursuant to subsection 7a7 discovers1 or is informed by a local or regional crisis center pursuant to paragraph 7#a77;,b7 of1 a cybersecurity vulnerability or incident1 within a reasonable amount of time after such discovery or receipt of information1 such entity shall report the vulnerability or incident to the ,assistant ,secretary4 7#c7 ,clarification 7,a7 ,oversight 7i7 ,local and regional crisis centers ,except as provided in clause 7ii71 local and regional crisis centers participating in the program shall oversee all technology each center employs in the provision of services as a participant in the program4 7ii7 ,network administrator ,the program's network administrator receiving ,federal funding pursuant to subsection 7a7 shall oversee the technology each crisis center employs in the provision of services as a participant in the program if such oversight responsibilities are established in the applicable network participation agreement4 7,b7 ,supplement1 not supplant ,the cybersecurity incident reporting requirements under this subsection shall supplement1 and not supplant1 cybersecurity incident reporting requirements under other provisions of applicable ,federal law that are in effect on the date of the enactment of the ,,support for ,patients and ,communities ,reauthorization ,act4 4 7c7 ,study ,not later than #ahj days after the date of the enactment of this ,act1 the ,comptroller ,general of the ,united ,states shall-- 7#a7 conduct and complete a study that evaluates cybersecurity risks and vulnerabilities associated with the #i-h-h ,national ,suicide ,prevention ,lifeline2 and 7#b7 submit a report of the findings of such study to the ,committee on ,health1 ,education1 ,labor1 and ,pensions of the ,senate and the ,committee on ,energy and ,commerce of the ,house of ,representatives4 #aac4 ,bruce's ,law 7a7 ,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#c77;,a77i71 by inserting 1 which may include strategies to increase education and awareness of the potency and dangers of synthetic opioids 7including drugs contaminated with fentanyl7 and1 as appropriate1 other emerging drug use or misuse issues before the semicolon2 and 7#b7 in paragraph 7#d77;,a71 by inserting and strategies to increase education and awareness of the potency and dangers of synthetic opioids 7including drugs contaminated with fentanyl7 and1 as appropriate1 emerging drug use or misuse issues before the semicolon4 7b7 ,interdepartmental substance use disorders coordinating committee ,section #gjbb of the ,,support for ,patients and ,communities ,act 7#db ,u4,s4,c4 #bij;aa note7 is amended-- 7#a7 by striking subsection 7g7 and inserting the following3 7g7 ,working groups 7#a7 ,in general ,the ,committee may establish working groups for purposes of carrying out the duties described in subsection 7e74 ,any such working group shall be composed of members of the ,committee 7or the designees of such members7 and may hold such meetings as are necessary to enable the working group to carry out the duties delegated to the working group4 7#b7 ,additional ,federal interagency work group on fentanyl contamination of illegal drugs 7,a7 ,establishment ,the ,secretary1 acting through the ,committee1 shall establish a ,federal ,interagency ,work ,group on ,fentanyl ,contamination of ,illegal ,drugs 7referred to in this paragraph as the ,work ,group71 consisting of representatives from relevant ,federal departments and agencies on the ,committee4 7,b7 ,consultation ,the ,work ,group shall consult with relevant stakeholders and subject matter experts1 including-- 7i7 ,state1 ,tribal1 and local subject matter experts in reducing1 preventing1 and responding to drug overdose caused by fentanyl contamination of illicit drugs2 and 7ii7 family members of both adults and youth who have overdosed by fentanyl-contaminated illicit drugs4 7,c7 ,duties ,the ,work ,group shall-- 7i7 examine ,federal efforts to reduce and prevent drug overdose by fentanyl-contaminated illicit drugs2 7ii7 identify strategies to improve ,state1 ,tribal1 and local responses to overdose by fentanyl-contaminated illicit drugs2 7iii7 coordinate with the ,secretary1 as appropriate1 in carrying out activities to raise public awareness of synthetic opioids and other emerging drug use and misuse issues2 7iv7 make recommendations to ,congress for improving ,federal programs1 including with respect to the coordination of efforts across such programs2 and 7v7 make recommendations for educating youth on the potency and dangers of drugs contaminated by fentanyl4 7,d7 ,annual report to secretary ,the ,work ,group shall annually prepare and submit to the ,secretary1 the ,committee on ,health1 ,education1 ,labor1 and ,pensions of the ,senate1 and the ,committee on ,education and the ,workforce of the ,house of ,representatives1 a report on the activities carried out by the ,work ,group under subparagraph 7,c71 including recommendations to reduce and prevent drug overdose by fentanyl contamination of illegal drugs1 in all populations1 and specifically among youth at risk for substance misuse4 2 and 7#b7 by striking subsection 7i7 and inserting the following3 7i7 ,sunset ,the ,committee shall terminate on ,september #cj1 #bjbh4 4 #aad4 ,guidance on at-home drug disposal systems 7a7 ,in general ,not later than one year after the date of enactment of this ,act1 the ,secretary of ,health and ,human ,services 7referred to in this section as the ,secretary71 in consultation with the ,administrator of the ,drug ,enforcement ,administration1 shall publish guidance to facilitate the use of at-home safe disposal systems for applicable drugs1 including for such at-home safe disposal systems that the ,secretary may require as a part of a risk evaluation and mitigation strategy under section #eje-a of the ,federal ,food1 ,drug1 and ,cosmetic ,act 7#ba ,u4,s4,c4 #cee-a74 7b7 ,contents ,the guidance under subsection 7a7 shall include-- 7#a7 recommended standards for effective at-home drug disposal systems to meet applicable statutory or regulatory requirements enforced by the ,food and ,drug ,administration and1 as appropriate1 the ,drug ,enforcement ,administration2 7#b7 recommended information to include as instructions for use to disseminate with at-home drug disposal systems2 7#c7 best practices and educational tools to support the use of an at-home drug disposal system2 and 7#d7 recommended use of licensed health providers for the dissemination of education1 instruction1 and at-home drug disposal systems4 #aae4 ,review of opioid drugs and actions ,not later than one year after the date of enactment of this ,act1 the ,secretary of ,health and ,human ,services 7referred to in this section as the ,secretary7 shall publish on the website of the ,food and ,drug ,administration 7referred to in this section as the ,,fda7 a report that outlines a plan for completing a review of opioid analgesic drugs that are approved under section #eje of the ,federal ,food1 ,drug1 and ,cosmetic ,act 7#ba ,u4,s4,c4 #cee7 that considers the public health effects of such opioid drugs as part of the benefit-risk assessment1 and that addresses the activities of the ,,fda that relate to increasing the development of non-addictive medical products intended to treat pain or addiction4 ,such report shall include-- 7#a7 an opportunity for public input concerning the regulation by the ,,fda of opioid analgesic drugs1 including scientific evidence that relates to conditions of use1 safety1 or benefit-risk assessment 7including consideration of the public health effects7 of such opioid drugs2 7#b7 an update on the actions taken by the ,,fda to review the effectiveness1 safety1 benefit-risk profile 7which may include public health effects71 and use of approved opioid analgesic drugs2 7#c7 a timeline for an assessment of the potential need1 as appropriate1 for labeling changes1 revised or additional postmarketing requirements1 enforcement actions1 or withdrawals for opioid analgesic drugs2 7#d7 an overview of the steps that the ,,fda has taken to support the development and approval of non-addictive medical products intended to treat pain or addiction1 and actions planned to further support the development and approval of such products2 and 7#e7 an overview of the consideration by the ,,fda of clinical trial methodologies for analgesic drugs1 including the enriched enrollment randomized withdrawal methodology1 and the benefits and drawbacks associated with different trial methodologies for such drugs1 incorporating any public input received under paragraph 7#a74 #aaf4 ,consideration of enriched enrollment randomized withdrawal methodology 7a7 ,in general ,not later than #b years after the date of enactment of this ,act1 the ,secretary of ,health and ,human ,services 7referred to in this section as the ,secretary71 acting through the ,commissioner of ,food and ,drugs1 shall convene a meeting of the ,anesthetic and ,analgesic ,drug ,products ,advisory ,committee and the ,drug ,safety and ,risk ,management ,advisory ,committee of the ,food and ,drug ,administration to review the use of the enriched enrollment randomized withdrawal methodology in clinical trials of opioid analgesic drugs and consider and make recommendations regarding the use of alternative clinical study methodologies4 ,in conducting such review1 the ,secretary shall consider the report issued by the ,national ,academy of ,sciences under subsection 7c74 7b7 ,presentations ,if the ,secretary allows for formal presentations in support of the use of the enriched enrollment randomized withdrawal methodology at the meeting described in subsection 7a71 the ,secretary shall also allow for equal time at such meeting for presentations that are critical of such methodology4 7c7 ,nas study and report ,the ,secretary shall seek to enter into a contract with the ,national ,academy of ,sciences under which the ,national ,academy-- 7#a7 conducts a study on the effectiveness of enriched enrollment randomized withdrawal methodology in demonstrating the efficacy of opioid analgesic drugs in treating chronic pain2 and 7#b7 not later than #a year after the date of enactment of this ,act1 submits a report on such study to the ,secretary4 7d7 ,review of opioid analgesic drugs ,in connection with the meeting described in subsection 7a71 the ,anesthetic and ,analgesic ,drug ,products ,advisory ,committee and the ,drug ,safety and ,risk ,management ,advisory ,committee of the ,food and ,drug ,administration shall review the approved labeling and action package for approval 7as described in subsection 7l77#b7 of section #eje of the ,federal ,food1 ,drug1 and ,cosmetic ,act 7#ba ,u4,s4,c4 #cee771 on all opioid analgesic drugs approved using enriched enrollment randomized withdrawal methodology under such section #eje as of the date of such meeting4 ,the findings from such review shall be made publicly available on a website operated by the ,secretary1 acting through the ,commissioner of ,food and ,drugs4 7e7 ,definition of opioid analgesic drug ,in this section1 the term opioid analgesic drug means a drug that has a labeled indication approved by the ,food and ,drug ,administration to produce analgesia by acting upon the body's opioid receptors4 #aag4 ,approval of new opioid analgesic drugs ,section #eje7;c7 of the ,federal ,food1 ,drug1 and ,cosmetic ,act 7#ba ,u4,s4,c4 #cee7;c77 is amended by adding at the end the following3 7#f7 ,notwithstanding any other provision of this section1 in making a determination to approve or deny an application submitted under subsection 7b7 for an opioid analgesic drug1 the ,secretary may consider whether such drug provides a substantial improvement1 in terms of greater safety or greater effectiveness1 or major contribution to patient care1 compared to an approved opioid analgesic drug4 ,for purposes of this paragraph1 the term opioid analgesic drug means a drug that is approved under this section to produce analgesia by acting upon the body's opioid receptors4 4 #aah4 ,guidance on developing non-addictive medical products to treat pain or addiction ,not later than #a year after the date of enactment of this ,act1 the ,secretary of ,health and ,human ,services shall issue draft guidance under section #cjja7;b7 of the ,,support for ,patients and ,communities ,act 7#ba ,u4,s4,c4 #cee note7 to address non-addictive analgesics for chronic pain1 including the information required to be included in guidance documents under paragraphs 7#a7 through 7#d7 of such section #cjja7;b74 #aai4 ,national ,chronic ,pain ,information ,system ,part ,p of title ,,iii of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bhj;g et seq47 is amended by adding at the end the following3 #cii,v-#h4 ,chronic pain research 7a7 ,in general ,the ,secretary1 in consultation with the ,director of the ,centers for ,disease ,control and ,prevention1 the ,director of the ,national ,institutes of ,health1 and other agencies as the ,secretary determines appropriate1 shall-- 7#a7 utilize available ,federal research data to clarify the incidence and prevalence of chronic pain from any source1 including injuries1 operations1 and diseases and conditions2 7#b7 identify gaps in the available research data and collect deidentified population research data using medical claims and survey data to fill gaps in available research data1 such as-- 7,a7 incidence and prevalence of specific pain conditions2 7,b7 demographics and other information1 such as age1 race1 ethnicity1 gender1 and geographic location2 7,c7 the incidence and prevalence of known chronic pain conditions1 as well as diseases and conditions that include or lead to pain2 7,d7 risk factors that may be associated with chronic pain conditions1 such as genetic and environmental risk factors and other information1 as appropriate2 7,e7 diagnosis and progression markers2 7,f7 both direct and indirect costs of illness2 7,g7 the epidemiology of the conditions2 7,h7 the detection1 management1 and treatment of the conditions2 7,i7 the epidemiology1 detection1 management1 and treatment of frequent secondary or co-occurring conditions1 such as depression1 anxiety1 and substance use disorders2 7,j7 the utilization of medical and social services by patients with chronic pain conditions1 including the direct health care costs of pain treatment1 both traditional and alternative1 and the indirect costs 7such as missed work1 public and private disability1 and reduction in productivity72 and 7,k7 the effectiveness of evidence-based treatment approaches on chronic pain conditions2 7#c7 develop1 in collaboration with individuals and organizations with appropriate chronic pain expertise1 including patients or patient advocates1 epidemiologists1 representatives of national voluntary health associations1 health information technology experts1 clinicians1 and research scientists1 standard definitions and approaches for population research on chronic pain to efficiently promote greater comparability of data2 and 7#d7 disseminate1 pursuant to the public webpage under subsection 7b71 and1 as appropriate1 to the public and to other ,federal departments and agencies1 any findings1 developed population research standards1 and available ,federal data sources related to chronic pain4 7b7 ,dissemination ,the ,secretary1 acting through the ,director of the ,centers for ,disease ,control and ,prevention1 shall establish a public webpage1 to be known as the ,chronic ,pain ,information ,hub1 that-- 7#a7 aggregates and summarizes available ,federal data sources1 indicators1 and peer-reviewed research related to chronic pain2 7#b7 includes an up-to-date summary of complete1 ongoing1 and planned data collection and analysis related to chronic pain that is conducted and supported by the ,centers for ,disease ,control and ,prevention2 and 7#c7 translates research findings into clinical tools and resources1 recommendations for closing research gaps1 and recommendations for population research standards for researchers1 with recommendations updated annually to incorporate research findings from the prior year4 7c7 ,conflicts of interest ,if an individual or organization that collaborates with the ,secretary in carrying out subsection 7a7 receives a payment or other transfer of value of a type described in section #aabh;,g7a77#a77;,a77vi7 of the ,social ,security ,act from a manufacturer of a drug 7including a biological product7 or device that would be required to be disclosed pursuant to section #aabh;,g7a77#a7 of the ,social ,security ,act1 if the individual or organization were a covered recipient or if such disclosure were required upon request of or by designation on behalf of a covered recipient pursuant to such section1 the individual or organization shall disclose to the ,secretary information regarding such payment or other transfer of value4 ,the ,secretary shall make such disclosures publicly available4 7d7 ,report ,not later than #b years after the date of the enactment of the ,,support for ,patients and ,communities ,reauthorization ,act1 the ,secretary shall submit a 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 concerning the implementation of this section4 ,such report shall include information on-- 7#a7 the development and maintenance of the ,chronic ,pain ,information ,hub2 7#b7 the information made available through the ,chronic ,pain ,information ,hub2 7#c7 the data gaps identified1 and planned efforts to address such gaps2 7#d7 the process established for soliciting feedback from collaborators2 and 7#e7 feedback received from collaborators4 7e7 ,definition ,in this section1 the term chronic pain means persistent or recurrent pain lasting longer than #c months4 7f7 ,authorization of appropriations ,to carry out this section1 there is authorized to be appropriated such sums as may be necessary for each of fiscal years #bjbd through #bjbh4 4 #abj4 ,requirements for electronic-prescribing for controlled substances under group health plans and group and individual health insurance coverage 7a7 ,public ,health ,service ,act amendment ,section #bgii;,a-#g of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjj;gg-#aag7 is amended by adding at the end the following new subsection3 7d7 ,requirements for electronic-,prescribing for controlled substances 7#a7 ,in general ,except as provided pursuant to paragraph 7#b71 for plan years beginning on or after ,january #a1 #bjbf1 a group health plan and a health insurance issuer offering group or individual health insurance coverage1 with respect to a participating provider1 as defined in section #bgii-a7;a77#c71 shall have in place policies1 subject to paragraphs 7#d7 and 7#e71 that require any prescription for a schedule ,,ii1 ,,iii1 ,,iv1 or ,v controlled substance 7as defined by section #bjb of the ,controlled ,substances ,act7 covered by the plan or coverage that is transmitted by such a participating provider for such a participant1 beneficiary1 or enrollee be electronically transmitted consistent with standards established under paragraph 7#c7 of section #ahfj;,d-#d7;e7 of the ,social ,security ,act1 under an electronic prescription drug program that meets requirements that are substantially similar 7as jointly determined by the ,secretary1 the ,secretary of ,labor1 and the ,secretary of the ,treasury7 to the requirements of paragraph 7#b7 of such section #ahfj;,d-#d7;e74 7#b7 ,exception for certain circumstances ,the ,secretary1 the ,secretary of ,labor1 and the ,secretary of the ,treasury shall jointly1 through rulemaking1 specify circumstances and processes by which the requirement under paragraph 7#a7 may be waived1 with respect to a schedule ,,ii1 ,,iii1 ,,iv1 or ,v controlled substance that is a prescription drug covered by a group health plan or group or individual health insurance coverage offered by a health insurance issuer1 including in the case of-- 7,a7 a prescription issued when the participating provider and dispensing pharmacy are the same entity2 7,b7 a prescription issued that cannot be transmitted electronically under the most recently implemented version of the ,national ,council for ,prescription ,drug ,programs ,,script ,standard2 7,c7 a prescription issued by a participating provider who received a waiver 7which may include a waiver obtained pursuant to section #ahfj;,d-#d7;e77#g77;,b77iii7 of the ,social ,security ,act7 or a renewal thereof for a period of time as determined by the ,secretary1 the ,secretary of ,labor1 and the ,secretary of the ,treasury1 not to exceed one year1 from the requirement to use electronic prescribing due to demonstrated economic hardship1 technological limitations that are not reasonably within the control of the participating provider1 or other exceptional circumstance demonstrated by the participating provider2 7,d7 a prescription issued by a participating provider under circumstances in which1 notwithstanding the participating provider's ability to submit a prescription electronically as required by this subsection1 such participating provider reasonably determines that it would be impractical for the individual involved to obtain substances prescribed by electronic prescription in a timely manner1 and such delay would adversely impact the individual involved's medical condition involved2 7,e7 a prescription issued by a participating provider prescribing a drug under a research protocol2 7,f7 a prescription issued by a participating provider for a drug for which the ,food and ,drug ,administration requires a prescription to contain elements that are not able to be included in electronic prescribing1 such as a drug with risk evaluation and mitigation strategies that include elements to assure safe use2 7,g7 a prescription issued for an individual who receives hospice care or for a resident of a nursing facility 7as defined in section #aiai7;a7 of the ,social ,security ,act72 7,h7 a prescription issued under circumstances in which electronic prescribing is not available due to temporary technological or electrical failure1 as specified jointly by the ,secretary1 the ,secretary of ,labor1 and the ,secretary of the ,treasury through rulemaking2 and 7,i7 a prescription issued by a participating provider allowing for the dispensing of a non-patient specific prescription pursuant to a standing order1 approved protocol for drug therapy1 collaborative drug management1 or comprehensive medication management1 in response to a public health emergency or other circumstances under which the participating provider may issue a non-patient specific prescription4 7#c7 ,rules of ,construction 7,a7 ,verification ,nothing in this subsection shall be construed as requiring a dispenser to verify that a participating provider1 with respect to a prescription for a schedule ,,ii1 ,,iii1 ,,iv1 or ,v controlled substance that is a prescription drug covered by a group health plan or group or individual health insurance coverage offered by a health insurance issuer1 has a waiver 7or is otherwise exempt7 under paragraph 7#b7 from the requirement under paragraph 7#a74 7,b7 ,authority to dispense ,nothing in this subsection shall be construed as affecting the authority of a group health plan or group or individual health insurance coverage offered by a health insurance issuer to cover1 or the authority of a dispenser to continue to dispense1 a prescription drug if the prescription for such drug is an otherwise valid written1 oral1 or fax prescription that is consistent with applicable law4 7,c7 ,patient choice ,nothing in this subsection shall be construed as affecting the ability of an individual who is a participant1 beneficiary1 or enrollee of a group health plan or group or individual health insurance coverage offered by a health insurance issuer and who is prescribed a schedule ,,ii1 ,,iii1 ,,iv1 or ,v controlled substance that is a prescription drug covered by the plan or coverage to designate a particular dispenser to dispense a prescribed controlled substance to the extent consistent with the requirements under this subsection4 7#d7 ,regulations on policy requirements ,the ,secretary1 the ,secretary of ,labor1 and the ,secretary of the ,treasury shall promulgate regulations specifying requirements for the policies established by group health plans and health insurance issuers under paragraph 7#a74 ,such regulations shall include requirements for-- 7,a7 a uniform process by which plans and issuers are required to set the e-prescribing requirements2 7,b7 a process by which plans and issuers are required to grant waivers and exceptions to participating providers pursuant to paragraph 7#b72 and 7,c7 a mechanism for plans and issuers to recognize waivers issued to participating providers under part ,d of title ,,xviii of the ,social ,security ,act1 pursuant to paragraph 7#b77;,c74 7#e7 ,prohibitions ,the policies established pursuant to paragraph 7#a7 by a group health plan or health insurance issuer offering group or individual health insurance coverage may not-- 7,a7 require dispensers of a schedule ,,ii1 ,,iii1 ,,iv1 or ,v controlled substance to confirm that the prescription for the controlled substance was electronically issued by a participating provider in accordance with such policies1 as described in paragraph 7#a72 7,b7 require dispensers of such controlled substances to submit information or data beyond what is otherwise required to process a prescription drug claim in order to confirm a participating provider's compliance with such policies2 7,c7 reject1 deny1 or recoup reimbursement for a prescription drug claim based on the format in which the prescription was issued2 or 7,d7 require a participating provider to use a specific vendor for electronic prescribing or a specific electronic prescribing product or system4 7#f7 ,attestation of compliance ,beginning on ,january #a1 #bjbf1 each group health plan and health insurance issuer offering group or individual health insurance coverage shall annually submit to the ,secretary1 the ,secretary of ,labor1 and the ,secretary of the ,treasury an attestation of compliance with the requirements of this subsection4 7#g7 ,consultation requirement for rulemaking ,in promulgating regulations to carry out this subsection1 the ,secretary1 the ,secretary of the ,labor1 and the ,secretary of the ,treasury shall jointly consult with dispensers of controlled substances1 ,state insurance regulators1 and health care practitioners4 4 7b7 ,employee ,retirement ,income ,security ,act of #aigd amendment ,section #gbb of the ,employee ,retirement ,income ,security ,act of #aigd 7#bi ,u4,s4,c4 #aahek7 is amended by adding at the end the following new subsection3 7d7 ,requirements for electronic-prescribing for controlled substances 7#a7 ,in general ,except as provided pursuant to paragraph 7#b71 for plan years beginning on or after ,january #a1 #bjbf1 a group health plan and a health insurance issuer offering group health insurance coverage1 with respect to a participating provider1 as defined in section #gaf7;a77#c71 shall have in place policies1 subject to paragraphs 7#d7 and 7#e71 that require any prescription for a schedule ,,ii1 ,,iii1 ,,iv1 or ,v controlled substance 7as defined by section #bjb of the ,controlled ,substances ,act7 covered by the plan or coverage that is transmitted by such a participating provider for such a participant or beneficiary be electronically transmitted consistent with standards established under paragraph 7#c7 of section #ahfj;,d-#d7;e7 of the ,social ,security ,act1 under an electronic prescription drug program that meets requirements that are substantially similar 7as jointly determined by the ,secretary1 the ,secretary of ,health and ,human ,services1 and the ,secretary of the ,treasury7 to the requirements of paragraph 7#b7 of such section #ahfj;,d-#d7;e74 7#b7 ,exception for certain circumstances ,the ,secretary1 the ,secretary of ,health and ,human ,services1 and the ,secretary of the ,treasury shall jointly1 through rulemaking1 specify circumstances and processes by which the requirement under paragraph 7#a7 may be waived1 with respect to a schedule ,,ii1 ,,iii1 ,,iv1 or ,v controlled substance that is a prescription drug covered by a group health plan or group health insurance coverage offered by a health insurance issuer1 including in the case of-- 7,a7 a prescription issued when the participating provider and dispensing pharmacy are the same entity2 7,b7 a prescription issued that cannot be transmitted electronically under the most recently implemented version of the ,national ,council for ,prescription ,drug ,programs ,,script ,standard2 7,c7 a prescription issued by a participating provider who received a waiver 7which may include a waiver obtained pursuant to section #ahfj;,d-#d7;e77#g77;,b77iii7 of the ,social ,security ,act7 or a renewal thereof for a period of time as determined by the ,secretary1 the ,secretary of ,health and ,human ,services1 and the ,secretary of the ,treasury1 not to exceed one year1 from the requirement to use electronic prescribing due to demonstrated economic hardship1 technological limitations that are not reasonably within the control of the participating provider1 or other exceptional circumstance demonstrated by the participating provider2 7,d7 a prescription issued by a participating provider under circumstances in which1 notwithstanding the participating provider's ability to submit a prescription electronically as required by this subsection1 such participating provider reasonably determines that it would be impractical for the individual involved to obtain substances prescribed by electronic prescription in a timely manner1 and such delay would adversely impact the individual's medical condition involved2 7,e7 a prescription issued by a participating provider prescribing a drug under a research protocol2 7,f7 a prescription issued by a participating provider for a drug for which the ,food and ,drug ,administration requires a prescription to contain elements that are not able to be included in electronic prescribing1 such as a drug with risk evaluation and mitigation strategies that include elements to assure safe use2 7,g7 a prescription issued for an individual who receives hospice care or for a resident of a nursing facility 7as defined in section #aiai7;a7 of the ,social ,security ,act72 7,h7 a prescription issued under circumstances in which electronic prescribing is not available due to temporary technological or electrical failure1 as specified jointly by the ,secretary1 the ,secretary of ,health and ,human ,services1 and the ,secretary of the ,treasury through rulemaking2 and 7,i7 a prescription issued by a participating provider allowing for the dispensing of a non-patient specific prescription pursuant to a standing order1 approved protocol for drug therapy1 collaborative drug management1 or comprehensive medication management1 in response to a public health emergency or other circumstances under which the participating provider may issue a non-patient specific prescription4 7#c7 ,rules of ,construction 7,a7 ,verification ,nothing in this subsection shall be construed as requiring a dispenser to verify that a participating provider1 with respect to a prescription for a schedule ,,ii1 ,,iii1 ,,iv1 or ,v controlled substance that is a prescription drug covered by a group health plan or group or individual health insurance coverage offered by a health insurance issuer1 has a waiver 7or is otherwise exempt7 under paragraph 7#b7 from the requirement under paragraph 7#a74 7,b7 ,authority to dispense ,nothing in this subsection shall be construed as affecting the authority of a group health plan or group health insurance coverage offered by a health insurance issuer to cover1 or the authority of a dispenser to continue to dispense1 a prescription drug if the prescription for such drug is an otherwise valid written1 oral1 or fax prescription that is consistent with applicable law4 7,c7 ,patient choice ,nothing in this subsection shall be construed as affecting the ability of an individual who is a participant or beneficiary of a group health plan or group or individual health insurance coverage offered by a health insurance issuer and who is prescribed a schedule ,,ii1 ,,iii1 ,,iv1 or ,v controlled substance that is a prescription drug covered by the plan or coverage to designate a particular dispenser to dispense a prescribed controlled substance to the extent consistent with the requirements under this subsection4 7#d7 ,regulations on policy requirements ,the ,secretary1 the ,secretary of ,health and ,human ,services1 and the ,secretary of the ,treasury shall promulgate regulations specifying requirements for the policies established by group health plans and health insurance issuers under paragraph 7#a74 ,such regulations shall include requirements for-- 7,a7 a uniform process by which plans and issuers are required to set the e-prescribing requirements2 7,b7 a process by which plans and issuers are required to grant waivers and exceptions to participating providers pursuant to paragraph 7#b72 and 7,c7 a mechanism for plans and issuers to recognize waivers issued to participating providers under part ,d of title ,,xviii of the ,social ,security ,act1 pursuant to paragraph 7#b77;,c74 7#e7 ,prohibitions ,the policies established pursuant to paragraph 7#a7 by a group health plan or health insurance issuer offering group health insurance coverage may not-- 7,a7 require dispensers of a schedule ,,ii1 ,,iii1 ,,iv1 or ,v controlled substance to confirm that the prescription for the controlled substance was electronically issued by a participating provider in accordance with such policies1 as described in paragraph 7#a72 7,b7 require dispensers of such controlled substances to submit information or data beyond what is otherwise required to process a prescription drug claim in order to confirm a participating provider's compliance with such policies2 7,c7 reject1 deny1 or recoup reimbursement for a prescription drug claim based on the format in which the prescription was issued2 or 7,d7 require a participating provider to use a specific vendor for electronic prescribing or a specific electronic prescribing product or system4 7#f7 ,attestation of compliance ,beginning on ,january #a1 #bjbf1 each group health plan and health insurance issuer offering group health insurance coverage shall annually submit to the ,secretary1 the ,secretary of ,health and ,human ,services1 and the ,secretary of the ,treasury an attestation of compliance with the requirements of this subsection4 7#g7 ,consultation requirement for rulemaking ,in promulgating regulations to carry out this subsection1 the ,secretary1 the ,secretary of ,health and ,human ,services1 and the ,secretary of the ,treasury shall jointly consult with dispensers of controlled substances1 ,state insurance regulators1 and health care practitioners4 4 7c7 ,internal ,revenue ,code of #aihf amendment ,section #ihbb of the ,internal ,revenue ,code of #aihf is amended by adding at the end the following new subsection3 7d7 ,requirements for electronic-,prescribing for controlled substances 7#a7 ,in general ,except as provided pursuant to paragraph 7#b71 for plan years beginning on or after ,january #a1 #bjbf1 a group health plan1 with respect to a participating provider1 as defined in section #ihaf7;a77#c71 shall have in place policies1 subject to paragraphs 7#d7 and 7#e71 that require any prescription for a schedule ,,ii1 ,,iii1 ,,iv1 or ,v controlled substance 7as defined by section #bjb of the ,controlled ,substances ,act7 covered by the plan that is transmitted by such a participating provider for such a participant or beneficiary be electronically transmitted consistent with standards established under paragraph 7#c7 of section #ahfj;,d-#d7;e7 of the ,social ,security ,act1 under an electronic prescription drug program that meets requirements that are substantially similar 7as jointly determined by the ,secretary1 the ,secretary of ,health and ,human ,services1 and the ,secretary of ,labor7 to the requirements of paragraph 7#b7 of such section #ahfj;,d-#d7;e74 7#b7 ,exception for certain circumstances ,the ,secretary1 the ,secretary of ,health and ,human ,services1 and the ,secretary of ,labor shall jointly1 through rulemaking1 specify circumstances and processes by which the requirement under paragraph 7#a7 may be waived1 with respect to a schedule ,,ii1 ,,iii1 ,,iv1 or ,v controlled substance that is a prescription drug covered by a group health1 including in the case of-- 7,a7 a prescription issued when the participating provider and dispensing pharmacy are the same entity2 7,b7 a prescription issued that cannot be transmitted electronically under the most recently implemented version of the ,national ,council for ,prescription ,drug ,programs ,,script ,standard2 7,c7 a prescription issued by a participating provider who received a waiver 7which may include a waiver obtained pursuant to section #ahfj;,d-#d7;e77#g77;,b77iii7 of the ,social ,security ,act7 or a renewal thereof for a period of time as determined by the ,secretary1 the ,secretary of ,health and ,human ,services1 and the ,secretary of ,labor1 not to exceed one year1 from the requirement to use electronic prescribing due to demonstrated economic hardship1 technological limitations that are not reasonably within the control of the participating provider1 or other exceptional circumstance demonstrated by the participating provider2 7,d7 a prescription issued by a participating provider under circumstances in which1 notwithstanding the participating provider's ability to submit a prescription electronically as required by this subsection1 such participating provider reasonably determines that it would be impractical for the individual involved to obtain substances prescribed by electronic prescription in a timely manner1 and such delay would adversely impact the individual's medical condition involved2 7,e7 a prescription issued by a participating provider prescribing a drug under a research protocol2 7,f7 a prescription issued by a participating provider for a drug for which the ,food and ,drug ,administration requires a prescription to contain elements that are not able to be included in electronic prescribing1 such as a drug with risk evaluation and mitigation strategies that include elements to assure safe use2 7,g7 a prescription issued for an individual who receives hospice care or for a resident of a nursing facility 7as defined in section #aiai7;a7 of the ,social ,security ,act72 7,h7 a prescription issued under circumstances in which electronic prescribing is not available due to temporary technological or electrical failure1 as specified jointly by the ,secretary1 the ,secretary of ,health and ,human ,services1 and the ,secretary of ,labor through rulemaking2 and 7,i7 a prescription issued by a participating provider allowing for the dispensing of a non-patient specific prescription pursuant to a standing order1 approved protocol for drug therapy1 collaborative drug management1 or comprehensive medication management1 in response to a public health emergency or other circumstances under which the participating provider may issue a non-patient specific prescription4 7#c7 ,rules of ,construction 7,a7 ,verification ,nothing in this subsection shall be construed as requiring a dispenser to verify that a participating provider1 with respect to a prescription for a schedule ,,ii1 ,,iii1 ,,iv1 or ,v controlled substance that is a prescription drug covered by a group health plan1 has a waiver 7or is otherwise exempt7 under paragraph 7#b7 from the requirement under paragraph 7#a74 7,b7 ,authority to dispense ,nothing in this subsection shall be construed as affecting the ability of a group health plan to cover1 or the ability of a dispenser to continue to dispense1 a prescription drug if the prescription for such drug is an otherwise valid written1 oral1 or fax prescription that is consistence with applicable laws and regulations4 7,c7 ,patient choice ,nothing in this subsection shall be construed as affecting the ability of an individual who is a participant or beneficiary of a group health plan and who is prescribed a schedule ,,ii1 ,,iii1 ,,iv1 or ,v controlled substance that is a prescription drug covered by the plan to designate a particular dispenser to dispense a prescribed controlled substance to the extent consistent with the requirements under this subsection4 7#d7 ,regulations on policy requirements ,the ,secretary1 the ,secretary of ,health and ,human ,services1 and the ,secretary of ,labor shall promulgate regulations specifying requirements for the policies established by group health plans under paragraph 7#a74 ,such regulations shall include requirements for-- 7,a7 a uniform process by which plans are required to set the e-prescribing requirements2 7,b7 a process by which plans are required to grant waivers and exceptions to participating providers pursuant to paragraph 7#b72 and 7,c7 a mechanism for plans to recognize waivers issued to participating providers under part ,d of title ,,xviii of the ,public ,health ,service ,act1 pursuant to paragraph 7#b77;,c74 7#e7 ,prohibitions ,the policies established pursuant to paragraph 7#a7 by a group health plan may not-- 7,a7 require dispensers of a schedule ,,ii1 ,,iii1 ,,iv1 or ,v controlled substance to confirm that the prescription for the controlled substance was electronically issued by a participating provider in accordance with such policies1 as described in paragraph 7#a72 7,b7 require dispensers of such controlled substances to submit information or data beyond what is otherwise required to process a prescription drug claim in order to confirm a participating provider's compliance with such policies2 7,c7 reject1 deny1 or recoup reimbursement for a prescription drug claim based on the format in which the prescription was issued2 or 7,d7 require a participating provider to use a specific vendor for electronic prescribing or a specific electronic prescribing product or system4 7#f7 ,attestation of compliance ,beginning on ,january #a1 #bjbf1 each group health plan shall annually submit to the ,secretary1 the ,secretary of ,health and ,human ,services1 and the ,secretary of ,labor an attestation of compliance with the requirements of this subsection4 7#g7 ,consultation requirement for rulemaking ,in promulgating regulations to carry out this subsection1 the ,secretary1 the ,secretary of ,health and ,human ,services1 and the ,secretary of ,labor shall jointly consult with dispensers of controlled substances1 ,state insurance regulators1 and health care practitioners4 4 7d7 ,update of biometric component of multifactor authentication ,not later than #a year after the date of enactment of this ,act1 the ,attorney ,general shall finalize a regulation updating the requirements for the biometric component of multifactor authentication with respect to electronic prescriptions of controlled substances1 as required under section #bjjc7;c7 of the ,,support for ,patients and ,community ,act 7,public ,law #aae-bga74 ,,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 #ch1ica1jjj 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#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 #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 illness1 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 paragraphs 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 #bad4 ,roundtable on using health information technology to improve mental health and substance use care outcomes 7a7 ,roundtable ,not later than #ahj days after the date of enactment of this ,act1 the ,office of the ,national ,coordinator for ,health ,information ,technology shall convene a public roundtable to examine how the expanded use of electronic health records among mental health and substance use service providers can improve outcomes for patients in mental health and substance use settings and how best to increase electronic health record adoption among such providers4 7b7 ,participants ,the ,national ,coordinator for ,health ,information ,technology shall ensure that the participants in the roundtable under subsection 7a7 include private and public sector stakeholders1 including patients1 providers 7including providers of inpatient services and providers of outpatient services71 and representatives of payors1 health information exchanges1 professional associations1 health information technology vendors1 health information technology certification organizations1 and ,state and ,federal agencies4 7c7 ,report ,not later than #ahj days after the conclusion of the public stakeholder roundtable under subsection 7a71 the ,office of the ,national ,coordinator for ,health ,information ,technology 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 outlining information gathered from the roundtable under subsection 7a74 ,such report shall include an examination of-- 7#a7 recommendations from the roundtable participants2 7#b7 unique considerations for using electronic health record systems in mental health and substance use treatment settings2 7#c7 unique considerations for developers of health information technology relating to certification of electronic health records for use in mental health and substance use treatment settings where the applicable health information technology is not currently subject to certification requirements2 7#d7 current usage of electronic health records by mental health and substance use disorder service providers1 and the scope and magnitude of such providers that do not use electronic health record systems2 7#e7 examples of how electronic health record systems enable coordinated care and care management2 7#f7 how electronic health record systems further appropriate patient and provider access to secure1 usable electronic information exchange2 7#g7 how electronic health record systems can be connected to or support existing systems1 which may include the #ihh crisis line1 mobile crisis response systems1 and co-responder programs1 to facilitate connectivity1 response1 and integrated care2 7#h7 any existing programs to support greater adoption of electronic health record systems among mental health and substance use service providers2 7#i7 any limitations to greater adoption of electronic health record systems among mental health and substance use service providers2 7#aj7 the costs of adoption of electronic health record systems by mental health and substance use disorder service providers2 and 7#aa7 best practices implemented by ,states and by other entities to support adoption of use of electronic health records among mental health and substance use disorder service providers4 #bae4 ,peer-to-peer mental health support 7a7 ,in general ,the ,assistant ,secretary for ,mental ,health and ,substance ,use 7referred to in this section as the ,assistant ,secretary71 in consultation with the ,secretary of ,education1 may1 as appropriate and within a relevant existing program1 carry out a pilot program and make awards1 on a competitive basis1 to eligible entities to support evidence-based mental health peer support activities for students enrolled in secondary schools 7as such term is defined in section #haja of the ,elementary and ,secondary ,education ,act of #aife 7#bj ,u4,s4,c4 #ghja774 7b7 ,eligibility ,to be eligible to receive an award under this section1 an entity shall-- 7#a7 be a ,state1 political subdivision of a ,state1 territory1 or ,indian ,tribe or ,tribal organization 7as such terms are defined in section #d of the ,indian ,self-,determination and ,education ,assistance ,act 7#be ,u4,s4,c4 #ecjd772 and 7#b7 submit to the ,assistant ,secretary an application at such time1 in such manner1 and containing such information as the ,assistant ,secretary may require1 including a description of how the entity will measure and evaluate progress of the program in improving student mental health outcomes4 7c7 ,use of amounts 7#a7 ,in general ,subject to paragraph 7#b71 an eligible entity may use amounts provided under this section to implement or operate evidence-based mental health peer support activities in #a or more secondary schools 7as such term is defined in section #haja of the ,elementary and ,secondary ,education ,act of #aife 7#bj ,u4,s4,c4 #ghja77 within the jurisdiction of such eligible entity1 which may include providing training1 as appropriate1 to students1 adult supervisors1 and other appropriate individuals to improve the early identification of1 response to1 and recovery supports for mental health and substance use challenges1 reduce associated risks1 and promote resiliency4 7#b7 ,program oversight ,an eligible entity shall ensure that mental health peer support activities under paragraph 7#a7 are overseen by a school-based mental health professional4 7#c7 ,,ferpa ,any education records of the student collected or maintained under this section shall have the protections provided in section #ddd of the ,general ,education ,provisions ,act 7#bj ,u4,s4,c4 #abcb;g74 7d7 ,evaluation2 report 7#a7 ,evaluation ,the ,assistant ,secretary shall carry out an evaluation to measure the efficacy of the program under this section4 ,the evaluation shall-- 7,a7 measure participation rates in mental health peer support activities1 including any associated trends2 7,b7 describe the specific trainings provided1 or other activities carried out under the pilot program2 7,c7 assess whether such mental health peer support activities impacted mental health outcomes of participating students2 and 7,d7 measure the effectiveness of the pilot program in connecting students to professional mental health services compared to other evidence-based strategies4 7#b7 ,report ,the ,assistant ,secretary shall prepare and submit to the ,committee on ,health1 ,education1 ,labor1 and ,pensions of the ,senate and the ,committees on ,energy and ,commerce and ,education and the ,workforce of the ,house of ,representatives a report containing the results of the evaluation conducted under paragraph 7#a74 7e7 ,technical assistance ,the ,assistant ,secretary1 in coordination with the ,secretary of ,education1 shall provide technical assistance to eligible entities applying for and receiving an award under this section1 including the identification and dissemination of best practices for mental health peer support programs for students4 7f7 ,rule of ,construction ,section #djja of the ,elementary and ,secondary ,education ,act of #aife 7#bj ,u4,s4,c4 #gaja7 shall apply to an entity receiving a grant1 contract1 or cooperative agreement under this section in the same manner as such section applies to an entity receiving funding under title ,,iv of such ,act1 except that section #djja7;a77#b77;,b77i7 of such ,act shall not apply4 7g7 ,sunset ,this section shall terminate on ,september #cj1 #bjbh4 #baf4 ,kid ,,proof pilot program 7a7 ,in general ,the ,assistant ,secretary for ,mental ,health and ,substance ,use 7referred to in this section as the ,assistant ,secretary71 may1 as appropriate and within a relevant existing program1 carry out a pilot program and make awards1 on a competitive basis1 to eligible entities to prevent1 or reduce the risk of1 suicide and drug overdose by children1 adolescents1 and young adults1 including by addressing the misuse of lethal means commonly used in overdose or suicide4 7b7 ,eligibility ,to be eligible to receive an award under this section1 an entity shall-- 7#a7 be a ,state1 political subdivision of a ,state1 territory1 or ,indian ,tribe or ,tribal organization 7as such terms are defined in section #d of the ,indian ,self-,determination and ,education ,assistance ,act 7#be ,u4,s4,c4 #ecjd772 and 7#b7 submit to the ,assistant ,secretary an application at such time1 in such manner1 and containing such information as the ,assistant ,secretary may require1 including a description of the geographic location and settings in which such entity proposes to carry out activities under such award and the demonstrated need of such geographic location and settings4 7c7 ,use of funds ,an eligible entity shall use amounts provided under this section to implement evidence-based practices to prevent1 or reduce the risk of1 overdose and suicide among children1 adolescents1 and young adults1 including promoting education and awareness among parents or legal guardians on relevant best practices and providing appropriate supplies to parents or legal guardians to prevent1 or reduce the risk of1 the misuse of lethal means commonly used in overdose or suicide4 7d7 ,partnerships ,recipients of funding under this section may partner with health care facilities to carry out activities under subsection 7c74 7e7 ,evaluation2 ,report 7#a7 ,evaluation ,not later than #b years after the date on which awards under this section are first issued1 the ,assistant ,secretary shall carry out an evaluation to measure the efficacy of the program under this section4 ,the evaluation shall include-- 7,a7 a description of any specific education and awareness activities carried out through the pilot program under this section2 7,b7 the number and types of supplies provided to parents or legal guardians to prevent1 or reduce the risk of1 the misuse of lethal means commonly used in overdose or suicide2 and 7,c7 an assessment of the efficacy of the pilot program in preventing1 or reducing the risk of1 overdose and suicide4 7#b7 ,report ,the ,assistant ,secretary shall prepare 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 containing the results of the evaluation conducted under paragraph 7#a74 7f7 ,sunset ,this section shall terminate on ,september #cj1 #bjbh4 ,,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 7as amended by section #aac7;a77 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 ,research and recommendations on criminal background check process for peer support specialists 7a7 ,in general ,the ,secretary of ,health and ,human ,services 7referred to in this section as the ,secretary71 in coordination with the ,attorney ,general1 shall develop a report on research and recommendations with respect to criminal background check processes for individuals becoming peer support specialists4 7b7 ,contents ,the report under subsection 7a7 shall include-- 7#a7 a summary of evidence-based research on the effectiveness of peer support specialists in improving the mental health and the substance use disorder recovery of other individuals2 7#b7 a survey of each ,state's laws 7including regulations7 that contain criminal background check requirements for serving as a peer support specialist1 including-- 7,a7 an analysis of criminal offenses that are included in ,state laws 7including regulations7 that prevent individuals from earning a peer support specialist certification or from practicing as a peer support specialist2 7,b7 an analysis of requirements 7if any7 under the ,state plan under title ,,xix of the ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq47 or under a waiver of such plan relating to background checks for providers participating under such plan or waiver and the extent to which any such requirements differ from similar requirements imposed under ,state law 7including regulations72 7,c7 an analysis of requirements 7if any7 of any ,state receiving a grant under part ,b of title ,,xix of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjjx et seq47 relating to background checks for providers participating in a program under1 or otherwise providing services supported by1 such grant2 7,d7 a review of ,state laws 7including regulations7 that provide exemptions from prohibitions regarding certification or practice of peer support specialists2 and 7,e7 an indication of each ,state that has gone through the process of amending or otherwise changing criminal background check laws 7including regulations7 for the certification and practice of peer support specialists2 and 7#c7 recommendations to ,states on criminal background check processes that would reduce barriers to becoming certified as peer support specialists4 7c7 ,availability ,not later than #a year after the date of enactment of this ,act1 the ,secretary shall-- 7#a7 post the report required under subsection 7a7 on the publicly accessible internet website of the ,substance ,abuse and ,mental ,health ,services ,administration2 and 7#b7 distribute such report to-- 7,a7 ,state agencies responsible for certification of peer support specialists2 7,b7 the ,centers for ,medicare ,medicaid ,services2 7,c7 ,state agencies responsible for carrying out a ,state plan under title ,,xix of the ,social ,security ,act or under a waiver of such plan2 and 7,d7 ,state agencies responsible for carrying out a grant under part ,b of title ,,xix of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjjx et seq474 7d7 ,definition of peer support specialist 7#a7 ,in general ,in this section1 the term peer support specialist means an individual-- 7,a7 7i7 who has lived experience of recovery from a mental health condition or substance use disorder and who specializes in supporting individuals with mental health conditions or substance use disorders2 or 7ii7 who has lived experience as a parent or caregiver of an individual with a mental health condition or substance use disorder and who specializes in supporting families navigating mental health or substance use service systems2 and 7,b7 who is certified as qualified to furnish peer support services1 as described in paragraph 7#b71 under a process that is determined by the ,state in which such individual furnishes such services or determined appropriate by the ,secretary4 7#b7 ,peer support services ,the services described in this paragraph shall be consistent with the ,national ,practice ,guidelines for ,peer ,supporters issued by the ,national ,association of ,peer ,supporters 7or a successor publication7 and inclusive of the ,core ,competencies for ,peer ,workers in ,behavioral ,health ,services of the ,substance ,abuse and ,mental ,health ,services ,administration4 #cjg4 ,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 this ,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 #cjh4 ,review of ,grants4gov 7a7 ,in general ,not later than #a year after the date of enactment of this ,act1 the ,secretary of ,health and ,human ,services 7referred to in this section as the ,secretary7 shall convene a public meeting for purposes of improving awareness of1 and access to1 information related to current and future ,federal funding opportunities1 including ,federal funding opportunities related to mental health and substance use disorder programs4 7b7 ,topics ,the public meeting under subsection 7a7 shall include-- 7#a7 opportunities to improve the utility and functionality of relevant internet websites maintained by the ,secretary1 such as ,grants4gov2 7#b7 other models for displaying and disseminating information related to ,federal funding opportunities1 such as interactive dashboards2 and 7#c7 strategies to improve the ability of entities to apply for ,federal funding opportunities1 including entities that have not traditionally applied for programs administered by the ,secretary4 7c7 ,website improvements ,the ,secretary shall implement improvements to ,grants4gov based on stakeholder feedback received at the public meeting under subsection 7a74 7d7 ,report ,not later than #a year after the date on which the public meeting under subsection 7a7 is convened1 the ,secretary 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 summarizing the findings of such meeting1 including how the ,secretary has taken into account the feedback received through such meeting and implemented improvements to relevant internet websites maintained by the ,secretary and strategies to improve awareness of ,federal funding opportunities4 ,,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 the ,american ,optometric ,association1 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 7i7-- 7,i7 by inserting the ,american ,pharmacists ,association1 the ,accreditation ,council on ,pharmacy ,education1 the ,american ,psychiatric ,nurses ,association1 the ,american ,academy of ,nursing1 the ,american ,academy of ,family ,physicians1 before or any other organization2 and 7,,ii7 by inserting 1 the ,american ,academy of ,family ,physicians1 before or the ,accreditation ,council2 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 ,february #a1 #bjbd,reported with an amendment