,,ii ,cal5d> ,no4 #cai #aah? ,,congress #b;d ,session ,s4 #ccic ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,decemb] #d1 #bjbc,mr4 ,s&]s 7= himself & ,mr4 ,cassidy7 introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ,febru>y #a1 #bjbd,report$ by ,mr4 ,s&]s1 ) an amendment,strike out all aft] ! enact+ clause & ins]t ! "p pr9t$ 9 italic ,a ,,bill ,to reau?orize ! ,,support = ,pati5ts & ,communities ,act1 & = o!r purposes4 #a4 ,%ort title2 table ( cont5ts 7a7 ,%ort title ,?is ,act may be cit$ z ! ,,support = ,pati5ts & ,communities ,reau?orization ,act4 7b7 ,table ( cont5ts ,! table ( cont5ts = ?is ,act is z foll[s3 ,sec4 #a4 ,%ort title2 table ( cont5ts4,,title ,i--,prevention,sec4 #aja4 ,fir/ respond] tra9+ program4,sec4 #ajb4 ,surveillance & education reg>d+ infections associat$ ) illicit drug use & o!r risk factors4,sec4 #ajc4 ,prev5t+ ov]doses ( controll$ sub/ances4,sec4 #ajd4 ,pilot program = public heal? laboratories to detect f5tanyl & o!r syn!tic opioids4,sec4 #aje4 ,pr5atal & po/natal heal?4,sec4 #ajf4 ,donald ,j4 ,coh5 ,national ,*ild ,traumatic ,/ress ,initiative4,sec4 #ajg4 ,surveillance & data collection = *ild1 y\?1 & adult trauma4,sec4 #ajh4 ,prev5t+ adv]se *ildhood exp]i5ces4,sec4 #aji4 ,cl>ification ( use ( funds = products us$ to prev5t ov]dose dea?s4,sec4 #aaj4 ,support = individuals & families impact$ by fetal alcohol spectrum disord]4,sec4 #aaa4 ,promot+ ,/ate *oice 9 ,,pdmp sy/ems4,,title ,,ii--,treatment,sec4 #bja4 ,resid5tial treatm5t program = pregnant & po/p>tum wom54,sec4 #bjb4 ,loan repaym5t program = sub/ance use disord] treatm5t work=ce4,sec4 #bjc4 ,regional c5t]s ( excell5ce 9 sub/ance use disord] education4,sec4 #bjd4 ,m5tal & behavioral heal? education & tra9+ program4,sec4 #bje4 ,grants to enhance access to sub/ance use disord] treatm5t4,sec4 #bjf4 ,grants to improve trauma support s]vices & m5tal heal? c>e = *ildr5 & y\? 9 educational sett+s4,sec4 #bjg4 ,developm5t & dissem9ation ( model tra9+ programs = sub/ance use disord] pati5t records4,sec4 #bjh4 ,task =ce on be/ practices = trauma-in=m$ id5tification1 ref]ral1 & support4,sec4 #bji4 ,program to support coord9ation & cont9uation ( c>e = drug ov]dose pati5ts4,sec4 #baj4 ,regulations relat+ to special regi/ration = telem$ic9e4,sec4 #baa4 ,m5tal heal? p>ity4,sec4 #bab4 ,/ate guidance relat$ to individuals ) s]i\s m5tal illness & *ildr5 ) s]i\s emotional di/urbance4,sec4 #bac4 ,improv+ access to addiction m$ic9e provid]s4,,title ,,iii--,recovery,sec4 #cja4 ,y\? prev5tion & recov]y4,sec4 #cjb4 ,compreh5sive opioid recov]y c5t]s4,sec4 #cjc4 ,build+ communities ( recov]y4,sec4 #cjd4 ,pe] support te*nical assi/ance c5t]4,sec4 #cje4 ,,c>e] ,act4,sec4 #cjf4 ,(fice ( recov]y4,,title ,,iv--,te*nical amendments,sec4 #dja4 ,deliv]y ( a controll$ sub/ance by a ph>macy to an adm9i/]+ practition]4,sec4 #djb4 ,te*nical correction on controll$ sub/ances disp5s+4,sec4 #djc4 ,requir$ tra9+ = prescrib]s ( controll$ sub/ances4 ,i ,prev5tion #aja4 ,fir/ respond] tra9+ program ,section #edf ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;ee-#a7 is am5d$-- 7#a7 9 subsection 7a71 by /rik+ tribes & tribal & ins]t+ ,tribes & ,tribal2 7#b7 9 subsections 7a71 7c71 & 7d7-- 7,a7 by /rik+ approv$ or cle>$ ea* place x appe>s & ins]t+ approv$1 cle>$1 or o!rwise legally m>ket$2 & 7,b7 by /rik+ opioid ea* place x appe>s2 7#c7 9 subsection 7f7-- 7,a7 by /rik+ approv$ or cle>$ ea* place x appe>s & ins]t+ approv$1 cle>$1 or o!rwise legally m>ket$2 7,b7 9 p>agraph 7#a71 by /rik+ opioid2 7,c7 9 p>agraph 7#b7-- 7i7 by /rik+ opioid & h]o9 & ins]t+ opioid1 h]o91 & o!r drug2 & 7ii7 by /rik+ opioid ov]dose & ins]t+ ov]dose2 & 7,d7 9 p>agraph 7#c71 by /rik+ opioid & h]o92 & 7#d7 9 subsection 7h71 by /rik+ #cf1jjj1jjj = ea* ( fiscal ye>s #bjai ?r\gh #bjbc & ins]t+ #ef1jjj1jjj = ea* ( fiscal ye>s #bjbd ?r\gh #bjbh4 #ajb4 ,surveillance & education reg>d+ infections associat$ ) illicit drug use & o!r risk factors ,section #cag,n7d7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;b-#ae7;d77 is am5d$ by /rik+ #bjai ?r\gh #bjbc & ins]t+ #bjbd ?r\gh #bjbh4 #ajc4 ,prev5t+ ov]doses ( controll$ sub/ances ,section #cib;,a ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bhj;b-#a7 is am5d$-- 7#a7 9 subsection 7a7-- 7,a7 9 p>agraph 7#b7-- 7i7 9 subp>agraph 7,c71 by ins]t+ & associat$ risks be=e ! p]iod at ! end2 & 7ii7 9 subp>agraph 7,d71 by /rik+ opioids & ins]t+ sub/ances caus+ ov]dose2 7,b7 9 p>agraph 7#c77;,a7-- 7i7 by ins]t+ id5tify sub/ances caus+ ov]dose & aft] rapidly2 & 7ii7 by /rik+ abuse1 & ov]doses & ins]t+ ov]doses1 & associat$ risk factors2 7#b7 9 subsection 7b77#b7-- 7,a7 9 subp>agraph 7,b71 by ins]t+ 1 & associat$ risk factors1 aft] su* ov]doses2 7,b7 9 subp>agraph 7,c71 by /rik+ cod+ & ins]t+ monitor+ & id5tify+2 7,c7 9 subp>agraph 7,e7-- 7i7 by ins]t+ a comma aft] public heal? laboratories2 & 7ii7 by ins]t+ & o!r em]g+ sub/ances relat$ aft] analogues2 & 7,d7 9 subp>agraph 7,f17 by ins]t+ & associat$ risk factors aft] ov]doses2 & 7#c7 9 subsection 7e7 by /rik+ #dif1jjj1jjj = ea* ( fiscal ye>s #bjai ?r\gh #bjbc & ins]t+ #eje1egi1jjj = ea* ( fiscal ye>s #bjbd ?r\gh #bjbh4 #ajd4 ,pilot program = public heal? laboratories to detect f5tanyl & o!r syn!tic opioids ,section #gjaa ( ! ,,support = ,pati5ts & ,communities ,act 7#db ,u4,s4,c4 #bdg;d-#aj note7 is am5d$ by /rik+ subsection 7d74 #aje4 ,pr5atal & po/natal heal? ,section #cag,l7d7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdgf;b-#ac7;d77 is am5d$ by /rik+ #bjai ?r\gh #bjbc & ins]t+ #bjbd ?r\gh #bjbh4 #ajf4 ,donald ,j4 ,coh5 ,national ,*ild ,traumatic ,/ress ,initiative ,section #ehb ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;hh-#a7 is am5d$-- 7#a7 9 ! section head+1 by /rik+ viol5ce relat$ /ress & ins]t+ traumatic ev5ts2 7#b7 9 subsection 7a7-- 7,a7 9 ! matt] prec$+ p>agraph 7#a71 by /rik+ tribes & tribal & ins]t+ ,tribes & ,tribal2 & 7,b7 9 p>agraph 7#b71 by ins]t+ & dissem9ation aft] ! developm5t2 7#c7 9 subsection 7b71 by ins]t+ & dissem9ation aft] ! developm5t2 7#d7 9 subsection 7d7-- 7,a7 by /rik+ ,! ,,nctsi & ins]t+ ! foll[+3 7#a7 ,coord9at+ c5t] ,! ,,nctsi 2 & 7,b7 by add+ at ! end ! foll[+3 7#b7 ,,nctsi grantees ,9 c>ry+ out subsection 7a77#b71 ,,nctsi grantees %all develop tra9+s & o!r res\rces1 z applicable & appropriate1 to support implem5tation ( ! evid5ce-bas$ practices develop$ & dissem9at$ "u su* subsection4 2 7#e7 9 subsection 7e7-- 7,a7 by r$esignat+ p>agraphs 7#a7 & 7#b7 z subp>agraphs 7,a7 & 7,b71 respectively1 & adju/+ ! m>g9s accord+ly2 7,b7 9 subp>agraph 7,a71 z s r$esignat$1 by ins]t+ & implem5tation aft] ! dissem9ation2 7,c7 by /rik+ ,! ,,nctsi & ins]t+ ! foll[+3 7#a7 ,coord9at+ c5t] 2 & 7,d7 by add+ at ! end ! foll[+3 7#b7 ,,nctsi grantees ,,nctsi grantees %all1 z appropriate1 collaborate ) o!r su* grantees1 ! ,,nctsi coord9at+ c5t]1 & ! ,secret>y 9 c>ry+ out subsections 7a77#b7 & 7d77#b74 2 7#f7 by am5d+ subsection 7h7 to read z foll[s3 7h7 ,application & evaluation ,to be eligible to receive a grant1 contract1 or coop]ative agreem5t "u subsection 7a71 a public or nonpr(it private entity or an ,indian ,tribe or ,tribal organization %all submit to ! ,secret>y an application at su* "t1 9 su* mann]1 & conta9+ su* in=mation & assurances z ! ,secret>y may require1 includ+-- 7#a7 a plan = ! rigor\s evaluation ( ! activities fund$ "u ! grant1 contract or agreem5t1 includ+ bo? process & outcomes evaluation1 & ! submission ( an evaluation at ! end ( ! project p]iod2 & 7#b7 a description ( h[ su* entity1 ,indian ,tribe1 or ,tribal organization w support ef=ts l$ by ! ,secret>y or ! ,,nctsi coord9at+ c5t]1 z applicable1 to evaluate activities c>ri$ out "u ?is section4 2 & 7#g7 9 subsection 7j71 by /rik+ 1 #fc1hhg1jjj = ea* ( fiscal ye>s #bjai ?r\gh #bjbc & ins]t+ #ic1hhg1jjj = ea* ( fiscal ye>s #bjbd & #bjbe1 #ajd1jjj1jjj = fiscal ye> #bjbf1 #aaj1jjj1jjj = fiscal ye> #bjbg1 & #aab1ffa1jjj = fiscal ye> #bjbh4 #ajg4 ,surveillance & data collection = *ild1 y\?1 & adult trauma ,section #gaca7;e7 ( ! ,,support = ,pati5ts & ,communities ,act 7#db ,u4,s4,c4 #bdbt7e77 is am5d$ by /rik+ #bjai ?r\gh #bjbc & ins]t+ #bjbd ?r\gh #bjbh4 #ajh4 ,prev5t+ adv]se *ildhood exp]i5ces 7a7 ,grant program 7#a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices 7ref]r$ to 9 ?is section z ! ,secret>y71 act+ ?r\gh ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 may aw>d grants or coop]ative agreem5ts to ,/ates1 t]ritories1 ,indian ,tribes & ,tribal organizations 7z su* t]ms are def9$ 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act 7#be ,u4,s4,c4 #ecjd771 & local gov]nm5tal entities = purposes ( c>ry+ out public heal? activities to improve heal? outcomes by prev5t+ or r$uc+ adv]se *ildhood exp]i5ces4 7#b7 ,use ( funds ,recipi5ts ( an aw>d "u ?is subsection may use su* aw>d to-- 7,a7 id5tify1 implem5t1 & evaluate evid5ce-bas$ public heal? activities to prev5t or r$uce adv]se *ildhood exp]i5ces & improve heal? outcomes2 7,b7 improve data collection & analysis reg>d+ ! prev5tion & r$uction ( adv]se *ildhood exp]i5ces1 includ+ any su* data describ$ 9 section #gaca ( ! ,,support = ,pati5ts & ,communities ,act 7#db ,u4,s4,c4 #bdbt71 to id5tify-- 7i7 any geographic areas or populations )9 ! jurisdiction ( ! recipi5t ( an aw>d t h disproportionately high rates ( adv]se *ildhood exp]i5ces2 7ii7 any types ( adv]se *ildhood exp]i5ces ( high preval5ce )9 su* jurisdiction2 & 7iii7 any %ort-t]m heal? outcomes & long-t]m heal? outcomes associat$ ) adv]se *ildhood exp]i5ces1 includ+ m5tal heal? & sub/ance use disord]s2 & 7,c7 lev]age su* data & analysis to in=m ! id5tification1 implem5tation1 & evaluation ( evid5ce-bas$ public heal? activities "u subp>agraph 7,a74 7#c7 ,p>tn]%ips ,recipi5ts ( an aw>d "u ?is subsection may id5tify opportunities to e/abli%1 or /r5g!n exi/+1 p>tn]%ips ) o!r relevant public & private entities )9 su* jurisdiction = purposes ( c>ry+ out su* aw>d4 7#d7 ,te*nical assi/ance ,! ,secret>y may provide tra9+ & te*nical assi/ance to recipi5ts ( aw>ds "u ?is subsection4 7#e7 ,evaluation ,n lat] ?an #b ye>s aft] ! date ( enactm5t ( ?is ,act1 & annually !reaft]1 ! ,secret>y %all report to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate & ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives on ! specific activities support$ ?r\gh aw>ds "u ?is subsection1 includ+ ! effectiv5ess ( su* activities 9 prev5t+ or r$uc+ adv]se *ildhood exp]i5ces4 7b7 ,rese>* ,! ,secret>y may1 z appropriate1 conduct rese>* to evaluate public heal? activities to address adv]se *ildhood exp]i5ces4 7c7 ,au?orization ( appropriations ,to c>ry out ?is section1 !re is au?oriz$ to be appropriat$ #g1jjj1jjj = ea* ( fiscal ye>s #bjbd ?r\gh #bjbh4 #aji4 ,cl>ification ( use ( funds = products us$ to prev5t ov]dose dea?s ,! activities c>ri$ out pursuant to section #ajjc7;b77#d77;,a7 ( ! #ba/ ,c5tury ,cures ,act 7#db ,u4,s4,c4 #bij;ee-#c;a7b77#d77;,a77 may include facilitat+ access to products us$ to prev5t ov]dose dea?s by detect+ ! pres5ce ( "o or m sub/ances1 to ! ext5t ! pur*ase & possession ( su* products is consi/5t ) ,f$]al & ,/ate law4 #aaj4 ,support = individuals & families impact$ by fetal alcohol spectrum disord] 7a7 ,9 g5]al ,"p ,o ( title ,,iii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bhj;f et seq47 is am5d$-- 7#a7 by am5d+ ! "p head+ to read z foll[s3 ,fetal ,alcohol ,spectrum ,disord]s ,prev5tion & ,s]vices ,program2 7#b7 9 section #cii;,h 7#db ,u4,s4,c4 #bhj;f7-- 7,a7 9 ! section head+1 by /rik+ ,e/abli%m5t ( fetal alcohol syndrome prev5tion & ins]t+ ,fetal alcohol spectrum disord]s prev5tion1 int]v5tion12 7,b7 by /rik+ ,fetal ,alcohol ,syndrome & ,fetal ,alcohol ,effect ea* place x appe>s & ins]t+ ,,fasd2 7,c7 9 subsection 7a7-- 7i7 by am5d+ ! head+ to read z foll[s3 ,9 g5]al2 7ii7 9 ! matt] prec$+ p>agraph 7#a7-- 7,i7 by ins]t+ or cont9ue activities to support aft] %all e/abli%2 7,,ii7 by /rik+ ,,fasd 7z am5d$ by subp>agraph 7,b77 & ins]t+ fetal alcohol spectrum disord]s 7ref]r$ to 9 ?is section z ,,fasd72 7,,iii7 by /rik+ prev5tion1 int]v5tion & ins]t+ aw>5ess1 prev5tion1 id5tification1 int]v5tion12 & 7,,iv7 by /rik+ t %all & ins]t+ 1 :i* may2 7iii7 9 p>agraph 7#a7-- 7,i7 9 subp>agraph 7,a7-- 7aa7 by /rik+ m$ical s*ools & ins]t+ heal? pr(essions s*ools2 & 7bb7 by ins]t+ infants1 aft] provision ( s]vices =2 & 7,,ii7 9 subp>agraph 7,d71 by /rik+ m$ical & m5tal & ins]t+ ag5cies provid+2 7iv7 9 p>agraph 7#b7-- 7,i7 9 ! matt] prec$+ subp>agraph 7,a71 by /rik+ a prev5tion & diagnosis program to support cl9ical /udies1 demon/rations & o!r rese>* z appropriate & ins]t+ support+ & conduct+ rese>* on ,,fasd1 z appropriate1 includ+2 7,,ii7 9 subp>agraph 7,b7-- 7aa7 by /rik+ prev5tion s]vices & int]v5tions = pregnant1 alcohol-dep5d5t wom5 & ins]t+ culturally & l+ui/ically in=m$ evid5ce-bas$ or practice-bas$ int]v5tions & appropriate societal supports = prev5t+ pr5atal alcohol exposure1 :i* may co-occur ) exposure to o!r sub/ances2 & 7bb7 by /rik+ 2 & & ins]t+ a semicolon2 7v7 by /rik+ p>agraph 7#c7 & ins]t+ ! foll[+3 7#c7 integrat+ into surveillance practice an evid5ce-bas$ /&>d case def9ition = ,,fasd &1 9 collaboration ) o!r ,f$]al & outside p>tn]s1 support organizations ( appropriate m$ical & m5tal heal? pr(essionals 9 _! developm5t & ref9em5t ( evid5ce-bas$ cl9ical diagno/ic guidel9es & crit]ia = all ,,fasd2 & 7#d7 build+ ,/ate & ,tribal capacity = ! id5tification1 treatm5t1 & support ( individuals ) ,,fasd & _! families1 :i* may include-- 7,a7 utiliz+ & adapt+ exi/+ ,f$]al1 ,/ate1 or ,tribal programs to include ,,fasd id5tification & ,,fasd-in=m$ support2 7,b7 develop+ & exp&+ scre5+ & diagno/ic capacity = ,,fasd2 7,c7 develop+1 implem5t+1 & evaluat+ t>get$ ,,fasd-in=m$ int]v5tion programs = ,,fasd2 7,d7 increas+ aw>5ess ( ,,fasd2 7,e7 provid+ tra9+ ) respect to ,,fasd = pr(essionals across relevant sectors2 & 7,f7 dissem9at+ in=mation ab\t ,,fasd & support s]vices to affect$ individuals & _! families4 2 7,d7 9 subsection 7b7-- 7i7 by /rik+ describ$ 9 section #cii;,i2 7ii7 by /rik+ ,! ,secret>y & ins]t+ ! foll[+3 7#a7 ,9 g5]al ,! ,secret>y 2 & 7iii7 by add+ at ! end ! foll[+3 7#b7 ,eligible entities ,to be eligible to receive a grant1 or ent] into a coop]ative agreem5t or contract1 "u ?is section1 an entity %all-- 7,a7 be a ,/ate1 ,indian ,tribe or ,tribal organization1 local gov]nm5t1 sci5tific or academic in/itution1 or nonpr(it organization2 & 7,b7 prep>e & submit to ! ,secret>y an application at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y may require1 includ+ a description ( ! activities t ! entity int5ds to c>ry out us+ am\nts receiv$ "u ?is section4 7#c7 ,additional application cont5ts ,! ,secret>y may require t an entity us+ am\nts f a grant1 coop]ative agreem5t1 or contract "u ?is section = an activity "u subsection 7a77#d7 include 9 ! application = su* am\nts submitt$ "u p>agraph 7#b77;,b7-- 7,a7 a designation ( an individual to s]ve z a ,,fasd ,/ate or ,tribal coord9ator ( su* activity2 & 7,b7 a description ( an advisory committee ! entity w e/abli% to provide guidance = ! entity on develop+ & implem5t+ a /atewide or ,tribal /rategic plan to prev5t ,,fasd & provide = ! id5tification1 treatm5t1 & support ( individuals ) ,,fasd & _! families4 2 & 7,e7 by /rik+ subsections 7c7 & 7d72 & 7,f7 by add+ at ! end ! foll[+3 7c7 ,def9ition ( ,,fasd-,in=m$ ,= purposes ( ?is section1 ! t]m ,,fasd-in=m$1 ) respect to support or an int]v5tion program1 means t su* support or int]v5tion program uses culturally & l+ui/ically in=m$ evid5ce-bas$ or practice-bas$ int]v5tions & appropriate societal supports to support an improv$ quality ( life = an individual ) ,,fasd & ! family ( su* individual4 2 & 7#c7 by /rik+ sections #cii;,i1 #cii;,j1 & #cii,k 7#db ,u4,s4,c4 #bhj;f-#a1 #bhj;f-#b1 #bhj;f-#c7 & ins]t+ ! foll[+3 #cii;,i4 ,fetal alcohol spectrum disord]s ,c5t]s = ,excell5ce 7a7 ,9 g5]al ,! ,secret>y %all1 z appropriate1 aw>d grants1 coop]ative agreem5ts1 or contracts to public or nonpr(it entities ) demon/rat$ exp]tise 9 ! prev5tion (1 id5tification (1 & int]v5tion s]vices ) respect to1 fetal alcohol spectrum disord]s 7ref]r$ to 9 ?is section z ,,fasd7 & o!r relat$ adv]se conditions4 ,su* aw>ds %all be = ! purposes ( e/abli%+ ,fetal ,alcohol ,spectrum ,disord]s ,c5t]s = ,excell5ce to build local1 ,tribal1 ,/ate1 & national capacities to prev5t ! occurr5ce ( ,,fasd & o!r relat$ adv]se conditions1 & to respond to ! ne$s ( individuals ) ,,fasd & _! families by c>ry+ out ! programs describ$ 9 subsection 7b74 7b7 ,programs ,an entity receiv+ an aw>d "u subsection 7a7 may use su* aw>d = ! foll[+ purposes3 7#a7 ,initiat+ or exp&+ diagno/ic capacity = ,,fasd by increas+ scre5+1 assessm5t1 id5tification1 & diagnosis4 7#b7 ,develop+ & support+ public aw>5ess & outrea* activities1 includ+ ! use ( a range ( m$ia & public outrea*1 to raise public aw>5ess ( ! risks associat$ ) alcohol consumption dur+ pregnancy1 ) ! goals ( r$uc+ ! preval5ce ( ,,fasd & improv+ ! developm5tal1 heal? 7includ+ m5tal heal?71 & educational outcomes ( individuals ) ,,fasd & support+ families c>+ = individuals ) ,,fasd4 7#c7 ,act+ z a cle>+h\se = evid5ce-bas$ res\rces on ,,fasd prev5tion1 id5tification1 & culturally & l+ui/ically in=m$ be/ practices1 includ+ ! ma9t5ance ( a national data-bas$ directory on ,,fasd-specific s]vices 9 ,/ates1 ,indian ,tribes1 & local communities1 & dissem9at+ ongo+ rese>* & develop+ res\rces on ,,fasd to help in=m sy/ems ( c>e = individuals ) ,,fasd across _! lifespan4 7#d7 ,increas+ aw>5ess & und]/&+ ( efficaci\s1 evid5ce-bas$ scre5+ tools & culturally & l+ui/ically appropriate evid5ce-bas$ int]v5tion s]vices & be/ practices1 :i* may include by conduct+ national1 regional1 ,/ate1 ,tribal1 or pe] cross-,/ate web9>s1 work%ops1 or conf]5ces = tra9+ community lead]s1 m$ical & m5tal heal? & sub/ance use disord] pr(essionals1 education & disability pr(essionals1 families1 law en=cem5t p]sonnel1 judges1 individuals work+ 9 f9ancial assi/ance programs1 social s]vice p]sonnel1 *ild welf>e pr(essionals1 & o!r s]vice provid]s4 7#e7 ,improv+ capacity = ,/ate1 ,tribal1 & local affiliates d$icat$ to ,,fasd aw>5ess1 prev5tion1 & id5tification & family & individual support programs & s]vices4 7#f7 ,provid+ te*nical assi/ance to recipi5ts ( grants1 coop]ative agreem5ts1 or contracts "u section #cii;,h1 z appropriate4 7#g7 ,c>ry+ out o!r functions1 z appropriate4 7c7 ,application ,to be eligible = a grant1 contract1 or coop]ative agreem5t "u ?is section1 an entity %all submit to ! ,secret>y an application at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y may require4 7d7 ,subcontract+ ,a public or private nonpr(it entity may c>ry out ! foll[+ activities requir$ "u ?is section ?r\gh contracts or coop]ative agreem5ts ) o!r public & private nonpr(it entities ) demon/rat$ exp]tise 9 ,,fasd3 7#a7 ,prev5tion activities4 7#b7 ,scre5+ & id5tification4 7#c7 ,res\rce developm5t & dissem9ation1 tra9+ & te*nical assi/ance1 adm9i/ration1 & support ( ,,fasd p>tn] networks4 7#d7 ,int]v5tion s]vices4 #cii;,j4 ,au?orization ( appropriations ,!re are au?oriz$ to be appropriat$ to c>ry out ?is "p su* sums z may be necess>y = ea* ( fiscal ye>s #bjbd ?r\gh #bjbh4 4 7b7 ,report ,n lat] ?an #d ye>s aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all submit to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate & ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives a report on ! ef=ts ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices to advance public aw>5ess on1 & facilitate ! id5tification ( be/ practices relat$ to1 fetal alcohol spectrum disord]s id5tification1 prev5tion1 treatm5t1 & support4 7c7 ,te*nical am5dm5t ,section #eai;,d ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#be;d7 is repeal$4 #aaa4 ,promot+ ,/ate *oice 9 ,,pdmp sy/ems ,section #cii,o7h7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bhj;g-#c7;h77 is am5d$ by add+ ! foll[+3 7#e7 ,promot+ ,/ate *oice ,no?+ 9 ?is section %all be con/ru$ to au?orize ! ,secret>y to require ,/ates to use a specific v5dor or a specific int]op]ability connection o!r ?an to align ) nationally recogniz$1 cons5sus-bas$ op5 /&>ds1 su* z 9 accordance ) sections #cjja & #cjjd4 4 ,,ii ,treatm5t #bja4 ,resid5tial treatm5t program = pregnant & po/p>tum wom5 ,section #ejh ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#a7 is am5d$-- 7#a7 9 subsection 7d77#aa77;,c71 by /rik+ provid+ heal? s]vices & ins]t+ provid+ heal? c>e s]vices2 7#b7 9 subsection 7g7-- 7,a7 by ins]t+ a plan describ+ aft] w provide2 & 7,b7 by add+ at ! end ! foll[+3 ,su* plan may include a description ( h[ su* applicant w t>get outrea* to wom5 disproportionately impact$ by mat]nal sub/ance use disord]42 & 7#c7 9 subsection 7s71 by /rik+ #bi1ica1jjj = ea* ( fiscal ye>s #bjai ?r\gh #bjbc & ins]t+ #ch1 #ica1jjj = ea* ( fiscal ye>s #bjbd ?r\gh #bjbh4 #bjb4 ,loan repaym5t program = sub/ance use disord] treatm5t work=ce ,section #gha7;j7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bie;h7j77 is am5d$ by /rik+ #be1jjj1jjj = ea* ( fiscal ye>s #bjai ?r\gh #bjbc & ins]t+ #ej1jjj1jjj = ea* ( fiscal ye>s #bjbd ?r\gh #bjbh4 #bjc4 ,regional c5t]s ( excell5ce 9 sub/ance use disord] education ,section #eea ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;ee-#f7 is am5d$ by /rik+ subsection 7f74 #bjd4 ,m5tal & behavioral heal? education & tra9+ program ,section #gef7;f7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bid;e-#a7;f77 is am5d$ to read z foll[s3 7f7 ,au?orization ( appropriations ,to c>ry out ?is section1 !re is au?oriz$ to be appropriat$ ! foll[+3 7#a7 #ej1jjj1jjj = fiscal ye> #bjbd1 to be allocat$ z foll[s3 7,a7 ,= grants describ$ 9 subsection 7a77#a71 #ae1jjj1jjj4 7,b7 ,= grants describ$ 9 subsection 7a77#b71 #ae1jjj1jjj4 7,c7 ,= grants describ$ 9 subsection 7a77#c71 #aj1jjj1jjj4 7,d7 ,= grants describ$ 9 subsection 7a77#d71 #aj1jjj1jjj4 7#b7 #ee1jjj1jjj = fiscal ye> #bjbe1 to be allocat$ z foll[s3 7,a7 ,= grants describ$ 9 subsection 7a77#a71 #af1ejj1jjj4 7,b7 ,= grants describ$ 9 subsection 7a77#b71 #af1ejj1jjj4 7,c7 ,= grants describ$ 9 subsection 7a77#c71 #aa1jjj1jjj4 7,d7 ,= grants describ$ 9 subsection 7a77#d71 #aa1jjj1jjj4 7#c7 #fj1jjj1jjj = fiscal ye> #bjbf1 to be allocat$ z foll[s3 7,a7 ,= grants describ$ 9 subsection 7a77#a71 #ah1jjj1jjj4 7,b7 ,= grants describ$ 9 subsection 7a77#b71 #ah1jjj1jjj4 7,c7 ,= grants describ$ 9 subsection 7a77#c71 #ab1jjj1jjj4 7,d7 ,= grants describ$ 9 subsection 7a77#d71 #ab1jjj1jjj4 7#d7 #fe1jjj1jjj = fiscal ye> #bjbg1 to be allocat$ z foll[s3 7,a7 ,= grants describ$ 9 subsection 7a77#a71 #ai1ejj1jjj4 7,b7 ,= grants describ$ 9 subsection 7a77#b71 #ai1ejj1jjj4 7,c7 ,= grants describ$ 9 subsection 7a77#c71 #ac1jjj1jjj4 7,d7 ,= grants describ$ 9 subsection 7a77#d71 #ac1jjj1jjj4 7#e7 #ge1jjj1jjj = fiscal ye> #bjbh1 to be allocat$ z foll[s3 7,a7 ,= grants describ$ 9 subsection 7a77#a71 #bb1ejj1jjj4 7,b7 ,= grants describ$ 9 subsection 7a77#b71 #bb1ejj1jjj4 7,c7 ,= grants describ$ 9 subsection 7a77#c71 #ae1jjj1jjj4 7,d7 ,= grants describ$ 9 subsection 7a77#d71 #ae1jjj1jjj4 4 #bje4 ,grants to enhance access to sub/ance use disord] treatm5t ,section #cbjc ( ! ,,support = ,pati5ts & ,communities ,act 7#ba ,u4,s4,c4 #hbc note7 is am5d$-- 7#a7 by /rik+ subsection 7b72 & 7#b7 by /rik+ ,9 g5]al--,! ,secret>y & ins]t+ ! foll[+3 ,! ,secret>y 4 #bjf4 ,grants to improve trauma support s]vices & m5tal heal? c>e = *ildr5 & y\? 9 educational sett+s ,section #gacd ( ! ,,support = ,pati5ts & ,communities ,act 7#db ,u4,s4,c4 #bhj;h-#g7 is am5d$-- 7#a7 9 subsection 7a71 by /rik+ tribal & ins]t+ ,tribal2 7#b7 9 subsection 7c7-- 7,a7 9 p>agraph 7#a71 by ins]t+ e>ly int]v5tion1 aft] scre5+12 7,b7 9 p>agraph 7#c7-- 7i7 9 ! matt] prec$+ subp>agraph 7,a71 by ins]t+ o!r /aff1 aft] support p]sonnel12 & 7ii7 9 subp>agraph 7,a71 by /rik+ social & emotional le>n+ & ins]t+ developm5tally appropriate practices2 & 7,c7 9 p>agraph 7#e71 by ins]t+ r$uce /igma associat$ ) m5tal heal? c>e & aft] ef=ts to2 7#c7 9 subsection 7d7-- 7,a7 9 p>agraph 7#d7-- 7i7 9 subp>agraph 7,a71 by /rik+ 2 & & ins]t+ a semicolon2 7ii7 9 subp>agraph 7,b7-- 7,i7 by /rik+ tribal organizations z appropriate1 o!r s*ool p]sonnel & ins]t+ ,tribal organizations z appropriate1 o!r /aff2 & 7,,ii7 by /rik+ ! p]iod & ins]t+ 2 &2 & 7iii7 by add+ at ! end ! foll[+3 7,c7 p>5ts & gu>dians w be in=m$ ( :at trauma support s]vices & m5tal heal? c>e are available to _! /ud5ts & :at s]vices & c>e _! /ud5ts receive1 9 accordance ) ! p>5tal cons5t requirem5ts "u subsection 7h77#b74 2 & 7,b7 by add+ at ! end ! foll[+3 7#g7 ,a plan = su/a9+ ! program foll[+ ! end ( ! aw>d p]iod4 2 7#d7 9 subsection 7f77#a71 by ins]t+ 1 :i* %all include a description ( h[ ! s*ool obta9s cons5t f ! /ud5t's p>5t or gu>dian = ! provision ( trauma support s]vices & m5tal heal? c>e aft] ?is section2 7#e7 9 subsection 7g71 by /rik+ tribal & ins]t+ ,tribal2 7#f7 9 subsection 7h7-- 7,a7 9 ! subsection head+1 by ins]t+ 2 application ( c]ta9 provisions aft] con/ruction2 7,b7 by /rik+ tribal ea* place x appe>s & ins]t+ ,tribal2 7,c7 by r$esignat+ p>agraphs 7#a7 & 7#b7 z subp>agraphs 7,a7 & 7,b71 respectively1 & adju/+ ! m>g9s accord+ly2 7,d7 by /rik+ ,no?+ 9 ?is section & ins]t+ ! foll[+3 7#a7 ,9 g5]al ,no?+ 9 ?is section 2 & 7,e7 by add+ at ! end ! foll[+3 7#b7 ,application ( provisions 7,a7 ,rules ,section #djja ( ! ,elem5t>y & ,second>y ,education ,act ( #aife 7n includ+ ! exception "u subsection 7a77#b77;,b77i7 ( su* section7 %all apply to an entity receiv+ a grant1 contract1 or coop]ative agreem5t "u ?is section 9 ! same mann] z su* section #djja applies to an entity receiv+ fund+ "u title ,,iv ( su* ,act4 7,b7 ,privacy protections ,any education record ( a /ud5t collect$ or ma9ta9$ "u subsection 7c77#d7 %all h ! protections requir$ = education records "u section #ddd ( ! ,g5]al ,education ,provisions ,act4 4 7#g7 9 subsection 7k7-- 7,a7 by r$esignat+ p>agraphs 7#e7 ?r\gh 7#aa7 z p>agraphs 7#f7 ?r\gh 7#ab71 respectively2 & 7,b7 by ins]t+ aft] p>agraph 7#d7 ! foll[+3 7#e7 ,o!r /aff ,! t]m o!r /aff has ! mean+ giv5 su* t]m 9 section #haja ( ! ,elem5t>y & ,second>y ,education ,act ( #aife4 2 & 7#h7 9 subsection 7l71 by /rik+ #bjai ?r\gh #bjbc & ins]t+ #bjbd ?r\gh #bjbh4 #bjg4 ,developm5t & dissem9ation ( model tra9+ programs = sub/ance use disord] pati5t records ,section #gjec ( ! ,,support = ,pati5ts & ,communities ,act 7#db ,u4,s4,c4 #bij;dd-#b note7 is am5d$ by /rik+ subsection 7e74 #bjh4 ,task =ce on be/ practices = trauma-in=m$ id5tification1 ref]ral1 & support ,section #gacb ( ! ,,support = ,pati5ts & ,communities ,act 7,public ,law #aae-bga2 #acb ,/at4 #djdf7 is am5d$-- 7#a7 9 subsection 7b77#a7-- 7,a7 by r$esignat+ subp>agraph 7,,cc7 z subp>agraph 7,,dd72 & 7,b7 by ins]t+ aft] subp>agraph 7,,bb7 ! foll[+3 7,,cc7 ,! ,adm9i/ration = ,community ,liv+4 2 7#b7 9 subsection 7d77#a71 9 ! matt] prec$+ subp>agraph 7,a71 by ins]t+ 1 developm5tal disability s]vice provid]s be=e 1 individuals :o are2 & 7#c7 9 subsection 7i71 by /rik+ #bjbc & ins]t+ #bjbh4 #bji4 ,program to support coord9ation & cont9uation ( c>e = drug ov]dose pati5ts ,section #gjha ( ! ,,support = ,pati5ts & ,communities ,act 7#db ,u4,s4,c4 #bij;dd-#d7 is am5d$ by /rik+ subsection 7f74 #baj4 ,regulations relat+ to special regi/ration = telem$ic9e ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,attorney ,g5]al1 9 consultation ) ! ,secret>y ( ,heal? & ,human ,s]vices1 %all promulgate ! f9al regulations requir$ "u section #caa7;h77#b7 ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hca7;h77#b774 #baa4 ,m5tal heal? p>ity 7a7 ,9 g5]al ,n lat] ?an ,janu>y #a1 #bjbe1 ! ,inspector ,g5]al ( ! ,dep>tm5t ( ,labor1 9 coord9ation ) ! ,inspector ,g5]al ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 %all report to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate & ! ,committee on ,en]gy & ,comm]ce & ! ,committee on ,education & ! ,work=ce ( ! ,h\se ( ,repres5tatives on ! foll[+3 7#a7 ,! non-quantitative treatm5t limit 7ref]r$ to 9 ?is section z ,,nqtl7 requirem5ts ) respect to m5tal heal? & sub/ance use disord] b5efits "u gr\p heal? plans & heal? insurance issu]s "u section #bgbf7;a77#h7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;gg-#bf7;a77#h771 section #gab7;a77#h7 ( ! ,employee ,retirem5t ,income ,security ,act ( #aigd 7#bi ,u4,s4,c4 #aahe;a7a77#h771 & section #ihab7;a77#h7 ( ! ,int]nal ,rev5ue ,code ( #aihf 7ref]r$ to 9 ?is section z ! ,,nqtl comp>ative analysis requirem5ts71 & ! requirem5ts = ! ,secret>y ( ,heal? & ,human ,s]vices1 ! ,secret>y ( ,labor1 & ! ,secret>y ( ! ,treasury to issue regulations1 a compliance program guide1 & additional guidance docum5ts & tools provid+ guidance relat+ to m5tal heal? p>ity requirem5ts "u section #bgbf7;a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;gg-#bf7;a771 section #gab7;a7 ( ! ,employee ,retirem5t ,income ,security ,act ( #aigd 7#bi ,u4,s4,c4 #aahe;a7a771 & section #ihab7;a7 ( ! ,int]nal ,rev5ue ,code ( #aihf4 7#b7 ,) respect to ! ,,nqtl comp>ative analysis requirem5ts describ$ 9 p>agraph 7#a71 an analysis ( ! actions tak5 by ! ,secret>y ( ,labor1 ! ,secret>y ( ! ,treasury1 & ! ,secret>y ( ,heal? & ,human ,s]vices to provide guidance to ensure t gr\p heal? plans & heal? insurance issu]s c fully comply ) m5tal heal? p>ity requirem5ts "u section #bgbf ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;gg-#bf71 section #gab ( ! ,employee ,retirem5t ,income ,security ,act ( #aigd 7#bi ,u4,s4,c4 #aahe;a71 & section #ihab ( ! ,int]nal ,rev5ue ,code ( #aihf & ! ,,nqtl comp>ative analysis requirem5ts describ$ 9 p>agraph 7#a71 includ+ an analysis (-- 7,a7 ! ext5t to :i* ! ,secret>y ( ,labor1 ! ,secret>y ( ! ,treasury1 & ! ,secret>y ( ,heal? & ,human ,s]vices h fulfill$ ! requirem5t "u section #bjc7;b7 ( division ,,bb ( ! ,consolidat$ ,appropriations ,act1 #bjba 7,public ,law #aaf-bfj7 to issue ! specific guidance & regulations p]ta9+ to ! requirem5ts = gr\p heal? plans & heal? insurance issu]s to demon/rate compliance ) ! ,,nqtl comp>ative analysis requirem5ts2 & 7,b7 :e!r suffici5t guidance & examples f ! ,dep>tm5t ( ,labor & ,dep>tm5t ( ,heal? & ,human ,s]vices1 & ! ,dep>tm5t ( ! ,treasury exi/ to guide & assi/ gr\p heal? plans & heal? insurance issu]s 9 comply+ ) ! requirem5ts to demon/rate compliance ) m5tal heal? p>ity ,,nqtl comp>ative analysis requirem5ts_/"u su* sections #bgbf7;a77#h71 #gab7;a77#h71 & #ihab7;a77#h74 7#c7 ,a review ( ! en=cem5t processes ( ! ,dep>tm5t ( ,labor & ! ,dep>tm5t ( ,heal? & ,human ,s]vices to evaluate ! consi/5cy ( int]pretation ( ! requirem5ts "u section #bgbf7;a77#h7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;gg-#bf7;a77#h71 section #gab7;a77#h7 ( ! ,employee ,retirem5t ,income ,security ,act ( #aigd 7#bi ,u4,s4,c4 #aahe;a7a77#h771 & section #ihab7;a77#h7 ( ! ,int]nal ,rev5ue ,code ( #aihf1 9 p>ticul> ) respect to processes utiliz$ = en=cem5t1 actions or inactions t con/itute noncompliance1 & avoidance among ! ag5cies ( duplication ( en=cem5t1 includ+ an evaluation ( compliance ) section #ajd ( ! ,heal? ,insurance ,portability & ,acc\ntability ,act ( #aiif 7,public ,law #ajd-aia74 7#d7 ,a review ( ! implem5tation1 by ! ,dep>tm5t ( ,labor1 ,dep>tm5t ( ,heal? & ,human ,s]vices1 & ,dep>tm5t ( ! ,treasury1 ( m5tal heal? p>ity requirem5ts "u section #bgbf ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;gg-#bf71 section #gab ( ! ,employee ,retirem5t ,income ,security ,act ( #aigd 7#bi ,u4,s4,c4 #aahe;a71 & section #ihab ( ! ,int]nal ,rev5ue ,code ( #aihf1 includ+ all su* requirem5ts 9 effect ?r\gh ! enactm5t ( ! ,m5tal ,heal? ,p>ity ,act ( #aiif 7,public ,law #ajd-bjd71 ! ,paul ,well/one & ,pete ,dom5ici ,m5tal ,heal? ,p>ity & ,addiction ,equity ,act ( #bjjh 7,public ,law #aaj-dfj71 ! #ba/ ,c5tury ,cures ,act 7,public ,law #aad-bee71 & ! ,consolidat$ ,appropriations ,act1 #bjbc 7,public ,law #aag-cbh7 7includ+ any am5dm5ts made by su* ,acts71 & includ+ ) respect to ! tim+ ( all actions1 delays ( any actions1 reasons = any su* delays1 m&at$ requirem5ts t 7 met only once b n ea* "t su* requirem5ts 7 m&at$4 7b7 ,def9itions ,9 ?is section1 ! t]ms gr\p heal? plan & heal? insurance issu] h ! mean+s giv5 su* t]ms 9 section #gcc ( ! ,employee ,retirem5t ,income ,security ,act ( #aigd 7#bi ,u4,s4,c4 #aaia;b74 #bab4 ,/ate guidance relat$ to individuals ) s]i\s m5tal illness & *ildr5 ) s]i\s emotional di/urbance 7a7 ,review ( use ( c]ta9 fund+ ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices1 act+ ?r\gh ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use1 %all conduct a review ( ! use by ,/ates ( funds made available "u ! ,community ,m5tal ,heal? ,s]vices ,block ,grant program "u subp>t ,i ( "p ,b ( title ,,xix ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx et seq47 = ,fir/ ,episode ,psy*osis activities4 ,su* review %all consid] ! foll[+3 7#a7 ,h[ ! ,/ates use funds = evid5ce-bas$ treatm5ts & s]vices1 su* z coord9at$ specialty c>e1 accord+ to ! /&>d ( c>e = individuals ) e>ly s]i\s m5tal illness1 includ+ ! compreh5siv5ess ( su* treatm5ts to include all aspects ( ! recomm5d$ int]v5tion4 7#b7 ,h[ ,/ate m5tal heal? dep>tm5ts coord9ate ) ,/ate ,m$icaid dep>tm5ts 9 ! deliv]y ( ! treatm5ts & s]vices describ$ 9 p>agraph 7#a74 7#c7 ,! p]c5tage ( ! ,/ate fund+ "u ! block grant program t is appli$ t[>d e>ly s]i\s m5tal illness & fund+ 9 excess (1 or "u1 #aj p]c5t ( ! am\nt ( ! grant1 brok5 d[n by ,/ate4 7#d7 ,! p]c5tage ( funds exp5d$ by ,/ates ?r\gh su* block grant program specifically on ,fir/ ,episode ,psy*osis1 to ! ext5t su* in=mation is available4 7#e7 ,h[ _m individuals are s]v$ by ! exp5ditures describ$ 9 p>agraph 7#c7;& 7#d71 on a p]-capita basis4 7#f7 ,h[ ! funds are us$ to rea* und]s]v$ populations1 includ+ rural populations & racial & e?nic m9ority populations4 7b7 ,report & guidance 7#a7 ,report ,n lat] ?an #f mon?s aft] ! completion ( ! review "u subsection 7a71 ! ,secret>y ( ,heal? & ,human ,s]vices1 act+ ?r\gh ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use1 %all submit to ! ,committee on ,appropriations1 ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions1 & ! ,committee on ,f9ance ( ! ,s5ate & to ! ,committee on ,appropriations & ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives a report on ! f9d+s made z a result ( ! review conduct$ "u subsection 7a74 ,su* report %all include any recomm5dations ) respect to any *anges to ! ,community ,m5tal ,heal? ,s]vices ,block ,grant program "u subp>t ,i ( "p ,b ( title ,,xix ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx et seq471 includ+ ! set aside requir$ = ,fir/ ,episode ,psy*osis1 t w\ld facilitate improv$ outcomes = ! t>get$ population involv$4 7#b7 ,guidance ,n lat] ?an #a ye> aft] ! date on :i* ! report is submitt$ "u p>agraph 7#a71 ! ,secret>y ( ,heal? & ,human ,s]vices1 act+ ?r\gh ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use1 %all update ! guidance provid$ to ,/ates "u ! ,community ,m5tal ,heal? ,s]vices ,block ,grant program bas$ on ! f9d+s & recomm5dations ( ! report4 7c7 ,additional guidance ,! ,director ( ! ,national ,in/itute ( ,m5tal ,heal? %all coord9ate ) ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use 9 provid+ guidance to ,/ate grantees & provid] subgrantees ab\t rese>* advances 9 ! deliv]y ( s]vices = ,fir/ ,episode ,psy*osis "u ! ,community ,m5tal ,heal? ,s]vices ,block ,grant program4 7d7 ,guidance = /ates relat+ to heal? c>e s]vices & int]v5tions = individuals ) s]i\s m5tal illness & *ildr5 ) s]i\s emotional di/urbance ,n lat] ?an #b ye>s aft] ! date ( enactm5t ( ?is ,act1 ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use1 jo9tly ) ! ,adm9i/rator ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices & ! ,director ( ! ,national ,in/itute ( ,m5tal ,heal?-- 7#a7 %all provide updat$ guidance to ,/ates conc]n+ ! mann] 9 :i* ,f$]al fund+ provid$ to ,/ates ?r\gh programs adm9i/]$ by su* ag5cies1 includ+ ! ,community ,m5tal ,heal? ,s]vices ,block ,grant program "u subp>t ,i ( "p ,b ( title ,,xix ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx et seq471 may be coord9at$ to provide evid5ce-bas$ heal? c>e s]vices su* z coord9at$ specialty c>e to individuals ) s]i\s m5tal illness & s]i\s emotional di/urbance1 & int]v5tions = individuals ) e>ly s]i\s m5tal illness1 includ+ ,fir/ ,episode ,psy*osis2 & 7#b7 may /reaml9e relevant ,/ate report+ requirem5ts if su* /reaml9+ w\ld result 9 mak+ x easi] = ,/ates to coord9ate fund+ "u ! programs describ$ 9 p>agraph 7#a7 to improve treatm5ts = individuals ) s]i\s m5tal illness & s]i\s emotional di/urbance4 #bac4 ,improv+ access to addiction m$ic9e provid]s ,section #eig ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bijll7 is am5d$-- 7#a7 9 subsection 7a77#a71 by ins]t+ diagnosis1 aft] relat$ to2 & 7#b7 9 subsection 7b71 by ins]t+ addiction m$ic9e1 aft] psy*iatry14 ,,iii ,recov]y #cja4 ,y\? prev5tion & recov]y ,section #gajb7;c7 ( ! ,,support = ,pati5ts & ,communities ,act 7#db ,u4,s4,c4 #bij;bb-#g;a7c77 is am5d$-- 7#a7 9 p>agraph 7#b7-- 7,a7 9 subp>agraph 7,a7-- 7i7 9 clause 7i7-- 7,i7 by ins]t+ 1 or a consortia ( local educational ag5cies1 aft] a local educational ag5cy2 & 7,,ii7 by /rik+ high s*ools & ins]t+ second>y s*ools2 & 7ii7 9 clause 7vi71 by /rik+ tribe1 or tribal & ins]t+ ,tribe1 or ,tribal2 7,b7 by am5d+ subp>agraph 7,e7 to read z foll[s3 7,e7 ,indian ,tribe2 ,tribal organization ,! t]ms ,indian ,tribe & ,tribal organization h ! mean+s giv5 su* t]ms 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act 7#be ,u4,s4,c4 #ecjd74 2 7,c7 by r$esignat+ subp>agraph 7,k7 z subp>agraph 7,l72 & 7,d7 by ins]t+ aft] subp>agraph 7,j7 ! foll[+3 7,k7 ,second>y s*ool ,! t]m second>y s*ool has ! mean+ giv5 su* t]m 9 section #haja ( ! ,elem5t>y & ,second>y ,education ,act ( #aife 7#bj ,u4,s4,c4 #ghja74 2 7#b7 9 p>agraph 7#c77;,a71 9 ! matt] prec$+ clause 7i7-- 7,a7 by /rik+ & abuse2 & 7,b7 by ins]t+ at increas$ risk = sub/ance misuse aft] specific populations2 7#c7 9 p>agraph 7#d7-- 7,a7 9 ! matt] prec$+ subp>agraph 7,a71 by /rik+ ,indian tribes & ins]t+ ,indian ,tribes2 7,b7 9 subp>agraph 7,a71 by /rik+ & abuse2 & 7,c7 9 subp>agraph 7,b71 by /rik+ pe] m5tor+ & ins]t+ pe]-to-pe] support2 7#d7 9 p>agraph 7#e71 by /rik+ tribal & ins]t+ ,tribal2 7#e7 9 p>agraph 7#f77;,a7-- 7,a7 9 clause 7iv71 by /rik+ 2 & & ins]t+ a semicolon2 & 7,b7 by add+ at ! end ! foll[+3 7vi7 a plan to su/a9 ! activities c>ri$ out "u ! grant program1 aft] ! grant program has end$2 & 2 7#f7 9 p>agraph 7#h71 by /rik+ #bjbb & ins]t+ #bjbg2 & 7#g7 by am5d+ p>agraph 7#i7 to read z foll[s3 7#i7 ,au?orization ( appropriations ,to c>ry out ?is subsection1 !re are au?oriz$ to be appropriat$ #aj1jjj1jjj = fiscal ye> #bjbd1 #ab1jjj1jjj = fiscal ye> #bjbe1 #ad1jjj1jjj = fiscal ye> #bjbf1 #af1jjj1jjj = fiscal ye> #bjbg1 & #ah1jjj1jjj = fiscal ye> #bjbh4 4 #cjb4 ,compreh5sive opioid recov]y c5t]s ,section #eeb ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;ee-#g7 is am5d$-- 7#a7 9 subsection 7d77#b7-- 7,a7 9 ! matt] prec$+ subp>agraph 7,a71 by /rik+ & 9 su* mann] & ins]t+ 1 9 su* mann]1 & conta9+ su* in=mation & assurances2 & 7,b7 9 subp>agraph 7,a71 by /rik+ is capable ( coord9at+ ) o!r entities to c>ry out & ins]t+ has ! demon/rat$ capability to c>ry out1 ?r\gh ref]ral or contractual arrangem5ts2 7#b7 9 subsection 7h7-- 7,a7 by r$esignat+ p>agraphs 7#a7 ?r\gh 7#d7 z subp>agraphs 7,a7 ?r\gh 7,d71 respectively1 & adju/+ ! m>g9s accord+ly2 7,b7 by /rik+ ,) respect to & ins]t+ ! foll[+3 7#a7 ,9 g5]al ,) respect to 2 & 7,c7 by add+ at ! end ! foll[+3 7#b7 ,additional report+ = c]ta9 eligible entities ,an entity c>ry+ out activities describ$ 9 subsection 7g7 ?r\gh ref]ral or contractual arrangem5ts %all include 9 ! submissions requir$ "u p>agraph 7#a7 in=mation relat$ to ! /atus ( su* ref]rals or contractual arrangem5ts1 includ+ an assessm5t ( :e!r su* ref]rals or contractual arrangem5ts are support+ ! ability ( su* entity to c>ry out su* activities4 2 & 7#c7 9 subsection 7j71 by /rik+ #bjai ?r\gh #bjbc & ins]t+ #bjbd ?r\gh #bjbh4 #cjc4 ,build+ communities ( recov]y ,section #edg7;f7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;ee-#b7;f77 is am5d$ by /rik+ #e1jjj1jjj = ea* ( fiscal ye>s #bjai ?r\gh #bjbc & ins]t+ #af1jjj1jjj = ea* ( fiscal ye>s #bjbd ?r\gh #bjbh4 #cjd4 ,pe] support te*nical assi/ance c5t] ,section #edg;,a ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;ee-#b;a7 is am5d$-- 7#a7 9 subsection 7b77#d71 by /rik+ build+2 & & ins]t+ ! foll[+3 8build+1 su* z-- 7,a7 pr(essional developm5t ( pe] support speciali/s2 & 7,b7 mak+ recov]y support s]vices available 9 noncl9ical sett+s2 & 2 7#b7 by r$esignat+ subsections 7d7 & 7e7 z subsections 7e7 & 7f71 respectively2 7#c7 by ins]t+ aft] subsection 7c7 ! foll[+3 7d7 ,pilot program 7#a7 ,9 g5]al ,! ,secret>y %all c>ry out a pilot program to e/abli% "o regional te*nical assi/ance c5t] 7ref]r$ to 9 ?is subsection z ! ,regional ,c5t]7 to assi/ ! ,c5t] 9 c>ry+ out activities describ$ 9 subsection 7b7 )9 ! geographic region ( su* ,regional ,c5t] 9 a mann] t is tailor$ to ! ne$s ( su* region4 7#b7 ,evaluation ,n lat] ?an #d ye>s aft] ! date ( enactm5t ( ! ,,support = ,pati5ts & ,communities ,reau?orization ,act1 ! ,secret>y %all evaluate ! activities ( ! ,regional ,c5t] & submit to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate & ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives a report on ! f9d+s ( su* evaluation1 includ+-- 7,a7 a description ( ! di/9ct roles & responsibilities ( ! ,regional ,c5t] & ! ,c5t]2 7,b7 available in=mation relat+ to ! outcomes ( ! pilot program "u ?is subsection1 su* z any impact ! ,regional ,c5t] _h on ! op]ations & effici5cy ( ! ,c5t] relat+ to reque/s = te*nical assi/ance & support )9 ! region ( su* ,regional ,c5t]2 7,c7 a description ( any gaps or areas ( duplication relat+ to ! activities ( ! ,regional ,c5t] & ! ,c5t] )9 su* region2 & 7,d7 recomm5dations relat+ to ! modification1 expansion1 or t]m9ation ( ! pilot program "u ?is subsection4 7#c7 ,t]m9ation ,?is subsection %all t]m9ate on ,septemb] #cj1 #bjbh4 2 & 7#d7 9 subsection 7f71 z s r$esignat$1 by /rik+ #a1jjj1jjj = ea* ( fiscal ye>s #bjai ?r\gh #bjbc & ins]t+ #b1jjj1jjj = ea* ( fiscal ye>s #bjbd ?r\gh #bjbh4 #cje4 ,,c>e] ,act 7a7 ,9 g5]al ,section #gahc ( ! ,,support = ,pati5ts & ,communities ,act 7#db ,u4,s4,c4 #bij;ee-#h7 is am5d$-- 7#a7 9 ! section head+1 by ins]t+ 2 treatm5t1 recov]y1 & work=ce support grants aft] ,,c>e] ,act2 7#b7 9 subsection 7b71 by ins]t+ ea* be=e = a p]iod2 7#c7 9 subsection 7c7-- 7,a7 9 p>agraph 7#a71 by /rik+ ! rates describ$ 9 p>agraph 7#b7 & ins]t+ ! av]age rates = cal5d> ye>s #bjah ?r\gh #bjbb describ$ 9 p>agraph 7#b72 & 7,b7 by am5d+ p>agraph 7#b7 to read z foll[s3 7#b7 ,rates ,! rates describ$ 9 ?is p>agraph are ! foll[+3 7,a7 ,! highe/ age-adju/$ av]age rates ( drug ov]dose dea?s = cal5d> ye>s #bjah ?r\gh #bjbb bas$ on data f ! ,c5t]s = ,disease ,control & ,prev5tion1 includ+1 if necess>y1 provisional data = cal5d> ye> #bjbb4 7,b7 ,! highe/ av]age rates ( unemploym5t = cal5d> ye>s #bjah ?r\gh #bjbb bas$ on data provid$ by ! ,bureau ( ,labor ,/ati/ics4 7,c7 ,! l[e/ av]age labor =ce p>ticipation rates = cal5d> ye>s #bjah ?r\gh #bjbb bas$ on data provid$ by ! ,bureau ( ,labor ,/ati/ics4 2 7#d7 9 subsection 7g7-- 7,a7 9 ea* ( p>agraphs 7#a7 & 7#c71 by r$esignat+ subp>agraphs 7,a7 & 7,b7 z clauses 7i7 & 7ii71 respectively1 & adju/+ ! m>g9s accord+ly2 7,b7 by r$esignat+ p>agraphs 7#a7 ?r\gh 7#c7 z subp>agraphs 7,a7 ?r\gh 7,c71 respectively1 & adju/+ ! m>g9s accord+ly2 7,c7 9 ! matt] prec$+ subp>agraph 7,a7 7z s r$esignat$71 by /rik+ ,an entity & ins]t+ ! foll[+3 7#a7 ,9 g5]al ,an entity 2 & 7,d7 by add+ at ! end ! foll[+3 7#b7 ,transportation s]vices ,an entity receiv+ a grant "u ?is section may use n m ?an #e p]c5t ( ! funds = provid+ transportation = individuals to p>ticipate 9 an activity support$ by a grant "u ?is section1 :i* transportation %all be to or f a place ( "w or a place :]e ! individual is receiv+ c>e] & te*nical education or job tra9+ s]vices or receiv+ s]vices directly l9k$ to treatm5t ( or recov]y f a sub/ance use disord]4 7#c7 ,limitation ,! ,secret>y may n require an entity to1 or give priority to an entity t plans to1 use ! funds ( a grant "u ?is section = activities t are n specifi$ 9 ?is subsection4 2 7#e7 9 subsection 7i77#b71 by ins]t+ 1 :i* %all include employm5t & e>n+s outcomes describ$ 9 subclauses 7,i7 & 7,,iii7 ( section #aaf7;b77#b77;,a77i7 ( ! ,work=ce ,innovation & ,opportunity ,act 7#bi ,u4,s4,c4 #cada7;b77#b77;,a77i77 ) respect to ! p>ticipation ( su* individuals ) a sub/ance use disord] 9 programs & activities fund$ by ! grant "u ?is section aft] subsection 7g72 7#f7 9 subsection 7j7-- 7,a7 9 p>agraph 7#a71 by ins]t+ = grants aw>d$ prior to ! date ( enactm5t ( ! ,,support = ,pati5ts & ,communities ,reau?orization ,act aft] grant p]iod "u ?is section2 & 7,b7 9 p>agraph 7#b7-- 7i7 9 ! matt] prec$+ subp>agraph 7,a71 by /rik+ #b ye>s aft] submitt+ ! prelim9>y report requir$ "u p>agraph 7#a7 & ins]t+ ,septemb] #cj1 #bjbh2 & 7ii7 9 subp>agraph 7,a71 by /rik+ 7g77#c7 & ins]t+ 7g77#a77;,c72 & 7#g7 9 subsection 7k71 by /rik+ #e1jjj1jjj = ea* ( fiscal ye>s #bjai ?r\gh #bjbc & ins]t+ #ab1jjj1jjj = ea* ( fiscal ye>s #bjbd ?r\gh #bjbh4 7b7 ,cl]ical am5dm5t ,! table ( cont5ts 9 section #a7;b7 ( ! ,,support = ,pati5ts & ,communities ,act 7,public ,law #aae-bga2 #acb ,/at4 #chid7 is am5d$ by /rik+ ! item relat+ to section #gahc & ins]t+ ! foll[+3 ,sec4 #gahc4 ,,c>e] ,act2 treatm5t1 recov]y1 & work=ce support grants4 4 #cjf4 ,(fice ( recov]y ,"p ,a ( title ,v ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;aa et seq47 is am5d$ by ins]t+ aft] section #eja;,c 7#db ,u4,s4,c4 #bij;aa-#j;b7 ! foll[+3 #eja;,d4 ,(fice ( recov]y 7a7 ,9 g5]al ,!re is e/abli%$1 )9 ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration1 an ,(fice ( ,recov]y 7ref]r$ to 9 ?is section z ! ,(fice74 7b7 ,responsibilities ,! ,(fice %all1 tak+ into acc\nt ! p]spectives ( individuals ) demon/rat$ exp]i5ce 9 m5tal heal? or sub/ance use disord] recov]y-- 7#a7 id5tify new & em]g+ *all5ges relat$ to ! provision ( recov]y support s]vices2 7#b7 support te*nical assi/ance1 data analysis1 & evaluation functions 9 ord] to assi/ ,/ates1 local gov]nm5tal entities1 ,indian ,tribes1 & ,tribal organizations 9 implem5t+ & /r5g!n+ recov]y support s]vices1 consi/5t ) ! ne$s ( su* ,/ates1 local gov]nm5tal entities1 ,indian ,tribes1 & ,tribal organizations2 & 7#c7 ensure coord9ation ( ef=ts to id5tify1 dissem9ate1 & evaluate be/ practices relat$ to-- 7,a7 improv+ ! capacity (1 & access to1 recov]y support s]vices2 & 7,b7 support+ ! tra9+1 education1 pr(essional developm5t1 & ret5tion ( pe] support speciali/s4 7c7 ,report ,n lat] ?an #d ye>s aft] ! date ( enactm5t ( ! ,,support = ,pati5ts & ,communities ,reau?orization ,act1 ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use %all submit to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate & ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives a report on ! activities conduct$ by ! ,(fice1 includ+-- 7#a7 a description ( ! specific roles & responsibilities ( ! ,(fice2 7#b7 a description ( ! relation%ip betwe5 ! ,(fice & o!r relevant compon5ts or programs ( ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration2 7#c7 ! id5tification ( any gaps 9 ! activities ( ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration or *all5ges 9 coord9ation betwe5 ! ,(fice & su* relevant compon5ts or programs ( su* ag5cy2 & 7#d7 recomm5dations relat$ to ! cont9u$ op]ations ( ! ,(fice4 7d7 ,sunset ,?is section %all cease to h =ce or effect on ,septemb] #cj1 #bjbh4 4 ,,iv ,te*nical am5dm5ts #dja4 ,deliv]y ( a controll$ sub/ance by a ph>macy to an adm9i/]+ practition] ,section #cji;,a7a7 ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hbi;a7a77 is am5d$ by /rik+ p>agraph 7#b7 & ins]t+ ! foll[+3 7#b7 ! controll$ sub/ance is a drug 9 s*$ule ,,iii1 ,,iv1 or ,v to be adm9i/]$-- 7,a7 by injection or implantation = ! purpose ( ma9t5ance or detoxification treatm5t2 or 7,b7 intranasally1 subject to risk evaluation & mitigation /rategy pursuant to section #eje-a ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cee-a71 ) po/-adm9i/ration monitor+ by a heal? c>e pr(essional2 4 #djb4 ,te*nical correction on controll$ sub/ances disp5s+ ,effective z if includ$ 9 ! enactm5t ( ,public ,law #aag-cbh-- 7#a7 section #abeb7;a7 ( division ,,ff ( ,public ,law #aag-cbh 7#acf ,/at4 #efha7 is am5d$1 9 ! matt] be+ ins]t$ into section #cjb7;e7 ( ! ,controll$ ,sub/ances ,act1 by /rik+ #cjc7;g7 & ins]t+ #cjc7;h72 7#b7 section #abfb ( division ,,ff ( ,public ,law #aag-cbh 7#acf ,/at4 #efha7 is am5d$-- 7,a7 9 subsection 7a7-- 7i7 9 ! matt] prec$+ p>agraph 7#a71 by /rik+ #cjc7;g7 & ins]t+ #cjc7;h72 7ii7 9 ! matt] be+ /rick5 by subsection 7a77#b71 by /rik+ 7g77#a7 & ins]t+ 7h77#a72 & 7iii7 9 ! matt] be+ ins]t$ by subsection 7a77#b71 by /rik+ 7g7 ,practition]s & ins]t+ 7h7 ,practition]s2 & 7,b7 9 subsection 7b7-- 7i7 9 ! matt] be+ /rick5 by p>agraph 7#a71 by /rik+ #cjc7;g77#a7 & ins]t+ #cjc7;h77#a72 7ii7 9 ! matt] be+ ins]t$ by p>agraph 7#a71 by /rik+ #cjc7;g7 & ins]t+ #cjc7;h72 7iii7 9 ! matt] be+ /rick5 by p>agraph 7#b77;,a71 by /rik+ #cjc7;g77#b7 & ins]t+ #cjc7;h77#b72 7iv7 9 ! matt] be+ /rick5 by p>agraph 7#c71 by /rik+ #cjc7;g77#b77;,b7 & ins]t+ #cjc7;h77#b77;,b72 7v7 9 ! matt] be+ /rick5 by p>agraph 7#e71 by /rik+ #cjc7;g7 & ins]t+ #cjc7;h72 & 7vi7 9 ! matt] be+ /rick5 by p>agraph 7#f71 by /rik+ #cjc7;g7 & ins]t+ #cjc7;h72 & 7#c7 section #abfc7;b7 ( division ,,ff ( ,public ,law #aag-cbh 7#acf ,/at4 #efhe7 is am5d$-- 7,a7 by /rik+ #cjc7;g77#b7 & ins]t+ #cjc7;h77#b72 & 7,b7 by /rik+ 7#ba ,u4,s4,c4 #hbc7;g77#b77 & ins]t+ 7#ba ,u4,s4,c4 #hbc7;h77#b774 #djc4 ,requir$ tra9+ = prescrib]s ( controll$ sub/ances 7a7 ,9 g5]al ,section #cjc ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hbc7 is am5d$-- 7#a7 by r$esignat+ ! second subsection designat$ z subsection 7l7 z subsection 7m72 & 7#b7 9 subsection 7m77#a71 z s r$esignat$-- 7,a7 9 subp>agraph 7,a7-- 7i7 ,9 clause 7iv7-- 7,i7 ,9 subclause 7,i7-- 7aa7 by ins]t+ ! ,am]ican ,academy ( ,family ,physicians1 ! ,am]ican ,podiatric ,m$ical ,association1 ! ,academy ( ,g5]al ,d5ti/ry1 be=e or any o!r organization2 7bb7 by /rik+ or ! ,commission & ins]t+ ! ,commission2 & 7cc7 by ins]t+ 1 or ! ,c\ncil on ,podiatric ,m$ical ,education be=e ! semicolon at ! end2 & 7,,ii7 9 subclause 7,,iii71 by ins]t+ or ! ,am]ican ,academy ( ,family ,physicians aft] ,association2 & 7ii7 9 clause 7v71 9 ! matt] prec$+ subclause 7,i7-- 7,i7 by /rik+ o/eopa?ic m$ic9e1 d5tal surg]y & ins]t+ o/eopa?ic m$ic9e1 podiatric m$ic9e1 d5tal surg]y2 & 7,,ii7 by /rik+ or d5tal m$ic9e curriculum & ins]t+ or d5tal or podiatric m$ic9e curriculum2 & 7,b7 9 subp>agraph 7,b7-- 7i7 9 clause 7i71 by ins]t+ ! ,am]ican ,ph>maci/s ,association1 ! ,accr$itation ,c\ncil on ,ph>macy ,education1 ! ,am]ican ,optometric ,association1 ! ,am]ican ,psy*iatric ,nurses ,association1 ! ,am]ican ,academy ( ,nurs+1 ! ,am]ican ,academy ( ,family ,physicians be=e 1 or any o!r organization2 & 7ii7 9 clause 7ii7-- 7,i7 by /rik+ or accr$it$ s*ool & ins]t+ 1 an accr$it$ s*ool2 & 7,,ii7 by ins]t+ 1 or an accr$it$ s*ool ( ph>macy be=e 9 ! ,unit$ ,/ates4 7b7 ,effective date ,! am5dm5t made by subsection 7a7 %all take effect z if enact$ on ,decemb] #bi1 #bjbb4 #a4 ,%ort title2 table ( cont5ts 7a7 ,%ort title ,?is ,act may be cit$ z ! ,,support = ,pati5ts & ,communities ,reau?orization ,act4 7b7 ,table ( cont5ts ,! table ( cont5ts = ?is ,act is z foll[s3 ,sec4 #a4 ,%ort title2 table ( cont5ts4,,title ,i--,prevention,sec4 #aja4 ,fir/ respond] tra9+ program4,sec4 #ajb4 ,surveillance & education reg>d+ infections associat$ ) illicit drug use & o!r risk factors4,sec4 #ajc4 ,prev5t+ ov]doses ( controll$ sub/ances4,sec4 #ajd4 ,pilot program = public heal? laboratories to detect f5tanyl & o!r syn!tic opioids4,sec4 #aje4 ,pr5atal & po/natal heal?4,sec4 #ajf4 ,donald ,j4 ,coh5 ,national ,*ild ,traumatic ,/ress ,initiative4,sec4 #ajg4 ,surveillance & data collection = *ild1 y\?1 & adult trauma4,sec4 #ajh4 ,prev5t+ adv]se *ildhood exp]i5ces4,sec4 #aji4 ,cl>ification ( use ( funds = products us$ to prev5t ov]dose dea?s4,sec4 #aaj4 ,support = individuals & families impact$ by fetal alcohol spectrum disord]4,sec4 #aaa4 ,promot+ ,/ate *oice 9 ,,pdmp sy/ems4,sec4 #aab4 ,protect+ ,suicide ,prev5tion ,lifel9e f cyb]security incid5ts4,sec4 #aac4 ,bruce's ,law4,sec4 #aad4 ,guidance on at-home drug disposal sy/ems4,sec4 #aae4 ,review ( opioid drugs & actions4,sec4 #aaf4 ,consid]ation ( enri*$ enrollm5t r&omiz$ )drawal me?odology4,sec4 #aag4 ,approval ( new opioid analgesic drugs4,sec4 #aah4 ,guidance on develop+ non-addictive m$ical products to treat pa9 or addiction4,sec4 #aai4 ,national ,*ronic ,pa9 ,in=mation ,sy/em4,sec4 #abj4 ,requirem5ts = electronic-prescrib+ = controll$ sub/ances "u gr\p heal? plans & gr\p & individual heal? insurance cov]age4,,title ,,ii--,treatment,sec4 #bja4 ,resid5tial treatm5t program = pregnant & po/p>tum wom54,sec4 #bjb4 ,loan repaym5t program = sub/ance use disord] treatm5t work=ce4,sec4 #bjc4 ,regional c5t]s ( excell5ce 9 sub/ance use disord] education4,sec4 #bjd4 ,m5tal & behavioral heal? education & tra9+ program4,sec4 #bje4 ,grants to enhance access to sub/ance use disord] treatm5t4,sec4 #bjf4 ,grants to improve trauma support s]vices & m5tal heal? c>e = *ildr5 & y\? 9 educational sett+s4,sec4 #bjg4 ,developm5t & dissem9ation ( model tra9+ programs = sub/ance use disord] pati5t records4,sec4 #bjh4 ,task =ce on be/ practices = trauma-in=m$ id5tification1 ref]ral1 & support4,sec4 #bji4 ,program to support coord9ation & cont9uation ( c>e = drug ov]dose pati5ts4,sec4 #baj4 ,regulations relat+ to special regi/ration = telem$ic9e4,sec4 #baa4 ,m5tal heal? p>ity4,sec4 #bab4 ,/ate guidance relat$ to individuals ) s]i\s m5tal illness & *ildr5 ) s]i\s emotional di/urbance4,sec4 #bac4 ,improv+ access to addiction m$ic9e provid]s4,sec4 #bad4 ,r\ndtable on us+ heal? in=mation te*nology to improve m5tal heal? & sub/ance use c>e outcomes4,sec4 #bae4 ,pe]-to-pe] m5tal heal? support4,sec4 #baf4 ,kid ,,pro( pilot program4,,title ,,iii--,recovery,sec4 #cja4 ,y\? prev5tion & recov]y4,sec4 #cjb4 ,compreh5sive opioid recov]y c5t]s4,sec4 #cjc4 ,build+ communities ( recov]y4,sec4 #cjd4 ,pe] support te*nical assi/ance c5t]4,sec4 #cje4 ,,c>e] ,act4,sec4 #cjf4 ,rese>* & recomm5dations on crim9al backgr\nd *eck process = pe] support speciali/s4,sec4 #cjg4 ,(fice ( ,recov]y4,sec4 #cjh4 ,review ( ,grants4gov4,,title ,,iv--,te*nical amendments,sec4 #dja4 ,deliv]y ( a controll$ sub/ance by a ph>macy to an adm9i/]+ practition]4,sec4 #djb4 ,te*nical correction on controll$ sub/ances disp5s+4,sec4 #djc4 ,requir$ tra9+ = prescrib]s ( controll$ sub/ances4 ,i ,prev5tion #aja4 ,fir/ respond] tra9+ program ,section #edf ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;ee-#a7 is am5d$-- 7#a7 9 subsection 7a71 by /rik+ tribes & tribal & ins]t+ ,tribes & ,tribal2 7#b7 9 subsections 7a71 7c71 & 7d7-- 7,a7 by /rik+ approv$ or cle>$ ea* place x appe>s & ins]t+ approv$1 cle>$1 or o!rwise legally m>ket$2 & 7,b7 by /rik+ opioid ea* place x appe>s2 7#c7 9 subsection 7f7-- 7,a7 by /rik+ approv$ or cle>$ ea* place x appe>s & ins]t+ approv$1 cle>$1 or o!rwise legally m>ket$2 7,b7 9 p>agraph 7#a71 by /rik+ opioid2 7,c7 9 p>agraph 7#b7-- 7i7 by /rik+ opioid & h]o9 & ins]t+ opioid1 h]o91 & o!r drug2 & 7ii7 by /rik+ opioid ov]dose & ins]t+ ov]dose2 & 7,d7 9 p>agraph 7#c71 by /rik+ opioid & h]o92 & 7#d7 9 subsection 7h71 by /rik+ #cf1jjj1jjj = ea* ( fiscal ye>s #bjai ?r\gh #bjbc & ins]t+ #ef1jjj1jjj = ea* ( fiscal ye>s #bjbd ?r\gh #bjbh4 #ajb4 ,surveillance & education reg>d+ infections associat$ ) illicit drug use & o!r risk factors ,section #cag,n7d7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;b-#ae7;d77 is am5d$ by /rik+ #bjai ?r\gh #bjbc & ins]t+ #bjbd ?r\gh #bjbh4 #ajc4 ,prev5t+ ov]doses ( controll$ sub/ances ,section #cib;,a ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bhj;b-#a7 is am5d$-- 7#a7 9 subsection 7a7-- 7,a7 9 p>agraph 7#b7-- 7i7 9 subp>agraph 7,c71 by ins]t+ & associat$ risks be=e ! p]iod at ! end2 & 7ii7 9 subp>agraph 7,d71 by /rik+ opioids & ins]t+ sub/ances caus+ ov]dose2 7,b7 9 p>agraph 7#c77;,a7-- 7i7 by ins]t+ id5tify sub/ances caus+ ov]dose & aft] rapidly2 & 7ii7 by /rik+ abuse1 & ov]doses & ins]t+ ov]doses1 & associat$ risk factors2 7#b7 9 subsection 7b77#b7-- 7,a7 9 subp>agraph 7,b71 by ins]t+ 1 & associat$ risk factors1 aft] su* ov]doses2 7,b7 9 subp>agraph 7,c71 by /rik+ cod+ & ins]t+ monitor+ & id5tify+2 7,c7 9 subp>agraph 7,e7-- 7i7 by ins]t+ a comma aft] public heal? laboratories2 & 7ii7 by ins]t+ & o!r em]g+ sub/ances relat$ aft] analogues2 & 7,d7 9 subp>agraph 7,f17 by ins]t+ & associat$ risk factors aft] ov]doses2 & 7#c7 9 subsection 7e71 by /rik+ #dif1jjj1jjj = ea* ( fiscal ye>s #bjai ?r\gh #bjbc & ins]t+ #eje1egi1jjj = ea* ( fiscal ye>s #bjbd ?r\gh #bjbh4 #ajd4 ,pilot program = public heal? laboratories to detect f5tanyl & o!r syn!tic opioids ,section #gjaa ( ! ,,support = ,pati5ts & ,communities ,act 7#db ,u4,s4,c4 #bdg;d-#aj7 is am5d$ by /rik+ subsection 7d74 #aje4 ,pr5atal & po/natal heal? ,section #cag,l7d7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;b-#ac7;d77 is am5d$ by /rik+ #bjai ?r\gh #bjbc & ins]t+ #bjbd ?r\gh #bjbh4 #ajf4 ,donald ,j4 ,coh5 ,national ,*ild ,traumatic ,/ress ,initiative ,section #ehb ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;hh-#a7 is am5d$-- 7#a7 9 ! section head+1 by /rik+ viol5ce relat$ /ress & ins]t+ traumatic ev5ts2 7#b7 9 subsection 7a7-- 7,a7 9 ! matt] prec$+ p>agraph 7#a71 by /rik+ tribes & tribal & ins]t+ ,tribes & ,tribal2 & 7,b7 9 p>agraph 7#b71 by ins]t+ & dissem9ation aft] ! developm5t2 7#c7 9 subsection 7b71 by ins]t+ & dissem9ation aft] ! developm5t2 7#d7 9 subsection 7d7-- 7,a7 by /rik+ ,! ,,nctsi & ins]t+ ! foll[+3 7#a7 ,coord9at+ c5t] ,! ,,nctsi 2 & 7,b7 by add+ at ! end ! foll[+3 7#b7 ,,nctsi grantees ,9 c>ry+ out subsection 7a77#b71 ,,nctsi grantees %all develop tra9+s & o!r res\rces1 z applicable & appropriate1 to support implem5tation ( ! evid5ce-bas$ practices develop$ & dissem9at$ "u su* subsection4 2 7#e7 9 subsection 7e7-- 7,a7 by r$esignat+ p>agraphs 7#a7 & 7#b7 z subp>agraphs 7,a7 & 7,b71 respectively1 & adju/+ ! m>g9s accord+ly2 7,b7 9 subp>agraph 7,a71 z s r$esignat$1 by ins]t+ & implem5tation aft] ! dissem9ation2 7,c7 by /rik+ ,! ,,nctsi & ins]t+ ! foll[+3 7#a7 ,coord9at+ c5t] 2 & 7,d7 by add+ at ! end ! foll[+3 7#b7 ,,nctsi grantees ,,nctsi grantees %all1 z appropriate1 collaborate ) o!r su* grantees1 ! ,,nctsi coord9at+ c5t]1 & ! ,secret>y 9 c>ry+ out subsections 7a77#b7 & 7d77#b74 2 7#f7 by am5d+ subsection 7h7 to read z foll[s3 7h7 ,application & evaluation ,to be eligible to receive a grant1 contract1 or coop]ative agreem5t "u subsection 7a71 a public or nonpr(it private entity or an ,indian ,tribe or ,tribal organization %all submit to ! ,secret>y an application at su* "t1 9 su* mann]1 & conta9+ su* in=mation & assurances z ! ,secret>y may require1 includ+-- 7#a7 a plan = ! rigor\s evaluation ( ! activities fund$ "u ! grant1 contract1 or agreem5t1 includ+ bo? process & outcomes evaluation1 & ! submission ( an evaluation at ! end ( ! project p]iod2 & 7#b7 a description ( h[ su* entity1 ,indian ,tribe1 or ,tribal organization w support ef=ts l$ by ! ,secret>y or ! ,,nctsi coord9at+ c5t]1 z applicable1 to evaluate activities c>ri$ out "u ?is section4 2 & 7#g7 9 subsection 7j71 by /rik+ 1 #fc1hhg1jjj = ea* ( fiscal ye>s #bjai ?r\gh #bjbc & ins]t+ #ic1hhg1jjj = ea* ( fiscal ye>s #bjbd & #bjbe1 #ajd1jjj1jjj = fiscal ye> #bjbf1 #aaj1jjj1jjj = fiscal ye> #bjbg1 & #aab1ffa1jjj = fiscal ye> #bjbh4 #ajg4 ,surveillance & data collection = *ild1 y\?1 & adult trauma ,section #gaca7;e7 ( ! ,,support = ,pati5ts & ,communities ,act 7#db ,u4,s4,c4 #bdbt7e77 is am5d$ by /rik+ #bjai ?r\gh #bjbc & ins]t+ #bjbd ?r\gh #bjbh4 #ajh4 ,prev5t+ adv]se *ildhood exp]i5ces 7a7 ,grant program 7#a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices 7ref]r$ to 9 ?is section z ! ,secret>y71 act+ ?r\gh ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 may aw>d grants or coop]ative agreem5ts to ,/ates1 t]ritories1 ,indian ,tribes & ,tribal organizations 7z su* t]ms are def9$ 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act 7#be ,u4,s4,c4 #ecjd771 & local gov]nm5tal entities = purposes ( c>ry+ out public heal? activities to improve heal? outcomes by prev5t+ or r$uc+ adv]se *ildhood exp]i5ces4 7#b7 ,use ( funds ,recipi5ts ( an aw>d "u ?is subsection may use su* aw>d to-- 7,a7 id5tify1 implem5t1 & evaluate evid5ce-bas$ public heal? activities to prev5t or r$uce adv]se *ildhood exp]i5ces & improve heal? outcomes2 7,b7 improve data collection & analysis reg>d+ ! prev5tion & r$uction ( adv]se *ildhood exp]i5ces1 includ+ any su* data describ$ 9 section #gaca ( ! ,,support = ,pati5ts & ,communities ,act 7#db ,u4,s4,c4 #bdbt71 to id5tify-- 7i7 any geographic areas or populations )9 ! jurisdiction ( ! recipi5t ( an aw>d t h disproportionately high rates ( adv]se *ildhood exp]i5ces2 7ii7 any types ( adv]se *ildhood exp]i5ces ( high preval5ce )9 su* jurisdiction2 & 7iii7 any %ort-t]m heal? outcomes & long-t]m heal? outcomes associat$ ) adv]se *ildhood exp]i5ces1 includ+ m5tal heal? & sub/ance use disord]s2 & 7,c7 lev]age su* data & analysis to in=m ! id5tification1 implem5tation1 & evaluation ( evid5ce-bas$ public heal? activities "u subp>agraph 7,a74 7#c7 ,p>tn]%ips ,recipi5ts ( an aw>d "u ?is subsection may id5tify opportunities to e/abli%1 or /r5g!n exi/+1 p>tn]%ips ) o!r relevant public & private entities )9 su* jurisdiction = purposes ( c>ry+ out su* aw>d4 7#d7 ,te*nical assi/ance ,! ,secret>y may provide tra9+ & te*nical assi/ance to recipi5ts ( aw>ds "u ?is subsection4 7#e7 ,evaluation ,n lat] ?an #b ye>s aft] ! date ( enactm5t ( ?is ,act1 & annually !reaft]1 ! ,secret>y %all report to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate & ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives on ! specific activities support$ ?r\gh aw>ds "u ?is subsection1 includ+ ! effectiv5ess ( su* activities 9 prev5t+ or r$uc+ adv]se *ildhood exp]i5ces4 7b7 ,rese>* ,! ,secret>y may1 z appropriate1 conduct rese>* to evaluate public heal? activities to address adv]se *ildhood exp]i5ces4 7c7 ,au?orization ( appropriations ,to c>ry out ?is section1 !re is au?oriz$ to be appropriat$ #g1jjj1jjj = ea* ( fiscal ye>s #bjbd ?r\gh #bjbh4 #aji4 ,cl>ification ( use ( funds = products us$ to prev5t ov]dose dea?s ,! activities c>ri$ out pursuant to section #ajjc7;b77#d77;,a7 ( ! #ba/ ,c5tury ,cures ,act 7#db ,u4,s4,c4 #bij;ee-#c;a7b77#d77;,a77 may include facilitat+ access to products us$ to prev5t ov]dose dea?s by detect+ ! pres5ce ( "o or m sub/ances1 to ! ext5t ! pur*ase & possession ( su* products is consi/5t ) ,f$]al & ,/ate law4 #aaj4 ,support = individuals & families impact$ by fetal alcohol spectrum disord] 7a7 ,9 g5]al ,"p ,o ( title ,,iii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bhj;f et seq47 is am5d$-- 7#a7 by am5d+ ! "p head+ to read z foll[s3 ,fetal ,alcohol ,spectrum ,disord]s ,prev5tion & ,s]vices ,program2 7#b7 9 section #cii;,h 7#db ,u4,s4,c4 #bhj;f7-- 7,a7 9 ! section head+1 by /rik+ ,e/abli%m5t ( fetal alcohol syndrome prev5tion & ins]t+ ,fetal alcohol spectrum disord]s prev5tion1 int]v5tion12 7,b7 by /rik+ ,fetal ,alcohol ,syndrome & ,fetal ,alcohol ,effect ea* place x appe>s & ins]t+ ,,fasd2 7,c7 9 subsection 7a7-- 7i7 by am5d+ ! head+ to read z foll[s3 ,9 g5]al2 7ii7 9 ! matt] prec$+ p>agraph 7#a7-- 7,i7 by ins]t+ or cont9ue activities to support aft] %all e/abli%2 7,,ii7 by /rik+ ,,fasd 7z am5d$ by subp>agraph 7,b77 & ins]t+ fetal alcohol spectrum disord]s 7ref]r$ to 9 ?is section z ,,fasd72 7,,iii7 by /rik+ prev5tion1 int]v5tion & ins]t+ aw>5ess1 prev5tion1 id5tification1 int]v5tion12 & 7,,iv7 by /rik+ t %all & ins]t+ 1 :i* may2 7iii7 9 p>agraph 7#a7-- 7,i7 9 subp>agraph 7,a7-- 7aa7 by /rik+ m$ical s*ools & ins]t+ heal? pr(essions s*ools2 & 7bb7 by ins]t+ infants1 aft] provision ( s]vices =2 & 7,,ii7 9 subp>agraph 7,d71 by /rik+ m$ical & m5tal & ins]t+ ag5cies provid+2 7iv7 9 p>agraph 7#b7-- 7,i7 9 ! matt] prec$+ subp>agraph 7,a71 by /rik+ a prev5tion & diagnosis program to support cl9ical /udies1 demon/rations & o!r rese>* z appropriate & ins]t+ support+ & conduct+ rese>* on ,,fasd1 z appropriate1 includ+2 7,,ii7 9 subp>agraph 7,b7-- 7aa7 by /rik+ prev5tion s]vices & int]v5tions = pregnant1 alcohol-dep5d5t wom5 & ins]t+ culturally & l+ui/ically appropriate evid5ce-bas$ or evid5ce-in=m$ int]v5tions & appropriate societal supports = prev5t+ pr5atal alcohol exposure1 :i* may co-occur ) exposure to o!r sub/ances2 & 7bb7 by /rik+ 2 & & ins]t+ a semicolon2 7v7 by /rik+ p>agraph 7#c7 & ins]t+ ! foll[+3 7#c7 integrat+ into surveillance a case def9ition = ,,fasd &1 9 collaboration ) o!r ,f$]al & outside p>tn]s1 support organizations ( appropriate m$ical & m5tal heal? pr(essionals 9 _! developm5t & ref9em5t ( evid5ce-bas$ cl9ical diagno/ic guidel9es & crit]ia = all ,,fasd2 & 7#d7 build+ ,/ate & ,tribal capacity = ! id5tification1 treatm5t1 & support ( individuals ) ,,fasd & _! families1 :i* may include-- 7,a7 utiliz+ & adapt+ exi/+ ,f$]al1 ,/ate1 or ,tribal programs to include ,,fasd id5tification & ,,fasd-in=m$ support2 7,b7 develop+ & exp&+ scre5+ & diagno/ic capacity = ,,fasd2 7,c7 develop+1 implem5t+1 & evaluat+ t>get$ ,,fasd-in=m$ int]v5tion programs = ,,fasd2 7,d7 increas+ aw>5ess ( ,,fasd2 7,e7 provid+ tra9+ ) respect to ,,fasd = pr(essionals across relevant sectors2 & 7,f7 dissem9at+ in=mation ab\t ,,fasd & support s]vices to affect$ individuals & _! families4 2 7,d7 9 subsection 7b7-- 7i7 by /rik+ describ$ 9 section #cii;,i2 7ii7 by /rik+ ,! ,secret>y & ins]t+ ! foll[+3 7#a7 ,9 g5]al ,! ,secret>y 2 & 7iii7 by add+ at ! end ! foll[+3 7#b7 ,eligible entities ,to be eligible to receive a grant1 or ent] into a coop]ative agreem5t or contract1 "u ?is section1 an entity %all-- 7,a7 be a ,/ate1 ,indian ,tribe or ,tribal organization1 local gov]nm5t1 sci5tific or academic in/itution1 or nonpr(it organization2 & 7,b7 prep>e & submit to ! ,secret>y an application at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y may require1 includ+ a description ( ! activities t ! entity int5ds to c>ry out us+ am\nts receiv$ "u ?is section4 7#c7 ,additional application cont5ts ,! ,secret>y may require t an eligible entity include 9 ! application submitt$ "u p>agraph 7#b77;,b7-- 7,a7 a designation ( an individual to s]ve z a ,,fasd ,/ate or ,tribal coord9ator ( activities su* eligible entity proposes to c>ry out ?r\gh a grant1 coop]ative agreem5t1 or contract "u ?is section2 & 7,b7 a description ( an advisory committee ! entity w e/abli% to provide guidance = ! entity on develop+ & implem5t+ a /atewide or ,tribal /rategic plan to prev5t ,,fasd & provide = ! id5tification1 treatm5t1 & support ( individuals ) ,,fasd & _! families4 2 & 7,e7 by /rik+ subsections 7c7 & 7d72 & 7,f7 by add+ at ! end ! foll[+3 7c7 ,def9ition ( ,,fasd-in=m$ ,= purposes ( ?is section1 ! t]m ,,fasd-in=m$1 ) respect to support or an int]v5tion program1 means t su* support or int]v5tion program uses culturally & l+ui/ically in=m$ evid5ce-bas$ or practice-bas$ int]v5tions & appropriate societal supports to support an improv$ quality ( life = an individual ) ,,fasd & ! family ( su* individual4 2 & 7#c7 by /rik+ sections #cii;,i1 #cii;,j1 & #cii,k 7#db ,u4,s4,c4 #bhj;f-#a1 #bhj;f-#b1 #bhj;f-#c7 & ins]t+ ! foll[+3 #cii;,i4 ,fetal alcohol spectrum disord]s ,c5t]s = ,excell5ce 7a7 ,9 g5]al ,! ,secret>y %all1 z appropriate1 aw>d grants1 coop]ative agreem5ts1 or contracts to public or nonpr(it private entities ) demon/rat$ exp]tise 9 ! prev5tion (1 id5tification (1 & int]v5tion s]vices ) respect to1 fetal alcohol spectrum disord]s 7ref]r$ to 9 ?is section z ,,fasd7 & o!r relat$ adv]se conditions4 ,su* aw>ds %all be = ! purposes ( e/abli%+ ,fetal ,alcohol ,spectrum ,disord]s ,c5t]s = ,excell5ce to build local1 ,tribal1 ,/ate1 & nationwide capacities to prev5t ! occurr5ce ( ,,fasd & o!r relat$ adv]se conditions1 & to respond to ! ne$s ( individuals ) ,,fasd & _! families by c>ry+ out ! programs describ$ 9 subsection 7b74 7b7 ,programs ,an entity receiv+ an aw>d "u subsection 7a7 may use su* aw>d = ! foll[+ purposes3 7#a7 ,initiat+ or exp&+ diagno/ic capacity = ,,fasd by increas+ scre5+1 assessm5t1 id5tification1 & diagnosis4 7#b7 ,develop+ & support+ public aw>5ess & outrea* activities1 includ+ ! use ( a range ( m$ia & public outrea*1 to raise public aw>5ess ( ! risks associat$ ) alcohol consumption dur+ pregnancy1 ) ! goals ( r$uc+ ! preval5ce ( ,,fasd & improv+ ! developm5tal1 heal? 7includ+ m5tal heal?71 & educational outcomes ( individuals ) ,,fasd & support+ families c>+ = individuals ) ,,fasd4 7#c7 ,act+ z a cle>+h\se = evid5ce-bas$ res\rces on ,,fasd prev5tion1 id5tification1 & culturally & l+ui/ically appropriate be/ practices1 includ+ ! ma9t5ance ( a national data-bas$ directory on ,,fasd-specific s]vices 9 ,/ates1 ,indian ,tribes1 & local communities1 & dissem9at+ ongo+ rese>* & develop+ res\rces on ,,fasd to help in=m sy/ems ( c>e = individuals ) ,,fasd across _! lifespan4 7#d7 ,increas+ aw>5ess & und]/&+ ( efficaci\s1 evid5ce-bas$ scre5+ tools & culturally & l+ui/ically appropriate evid5ce-bas$ int]v5tion s]vices & be/ practices1 :i* may include by conduct+ nationwide1 regional1 ,/ate1 ,tribal1 or pe] cross-,/ate web9>s1 work%ops1 or conf]5ces = tra9+ community lead]s1 m$ical & m5tal heal? & sub/ance use disord] pr(essionals1 education & disability pr(essionals1 families1 law en=cem5t p]sonnel1 judges1 individuals work+ 9 f9ancial assi/ance programs1 social s]vice p]sonnel1 *ild welf>e pr(essionals1 & o!r s]vice provid]s4 7#e7 ,improv+ capacity = ,/ate1 ,tribal1 & local affiliates d$icat$ to ,,fasd aw>5ess1 prev5tion1 & id5tification & family & individual support programs & s]vices4 7#f7 ,provid+ te*nical assi/ance to recipi5ts ( grants1 coop]ative agreem5ts1 or contracts "u section #cii;,h1 z appropriate4 7#g7 ,c>ry+ out o!r functions1 z appropriate4 7c7 ,application ,to be eligible = a grant1 contract1 or coop]ative agreem5t "u ?is section1 an entity %all submit to ! ,secret>y an application at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y may require4 7d7 ,subcontract+ ,a public or private nonpr(it entity may c>ry out ! foll[+ activities requir$ "u ?is section ?r\gh contracts or coop]ative agreem5ts ) o!r public & private nonpr(it entities ) demon/rat$ exp]tise 9 ,,fasd3 7#a7 ,prev5tion activities4 7#b7 ,scre5+ & id5tification4 7#c7 ,res\rce developm5t & dissem9ation1 tra9+ & te*nical assi/ance1 adm9i/ration1 & support ( ,,fasd p>tn] networks4 7#d7 ,int]v5tion & treatm5t s]vices4 #cii;,j4 ,au?orization ( appropriations ,!re are au?oriz$ to be appropriat$ to c>ry out ?is "p su* sums z may be necess>y = ea* ( fiscal ye>s #bjbd ?r\gh #bjbh4 4 7b7 ,report ,n lat] ?an #d ye>s aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all submit to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate & ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives a report on ! ef=ts ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices to advance public aw>5ess (1 & facilitate ! id5tification ( be/ practices relat$ to1 fetal alcohol spectrum disord]s id5tification1 prev5tion1 treatm5t1 & support4 7c7 ,te*nical am5dm5t ,section #eai;,d ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#be;d7 is repeal$4 #aaa4 ,promot+ ,/ate *oice 9 ,,pdmp sy/ems ,section #cii,o7h7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bhj;g-#c7;h77 is am5d$ by add+ ! foll[+3 7#e7 ,promot+ ,/ate *oice ,no?+ 9 ?is section %all be con/ru$ to au?orize ! ,secret>y to require ,/ates to use a specific v5dor or a specific int]op]ability connection o!r ?an to align ) nationally recogniz$1 cons5sus-bas$ op5 /&>ds1 su* z 9 accordance ) ! application programm+ int]face 7,,api7 requirem5ts pursuant to sections #cjja & #cjjd4 4 #aab4 ,protect+ ,suicide ,prev5tion ,lifel9e f cyb]security incid5ts 7a7 ,national suicide prev5tion lifel9e program ,section #ebj;,e-#c7;b7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#cf;c7b77 is am5d$-- 7#a7 9 p>agraph 7#d71 by /rik+ & at ! end2 7#b7 9 p>agraph 7#e71 by /rik+ ! p]iod at ! end & ins]t+ 2 &2 & 7#c7 by add+ at ! end ! foll[+3 7#f7 tak+ su* /eps z may be necess>y to ensure ! suicide prev5tion hotl9e is protect$ f cyb]security incid5ts & elim9ates kn[n cyb]security vuln]abilities4 4 7b7 ,report+ ,section #ebj;,e-#c ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#cf;c7 is am5d$-- 7#a7 by r$esignat+ subsection 7f7 z subsection 7g72 & 7#b7 by ins]t+ aft] subsection 7e7 ! foll[+3 7f7 ,cyb]security report+ 7#a7 ,notification 7,a7 ,9 g5]al ,! program's network adm9i/rator receiv+ ,f$]al fund+ pursuant to subsection 7a7 %all report to ! ,assi/ant ,secret>y1 9 a mann] t protects p]sonal privacy1 consi/5t ) applicable ,f$]al & ,/ate privacy laws-- 7i7 any id5tifi$ cyb]security vuln]abilities to ! program )9 a reasonable am\nt ( "t aft] id5tification ( su* a vuln]ability2 & 7ii7 any id5tifi$ cyb]security incid5ts to ! program )9 a reasonable am\nt ( "t aft] id5tification ( su* incid5t4 7,b7 ,local & regional crisis c5t]s ,local & regional crisis c5t]s p>ticipat+ 9 ! program %all report to ! program's network adm9i/rator id5tifi$ "u subp>agraph 7,a71 9 a mann] t protects p]sonal privacy1 consi/5t ) applicable ,f$]al & ,/ate privacy laws-- 7i7 any id5tifi$ cyb]security vuln]abilities to ! program )9 a reasonable am\nt ( "t aft] id5tification ( su* vuln]ability2 & 7ii7 any id5tifi$ cyb]security incid5ts to ! program )9 a reasonable am\nt ( "t aft] id5tification ( su* incid5t4 7#b7 ,notification ,if ! program's network adm9i/rator receiv+ fund+ pursuant to subsection 7a7 discov]s1 or is in=m$ by a local or regional crisis c5t] pursuant to p>agraph 7#a77;,b7 (1 a cyb]security vuln]ability or incid5t1 )9 a reasonable am\nt ( "t aft] su* discov]y or receipt ( in=mation1 su* entity %all report ! vuln]ability or incid5t to ! ,assi/ant ,secret>y4 7#c7 ,cl>ification 7,a7 ,ov]sight 7i7 ,local & regional crisis c5t]s ,except z provid$ 9 clause 7ii71 local & regional crisis c5t]s p>ticipat+ 9 ! program %all ov]see all te*nology ea* c5t] employs 9 ! provision ( s]vices z a p>ticipant 9 ! program4 7ii7 ,network adm9i/rator ,! program's network adm9i/rator receiv+ ,f$]al fund+ pursuant to subsection 7a7 %all ov]see ! te*nology ea* crisis c5t] employs 9 ! provision ( s]vices z a p>ticipant 9 ! program if su* ov]sight responsibilities are e/abli%$ 9 ! applicable network p>ticipation agreem5t4 7,b7 ,supplem5t1 n supplant ,! cyb]security incid5t report+ requirem5ts "u ?is subsection %all supplem5t1 & n supplant1 cyb]security incid5t report+ requirem5ts "u o!r provisions ( applicable ,f$]al law t are 9 effect on ! date ( ! enactm5t ( ! ,,support = ,pati5ts & ,communities ,reau?orization ,act4 4 7c7 ,/udy ,n lat] ?an #ahj days aft] ! date ( ! enactm5t ( ?is ,act1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all-- 7#a7 conduct & complete a /udy t evaluates cyb]security risks & vuln]abilities associat$ ) ! #i-h-h ,national ,suicide ,prev5tion ,lifel9e2 & 7#b7 submit a report ( ! f9d+s ( su* /udy to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate & ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives4 #aac4 ,bruce's ,law 7a7 ,y\? prev5tion & recov]y ,section #gajb7;c7 ( ! ,,support = ,pati5ts & ,communities ,act 7#db ,u4,s4,c4 #bij;bb-#g;a7c77 is am5d$-- 7#a7 9 p>agraph 7#c77;,a77i71 by ins]t+ 1 :i* may include /rategies to increase education & aw>5ess ( ! pot5cy & dang]s ( syn!tic opioids 7includ+ drugs contam9at$ ) f5tanyl7 &1 z appropriate1 o!r em]g+ drug use or misuse issues be=e ! semicolon2 & 7#b7 9 p>agraph 7#d77;,a71 by ins]t+ & /rategies to increase education & aw>5ess ( ! pot5cy & dang]s ( syn!tic opioids 7includ+ drugs contam9at$ ) f5tanyl7 &1 z appropriate1 em]g+ drug use or misuse issues be=e ! semicolon4 7b7 ,int]dep>tm5tal sub/ance use disord]s coord9at+ committee ,section #gjbb ( ! ,,support = ,pati5ts & ,communities ,act 7#db ,u4,s4,c4 #bij;aa note7 is am5d$-- 7#a7 by /rik+ subsection 7g7 & ins]t+ ! foll[+3 7g7 ,work+ gr\ps 7#a7 ,9 g5]al ,! ,committee may e/abli% work+ gr\ps = purposes ( c>ry+ out ! duties describ$ 9 subsection 7e74 ,any su* work+ gr\p %all be compos$ ( memb]s ( ! ,committee 7or ! designees ( su* memb]s7 & may hold su* meet+s z are necess>y to enable ! work+ gr\p to c>ry out ! duties delegat$ to ! work+ gr\p4 7#b7 ,additional ,f$]al int]ag5cy "w gr\p on f5tanyl contam9ation ( illegal drugs 7,a7 ,e/abli%m5t ,! ,secret>y1 act+ ?r\gh ! ,committee1 %all e/abli% a ,f$]al ,int]ag5cy ,"w ,gr\p on ,f5tanyl ,contam9ation ( ,illegal ,drugs 7ref]r$ to 9 ?is p>agraph z ! ,"w ,gr\p71 consi/+ ( repres5tatives f relevant ,f$]al dep>tm5ts & ag5cies on ! ,committee4 7,b7 ,consultation ,! ,"w ,gr\p %all consult ) relevant /akehold]s & subject matt] exp]ts1 includ+-- 7i7 ,/ate1 ,tribal1 & local subject matt] exp]ts 9 r$uc+1 prev5t+1 & respond+ to drug ov]dose caus$ by f5tanyl contam9ation ( illicit drugs2 & 7ii7 family memb]s ( bo? adults & y\? :o h ov]dos$ by f5tanyl-contam9at$ illicit drugs4 7,c7 ,duties ,! ,"w ,gr\p %all-- 7i7 exam9e ,f$]al ef=ts to r$uce & prev5t drug ov]dose by f5tanyl-contam9at$ illicit drugs2 7ii7 id5tify /rategies to improve ,/ate1 ,tribal1 & local responses to ov]dose by f5tanyl-contam9at$ illicit drugs2 7iii7 coord9ate ) ! ,secret>y1 z appropriate1 9 c>ry+ out activities to raise public aw>5ess ( syn!tic opioids & o!r em]g+ drug use & misuse issues2 7iv7 make recomm5dations to ,congress = improv+ ,f$]al programs1 includ+ ) respect to ! coord9ation ( ef=ts across su* programs2 & 7v7 make recomm5dations = educat+ y\? on ! pot5cy & dang]s ( drugs contam9at$ by f5tanyl4 7,d7 ,annual report to secret>y ,! ,"w ,gr\p %all annually prep>e & submit to ! ,secret>y1 ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate1 & ! ,committee on ,education & ! ,work=ce ( ! ,h\se ( ,repres5tatives1 a report on ! activities c>ri$ out by ! ,"w ,gr\p "u subp>agraph 7,c71 includ+ recomm5dations to r$uce & prev5t drug ov]dose by f5tanyl contam9ation ( illegal drugs1 9 all populations1 & specifically among y\? at risk = sub/ance misuse4 2 & 7#b7 by /rik+ subsection 7i7 & ins]t+ ! foll[+3 7i7 ,sunset ,! ,committee %all t]m9ate on ,septemb] #cj1 #bjbh4 4 #aad4 ,guidance on at-home drug disposal sy/ems 7a7 ,9 g5]al ,n lat] ?an "o ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices 7ref]r$ to 9 ?is section z ! ,secret>y71 9 consultation ) ! ,adm9i/rator ( ! ,drug ,en=cem5t ,adm9i/ration1 %all publi% guidance to facilitate ! use ( at-home safe disposal sy/ems = applicable drugs1 includ+ = su* at-home safe disposal sy/ems t ! ,secret>y may require z a "p ( a risk evaluation & mitigation /rategy "u section #eje-a ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cee-a74 7b7 ,cont5ts ,! guidance "u subsection 7a7 %all include-- 7#a7 recomm5d$ /&>ds = effective at-home drug disposal sy/ems to meet applicable /atutory or regulatory requirem5ts en=c$ by ! ,food & ,drug ,adm9i/ration &1 z appropriate1 ! ,drug ,en=cem5t ,adm9i/ration2 7#b7 recomm5d$ in=mation to include z in/ructions = use to dissem9ate ) at-home drug disposal sy/ems2 7#c7 be/ practices & educational tools to support ! use ( an at-home drug disposal sy/em2 & 7#d7 recomm5d$ use ( lic5s$ heal? provid]s = ! dissem9ation ( education1 in/ruction1 & at-home drug disposal sy/ems4 #aae4 ,review ( opioid drugs & actions ,n lat] ?an "o ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices 7ref]r$ to 9 ?is section z ! ,secret>y7 %all publi% on ! website ( ! ,food & ,drug ,adm9i/ration 7ref]r$ to 9 ?is section z ! ,,fda7 a report t outl9es a plan = complet+ a review ( opioid analgesic drugs t are approv$ "u section #eje ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cee7 t consid]s ! public heal? effects ( su* opioid drugs z "p ( ! b5efit-risk assessm5t1 & t addresses ! activities ( ! ,,fda t relate to increas+ ! developm5t ( non-addictive m$ical products int5d$ to treat pa9 or addiction4 ,su* report %all include-- 7#a7 an opportunity = public input conc]n+ ! regulation by ! ,,fda ( opioid analgesic drugs1 includ+ sci5tific evid5ce t relates to conditions ( use1 safety1 or b5efit-risk assessm5t 7includ+ consid]ation ( ! public heal? effects7 ( su* opioid drugs2 7#b7 an update on ! actions tak5 by ! ,,fda to review ! effectiv5ess1 safety1 b5efit-risk pr(ile 7:i* may include public heal? effects71 & use ( approv$ opioid analgesic drugs2 7#c7 a timel9e = an assessm5t ( ! pot5tial ne$1 z appropriate1 = label+ *anges1 revis$ or additional po/m>ket+ requirem5ts1 en=cem5t actions1 or )drawals = opioid analgesic drugs2 7#d7 an ov]view ( ! /eps t ! ,,fda has tak5 to support ! developm5t & approval ( non-addictive m$ical products int5d$ to treat pa9 or addiction1 & actions plann$ to fur!r support ! developm5t & approval ( su* products2 & 7#e7 an ov]view ( ! consid]ation by ! ,,fda ( cl9ical trial me?odologies = analgesic drugs1 includ+ ! enri*$ enrollm5t r&omiz$ )drawal me?odology1 & ! b5efits & drawbacks associat$ ) diff]5t trial me?odologies = su* drugs1 incorporat+ any public input receiv$ "u p>agraph 7#a74 #aaf4 ,consid]ation ( enri*$ enrollm5t r&omiz$ )drawal me?odology 7a7 ,9 g5]al ,n lat] ?an #b ye>s aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices 7ref]r$ to 9 ?is section z ! ,secret>y71 act+ ?r\gh ! ,commission] ( ,food & ,drugs1 %all conv5e a meet+ ( ! ,ane/hetic & ,analgesic ,drug ,products ,advisory ,committee & ! ,drug ,safety & ,risk ,managem5t ,advisory ,committee ( ! ,food & ,drug ,adm9i/ration to review ! use ( ! enri*$ enrollm5t r&omiz$ )drawal me?odology 9 cl9ical trials ( opioid analgesic drugs & consid] & make recomm5dations reg>d+ ! use ( alt]native cl9ical /udy me?odologies4 ,9 conduct+ su* review1 ! ,secret>y %all consid] ! report issu$ by ! ,national ,academy ( ,sci5ces "u subsection 7c74 7b7 ,pres5tations ,if ! ,secret>y all[s = =mal pres5tations 9 support ( ! use ( ! enri*$ enrollm5t r&omiz$ )drawal me?odology at ! meet+ describ$ 9 subsection 7a71 ! ,secret>y %all also all[ = equal "t at su* meet+ = pres5tations t are critical ( su* me?odology4 7c7 ,nas /udy & report ,! ,secret>y %all seek to ent] into a contract ) ! ,national ,academy ( ,sci5ces "u :i* ! ,national ,academy-- 7#a7 conducts a /udy on ! effectiv5ess ( enri*$ enrollm5t r&omiz$ )drawal me?odology 9 demon/rat+ ! efficacy ( opioid analgesic drugs 9 treat+ *ronic pa92 & 7#b7 n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 submits a report on su* /udy to ! ,secret>y4 7d7 ,review ( opioid analgesic drugs ,9 connection ) ! meet+ describ$ 9 subsection 7a71 ! ,ane/hetic & ,analgesic ,drug ,products ,advisory ,committee & ! ,drug ,safety & ,risk ,managem5t ,advisory ,committee ( ! ,food & ,drug ,adm9i/ration %all review ! approv$ label+ & action package = approval 7z describ$ 9 subsection 7l77#b7 ( section #eje ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cee771 on all opioid analgesic drugs approv$ us+ enri*$ enrollm5t r&omiz$ )drawal me?odology "u su* section #eje z ( ! date ( su* meet+4 ,! f9d+s f su* review %all be made publicly available on a website op]at$ by ! ,secret>y1 act+ ?r\gh ! ,commission] ( ,food & ,drugs4 7e7 ,def9ition ( opioid analgesic drug ,9 ?is section1 ! t]m opioid analgesic drug means a drug t has a label$ indication approv$ by ! ,food & ,drug ,adm9i/ration to produce analgesia by act+ ^u ! body's opioid receptors4 #aag4 ,approval ( new opioid analgesic drugs ,section #eje7;c7 ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cee7;c77 is am5d$ by add+ at ! end ! foll[+3 7#f7 ,not)/&+ any o!r provision ( ?is section1 9 mak+ a det]m9ation to approve or d5y an application submitt$ "u subsection 7b7 = an opioid analgesic drug1 ! ,secret>y may consid] :e!r su* drug provides a sub/antial improvem5t1 9 t]ms ( great] safety or great] effectiv5ess1 or major contribution to pati5t c>e1 comp>$ to an approv$ opioid analgesic drug4 ,= purposes ( ?is p>agraph1 ! t]m opioid analgesic drug means a drug t is approv$ "u ?is section to produce analgesia by act+ ^u ! body's opioid receptors4 4 #aah4 ,guidance on develop+ non-addictive m$ical products to treat pa9 or addiction ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all issue draft guidance "u section #cjja7;b7 ( ! ,,support = ,pati5ts & ,communities ,act 7#ba ,u4,s4,c4 #cee note7 to address non-addictive analgesics = *ronic pa91 includ+ ! in=mation requir$ to be includ$ 9 guidance docum5ts "u p>agraphs 7#a7 ?r\gh 7#d7 ( su* section #cjja7;b74 #aai4 ,national ,*ronic ,pa9 ,in=mation ,sy/em ,"p ,p ( title ,,iii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bhj;g et seq47 is am5d$ by add+ at ! end ! foll[+3 #cii,v-#h4 ,*ronic pa9 rese>* 7a7 ,9 g5]al ,! ,secret>y1 9 consultation ) ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 ! ,director ( ! ,national ,in/itutes ( ,heal?1 & o!r ag5cies z ! ,secret>y det]m9es appropriate1 %all-- 7#a7 utilize available ,f$]al rese>* data to cl>ify ! incid5ce & preval5ce ( *ronic pa9 f any s\rce1 includ+ injuries1 op]ations1 & diseases & conditions2 7#b7 id5tify gaps 9 ! available rese>* data & collect deid5tifi$ population rese>* data us+ m$ical claims & survey data to fill gaps 9 available rese>* data1 su* z-- 7,a7 incid5ce & preval5ce ( specific pa9 conditions2 7,b7 demographics & o!r in=mation1 su* z age1 race1 e?nicity1 g5d]1 & geographic location2 7,c7 ! incid5ce & preval5ce ( kn[n *ronic pa9 conditions1 z well z diseases & conditions t include or lead to pa92 7,d7 risk factors t may be associat$ ) *ronic pa9 conditions1 su* z g5etic & environm5tal risk factors & o!r in=mation1 z appropriate2 7,e7 diagnosis & progression m>k]s2 7,f7 bo? direct & indirect co/s ( illness2 7,g7 ! epidemiology ( ! conditions2 7,h7 ! detection1 managem5t1 & treatm5t ( ! conditions2 7,i7 ! epidemiology1 detection1 managem5t1 & treatm5t ( frequ5t second>y or co-occurr+ conditions1 su* z depression1 anxiety1 & sub/ance use disord]s2 7,j7 ! utilization ( m$ical & social s]vices by pati5ts ) *ronic pa9 conditions1 includ+ ! direct heal? c>e co/s ( pa9 treatm5t1 bo? traditional & alt]native1 & ! indirect co/s 7su* z miss$ "w1 public & private disability1 & r$uction 9 productivity72 & 7,k7 ! effectiv5ess ( evid5ce-bas$ treatm5t approa*es on *ronic pa9 conditions2 7#c7 develop1 9 collaboration ) individuals & organizations ) appropriate *ronic pa9 exp]tise1 includ+ pati5ts or pati5t advocates1 epidemiologi/s1 repres5tatives ( national volunt>y heal? associations1 heal? in=mation te*nology exp]ts1 cl9icians1 & rese>* sci5ti/s1 /&>d def9itions & approa*es = population rese>* on *ronic pa9 to effici5tly promote great] comp>ability ( data2 & 7#d7 dissem9ate1 pursuant to ! public webpage "u subsection 7b71 &1 z appropriate1 to ! public & to o!r ,f$]al dep>tm5ts & ag5cies1 any f9d+s1 develop$ population rese>* /&>ds1 & available ,f$]al data s\rces relat$ to *ronic pa94 7b7 ,dissem9ation ,! ,secret>y1 act+ ?r\gh ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 %all e/abli% a public webpage1 to be kn[n z ! ,*ronic ,pa9 ,in=mation ,hub1 t-- 7#a7 aggregates & summ>izes available ,f$]al data s\rces1 indicators1 & pe]-review$ rese>* relat$ to *ronic pa92 7#b7 includes an up-to-date summ>y ( complete1 ongo+1 & plann$ data collection & analysis relat$ to *ronic pa9 t is conduct$ & support$ by ! ,c5t]s = ,disease ,control & ,prev5tion2 & 7#c7 translates rese>* f9d+s into cl9ical tools & res\rces1 recomm5dations = clos+ rese>* gaps1 & recomm5dations = population rese>* /&>ds = rese>*]s1 ) recomm5dations updat$ annually to incorporate rese>* f9d+s f ! prior ye>4 7c7 ,conflicts ( int]e/ ,if an individual or organization t collaborates ) ! ,secret>y 9 c>ry+ out subsection 7a7 receives a paym5t or o!r transf] ( value ( a type describ$ 9 section #aabh;,g7a77#a77;,a77vi7 ( ! ,social ,security ,act f a manufactur] ( a drug 7includ+ a biological product7 or device t w\ld be requir$ to be disclos$ pursuant to section #aabh;,g7a77#a7 ( ! ,social ,security ,act1 if ! individual or organization 7 a cov]$ recipi5t or if su* disclosure 7 requir$ ^u reque/ ( or by designation on behalf ( a cov]$ recipi5t pursuant to su* section1 ! individual or organization %all disclose to ! ,secret>y in=mation reg>d+ su* paym5t or o!r transf] ( value4 ,! ,secret>y %all make su* disclosures publicly available4 7d7 ,report ,n lat] ?an #b ye>s aft] ! date ( ! enactm5t ( ! ,,support = ,pati5ts & ,communities ,reau?orization ,act1 ! ,secret>y %all submit a report to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate & ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives conc]n+ ! implem5tation ( ?is section4 ,su* report %all include in=mation on-- 7#a7 ! developm5t & ma9t5ance ( ! ,*ronic ,pa9 ,in=mation ,hub2 7#b7 ! in=mation made available ?r\gh ! ,*ronic ,pa9 ,in=mation ,hub2 7#c7 ! data gaps id5tifi$1 & plann$ ef=ts to address su* gaps2 7#d7 ! process e/abli%$ = solicit+ fe$back f collaborators2 & 7#e7 fe$back receiv$ f collaborators4 7e7 ,def9ition ,9 ?is section1 ! t]m *ronic pa9 means p]si/5t or recurr5t pa9 la/+ long] ?an #c mon?s4 7f7 ,au?orization ( appropriations ,to c>ry out ?is section1 !re is au?oriz$ to be appropriat$ su* sums z may be necess>y = ea* ( fiscal ye>s #bjbd ?r\gh #bjbh4 4 #abj4 ,requirem5ts = electronic-prescrib+ = controll$ sub/ances "u gr\p heal? plans & gr\p & individual heal? insurance cov]age 7a7 ,public ,heal? ,s]vice ,act am5dm5t ,section #bgii;,a-#g ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;gg-#aag7 is am5d$ by add+ at ! end ! foll[+ new subsection3 7d7 ,requirem5ts = electronic-,prescrib+ = controll$ sub/ances 7#a7 ,9 g5]al ,except z provid$ pursuant to p>agraph 7#b71 = plan ye>s beg9n+ on or aft] ,janu>y #a1 #bjbf1 a gr\p heal? plan & a heal? insurance issu] (f]+ gr\p or individual heal? insurance cov]age1 ) respect to a p>ticipat+ provid]1 z def9$ 9 section #bgii-a7;a77#c71 %all h 9 place policies1 subject to p>agraphs 7#d7 & 7#e71 t require any prescription = a s*$ule ,,ii1 ,,iii1 ,,iv1 or ,v controll$ sub/ance 7z def9$ by section #bjb ( ! ,controll$ ,sub/ances ,act7 cov]$ by ! plan or cov]age t is transmitt$ by su* a p>ticipat+ provid] = su* a p>ticipant1 b5efici>y1 or enrollee be electronically transmitt$ consi/5t ) /&>ds e/abli%$ "u p>agraph 7#c7 ( section #ahfj;,d-#d7;e7 ( ! ,social ,security ,act1 "u an electronic prescription drug program t meets requirem5ts t are sub/antially simil> 7z jo9tly det]m9$ by ! ,secret>y1 ! ,secret>y ( ,labor1 & ! ,secret>y ( ! ,treasury7 to ! requirem5ts ( p>agraph 7#b7 ( su* section #ahfj;,d-#d7;e74 7#b7 ,exception = c]ta9 circum/ances ,! ,secret>y1 ! ,secret>y ( ,labor1 & ! ,secret>y ( ! ,treasury %all jo9tly1 ?r\gh rulemak+1 specify circum/ances & processes by :i* ! requirem5t "u p>agraph 7#a7 may be waiv$1 ) respect to a s*$ule ,,ii1 ,,iii1 ,,iv1 or ,v controll$ sub/ance t is a prescription drug cov]$ by a gr\p heal? plan or gr\p or individual heal? insurance cov]age (f]$ by a heal? insurance issu]1 includ+ 9 ! case (-- 7,a7 a prescription issu$ :5 ! p>ticipat+ provid] & disp5s+ ph>macy are ! same entity2 7,b7 a prescription issu$ t _c be transmitt$ electronically "u ! mo/ rec5tly implem5t$ v]sion ( ! ,national ,c\ncil = ,prescription ,drug ,programs ,,script ,/&>d2 7,c7 a prescription issu$ by a p>ticipat+ provid] :o receiv$ a waiv] 7:i* may include a waiv] obta9$ pursuant to section #ahfj;,d-#d7;e77#g77;,b77iii7 ( ! ,social ,security ,act7 or a r5ewal !re( = a p]iod ( "t z det]m9$ by ! ,secret>y1 ! ,secret>y ( ,labor1 & ! ,secret>y ( ! ,treasury1 n to exce$ "o ye>1 f ! requirem5t to use electronic prescrib+ due to demon/rat$ economic h>d%ip1 te*nological limitations t are n reasonably )9 ! control ( ! p>ticipat+ provid]1 or o!r exceptional circum/ance demon/rat$ by ! p>ticipat+ provid]2 7,d7 a prescription issu$ by a p>ticipat+ provid] "u circum/ances 9 :i*1 not)/&+ ! p>ticipat+ provid]'s ability to submit a prescription electronically z requir$ by ?is subsection1 su* p>ticipat+ provid] reasonably det]m9es t x w\ld be impractical = ! individual involv$ to obta9 sub/ances prescrib$ by electronic prescription 9 a timely mann]1 & su* delay w\ld adv]sely impact ! individual involv$'s m$ical condition involv$2 7,e7 a prescription issu$ by a p>ticipat+ provid] prescrib+ a drug "u a rese>* protocol2 7,f7 a prescription issu$ by a p>ticipat+ provid] = a drug = :i* ! ,food & ,drug ,adm9i/ration requires a prescription to conta9 elem5ts t are n able to be includ$ 9 electronic prescrib+1 su* z a drug ) risk evaluation & mitigation /rategies t include elem5ts to assure safe use2 7,g7 a prescription issu$ = an individual :o receives hospice c>e or = a resid5t ( a nurs+ facility 7z def9$ 9 section #aiai7;a7 ( ! ,social ,security ,act72 7,h7 a prescription issu$ "u circum/ances 9 :i* electronic prescrib+ is n available due to tempor>y te*nological or electrical failure1 z specifi$ jo9tly by ! ,secret>y1 ! ,secret>y ( ,labor1 & ! ,secret>y ( ! ,treasury ?r\gh rulemak+2 & 7,i7 a prescription issu$ by a p>ticipat+ provid] all[+ = ! disp5s+ ( a non-pati5t specific prescription pursuant to a /&+ ord]1 approv$ protocol = drug !rapy1 collaborative drug managem5t1 or compreh5sive m$ication managem5t1 9 response to a public heal? em]g5cy or o!r circum/ances "u :i* ! p>ticipat+ provid] may issue a non-pati5t specific prescription4 7#c7 ,rules ( ,con/ruction 7,a7 ,v]ification ,no?+ 9 ?is subsection %all be con/ru$ z requir+ a disp5s] to v]ify t a p>ticipat+ provid]1 ) respect to a prescription = a s*$ule ,,ii1 ,,iii1 ,,iv1 or ,v controll$ sub/ance t is a prescription drug cov]$ by a gr\p heal? plan or gr\p or individual heal? insurance cov]age (f]$ by a heal? insurance issu]1 has a waiv] 7or is o!rwise exempt7 "u p>agraph 7#b7 f ! requirem5t "u p>agraph 7#a74 7,b7 ,au?ority to disp5se ,no?+ 9 ?is subsection %all be con/ru$ z affect+ ! au?ority ( a gr\p heal? plan or gr\p or individual heal? insurance cov]age (f]$ by a heal? insurance issu] to cov]1 or ! au?ority ( a disp5s] to cont9ue to disp5se1 a prescription drug if ! prescription = su* drug is an o!rwise valid writt51 oral1 or fax prescription t is consi/5t ) applicable law4 7,c7 ,pati5t *oice ,no?+ 9 ?is subsection %all be con/ru$ z affect+ ! ability ( an individual :o is a p>ticipant1 b5efici>y1 or enrollee ( a gr\p heal? plan or gr\p or individual heal? insurance cov]age (f]$ by a heal? insurance issu] & :o is prescrib$ a s*$ule ,,ii1 ,,iii1 ,,iv1 or ,v controll$ sub/ance t is a prescription drug cov]$ by ! plan or cov]age to designate a p>ticul> disp5s] to disp5se a prescrib$ controll$ sub/ance to ! ext5t consi/5t ) ! requirem5ts "u ?is subsection4 7#d7 ,regulations on policy requirem5ts ,! ,secret>y1 ! ,secret>y ( ,labor1 & ! ,secret>y ( ! ,treasury %all promulgate regulations specify+ requirem5ts = ! policies e/abli%$ by gr\p heal? plans & heal? insurance issu]s "u p>agraph 7#a74 ,su* regulations %all include requirem5ts =-- 7,a7 a uni=m process by :i* plans & issu]s are requir$ to set ! e-prescrib+ requirem5ts2 7,b7 a process by :i* plans & issu]s are requir$ to grant waiv]s & exceptions to p>ticipat+ provid]s pursuant to p>agraph 7#b72 & 7,c7 a me*anism = plans & issu]s to recognize waiv]s issu$ to p>ticipat+ provid]s "u "p ,d ( title ,,xviii ( ! ,social ,security ,act1 pursuant to p>agraph 7#b77;,c74 7#e7 ,prohibitions ,! policies e/abli%$ pursuant to p>agraph 7#a7 by a gr\p heal? plan or heal? insurance issu] (f]+ gr\p or individual heal? insurance cov]age may n-- 7,a7 require disp5s]s ( a s*$ule ,,ii1 ,,iii1 ,,iv1 or ,v controll$ sub/ance to confirm t ! prescription = ! controll$ sub/ance 0 electronically issu$ by a p>ticipat+ provid] 9 accordance ) su* policies1 z describ$ 9 p>agraph 7#a72 7,b7 require disp5s]s ( su* controll$ sub/ances to submit in=mation or data beyond :at is o!rwise requir$ to process a prescription drug claim 9 ord] to confirm a p>ticipat+ provid]'s compliance ) su* policies2 7,c7 reject1 d5y1 or rec\p reimbursem5t = a prescription drug claim bas$ on ! =mat 9 :i* ! prescription 0 issu$2 or 7,d7 require a p>ticipat+ provid] to use a specific v5dor = electronic prescrib+ or a specific electronic prescrib+ product or sy/em4 7#f7 ,atte/ation ( compliance ,beg9n+ on ,janu>y #a1 #bjbf1 ea* gr\p heal? plan & heal? insurance issu] (f]+ gr\p or individual heal? insurance cov]age %all annually submit to ! ,secret>y1 ! ,secret>y ( ,labor1 & ! ,secret>y ( ! ,treasury an atte/ation ( compliance ) ! requirem5ts ( ?is subsection4 7#g7 ,consultation requirem5t = rulemak+ ,9 promulgat+ regulations to c>ry out ?is subsection1 ! ,secret>y1 ! ,secret>y ( ! ,labor1 & ! ,secret>y ( ! ,treasury %all jo9tly consult ) disp5s]s ( controll$ sub/ances1 ,/ate insurance regulators1 & heal? c>e practition]s4 4 7b7 ,employee ,retirem5t ,income ,security ,act ( #aigd am5dm5t ,section #gbb ( ! ,employee ,retirem5t ,income ,security ,act ( #aigd 7#bi ,u4,s4,c4 #aahek7 is am5d$ by add+ at ! end ! foll[+ new subsection3 7d7 ,requirem5ts = electronic-prescrib+ = controll$ sub/ances 7#a7 ,9 g5]al ,except z provid$ pursuant to p>agraph 7#b71 = plan ye>s beg9n+ on or aft] ,janu>y #a1 #bjbf1 a gr\p heal? plan & a heal? insurance issu] (f]+ gr\p heal? insurance cov]age1 ) respect to a p>ticipat+ provid]1 z def9$ 9 section #gaf7;a77#c71 %all h 9 place policies1 subject to p>agraphs 7#d7 & 7#e71 t require any prescription = a s*$ule ,,ii1 ,,iii1 ,,iv1 or ,v controll$ sub/ance 7z def9$ by section #bjb ( ! ,controll$ ,sub/ances ,act7 cov]$ by ! plan or cov]age t is transmitt$ by su* a p>ticipat+ provid] = su* a p>ticipant or b5efici>y be electronically transmitt$ consi/5t ) /&>ds e/abli%$ "u p>agraph 7#c7 ( section #ahfj;,d-#d7;e7 ( ! ,social ,security ,act1 "u an electronic prescription drug program t meets requirem5ts t are sub/antially simil> 7z jo9tly det]m9$ by ! ,secret>y1 ! ,secret>y ( ,heal? & ,human ,s]vices1 & ! ,secret>y ( ! ,treasury7 to ! requirem5ts ( p>agraph 7#b7 ( su* section #ahfj;,d-#d7;e74 7#b7 ,exception = c]ta9 circum/ances ,! ,secret>y1 ! ,secret>y ( ,heal? & ,human ,s]vices1 & ! ,secret>y ( ! ,treasury %all jo9tly1 ?r\gh rulemak+1 specify circum/ances & processes by :i* ! requirem5t "u p>agraph 7#a7 may be waiv$1 ) respect to a s*$ule ,,ii1 ,,iii1 ,,iv1 or ,v controll$ sub/ance t is a prescription drug cov]$ by a gr\p heal? plan or gr\p heal? insurance cov]age (f]$ by a heal? insurance issu]1 includ+ 9 ! case (-- 7,a7 a prescription issu$ :5 ! p>ticipat+ provid] & disp5s+ ph>macy are ! same entity2 7,b7 a prescription issu$ t _c be transmitt$ electronically "u ! mo/ rec5tly implem5t$ v]sion ( ! ,national ,c\ncil = ,prescription ,drug ,programs ,,script ,/&>d2 7,c7 a prescription issu$ by a p>ticipat+ provid] :o receiv$ a waiv] 7:i* may include a waiv] obta9$ pursuant to section #ahfj;,d-#d7;e77#g77;,b77iii7 ( ! ,social ,security ,act7 or a r5ewal !re( = a p]iod ( "t z det]m9$ by ! ,secret>y1 ! ,secret>y ( ,heal? & ,human ,s]vices1 & ! ,secret>y ( ! ,treasury1 n to exce$ "o ye>1 f ! requirem5t to use electronic prescrib+ due to demon/rat$ economic h>d%ip1 te*nological limitations t are n reasonably )9 ! control ( ! p>ticipat+ provid]1 or o!r exceptional circum/ance demon/rat$ by ! p>ticipat+ provid]2 7,d7 a prescription issu$ by a p>ticipat+ provid] "u circum/ances 9 :i*1 not)/&+ ! p>ticipat+ provid]'s ability to submit a prescription electronically z requir$ by ?is subsection1 su* p>ticipat+ provid] reasonably det]m9es t x w\ld be impractical = ! individual involv$ to obta9 sub/ances prescrib$ by electronic prescription 9 a timely mann]1 & su* delay w\ld adv]sely impact ! individual's m$ical condition involv$2 7,e7 a prescription issu$ by a p>ticipat+ provid] prescrib+ a drug "u a rese>* protocol2 7,f7 a prescription issu$ by a p>ticipat+ provid] = a drug = :i* ! ,food & ,drug ,adm9i/ration requires a prescription to conta9 elem5ts t are n able to be includ$ 9 electronic prescrib+1 su* z a drug ) risk evaluation & mitigation /rategies t include elem5ts to assure safe use2 7,g7 a prescription issu$ = an individual :o receives hospice c>e or = a resid5t ( a nurs+ facility 7z def9$ 9 section #aiai7;a7 ( ! ,social ,security ,act72 7,h7 a prescription issu$ "u circum/ances 9 :i* electronic prescrib+ is n available due to tempor>y te*nological or electrical failure1 z specifi$ jo9tly by ! ,secret>y1 ! ,secret>y ( ,heal? & ,human ,s]vices1 & ! ,secret>y ( ! ,treasury ?r\gh rulemak+2 & 7,i7 a prescription issu$ by a p>ticipat+ provid] all[+ = ! disp5s+ ( a non-pati5t specific prescription pursuant to a /&+ ord]1 approv$ protocol = drug !rapy1 collaborative drug managem5t1 or compreh5sive m$ication managem5t1 9 response to a public heal? em]g5cy or o!r circum/ances "u :i* ! p>ticipat+ provid] may issue a non-pati5t specific prescription4 7#c7 ,rules ( ,con/ruction 7,a7 ,v]ification ,no?+ 9 ?is subsection %all be con/ru$ z requir+ a disp5s] to v]ify t a p>ticipat+ provid]1 ) respect to a prescription = a s*$ule ,,ii1 ,,iii1 ,,iv1 or ,v controll$ sub/ance t is a prescription drug cov]$ by a gr\p heal? plan or gr\p or individual heal? insurance cov]age (f]$ by a heal? insurance issu]1 has a waiv] 7or is o!rwise exempt7 "u p>agraph 7#b7 f ! requirem5t "u p>agraph 7#a74 7,b7 ,au?ority to disp5se ,no?+ 9 ?is subsection %all be con/ru$ z affect+ ! au?ority ( a gr\p heal? plan or gr\p heal? insurance cov]age (f]$ by a heal? insurance issu] to cov]1 or ! au?ority ( a disp5s] to cont9ue to disp5se1 a prescription drug if ! prescription = su* drug is an o!rwise valid writt51 oral1 or fax prescription t is consi/5t ) applicable law4 7,c7 ,pati5t *oice ,no?+ 9 ?is subsection %all be con/ru$ z affect+ ! ability ( an individual :o is a p>ticipant or b5efici>y ( a gr\p heal? plan or gr\p or individual heal? insurance cov]age (f]$ by a heal? insurance issu] & :o is prescrib$ a s*$ule ,,ii1 ,,iii1 ,,iv1 or ,v controll$ sub/ance t is a prescription drug cov]$ by ! plan or cov]age to designate a p>ticul> disp5s] to disp5se a prescrib$ controll$ sub/ance to ! ext5t consi/5t ) ! requirem5ts "u ?is subsection4 7#d7 ,regulations on policy requirem5ts ,! ,secret>y1 ! ,secret>y ( ,heal? & ,human ,s]vices1 & ! ,secret>y ( ! ,treasury %all promulgate regulations specify+ requirem5ts = ! policies e/abli%$ by gr\p heal? plans & heal? insurance issu]s "u p>agraph 7#a74 ,su* regulations %all include requirem5ts =-- 7,a7 a uni=m process by :i* plans & issu]s are requir$ to set ! e-prescrib+ requirem5ts2 7,b7 a process by :i* plans & issu]s are requir$ to grant waiv]s & exceptions to p>ticipat+ provid]s pursuant to p>agraph 7#b72 & 7,c7 a me*anism = plans & issu]s to recognize waiv]s issu$ to p>ticipat+ provid]s "u "p ,d ( title ,,xviii ( ! ,social ,security ,act1 pursuant to p>agraph 7#b77;,c74 7#e7 ,prohibitions ,! policies e/abli%$ pursuant to p>agraph 7#a7 by a gr\p heal? plan or heal? insurance issu] (f]+ gr\p heal? insurance cov]age may n-- 7,a7 require disp5s]s ( a s*$ule ,,ii1 ,,iii1 ,,iv1 or ,v controll$ sub/ance to confirm t ! prescription = ! controll$ sub/ance 0 electronically issu$ by a p>ticipat+ provid] 9 accordance ) su* policies1 z describ$ 9 p>agraph 7#a72 7,b7 require disp5s]s ( su* controll$ sub/ances to submit in=mation or data beyond :at is o!rwise requir$ to process a prescription drug claim 9 ord] to confirm a p>ticipat+ provid]'s compliance ) su* policies2 7,c7 reject1 d5y1 or rec\p reimbursem5t = a prescription drug claim bas$ on ! =mat 9 :i* ! prescription 0 issu$2 or 7,d7 require a p>ticipat+ provid] to use a specific v5dor = electronic prescrib+ or a specific electronic prescrib+ product or sy/em4 7#f7 ,atte/ation ( compliance ,beg9n+ on ,janu>y #a1 #bjbf1 ea* gr\p heal? plan & heal? insurance issu] (f]+ gr\p heal? insurance cov]age %all annually submit to ! ,secret>y1 ! ,secret>y ( ,heal? & ,human ,s]vices1 & ! ,secret>y ( ! ,treasury an atte/ation ( compliance ) ! requirem5ts ( ?is subsection4 7#g7 ,consultation requirem5t = rulemak+ ,9 promulgat+ regulations to c>ry out ?is subsection1 ! ,secret>y1 ! ,secret>y ( ,heal? & ,human ,s]vices1 & ! ,secret>y ( ! ,treasury %all jo9tly consult ) disp5s]s ( controll$ sub/ances1 ,/ate insurance regulators1 & heal? c>e practition]s4 4 7c7 ,int]nal ,rev5ue ,code ( #aihf am5dm5t ,section #ihbb ( ! ,int]nal ,rev5ue ,code ( #aihf is am5d$ by add+ at ! end ! foll[+ new subsection3 7d7 ,requirem5ts = electronic-,prescrib+ = controll$ sub/ances 7#a7 ,9 g5]al ,except z provid$ pursuant to p>agraph 7#b71 = plan ye>s beg9n+ on or aft] ,janu>y #a1 #bjbf1 a gr\p heal? plan1 ) respect to a p>ticipat+ provid]1 z def9$ 9 section #ihaf7;a77#c71 %all h 9 place policies1 subject to p>agraphs 7#d7 & 7#e71 t require any prescription = a s*$ule ,,ii1 ,,iii1 ,,iv1 or ,v controll$ sub/ance 7z def9$ by section #bjb ( ! ,controll$ ,sub/ances ,act7 cov]$ by ! plan t is transmitt$ by su* a p>ticipat+ provid] = su* a p>ticipant or b5efici>y be electronically transmitt$ consi/5t ) /&>ds e/abli%$ "u p>agraph 7#c7 ( section #ahfj;,d-#d7;e7 ( ! ,social ,security ,act1 "u an electronic prescription drug program t meets requirem5ts t are sub/antially simil> 7z jo9tly det]m9$ by ! ,secret>y1 ! ,secret>y ( ,heal? & ,human ,s]vices1 & ! ,secret>y ( ,labor7 to ! requirem5ts ( p>agraph 7#b7 ( su* section #ahfj;,d-#d7;e74 7#b7 ,exception = c]ta9 circum/ances ,! ,secret>y1 ! ,secret>y ( ,heal? & ,human ,s]vices1 & ! ,secret>y ( ,labor %all jo9tly1 ?r\gh rulemak+1 specify circum/ances & processes by :i* ! requirem5t "u p>agraph 7#a7 may be waiv$1 ) respect to a s*$ule ,,ii1 ,,iii1 ,,iv1 or ,v controll$ sub/ance t is a prescription drug cov]$ by a gr\p heal?1 includ+ 9 ! case (-- 7,a7 a prescription issu$ :5 ! p>ticipat+ provid] & disp5s+ ph>macy are ! same entity2 7,b7 a prescription issu$ t _c be transmitt$ electronically "u ! mo/ rec5tly implem5t$ v]sion ( ! ,national ,c\ncil = ,prescription ,drug ,programs ,,script ,/&>d2 7,c7 a prescription issu$ by a p>ticipat+ provid] :o receiv$ a waiv] 7:i* may include a waiv] obta9$ pursuant to section #ahfj;,d-#d7;e77#g77;,b77iii7 ( ! ,social ,security ,act7 or a r5ewal !re( = a p]iod ( "t z det]m9$ by ! ,secret>y1 ! ,secret>y ( ,heal? & ,human ,s]vices1 & ! ,secret>y ( ,labor1 n to exce$ "o ye>1 f ! requirem5t to use electronic prescrib+ due to demon/rat$ economic h>d%ip1 te*nological limitations t are n reasonably )9 ! control ( ! p>ticipat+ provid]1 or o!r exceptional circum/ance demon/rat$ by ! p>ticipat+ provid]2 7,d7 a prescription issu$ by a p>ticipat+ provid] "u circum/ances 9 :i*1 not)/&+ ! p>ticipat+ provid]'s ability to submit a prescription electronically z requir$ by ?is subsection1 su* p>ticipat+ provid] reasonably det]m9es t x w\ld be impractical = ! individual involv$ to obta9 sub/ances prescrib$ by electronic prescription 9 a timely mann]1 & su* delay w\ld adv]sely impact ! individual's m$ical condition involv$2 7,e7 a prescription issu$ by a p>ticipat+ provid] prescrib+ a drug "u a rese>* protocol2 7,f7 a prescription issu$ by a p>ticipat+ provid] = a drug = :i* ! ,food & ,drug ,adm9i/ration requires a prescription to conta9 elem5ts t are n able to be includ$ 9 electronic prescrib+1 su* z a drug ) risk evaluation & mitigation /rategies t include elem5ts to assure safe use2 7,g7 a prescription issu$ = an individual :o receives hospice c>e or = a resid5t ( a nurs+ facility 7z def9$ 9 section #aiai7;a7 ( ! ,social ,security ,act72 7,h7 a prescription issu$ "u circum/ances 9 :i* electronic prescrib+ is n available due to tempor>y te*nological or electrical failure1 z specifi$ jo9tly by ! ,secret>y1 ! ,secret>y ( ,heal? & ,human ,s]vices1 & ! ,secret>y ( ,labor ?r\gh rulemak+2 & 7,i7 a prescription issu$ by a p>ticipat+ provid] all[+ = ! disp5s+ ( a non-pati5t specific prescription pursuant to a /&+ ord]1 approv$ protocol = drug !rapy1 collaborative drug managem5t1 or compreh5sive m$ication managem5t1 9 response to a public heal? em]g5cy or o!r circum/ances "u :i* ! p>ticipat+ provid] may issue a non-pati5t specific prescription4 7#c7 ,rules ( ,con/ruction 7,a7 ,v]ification ,no?+ 9 ?is subsection %all be con/ru$ z requir+ a disp5s] to v]ify t a p>ticipat+ provid]1 ) respect to a prescription = a s*$ule ,,ii1 ,,iii1 ,,iv1 or ,v controll$ sub/ance t is a prescription drug cov]$ by a gr\p heal? plan1 has a waiv] 7or is o!rwise exempt7 "u p>agraph 7#b7 f ! requirem5t "u p>agraph 7#a74 7,b7 ,au?ority to disp5se ,no?+ 9 ?is subsection %all be con/ru$ z affect+ ! ability ( a gr\p heal? plan to cov]1 or ! ability ( a disp5s] to cont9ue to disp5se1 a prescription drug if ! prescription = su* drug is an o!rwise valid writt51 oral1 or fax prescription t is consi/5ce ) applicable laws & regulations4 7,c7 ,pati5t *oice ,no?+ 9 ?is subsection %all be con/ru$ z affect+ ! ability ( an individual :o is a p>ticipant or b5efici>y ( a gr\p heal? plan & :o is prescrib$ a s*$ule ,,ii1 ,,iii1 ,,iv1 or ,v controll$ sub/ance t is a prescription drug cov]$ by ! plan to designate a p>ticul> disp5s] to disp5se a prescrib$ controll$ sub/ance to ! ext5t consi/5t ) ! requirem5ts "u ?is subsection4 7#d7 ,regulations on policy requirem5ts ,! ,secret>y1 ! ,secret>y ( ,heal? & ,human ,s]vices1 & ! ,secret>y ( ,labor %all promulgate regulations specify+ requirem5ts = ! policies e/abli%$ by gr\p heal? plans "u p>agraph 7#a74 ,su* regulations %all include requirem5ts =-- 7,a7 a uni=m process by :i* plans are requir$ to set ! e-prescrib+ requirem5ts2 7,b7 a process by :i* plans are requir$ to grant waiv]s & exceptions to p>ticipat+ provid]s pursuant to p>agraph 7#b72 & 7,c7 a me*anism = plans to recognize waiv]s issu$ to p>ticipat+ provid]s "u "p ,d ( title ,,xviii ( ! ,public ,heal? ,s]vice ,act1 pursuant to p>agraph 7#b77;,c74 7#e7 ,prohibitions ,! policies e/abli%$ pursuant to p>agraph 7#a7 by a gr\p heal? plan may n-- 7,a7 require disp5s]s ( a s*$ule ,,ii1 ,,iii1 ,,iv1 or ,v controll$ sub/ance to confirm t ! prescription = ! controll$ sub/ance 0 electronically issu$ by a p>ticipat+ provid] 9 accordance ) su* policies1 z describ$ 9 p>agraph 7#a72 7,b7 require disp5s]s ( su* controll$ sub/ances to submit in=mation or data beyond :at is o!rwise requir$ to process a prescription drug claim 9 ord] to confirm a p>ticipat+ provid]'s compliance ) su* policies2 7,c7 reject1 d5y1 or rec\p reimbursem5t = a prescription drug claim bas$ on ! =mat 9 :i* ! prescription 0 issu$2 or 7,d7 require a p>ticipat+ provid] to use a specific v5dor = electronic prescrib+ or a specific electronic prescrib+ product or sy/em4 7#f7 ,atte/ation ( compliance ,beg9n+ on ,janu>y #a1 #bjbf1 ea* gr\p heal? plan %all annually submit to ! ,secret>y1 ! ,secret>y ( ,heal? & ,human ,s]vices1 & ! ,secret>y ( ,labor an atte/ation ( compliance ) ! requirem5ts ( ?is subsection4 7#g7 ,consultation requirem5t = rulemak+ ,9 promulgat+ regulations to c>ry out ?is subsection1 ! ,secret>y1 ! ,secret>y ( ,heal? & ,human ,s]vices1 & ! ,secret>y ( ,labor %all jo9tly consult ) disp5s]s ( controll$ sub/ances1 ,/ate insurance regulators1 & heal? c>e practition]s4 4 7d7 ,update ( biometric compon5t ( multifactor au!ntication ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,attorney ,g5]al %all f9alize a regulation updat+ ! requirem5ts = ! biometric compon5t ( multifactor au!ntication ) respect to electronic prescriptions ( controll$ sub/ances1 z requir$ "u section #bjjc7;c7 ( ! ,,support = ,pati5ts & ,community ,act 7,public ,law #aae-bga74 ,,ii ,treatm5t #bja4 ,resid5tial treatm5t program = pregnant & po/p>tum wom5 ,section #ejh ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#a7 is am5d$-- 7#a7 9 subsection 7d77#aa77;,c71 by /rik+ provid+ heal? s]vices & ins]t+ provid+ heal? c>e s]vices2 7#b7 9 subsection 7g7-- 7,a7 by ins]t+ a plan describ+ aft] w provide2 & 7,b7 by add+ at ! end ! foll[+3 ,su* plan may include a description ( h[ su* applicant w t>get outrea* to wom5 disproportionately impact$ by mat]nal sub/ance use disord]42 & 7#c7 9 subsection 7s71 by /rik+ #bi1ica1jjj = ea* ( fiscal ye>s #bjai ?r\gh #bjbc & ins]t+ #ch1ica1jjj = ea* ( fiscal ye>s #bjbd ?r\gh #bjbh4 #bjb4 ,loan repaym5t program = sub/ance use disord] treatm5t work=ce ,section #gha7;j7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bie;h7j77 is am5d$ by /rik+ #be1jjj1jjj = ea* ( fiscal ye>s #bjai ?r\gh #bjbc & ins]t+ #ej1jjj1jjj = ea* ( fiscal ye>s #bjbd ?r\gh #bjbh4 #bjc4 ,regional c5t]s ( excell5ce 9 sub/ance use disord] education ,section #eea ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;ee-#f7 is am5d$ by /rik+ subsection 7f74 #bjd4 ,m5tal & behavioral heal? education & tra9+ program ,section #gef7;f7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bid;e-#a7;f77 is am5d$ to read z foll[s3 7f7 ,au?orization ( appropriations ,to c>ry out ?is section1 !re is au?oriz$ to be appropriat$ ! foll[+3 7#a7 #ej1jjj1jjj = fiscal ye> #bjbd1 to be allocat$ z foll[s3 7,a7 ,= grants describ$ 9 subsection 7a77#a71 #ae1jjj1jjj4 7,b7 ,= grants describ$ 9 subsection 7a77#b71 #ae1jjj1jjj4 7,c7 ,= grants describ$ 9 subsection 7a77#c71 #aj1jjj1jjj4 7,d7 ,= grants describ$ 9 subsection 7a77#d71 #aj1jjj1jjj4 7#b7 #ee1jjj1jjj = fiscal ye> #bjbe1 to be allocat$ z foll[s3 7,a7 ,= grants describ$ 9 subsection 7a77#a71 #af1ejj1jjj4 7,b7 ,= grants describ$ 9 subsection 7a77#b71 #af1ejj1jjj4 7,c7 ,= grants describ$ 9 subsection 7a77#c71 #aa1jjj1jjj4 7,d7 ,= grants describ$ 9 subsection 7a77#d71 #aa1jjj1jjj4 7#c7 #fj1jjj1jjj = fiscal ye> #bjbf1 to be allocat$ z foll[s3 7,a7 ,= grants describ$ 9 subsection 7a77#a71 #ah1jjj1jjj4 7,b7 ,= grants describ$ 9 subsection 7a77#b71 #ah1jjj1jjj4 7,c7 ,= grants describ$ 9 subsection 7a77#c71 #ab1jjj1jjj4 7,d7 ,= grants describ$ 9 subsection 7a77#d71 #ab1jjj1jjj4 7#d7 #fe1jjj1jjj = fiscal ye> #bjbg1 to be allocat$ z foll[s3 7,a7 ,= grants describ$ 9 subsection 7a77#a71 #ai1ejj1jjj4 7,b7 ,= grants describ$ 9 subsection 7a77#b71 #ai1ejj1jjj4 7,c7 ,= grants describ$ 9 subsection 7a77#c71 #ac1jjj1jjj4 7,d7 ,= grants describ$ 9 subsection 7a77#d71 #ac1jjj1jjj4 7#e7 #ge1jjj1jjj = fiscal ye> #bjbh1 to be allocat$ z foll[s3 7,a7 ,= grants describ$ 9 subsection 7a77#a71 #bb1ejj1jjj4 7,b7 ,= grants describ$ 9 subsection 7a77#b71 #bb1ejj1jjj4 7,c7 ,= grants describ$ 9 subsection 7a77#c71 #ae1jjj1jjj4 7,d7 ,= grants describ$ 9 subsection 7a77#d71 #ae1jjj1jjj4 4 #bje4 ,grants to enhance access to sub/ance use disord] treatm5t ,section #cbjc ( ! ,,support = ,pati5ts & ,communities ,act 7#ba ,u4,s4,c4 #hbc note7 is am5d$-- 7#a7 by /rik+ subsection 7b72 & 7#b7 by /rik+ ,9 g5]al--,! ,secret>y & ins]t+ ! foll[+3 ,! ,secret>y 4 #bjf4 ,grants to improve trauma support s]vices & m5tal heal? c>e = *ildr5 & y\? 9 educational sett+s ,section #gacd ( ! ,,support = ,pati5ts & ,communities ,act 7#db ,u4,s4,c4 #bhj;h-#g7 is am5d$-- 7#a7 9 subsection 7a71 by /rik+ tribal & ins]t+ ,tribal2 7#b7 9 subsection 7c7-- 7,a7 9 p>agraph 7#a71 by ins]t+ e>ly int]v5tion1 aft] scre5+12 7,b7 9 p>agraph 7#c7-- 7i7 9 ! matt] prec$+ subp>agraph 7,a71 by ins]t+ o!r /aff1 aft] support p]sonnel12 & 7ii7 9 subp>agraph 7,a71 by /rik+ social & emotional le>n+ & ins]t+ developm5tally appropriate practices2 & 7,c7 9 p>agraph 7#e71 by ins]t+ r$uce /igma associat$ ) m5tal heal? c>e & aft] ef=ts to2 7#c7 9 subsection 7d7-- 7,a7 9 p>agraph 7#d7-- 7i7 9 subp>agraph 7,a71 by /rik+ 2 & & ins]t+ a semicolon2 7ii7 9 subp>agraph 7,b7-- 7,i7 by /rik+ tribal organizations z appropriate1 o!r s*ool p]sonnel & ins]t+ ,tribal organizations z appropriate1 o!r /aff2 & 7,,ii7 by /rik+ ! p]iod & ins]t+ 2 &2 & 7iii7 by add+ at ! end ! foll[+3 7,c7 p>5ts & gu>dians w be in=m$ ( :at trauma support s]vices & m5tal heal? c>e are available to _! /ud5ts & :at s]vices & c>e _! /ud5ts receive1 9 accordance ) ! p>5tal cons5t requirem5ts "u subsection 7h77#b74 2 & 7,b7 by add+ at ! end ! foll[+3 7#g7 ,a plan = su/a9+ ! program foll[+ ! end ( ! aw>d p]iod4 2 7#d7 9 subsection 7f77#a71 by ins]t+ 1 :i* %all include a description ( h[ ! s*ool obta9s cons5t f ! /ud5t's p>5t or gu>dian = ! provision ( trauma support s]vices & m5tal heal? c>e aft] ?is section2 7#e7 9 subsection 7g71 by /rik+ tribal & ins]t+ ,tribal2 7#f7 9 subsection 7h7-- 7,a7 9 ! subsection head+1 by ins]t+ 2 application ( c]ta9 provisions aft] con/ruction2 7,b7 by /rik+ tribal ea* place x appe>s & ins]t+ ,tribal2 7,c7 by r$esignat+ p>agraphs 7#a7 & 7#b7 z subp>agraphs 7,a7 & 7,b71 respectively1 & adju/+ ! m>g9s accord+ly2 7,d7 by /rik+ ,no?+ 9 ?is section & ins]t+ ! foll[+3 7#a7 ,9 g5]al ,no?+ 9 ?is section 2 & 7,e7 by add+ at ! end ! foll[+3 7#b7 ,application ( provisions 7,a7 ,rules ,section #djja ( ! ,elem5t>y & ,second>y ,education ,act ( #aife 7n includ+ ! exception "u subsection 7a77#b77;,b77i7 ( su* section7 %all apply to an entity receiv+ a grant1 contract1 or coop]ative agreem5t "u ?is section 9 ! same mann] z su* section #djja applies to an entity receiv+ fund+ "u title ,,iv ( su* ,act4 7,b7 ,privacy protections ,any education record ( a /ud5t collect$ or ma9ta9$ "u subsection 7c77#d7 %all h ! protections requir$ = education records "u section #ddd ( ! ,g5]al ,education ,provisions ,act4 4 7#g7 9 subsection 7k7-- 7,a7 by r$esignat+ p>agraphs 7#e7 ?r\gh 7#aa7 z p>agraphs 7#f7 ?r\gh 7#ab71 respectively2 & 7,b7 by ins]t+ aft] p>agraph 7#d7 ! foll[+3 7#e7 ,o!r /aff ,! t]m o!r /aff has ! mean+ giv5 su* t]m 9 section #haja ( ! ,elem5t>y & ,second>y ,education ,act ( #aife4 2 & 7#h7 9 subsection 7l71 by /rik+ #bjai ?r\gh #bjbc & ins]t+ #bjbd ?r\gh #bjbh4 #bjg4 ,developm5t & dissem9ation ( model tra9+ programs = sub/ance use disord] pati5t records ,section #gjec ( ! ,,support = ,pati5ts & ,communities ,act 7#db ,u4,s4,c4 #bij;dd-#b note7 is am5d$ by /rik+ subsection 7e74 #bjh4 ,task =ce on be/ practices = trauma-in=m$ id5tification1 ref]ral1 & support ,section #gacb ( ! ,,support = ,pati5ts & ,communities ,act 7,public ,law #aae-bga2 #acb ,/at4 #djdf7 is am5d$-- 7#a7 9 subsection 7b77#a7-- 7,a7 by r$esignat+ subp>agraph 7,,cc7 z subp>agraph 7,,dd72 & 7,b7 by ins]t+ aft] subp>agraph 7,,bb7 ! foll[+3 7,,cc7 ,! ,adm9i/ration = ,community ,liv+4 2 7#b7 9 subsection 7d77#a71 9 ! matt] prec$+ subp>agraph 7,a71 by ins]t+ 1 developm5tal disability s]vice provid]s be=e 1 individuals :o are2 & 7#c7 9 subsection 7i71 by /rik+ #bjbc & ins]t+ #bjbh4 #bji4 ,program to support coord9ation & cont9uation ( c>e = drug ov]dose pati5ts ,section #gjha ( ! ,,support = ,pati5ts & ,communities ,act 7#db ,u4,s4,c4 #bij;dd-#d7 is am5d$ by /rik+ subsection 7f74 #baj4 ,regulations relat+ to special regi/ration = telem$ic9e ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,attorney ,g5]al1 9 consultation ) ! ,secret>y ( ,heal? & ,human ,s]vices1 %all promulgate ! f9al regulations requir$ "u section #caa7;h77#b7 ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hca7;h77#b774 #baa4 ,m5tal heal? p>ity 7a7 ,9 g5]al ,n lat] ?an ,janu>y #a1 #bjbe1 ! ,inspector ,g5]al ( ! ,dep>tm5t ( ,labor1 9 coord9ation ) ! ,inspector ,g5]al ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 %all report to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate & ! ,committee on ,en]gy & ,comm]ce & ! ,committee on ,education & ! ,work=ce ( ! ,h\se ( ,repres5tatives on ! foll[+3 7#a7 ,! non-quantitative treatm5t limit 7ref]r$ to 9 ?is section z ,,nqtl7 requirem5ts ) respect to m5tal heal? & sub/ance use disord] b5efits "u gr\p heal? plans & heal? insurance issu]s "u section #bgbf7;a77#h7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;gg-#bf7;a77#h771 section #gab7;a77#h7 ( ! ,employee ,retirem5t ,income ,security ,act ( #aigd 7#bi ,u4,s4,c4 #aahe;a7a77#h771 & section #ihab7;a77#h7 ( ! ,int]nal ,rev5ue ,code ( #aihf 7ref]r$ to 9 ?is section z ! ,,nqtl comp>ative analysis requirem5ts71 & ! requirem5ts = ! ,secret>y ( ,heal? & ,human ,s]vices1 ! ,secret>y ( ,labor1 & ! ,secret>y ( ! ,treasury to issue regulations1 a compliance program guide1 & additional guidance docum5ts & tools provid+ guidance relat+ to m5tal heal? p>ity requirem5ts "u section #bgbf7;a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;gg-#bf7;a771 section #gab7;a7 ( ! ,employee ,retirem5t ,income ,security ,act ( #aigd 7#bi ,u4,s4,c4 #aahe;a7a771 & section #ihab7;a7 ( ! ,int]nal ,rev5ue ,code ( #aihf4 7#b7 ,) respect to ! ,,nqtl comp>ative analysis requirem5ts describ$ 9 p>agraph 7#a71 an analysis ( ! actions tak5 by ! ,secret>y ( ,labor1 ! ,secret>y ( ! ,treasury1 & ! ,secret>y ( ,heal? & ,human ,s]vices to provide guidance to ensure t gr\p heal? plans & heal? insurance issu]s c fully comply ) m5tal heal? p>ity requirem5ts "u section #bgbf ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;gg-#bf71 section #gab ( ! ,employee ,retirem5t ,income ,security ,act ( #aigd 7#bi ,u4,s4,c4 #aahe;a71 & section #ihab ( ! ,int]nal ,rev5ue ,code ( #aihf & ! ,,nqtl comp>ative analysis requirem5ts describ$ 9 p>agraph 7#a71 includ+ an analysis (-- 7,a7 ! ext5t to :i* ! ,secret>y ( ,labor1 ! ,secret>y ( ! ,treasury1 & ! ,secret>y ( ,heal? & ,human ,s]vices h fulfill$ ! requirem5t "u section #bjc7;b7 ( division ,,bb ( ! ,consolidat$ ,appropriations ,act1 #bjba 7,public ,law #aaf-bfj7 to issue ! specific guidance & regulations p]ta9+ to ! requirem5ts = gr\p heal? plans & heal? insurance issu]s to demon/rate compliance ) ! ,,nqtl comp>ative analysis requirem5ts2 & 7,b7 :e!r suffici5t guidance & examples f ! ,dep>tm5t ( ,labor & ,dep>tm5t ( ,heal? & ,human ,s]vices1 & ! ,dep>tm5t ( ! ,treasury exi/ to guide & assi/ gr\p heal? plans & heal? insurance issu]s 9 comply+ ) ! requirem5ts to demon/rate compliance ) m5tal heal? p>ity ,,nqtl comp>ative analysis requirem5ts_/"u su* sections #bgbf7;a77#h71 #gab7;a77#h71 & #ihab7;a77#h74 7#c7 ,a review ( ! en=cem5t processes ( ! ,dep>tm5t ( ,labor & ! ,dep>tm5t ( ,heal? & ,human ,s]vices to evaluate ! consi/5cy ( int]pretation ( ! requirem5ts "u section #bgbf7;a77#h7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;gg-#bf7;a77#h771 section #gab7;a77#h7 ( ! ,employee ,retirem5t ,income ,security ,act ( #aigd 7#bi ,u4,s4,c4 #aahe;a7a77#h771 & section #ihab7;a77#h7 ( ! ,int]nal ,rev5ue ,code ( #aihf1 9 p>ticul> ) respect to processes utiliz$ = en=cem5t1 actions or inactions t con/itute noncompliance1 & avoidance among ! ag5cies ( duplication ( en=cem5t1 includ+ an evaluation ( compliance ) section #ajd ( ! ,heal? ,insurance ,portability & ,acc\ntability ,act ( #aiif 7,public ,law #ajd-aia74 7#d7 ,a review ( ! implem5tation1 by ! ,dep>tm5t ( ,labor1 ,dep>tm5t ( ,heal? & ,human ,s]vices1 & ,dep>tm5t ( ! ,treasury1 ( m5tal heal? p>ity requirem5ts "u section #bgbf ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;gg-#bf71 section #gab ( ! ,employee ,retirem5t ,income ,security ,act ( #aigd 7#bi ,u4,s4,c4 #aahe;a71 & section #ihab ( ! ,int]nal ,rev5ue ,code ( #aihf1 includ+ all su* requirem5ts 9 effect ?r\gh ! enactm5t ( ! ,m5tal ,heal? ,p>ity ,act ( #aiif 7,public ,law #ajd-bjd71 ! ,paul ,well/one & ,pete ,dom5ici ,m5tal ,heal? ,p>ity & ,addiction ,equity ,act ( #bjjh 7,public ,law #aaj-dfj71 ! #ba/ ,c5tury ,cures ,act 7,public ,law #aad-bee71 & ! ,consolidat$ ,appropriations ,act1 #bjbc 7,public ,law #aag-cbh7 7includ+ any am5dm5ts made by su* ,acts71 & includ+ ) respect to ! tim+ ( all actions1 delays ( any actions1 reasons = any su* delays1 m&at$ requirem5ts t 7 met only once b n ea* "t su* requirem5ts 7 m&at$4 7b7 ,def9itions ,9 ?is section1 ! t]ms gr\p heal? plan & heal? insurance issu] h ! mean+s giv5 su* t]ms 9 section #gcc ( ! ,employee ,retirem5t ,income ,security ,act ( #aigd 7#bi ,u4,s4,c4 #aaia;b74 #bab4 ,/ate guidance relat$ to individuals ) s]i\s m5tal illness & *ildr5 ) s]i\s emotional di/urbance 7a7 ,review ( use ( c]ta9 fund+ ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices1 act+ ?r\gh ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use1 %all conduct a review ( ! use by ,/ates ( funds made available "u ! ,community ,m5tal ,heal? ,s]vices ,block ,grant program "u subp>t ,i ( "p ,b ( title ,,xix ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx et seq47 = ,fir/ ,episode ,psy*osis activities4 ,su* review %all consid] ! foll[+3 7#a7 ,h[ ! ,/ates use funds = evid5ce-bas$ treatm5ts & s]vices1 su* z coord9at$ specialty c>e1 accord+ to ! /&>d ( c>e = individuals ) e>ly s]i\s m5tal illness1 includ+ ! compreh5siv5ess ( su* treatm5ts to include all aspects ( ! recomm5d$ int]v5tion4 7#b7 ,h[ ,/ate m5tal heal? dep>tm5ts coord9ate ) ,/ate ,m$icaid dep>tm5ts 9 ! deliv]y ( ! treatm5ts & s]vices describ$ 9 p>agraph 7#a74 7#c7 ,! p]c5tage ( ! ,/ate fund+ "u ! block grant program t is appli$ t[>d e>ly s]i\s m5tal illness1 & fund+ 9 excess (1 or "u1 #aj p]c5t ( ! am\nt ( ! grant1 brok5 d[n by ,/ate4 7#d7 ,! p]c5tage ( funds exp5d$ by ,/ates ?r\gh su* block grant program specifically on ,fir/ ,episode ,psy*osis1 to ! ext5t su* in=mation is available4 7#e7 ,h[ _m individuals are s]v$ by ! exp5ditures describ$ 9 p>agraphs 7#c7 & 7#d71 on a p]-capita basis4 7#f7 ,h[ ! funds are us$ to rea* und]s]v$ populations1 includ+ rural populations & racial & e?nic m9ority populations4 7b7 ,report & guidance 7#a7 ,report ,n lat] ?an #f mon?s aft] ! completion ( ! review "u subsection 7a71 ! ,secret>y ( ,heal? & ,human ,s]vices1 act+ ?r\gh ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use1 %all submit to ! ,committee on ,appropriations1 ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions1 & ! ,committee on ,f9ance ( ! ,s5ate & to ! ,committee on ,appropriations & ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives a report on ! f9d+s made z a result ( ! review conduct$ "u subsection 7a74 ,su* report %all include any recomm5dations ) respect to any *anges to ! ,community ,m5tal ,heal? ,s]vices ,block ,grant program "u subp>t ,i ( "p ,b ( title ,,xix ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx et seq471 includ+ ! set-aside requir$ = ,fir/ ,episode ,psy*osis1 t w\ld facilitate improv$ outcomes = ! t>get$ population involv$4 7#b7 ,guidance ,n lat] ?an #a ye> aft] ! date on :i* ! report is submitt$ "u p>agraph 7#a71 ! ,secret>y ( ,heal? & ,human ,s]vices1 act+ ?r\gh ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use1 %all update ! guidance provid$ to ,/ates "u ! ,community ,m5tal ,heal? ,s]vices ,block ,grant program bas$ on ! f9d+s & recomm5dations ( ! report4 7c7 ,additional guidance ,! ,director ( ! ,national ,in/itute ( ,m5tal ,heal? %all coord9ate ) ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use 9 provid+ guidance to ,/ate grantees & provid] subgrantees ab\t rese>* advances 9 ! deliv]y ( s]vices = ,fir/ ,episode ,psy*osis "u ! ,community ,m5tal ,heal? ,s]vices ,block ,grant program4 7d7 ,guidance = /ates relat+ to heal? c>e s]vices & int]v5tions = individuals ) s]i\s m5tal illness & *ildr5 ) s]i\s emotional di/urbance ,n lat] ?an #b ye>s aft] ! date ( enactm5t ( ?is ,act1 ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use1 jo9tly ) ! ,adm9i/rator ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices & ! ,director ( ! ,national ,in/itute ( ,m5tal ,heal?-- 7#a7 %all provide updat$ guidance to ,/ates conc]n+ ! mann] 9 :i* ,f$]al fund+ provid$ to ,/ates ?r\gh programs adm9i/]$ by su* ag5cies1 includ+ ! ,community ,m5tal ,heal? ,s]vices ,block ,grant program "u subp>t ,i ( "p ,b ( title ,,xix ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx et seq471 may be coord9at$ to provide evid5ce-bas$ heal? c>e s]vices su* z coord9at$ specialty c>e to individuals ) s]i\s m5tal illness & s]i\s emotional di/urbance1 & int]v5tions = individuals ) e>ly s]i\s m5tal illness1 includ+ ,fir/ ,episode ,psy*osis2 & 7#b7 may /reaml9e relevant ,/ate report+ requirem5ts if su* /reaml9+ w\ld result 9 mak+ x easi] = ,/ates to coord9ate fund+ "u ! programs describ$ 9 p>agraph 7#a7 to improve treatm5ts = individuals ) s]i\s m5tal illness & s]i\s emotional di/urbance4 #bac4 ,improv+ access to addiction m$ic9e provid]s ,section #eig ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bijll7 is am5d$-- 7#a7 9 subsection 7a77#a71 by ins]t+ diagnosis1 aft] relat$ to2 & 7#b7 9 subsection 7b71 by ins]t+ addiction m$ic9e1 aft] psy*iatry14 #bad4 ,r\ndtable on us+ heal? in=mation te*nology to improve m5tal heal? & sub/ance use c>e outcomes 7a7 ,r\ndtable ,n lat] ?an #ahj days aft] ! date ( enactm5t ( ?is ,act1 ! ,(fice ( ! ,national ,coord9ator = ,heal? ,in=mation ,te*nology %all conv5e a public r\ndtable to exam9e h[ ! exp&$ use ( electronic heal? records among m5tal heal? & sub/ance use s]vice provid]s c improve outcomes = pati5ts 9 m5tal heal? & sub/ance use sett+s & h[ be/ to increase electronic heal? record adoption among su* provid]s4 7b7 ,p>ticipants ,! ,national ,coord9ator = ,heal? ,in=mation ,te*nology %all ensure t ! p>ticipants 9 ! r\ndtable "u subsection 7a7 include private & public sector /akehold]s1 includ+ pati5ts1 provid]s 7includ+ provid]s ( inpati5t s]vices & provid]s ( outpati5t s]vices71 & repres5tatives ( payors1 heal? in=mation ex*anges1 pr(essional associations1 heal? in=mation te*nology v5dors1 heal? in=mation te*nology c]tification organizations1 & ,/ate & ,f$]al ag5cies4 7c7 ,report ,n lat] ?an #ahj days aft] ! conclusion ( ! public /akehold] r\ndtable "u subsection 7a71 ! ,(fice ( ! ,national ,coord9ator = ,heal? ,in=mation ,te*nology %all submit to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate & ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives a report outl9+ in=mation ga!r$ f ! r\ndtable "u subsection 7a74 ,su* report %all include an exam9ation (-- 7#a7 recomm5dations f ! r\ndtable p>ticipants2 7#b7 unique consid]ations = us+ electronic heal? record sy/ems 9 m5tal heal? & sub/ance use treatm5t sett+s2 7#c7 unique consid]ations = develop]s ( heal? in=mation te*nology relat+ to c]tification ( electronic heal? records = use 9 m5tal heal? & sub/ance use treatm5t sett+s :]e ! applicable heal? in=mation te*nology is n curr5tly subject to c]tification requirem5ts2 7#d7 curr5t usage ( electronic heal? records by m5tal heal? & sub/ance use disord] s]vice provid]s1 & ! scope & magnitude ( su* provid]s t d n use electronic heal? record sy/ems2 7#e7 examples ( h[ electronic heal? record sy/ems enable coord9at$ c>e & c>e managem5t2 7#f7 h[ electronic heal? record sy/ems fur!r appropriate pati5t & provid] access to secure1 usable electronic in=mation ex*ange2 7#g7 h[ electronic heal? record sy/ems c be connect$ to or support exi/+ sy/ems1 :i* may include ! #ihh crisis l9e1 mobile crisis response sy/ems1 & co-respond] programs1 to facilitate connectivity1 response1 & integrat$ c>e2 7#h7 any exi/+ programs to support great] adoption ( electronic heal? record sy/ems among m5tal heal? & sub/ance use s]vice provid]s2 7#i7 any limitations to great] adoption ( electronic heal? record sy/ems among m5tal heal? & sub/ance use s]vice provid]s2 7#aj7 ! co/s ( adoption ( electronic heal? record sy/ems by m5tal heal? & sub/ance use disord] s]vice provid]s2 & 7#aa7 be/ practices implem5t$ by ,/ates & by o!r entities to support adoption ( use ( electronic heal? records among m5tal heal? & sub/ance use disord] s]vice provid]s4 #bae4 ,pe]-to-pe] m5tal heal? support 7a7 ,9 g5]al ,! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use 7ref]r$ to 9 ?is section z ! ,assi/ant ,secret>y71 9 consultation ) ! ,secret>y ( ,education1 may1 z appropriate & )9 a relevant exi/+ program1 c>ry out a pilot program & make aw>ds1 on a competitive basis1 to eligible entities to support evid5ce-bas$ m5tal heal? pe] support activities = /ud5ts enroll$ 9 second>y s*ools 7z su* t]m is def9$ 9 section #haja ( ! ,elem5t>y & ,second>y ,education ,act ( #aife 7#bj ,u4,s4,c4 #ghja774 7b7 ,eligibility ,to be eligible to receive an aw>d "u ?is section1 an entity %all-- 7#a7 be a ,/ate1 political subdivision ( a ,/ate1 t]ritory1 or ,indian ,tribe or ,tribal organization 7z su* t]ms are def9$ 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act 7#be ,u4,s4,c4 #ecjd772 & 7#b7 submit to ! ,assi/ant ,secret>y an application at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,assi/ant ,secret>y may require1 includ+ a description ( h[ ! entity w measure & evaluate progress ( ! program 9 improv+ /ud5t m5tal heal? outcomes4 7c7 ,use ( am\nts 7#a7 ,9 g5]al ,subject to p>agraph 7#b71 an eligible entity may use am\nts provid$ "u ?is section to implem5t or op]ate evid5ce-bas$ m5tal heal? pe] support activities 9 #a or m second>y s*ools 7z su* t]m is def9$ 9 section #haja ( ! ,elem5t>y & ,second>y ,education ,act ( #aife 7#bj ,u4,s4,c4 #ghja77 )9 ! jurisdiction ( su* eligible entity1 :i* may include provid+ tra9+1 z appropriate1 to /ud5ts1 adult sup]visors1 & o!r appropriate individuals to improve ! e>ly id5tification (1 response to1 & recov]y supports = m5tal heal? & sub/ance use *all5ges1 r$uce associat$ risks1 & promote resili5cy4 7#b7 ,program ov]sight ,an eligible entity %all ensure t m5tal heal? pe] support activities "u p>agraph 7#a7 are ov]se5 by a s*ool-bas$ m5tal heal? pr(essional4 7#c7 ,,f]pa ,any education records ( ! /ud5t collect$ or ma9ta9$ "u ?is section %all h ! protections provid$ 9 section #ddd ( ! ,g5]al ,education ,provisions ,act 7#bj ,u4,s4,c4 #abcb;g74 7d7 ,evaluation2 report 7#a7 ,evaluation ,! ,assi/ant ,secret>y %all c>ry out an evaluation to measure ! efficacy ( ! program "u ?is section4 ,! evaluation %all-- 7,a7 measure p>ticipation rates 9 m5tal heal? pe] support activities1 includ+ any associat$ tr5ds2 7,b7 describe ! specific tra9+s provid$1 or o!r activities c>ri$ out "u ! pilot program2 7,c7 assess :e!r su* m5tal heal? pe] support activities impact$ m5tal heal? outcomes ( p>ticipat+ /ud5ts2 & 7,d7 measure ! effectiv5ess ( ! pilot program 9 connect+ /ud5ts to pr(essional m5tal heal? s]vices comp>$ to o!r evid5ce-bas$ /rategies4 7#b7 ,report ,! ,assi/ant ,secret>y %all prep>e & submit to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate & ! ,committees on ,en]gy & ,comm]ce & ,education & ! ,work=ce ( ! ,h\se ( ,repres5tatives a report conta9+ ! results ( ! evaluation conduct$ "u p>agraph 7#a74 7e7 ,te*nical assi/ance ,! ,assi/ant ,secret>y1 9 coord9ation ) ! ,secret>y ( ,education1 %all provide te*nical assi/ance to eligible entities apply+ = & receiv+ an aw>d "u ?is section1 includ+ ! id5tification & dissem9ation ( be/ practices = m5tal heal? pe] support programs = /ud5ts4 7f7 ,rule ( ,con/ruction ,section #djja ( ! ,elem5t>y & ,second>y ,education ,act ( #aife 7#bj ,u4,s4,c4 #gaja7 %all apply to an entity receiv+ a grant1 contract1 or coop]ative agreem5t "u ?is section 9 ! same mann] z su* section applies to an entity receiv+ fund+ "u title ,,iv ( su* ,act1 except t section #djja7;a77#b77;,b77i7 ( su* ,act %all n apply4 7g7 ,sunset ,?is section %all t]m9ate on ,septemb] #cj1 #bjbh4 #baf4 ,kid ,,pro( pilot program 7a7 ,9 g5]al ,! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use 7ref]r$ to 9 ?is section z ! ,assi/ant ,secret>y71 may1 z appropriate & )9 a relevant exi/+ program1 c>ry out a pilot program & make aw>ds1 on a competitive basis1 to eligible entities to prev5t1 or r$uce ! risk (1 suicide & drug ov]dose by *ildr51 adolesc5ts1 & "y adults1 includ+ by address+ ! misuse ( le?al means commonly us$ 9 ov]dose or suicide4 7b7 ,eligibility ,to be eligible to receive an aw>d "u ?is section1 an entity %all-- 7#a7 be a ,/ate1 political subdivision ( a ,/ate1 t]ritory1 or ,indian ,tribe or ,tribal organization 7z su* t]ms are def9$ 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act 7#be ,u4,s4,c4 #ecjd772 & 7#b7 submit to ! ,assi/ant ,secret>y an application at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,assi/ant ,secret>y may require1 includ+ a description ( ! geographic location & sett+s 9 :i* su* entity proposes to c>ry out activities "u su* aw>d & ! demon/rat$ ne$ ( su* geographic location & sett+s4 7c7 ,use ( funds ,an eligible entity %all use am\nts provid$ "u ?is section to implem5t evid5ce-bas$ practices to prev5t1 or r$uce ! risk (1 ov]dose & suicide among *ildr51 adolesc5ts1 & "y adults1 includ+ promot+ education & aw>5ess among p>5ts or legal gu>dians on relevant be/ practices & provid+ appropriate supplies to p>5ts or legal gu>dians to prev5t1 or r$uce ! risk (1 ! misuse ( le?al means commonly us$ 9 ov]dose or suicide4 7d7 ,p>tn]%ips ,recipi5ts ( fund+ "u ?is section may p>tn] ) heal? c>e facilities to c>ry out activities "u subsection 7c74 7e7 ,evaluation2 ,report 7#a7 ,evaluation ,n lat] ?an #b ye>s aft] ! date on :i* aw>ds "u ?is section are fir/ issu$1 ! ,assi/ant ,secret>y %all c>ry out an evaluation to measure ! efficacy ( ! program "u ?is section4 ,! evaluation %all include-- 7,a7 a description ( any specific education & aw>5ess activities c>ri$ out ?r\gh ! pilot program "u ?is section2 7,b7 ! numb] & types ( supplies provid$ to p>5ts or legal gu>dians to prev5t1 or r$uce ! risk (1 ! misuse ( le?al means commonly us$ 9 ov]dose or suicide2 & 7,c7 an assessm5t ( ! efficacy ( ! pilot program 9 prev5t+1 or r$uc+ ! risk (1 ov]dose & suicide4 7#b7 ,report ,! ,assi/ant ,secret>y %all prep>e & submit to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate & ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives a report conta9+ ! results ( ! evaluation conduct$ "u p>agraph 7#a74 7f7 ,sunset ,?is section %all t]m9ate on ,septemb] #cj1 #bjbh4 ,,iii ,recov]y #cja4 ,y\? prev5tion & recov]y ,section #gajb7;c7 ( ! ,,support = ,pati5ts & ,communities ,act 7#db ,u4,s4,c4 #bij;bb-#g;a7c77 7z am5d$ by section #aac7;a77 is am5d$-- 7#a7 9 p>agraph 7#b7-- 7,a7 9 subp>agraph 7,a7-- 7i7 9 clause 7i7-- 7,i7 by ins]t+ 1 or a consortia ( local educational ag5cies1 aft] a local educational ag5cy2 & 7,,ii7 by /rik+ high s*ools & ins]t+ second>y s*ools2 & 7ii7 9 clause 7vi71 by /rik+ tribe1 or tribal & ins]t+ ,tribe1 or ,tribal2 7,b7 by am5d+ subp>agraph 7,e7 to read z foll[s3 7,e7 ,indian ,tribe2 ,tribal organization ,! t]ms ,indian ,tribe & ,tribal organization h ! mean+s giv5 su* t]ms 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act 7#be ,u4,s4,c4 #ecjd74 2 7,c7 by r$esignat+ subp>agraph 7,k7 z subp>agraph 7,l72 & 7,d7 by ins]t+ aft] subp>agraph 7,j7 ! foll[+3 7,k7 ,second>y s*ool ,! t]m second>y s*ool has ! mean+ giv5 su* t]m 9 section #haja ( ! ,elem5t>y & ,second>y ,education ,act ( #aife 7#bj ,u4,s4,c4 #ghja74 2 7#b7 9 p>agraph 7#c77;,a71 9 ! matt] prec$+ clause 7i7-- 7,a7 by /rik+ & abuse2 & 7,b7 by ins]t+ at increas$ risk = sub/ance misuse aft] specific populations2 7#c7 9 p>agraph 7#d7-- 7,a7 9 ! matt] prec$+ subp>agraph 7,a71 by /rik+ ,indian tribes & ins]t+ ,indian ,tribes2 7,b7 9 subp>agraph 7,a71 by /rik+ & abuse2 & 7,c7 9 subp>agraph 7,b71 by /rik+ pe] m5tor+ & ins]t+ pe]-to-pe] support2 7#d7 9 p>agraph 7#e71 by /rik+ tribal & ins]t+ ,tribal2 7#e7 9 p>agraph 7#f77;,a7-- 7,a7 9 clause 7iv71 by /rik+ 2 & & ins]t+ a semicolon2 & 7,b7 by add+ at ! end ! foll[+3 7vi7 a plan to su/a9 ! activities c>ri$ out "u ! grant program1 aft] ! grant program has end$2 & 2 7#f7 9 p>agraph 7#h71 by /rik+ #bjbb & ins]t+ #bjbg2 & 7#g7 by am5d+ p>agraph 7#i7 to read z foll[s3 7#i7 ,au?orization ( appropriations ,to c>ry out ?is subsection1 !re are au?oriz$ to be appropriat$ #aj1jjj1jjj = fiscal ye> #bjbd1 #ab1jjj1jjj = fiscal ye> #bjbe1 #ad1jjj1jjj = fiscal ye> #bjbf1 #af1jjj1jjj = fiscal ye> #bjbg1 & #ah1jjj1jjj = fiscal ye> #bjbh4 4 #cjb4 ,compreh5sive opioid recov]y c5t]s ,section #eeb ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;ee-#g7 is am5d$-- 7#a7 9 subsection 7d77#b7-- 7,a7 9 ! matt] prec$+ subp>agraph 7,a71 by /rik+ & 9 su* mann] & ins]t+ 1 9 su* mann]1 & conta9+ su* in=mation & assurances2 & 7,b7 9 subp>agraph 7,a71 by /rik+ is capable ( coord9at+ ) o!r entities to c>ry out & ins]t+ has ! demon/rat$ capability to c>ry out1 ?r\gh ref]ral or contractual arrangem5ts2 7#b7 9 subsection 7h7-- 7,a7 by r$esignat+ p>agraphs 7#a7 ?r\gh 7#d7 z subp>agraphs 7,a7 ?r\gh 7,d71 respectively1 & adju/+ ! m>g9s accord+ly2 7,b7 by /rik+ ,) respect to & ins]t+ ! foll[+3 7#a7 ,9 g5]al ,) respect to 2 & 7,c7 by add+ at ! end ! foll[+3 7#b7 ,additional report+ = c]ta9 eligible entities ,an entity c>ry+ out activities describ$ 9 subsection 7g7 ?r\gh ref]ral or contractual arrangem5ts %all include 9 ! submissions requir$ "u p>agraph 7#a7 in=mation relat$ to ! /atus ( su* ref]rals or contractual arrangem5ts1 includ+ an assessm5t ( :e!r su* ref]rals or contractual arrangem5ts are support+ ! ability ( su* entity to c>ry out su* activities4 2 & 7#c7 9 subsection 7j71 by /rik+ #bjai ?r\gh #bjbc & ins]t+ #bjbd ?r\gh #bjbh4 #cjc4 ,build+ communities ( recov]y ,section #edg7;f7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;ee-#b7;f77 is am5d$ by /rik+ #e1jjj1jjj = ea* ( fiscal ye>s #bjai ?r\gh #bjbc & ins]t+ #af1jjj1jjj = ea* ( fiscal ye>s #bjbd ?r\gh #bjbh4 #cjd4 ,pe] support te*nical assi/ance c5t] ,section #edg;,a ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;ee-#b;a7 is am5d$-- 7#a7 9 subsection 7b77#d71 by /rik+ build+2 & & ins]t+ ! foll[+3 8build+1 su* z-- 7,a7 pr(essional developm5t ( pe] support speciali/s2 & 7,b7 mak+ recov]y support s]vices available 9 noncl9ical sett+s2 & 2 7#b7 by r$esignat+ subsections 7d7 & 7e7 z subsections 7e7 & 7f71 respectively2 7#c7 by ins]t+ aft] subsection 7c7 ! foll[+3 7d7 ,pilot program 7#a7 ,9 g5]al ,! ,secret>y %all c>ry out a pilot program to e/abli% "o regional te*nical assi/ance c5t] 7ref]r$ to 9 ?is subsection z ! ,regional ,c5t]7 to assi/ ! ,c5t] 9 c>ry+ out activities describ$ 9 subsection 7b7 )9 ! geographic region ( su* ,regional ,c5t] 9 a mann] t is tailor$ to ! ne$s ( su* region4 7#b7 ,evaluation ,n lat] ?an #d ye>s aft] ! date ( enactm5t ( ! ,,support = ,pati5ts & ,communities ,reau?orization ,act1 ! ,secret>y %all evaluate ! activities ( ! ,regional ,c5t] & submit to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate & ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives a report on ! f9d+s ( su* evaluation1 includ+-- 7,a7 a description ( ! di/9ct roles & responsibilities ( ! ,regional ,c5t] & ! ,c5t]2 7,b7 available in=mation relat+ to ! outcomes ( ! pilot program "u ?is subsection1 su* z any impact ! ,regional ,c5t] _h on ! op]ations & effici5cy ( ! ,c5t] relat+ to reque/s = te*nical assi/ance & support )9 ! region ( su* ,regional ,c5t]2 7,c7 a description ( any gaps or areas ( duplication relat+ to ! activities ( ! ,regional ,c5t] & ! ,c5t] )9 su* region2 & 7,d7 recomm5dations relat+ to ! modification1 expansion1 or t]m9ation ( ! pilot program "u ?is subsection4 7#c7 ,t]m9ation ,?is subsection %all t]m9ate on ,septemb] #cj1 #bjbh4 2 & 7#d7 9 subsection 7f71 z s r$esignat$1 by /rik+ #a1jjj1jjj = ea* ( fiscal ye>s #bjai ?r\gh #bjbc & ins]t+ #b1jjj1jjj = ea* ( fiscal ye>s #bjbd ?r\gh #bjbh4 #cje4 ,,c>e] ,act 7a7 ,9 g5]al ,section #gahc ( ! ,,support = ,pati5ts & ,communities ,act 7#db ,u4,s4,c4 #bij;ee-#h7 is am5d$-- 7#a7 9 ! section head+1 by ins]t+ 2 treatm5t1 recov]y1 & work=ce support grants aft] ,,c>e] ,act2 7#b7 9 subsection 7b71 by ins]t+ ea* be=e = a p]iod2 7#c7 9 subsection 7c7-- 7,a7 9 p>agraph 7#a71 by /rik+ ! rates describ$ 9 p>agraph 7#b7 & ins]t+ ! av]age rates = cal5d> ye>s #bjah ?r\gh #bjbb describ$ 9 p>agraph 7#b72 & 7,b7 by am5d+ p>agraph 7#b7 to read z foll[s3 7#b7 ,rates ,! rates describ$ 9 ?is p>agraph are ! foll[+3 7,a7 ,! highe/ age-adju/$ av]age rates ( drug ov]dose dea?s = cal5d> ye>s #bjah ?r\gh #bjbb bas$ on data f ! ,c5t]s = ,disease ,control & ,prev5tion1 includ+1 if necess>y1 provisional data = cal5d> ye> #bjbb4 7,b7 ,! highe/ av]age rates ( unemploym5t = cal5d> ye>s #bjah ?r\gh #bjbb bas$ on data provid$ by ! ,bureau ( ,labor ,/ati/ics4 7,c7 ,! l[e/ av]age labor =ce p>ticipation rates = cal5d> ye>s #bjah ?r\gh #bjbb bas$ on data provid$ by ! ,bureau ( ,labor ,/ati/ics4 2 7#d7 9 subsection 7g7-- 7,a7 9 ea* ( p>agraphs 7#a7 & 7#c71 by r$esignat+ subp>agraphs 7,a7 & 7,b7 z clauses 7i7 & 7ii71 respectively1 & adju/+ ! m>g9s accord+ly2 7,b7 by r$esignat+ p>agraphs 7#a7 ?r\gh 7#c7 z subp>agraphs 7,a7 ?r\gh 7,c71 respectively1 & adju/+ ! m>g9s accord+ly2 7,c7 9 ! matt] prec$+ subp>agraph 7,a7 7z s r$esignat$71 by /rik+ ,an entity & ins]t+ ! foll[+3 7#a7 ,9 g5]al ,an entity 2 & 7,d7 by add+ at ! end ! foll[+3 7#b7 ,transportation s]vices ,an entity receiv+ a grant "u ?is section may use n m ?an #e p]c5t ( ! funds = provid+ transportation = individuals to p>ticipate 9 an activity support$ by a grant "u ?is section1 :i* transportation %all be to or f a place ( "w or a place :]e ! individual is receiv+ c>e] & te*nical education or job tra9+ s]vices or receiv+ s]vices directly l9k$ to treatm5t ( or recov]y f a sub/ance use disord]4 7#c7 ,limitation ,! ,secret>y may n require an entity to1 or give priority to an entity t plans to1 use ! funds ( a grant "u ?is section = activities t are n specifi$ 9 ?is subsection4 2 7#e7 9 subsection 7i77#b71 by ins]t+ 1 :i* %all include employm5t & e>n+s outcomes describ$ 9 subclauses 7,i7 & 7,,iii7 ( section #aaf7;b77#b77;,a77i7 ( ! ,work=ce ,innovation & ,opportunity ,act 7#bi ,u4,s4,c4 #cada7;b77#b77;,a77i77 ) respect to ! p>ticipation ( su* individuals ) a sub/ance use disord] 9 programs & activities fund$ by ! grant "u ?is section aft] subsection 7g72 7#f7 9 subsection 7j7-- 7,a7 9 p>agraph 7#a71 by ins]t+ = grants aw>d$ prior to ! date ( enactm5t ( ! ,,support = ,pati5ts & ,communities ,reau?orization ,act aft] grant p]iod "u ?is section2 & 7,b7 9 p>agraph 7#b7-- 7i7 9 ! matt] prec$+ subp>agraph 7,a71 by /rik+ #b ye>s aft] submitt+ ! prelim9>y report requir$ "u p>agraph 7#a7 & ins]t+ ,septemb] #cj1 #bjbh2 & 7ii7 9 subp>agraph 7,a71 by /rik+ 7g77#c7 & ins]t+ 7g77#a77;,c72 & 7#g7 9 subsection 7k71 by /rik+ #e1jjj1jjj = ea* ( fiscal ye>s #bjai ?r\gh #bjbc & ins]t+ #ab1jjj1jjj = ea* ( fiscal ye>s #bjbd ?r\gh #bjbh4 7b7 ,cl]ical am5dm5t ,! table ( cont5ts 9 section #a7;b7 ( ! ,,support = ,pati5ts & ,communities ,act 7,public ,law #aae-bga2 #acb ,/at4 #chid7 is am5d$ by /rik+ ! item relat+ to section #gahc & ins]t+ ! foll[+3 ,sec4 #gahc4 ,,c>e] ,act2 treatm5t1 recov]y1 & work=ce support grants4 4 #cjf4 ,rese>* & recomm5dations on crim9al backgr\nd *eck process = pe] support speciali/s 7a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices 7ref]r$ to 9 ?is section z ! ,secret>y71 9 coord9ation ) ! ,attorney ,g5]al1 %all develop a report on rese>* & recomm5dations ) respect to crim9al backgr\nd *eck processes = individuals becom+ pe] support speciali/s4 7b7 ,cont5ts ,! report "u subsection 7a7 %all include-- 7#a7 a summ>y ( evid5ce-bas$ rese>* on ! effectiv5ess ( pe] support speciali/s 9 improv+ ! m5tal heal? & ! sub/ance use disord] recov]y ( o!r individuals2 7#b7 a survey ( ea* ,/ate's laws 7includ+ regulations7 t conta9 crim9al backgr\nd *eck requirem5ts = s]v+ z a pe] support speciali/1 includ+-- 7,a7 an analysis ( crim9al (f5ses t are includ$ 9 ,/ate laws 7includ+ regulations7 t prev5t individuals f e>n+ a pe] support speciali/ c]tification or f practic+ z a pe] support speciali/2 7,b7 an analysis ( requirem5ts 7if any7 "u ! ,/ate plan "u title ,,xix ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq47 or "u a waiv] ( su* plan relat+ to backgr\nd *ecks = provid]s p>ticipat+ "u su* plan or waiv] & ! ext5t to :i* any su* requirem5ts diff] f simil> requirem5ts impos$ "u ,/ate law 7includ+ regulations72 7,c7 an analysis ( requirem5ts 7if any7 ( any ,/ate receiv+ a grant "u "p ,b ( title ,,xix ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx et seq47 relat+ to backgr\nd *ecks = provid]s p>ticipat+ 9 a program "u1 or o!rwise provid+ s]vices support$ by1 su* grant2 7,d7 a review ( ,/ate laws 7includ+ regulations7 t provide exemptions f prohibitions reg>d+ c]tification or practice ( pe] support speciali/s2 & 7,e7 an indication ( ea* ,/ate t has gone ?r\gh ! process ( am5d+ or o!rwise *ang+ crim9al backgr\nd *eck laws 7includ+ regulations7 = ! c]tification & practice ( pe] support speciali/s2 & 7#c7 recomm5dations to ,/ates on crim9al backgr\nd *eck processes t w\ld r$uce b>ri]s to becom+ c]tifi$ z pe] support speciali/s4 7c7 ,availability ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y %all-- 7#a7 po/ ! report requir$ "u subsection 7a7 on ! publicly accessible int]net website ( ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration2 & 7#b7 di/ribute su* report to-- 7,a7 ,/ate ag5cies responsible = c]tification ( pe] support speciali/s2 7,b7 ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices2 7,c7 ,/ate ag5cies responsible = c>ry+ out a ,/ate plan "u title ,,xix ( ! ,social ,security ,act or "u a waiv] ( su* plan2 & 7,d7 ,/ate ag5cies responsible = c>ry+ out a grant "u "p ,b ( title ,,xix ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx et seq474 7d7 ,def9ition ( pe] support speciali/ 7#a7 ,9 g5]al ,9 ?is section1 ! t]m pe] support speciali/ means an individual-- 7,a7 7i7 :o has liv$ exp]i5ce ( recov]y f a m5tal heal? condition or sub/ance use disord] & :o specializes 9 support+ individuals ) m5tal heal? conditions or sub/ance use disord]s2 or 7ii7 :o has liv$ exp]i5ce z a p>5t or c>egiv] ( an individual ) a m5tal heal? condition or sub/ance use disord] & :o specializes 9 support+ families navigat+ m5tal heal? or sub/ance use s]vice sy/ems2 & 7,b7 :o is c]tifi$ z qualifi$ to furni% pe] support s]vices1 z describ$ 9 p>agraph 7#b71 "u a process t is det]m9$ by ! ,/ate 9 :i* su* individual furni%es su* s]vices or det]m9$ appropriate by ! ,secret>y4 7#b7 ,pe] support s]vices ,! s]vices describ$ 9 ?is p>agraph %all be consi/5t ) ! ,national ,practice ,guidel9es = ,pe] ,support]s issu$ by ! ,national ,association ( ,pe] ,support]s 7or a successor publication7 & inclusive ( ! ,core ,compet5cies = ,pe] ,work]s 9 ,behavioral ,heal? ,s]vices ( ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration4 #cjg4 ,(fice ( ,recov]y 7a7 ,9 g5]al ,!re is e/abli%$1 )9 ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration1 an ,(fice ( ,recov]y 7ref]r$ to 9 ?is section z ! ,(fice74 7b7 ,responsibilities ,! ,(fice %all1 tak+ into acc\nt ! p]spectives ( individuals ) demon/rat$ exp]i5ce 9 m5tal heal? or sub/ance use disord] recov]y-- 7#a7 id5tify new & em]g+ *all5ges relat$ to ! provision ( recov]y support s]vices2 7#b7 support te*nical assi/ance1 data analysis1 & evaluation functions 9 ord] to assi/ ,/ates1 local gov]nm5tal entities1 ,indian ,tribes1 & ,tribal organizations 9 implem5t+ & /r5g!n+ recov]y support s]vices1 consi/5t ) ! ne$s ( su* ,/ates1 local gov]nm5tal entities1 ,indian ,tribes1 & ,tribal organizations2 & 7#c7 ensure coord9ation ( ef=ts to id5tify1 dissem9ate1 & evaluate be/ practices relat$ to-- 7,a7 improv+ ! capacity (1 & access to1 recov]y support s]vices2 & 7,b7 support+ ! tra9+1 education1 pr(essional developm5t1 & ret5tion ( pe] support speciali/s4 7c7 ,report ,n lat] ?an #d ye>s aft] ! date ( enactm5t ( ?is ,act1 ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use %all submit to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate & ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives a report on ! activities conduct$ by ! ,(fice1 includ+-- 7#a7 a description ( ! specific roles & responsibilities ( ! ,(fice2 7#b7 a description ( ! relation%ip betwe5 ! ,(fice & o!r relevant compon5ts or programs ( ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration2 7#c7 ! id5tification ( any gaps 9 ! activities ( ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration or *all5ges 9 coord9ation betwe5 ! ,(fice & su* relevant compon5ts or programs ( su* ag5cy2 & 7#d7 recomm5dations relat$ to ! cont9u$ op]ations ( ! ,(fice4 #cjh4 ,review ( ,grants4gov 7a7 ,9 g5]al ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices 7ref]r$ to 9 ?is section z ! ,secret>y7 %all conv5e a public meet+ = purposes ( improv+ aw>5ess (1 & access to1 in=mation relat$ to curr5t & future ,f$]al fund+ opportunities1 includ+ ,f$]al fund+ opportunities relat$ to m5tal heal? & sub/ance use disord] programs4 7b7 ,topics ,! public meet+ "u subsection 7a7 %all include-- 7#a7 opportunities to improve ! utility & functionality ( relevant int]net websites ma9ta9$ by ! ,secret>y1 su* z ,grants4gov2 7#b7 o!r models = display+ & dissem9at+ in=mation relat$ to ,f$]al fund+ opportunities1 su* z int]active da%bo>ds2 & 7#c7 /rategies to improve ! ability ( entities to apply = ,f$]al fund+ opportunities1 includ+ entities t h n traditionally appli$ = programs adm9i/]$ by ! ,secret>y4 7c7 ,website improvem5ts ,! ,secret>y %all implem5t improvem5ts to ,grants4gov bas$ on /akehold] fe$back receiv$ at ! public meet+ "u subsection 7a74 7d7 ,report ,n lat] ?an #a ye> aft] ! date on :i* ! public meet+ "u subsection 7a7 is conv5$1 ! ,secret>y %all submit to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate & ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives a report summ>iz+ ! f9d+s ( su* meet+1 includ+ h[ ! ,secret>y has tak5 into acc\nt ! fe$back receiv$ ?r\gh su* meet+ & implem5t$ improvem5ts to relevant int]net websites ma9ta9$ by ! ,secret>y & /rategies to improve aw>5ess ( ,f$]al fund+ opportunities4 ,,iv ,te*nical am5dm5ts #dja4 ,deliv]y ( a controll$ sub/ance by a ph>macy to an adm9i/]+ practition] ,section #cji;,a7a7 ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hbi;a7a77 is am5d$ by /rik+ p>agraph 7#b7 & ins]t+ ! foll[+3 7#b7 ! controll$ sub/ance is a drug 9 s*$ule ,,iii1 ,,iv1 or ,v to be adm9i/]$-- 7,a7 by injection or implantation = ! purpose ( ma9t5ance or detoxification treatm5t2 or 7,b7 intranasally1 subject to risk evaluation & mitigation /rategy pursuant to section #eje-a ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cee-a71 ) po/-adm9i/ration monitor+ by a heal? c>e pr(essional2 4 #djb4 ,te*nical correction on controll$ sub/ances disp5s+ ,effective z if includ$ 9 ! enactm5t ( ,public ,law #aag-cbh-- 7#a7 section #abeb7;a7 ( division ,,ff ( ,public ,law #aag-cbh 7#acf ,/at4 #efha7 is am5d$1 9 ! matt] be+ ins]t$ into section #cjb7;e7 ( ! ,controll$ ,sub/ances ,act1 by /rik+ #cjc7;g7 & ins]t+ #cjc7;h72 7#b7 section #abfb ( division ,,ff ( ,public ,law #aag-cbh 7#acf ,/at4 #efha7 is am5d$-- 7,a7 9 subsection 7a7-- 7i7 9 ! matt] prec$+ p>agraph 7#a71 by /rik+ #cjc7;g7 & ins]t+ #cjc7;h72 7ii7 9 ! matt] be+ /rick5 by subsection 7a77#b71 by /rik+ 7g77#a7 & ins]t+ 7h77#a72 & 7iii7 9 ! matt] be+ ins]t$ by subsection 7a77#b71 by /rik+ 7g7 ,practition]s & ins]t+ 7h7 ,practition]s2 & 7,b7 9 subsection 7b7-- 7i7 9 ! matt] be+ /rick5 by p>agraph 7#a71 by /rik+ #cjc7;g77#a7 & ins]t+ #cjc7;h77#a72 7ii7 9 ! matt] be+ ins]t$ by p>agraph 7#a71 by /rik+ #cjc7;g7 & ins]t+ #cjc7;h72 7iii7 9 ! matt] be+ /rick5 by p>agraph 7#b77;,a71 by /rik+ #cjc7;g77#b7 & ins]t+ #cjc7;h77#b72 7iv7 9 ! matt] be+ /rick5 by p>agraph 7#c71 by /rik+ #cjc7;g77#b77;,b7 & ins]t+ #cjc7;h77#b77;,b72 7v7 9 ! matt] be+ /rick5 by p>agraph 7#e71 by /rik+ #cjc7;g7 & ins]t+ #cjc7;h72 & 7vi7 9 ! matt] be+ /rick5 by p>agraph 7#f71 by /rik+ #cjc7;g7 & ins]t+ #cjc7;h72 & 7#c7 section #abfc7;b7 ( division ,,ff ( ,public ,law #aag-cbh 7#acf ,/at4 #efhe7 is am5d$-- 7,a7 by /rik+ #cjc7;g77#b7 & ins]t+ #cjc7;h77#b72 & 7,b7 by /rik+ 7#ba ,u4,s4,c4 #hbc7;g77#b77 & ins]t+ 7#ba ,u4,s4,c4 #hbc7;h77#b774 #djc4 ,requir$ tra9+ = prescrib]s ( controll$ sub/ances 7a7 ,9 g5]al ,section #cjc ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hbc7 is am5d$-- 7#a7 by r$esignat+ ! second subsection designat$ z subsection 7l7 z subsection 7m72 & 7#b7 9 subsection 7m77#a71 z s r$esignat$-- 7,a7 9 subp>agraph 7,a7-- 7i7 9 clause 7iv7-- 7,i7 9 subclause 7,i7-- 7aa7 by ins]t+ ! ,am]ican ,academy ( ,family ,physicians1 ! ,am]ican ,podiatric ,m$ical ,association1 ! ,academy ( ,g5]al ,d5ti/ry1 ! ,am]ican ,optometric ,association1 be=e or any o!r organization2 7bb7 by /rik+ or ! ,commission & ins]t+ ! ,commission2 & 7cc7 by ins]t+ 1 or ! ,c\ncil on ,podiatric ,m$ical ,education be=e ! semicolon at ! end2 & 7,,ii7 9 subclause 7,,iii71 by ins]t+ or ! ,am]ican ,academy ( ,family ,physicians aft] ,association2 & 7ii7 9 clause 7v71 9 ! matt] prec$+ subclause 7,i7-- 7,i7 by /rik+ o/eopa?ic m$ic9e1 d5tal surg]y & ins]t+ o/eopa?ic m$ic9e1 podiatric m$ic9e1 d5tal surg]y2 & 7,,ii7 by /rik+ or d5tal m$ic9e curriculum & ins]t+ or d5tal or podiatric m$ic9e curriculum2 & 7,b7 9 subp>agraph 7,b7-- 7i7 9 clause 7i7-- 7,i7 by ins]t+ ! ,am]ican ,ph>maci/s ,association1 ! ,accr$itation ,c\ncil on ,ph>macy ,education1 ! ,am]ican ,psy*iatric ,nurses ,association1 ! ,am]ican ,academy ( ,nurs+1 ! ,am]ican ,academy ( ,family ,physicians1 be=e or any o!r organization2 & 7,,ii7 by ins]t+ 1 ! ,am]ican ,academy ( ,family ,physicians1 be=e or ! ,accr$itation ,c\ncil2 & 7ii7 9 clause 7ii7-- 7,i7 by /rik+ or accr$it$ s*ool & ins]t+ 1 an accr$it$ s*ool2 & 7,,ii7 by ins]t+ 1 or an accr$it$ s*ool ( ph>macy be=e 9 ! ,unit$ ,/ates4 7b7 ,effective date ,! am5dm5t made by subsection 7a7 %all take effect z if enact$ on ,decemb] #bi1 #bjbb4 ,febru>y #a1 #bjbd,report$ ) an am5dm5t