,,ii  #aahth ,,congress  #b;d ,session  
,s4 #eefc  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,december #ag  
7legislative day1 ,december #af71       
#bjbd,ms4 ,klobuchar 7for herself1 ,mr4 
,king1 and ,mr4 ,manchin7 introduced the
 following bill2 which was read twice   
and referred to the ,committee on       
,health1 ,education1 ,labor1 and        
,pensions  ,a ,,bill  ,to require the   
use of prescription drug monitoring     
programs4  #a4 ,short title ,this ,act  
may be cited as the ,prescription ,drug 
,monitoring ,act of #bjbd4  #b4         
,requiring the use of prescription drug 
monitoring programs  7a7 ,definitions   
,in this section3 7#a7 ,controlled      
substance ,the term controlled substance
 has the meaning given the term in      
section #ajb of the ,controlled         
,substances ,act 7#ba ,u4,s4,c4 #hjb74  
7#b7 ,covered ,state ,the term covered  
,state means a ,state that receives     
funding under the ,harold ,rogers       
,prescription ,drug ,monitoring ,program

 established under the ,departments of  
,commerce1 ,justice1 and ,state1 the    
,judiciary1 and ,related ,agencies      
,appropriations ,act1 #bjjb 7,public    
,law #ajg-gg2 #aae ,stat4 #gdh71 or     
under the prescription drug monitoring  
program under section #cii,o of the     
,public ,health ,service ,act 7#db      
,u4,s4,c4 #bhj;g-#c74  7#c7 ,dispenser  
,the term dispenser has the meaning     
given such term in section #ajb of the  
,controlled ,substances ,act 7#ba       
,u4,s4,c4 #hjb74  7#d7 ,,pdmp ,the term 
,,pdmp means a prescription drug        
monitoring program4  7#e7 ,practitioner 
,the term practitioner means a          
practitioner registered under section   
#cjc7;f7 of the ,controlled ,substances 
,act 7#ba ,u4,s4,c4 #hbc7;f77 to        
prescribe1 administer1 or dispense      
controlled substances4  7#f7 ,state ,the
 term ,state means each of the #ej      
,states1 the ,district of ,columbia1 and
 any territory of the ,united ,states4  
7b7 ,requirements ,beginning #a year    

after the date of enactment of this     
,act1 each covered ,state shall         
require-- 7#a7 each prescribing         
practitioner within the covered ,state  
or their designee1 who shall be licensed
 or registered health care professionals
 or other employees who report directly 
to the practitioner1 to consult the     
,,pdmp of the covered ,state before     
initiating treatment with a prescription
 for a controlled substance listed in   
schedule ,,ii1 ,,iii1 or ,,iv of section
 #bjb7;c7 of the ,controlled ,substances
 ,act 7#ba ,u4,s4,c4 #hab7;c771 and     
every #c months thereafter as long as   
the treatment continues2  7#b7 the      
,,pdmp of the covered ,state to provide1
 upon query1 prescription drug          
information 7including historical       
information7 from the ,,pdmp1 and from  
an inter-,state query conducted by the  
,,pdmp1 to the practitioner2  7#c7 each 
dispenser within the covered ,state to  
report each prescription for a          
controlled substance dispensed          

electronically by the dispenser to the  
,,pdmp1 in real time where feasible and 
not later than #bd hours after the      
controlled substance is dispensed to the
 patient2  7#d7 each ,state agency that 
administers the ,,pdmp to-- 7,a7        
proactively analyze data available      
through the ,,pdmp and publish the      
results and methodology for such        
analyses on a publicly available        
website1 including analysis of risk     
scoring and notifications under         
paragraph 7#b7 for consistency with     
nationally recognized clinical          
guidelines2  7,b7 provide law           
enforcement agencies and prescriber     
licensing boards access to ,,pdmp data  
in a manner consistent with applicable  
,federal and ,state law and provide to  
such agencies and boards both a report  
and methodology where an analysis under 
subparagraph 7,a7 indicates activity    
outside norms or best practices and     
inconsistent with nationally recognized 
prescribing guidelines2 and  7,c7 use   

nationally recognized standards1        
including such standards adopted        
pursuant to section #cjjd of the ,public
 ,health ,service ,act 7#db ,u4,s4,c4   
#cjj;jj-#ad71 to support the            
interoperability of ,,pdmp data2 and    
7#e7 that the data contained in the     
,,pdmp of the covered ,state be made    
available to all other ,states as       
discrete interoperable data1 including  
when such exchange is facilitated by a  
third party4  7c7 ,noncompliance ,if a  
covered ,state fails to comply with     
subsection 7b71 the ,attorney ,general  
may withhold grant funds from being     
awarded to the covered ,state under the 
,harold ,rogers ,prescription ,drug     
,monitoring ,program established under  
the ,departments of ,commerce1 ,justice1
 and ,state1 the ,judiciary1 and        
,related ,agencies ,appropriations ,act1
 #bjjb 7,public ,law #ajg-gg2 #aae      
,stat4 #gdh71 or the ,secretary of      
,health and ,human ,services may        
withhold grant funds from being awarded 

to the covered ,state under the         
prescription drug monitoring program    
under section #cii,o of the ,public     
,health ,service ,act 7#db ,u4,s4,c4    
#bhj;g-#c74