,,ii  #aahth ,,congress  #ast ,session  
,s4 #fjf  ,,in ,,the ,,senate ,,of ,,the
 ,,united ,,states  ,march #a1 #bjbc,mr4
 ,manchin 7for himself and ,mr4 ,braun7 
introduced the following bill2 which was
 read twice and referred to the         
,committee on ,health1 ,education1      
,labor1 and ,pensions  ,a ,,bill  ,to   
require the ,food and ,drug             
,administration to revoke the approval  
of one opioid pain medication for each  
new opioid pain medication approved4    
#a4 ,short title ,this ,act may be cited
 as the ,protecting ,americans from     
,dangerous ,opioids ,act4  #b4 ,findings
 ,congress finds as follows3 7#a7 ,drug 
overdoses killed more than #ajg1jjj     
people in the ,united ,states in #bjba4 
,nearly two-thirds of all drug overdose 
deaths involved a prescription opioid or
 synthetic opioid4  7#b7 ,according to  
the ,national ,institute on ,drug       
,abuse1 #hj percent of new heroin users 
abused prescription opioids before      
moving to heroin4  7#c7 ,the ,united    

,states makes up only #d4be percent of  
the world's population1 but consumes #hj
 percent of its opioid pain medications4
  7#d7 ,in #bjbj1 health care providers 
in the ,united ,states wrote nearly     
#adc1jjj1jjj prescriptions for          
painkillers1 which is #dc prescriptions 
per #ajj people4  7#e7 ,the amount of   
prescription opioids sold in the ,united
 ,states has increased without a        
reported increase in pain4 ,at the same 
time1 overdose deaths involving opioids 
have quadrupled since #aiii1 with more  
than #icb1jjj people having died from a 
drug overdose4  7#f7 ,although overdose 
death rates are beginning to see a slow 
decline1 over #ajf1jjj people are       
predicted to have died of drug overdose 
in #bjbb4  #c4 ,requirement to revoke   
approval  7a7 ,in general               
,notwithstanding any other provision of 
law1 if the ,secretary of ,health and   
,human ,services 7referred to in this   
section as the ,secretary7 approves an  
application under subsection 7b7 or 7j7 

of section #eje of the ,federal ,food1  
,drug1 and ,cosmetic ,act 7#ba ,u4,s4,c4
 #cee7 for an opioid drug1 the          
,secretary shall revoke the approval of 
another opioid drug previously approved 
under subsection 7c7 or 7j7 of such     
section #eje4  7b7 ,considerations ,in  
determining the drug for which the      
,secretary will revoke approval pursuant
 to subsection 7a71 the ,secretary      
shall-- 7#a7 prioritize revocation of   
non-abuse deterrent formulations of     
opioid drugs2 and  7#b7 consider the    
public health impact of the opioid drug 
being on the market4