,,ii ,cal5d> ,no4 #cah #aah? ,,congress 
#b;d ,session  ,s4 #fdd  ,,9 ,,! ,,s5ate
 ,,( ,,! ,,unit$ ,,/ates  ,m>* #b1      
#bjbc,mr4 ,m>key 7= himself1 ,mr4 ,paul1
 ,mr4 ,s&]s1 ,mr4 ,braun1 ,mr4 ,book]1  
,ms4 ,hassan1 ,mr4 ,lujn1 ,mr4 ,wel*1   
,mr4 ,lee1 ,ms4 ,w>r51 ,mr4 ,casey1 &   
,mr4 ,he9ri*7 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 exp& ! take-home prescrib+ (
 me?adone ?r\gh ph>macies4  #a4 ,%ort   
title ,?is ,act may be cit$ z !         
,mod]niz+ ,opioid ,treatm5t ,access     
,act4  #b4 ,expansion ( me?adone =      
opioid use disord] ?r\gh prescrib+ &    
ph>macies  7a7 ,regi/ration2 o!r c>e by 
teleheal?  7#a7 ,def9itions ,9 ?is      
subsection3 7,a7 ,controll$ sub/ance2   
detoxification treatm5t2 disp5se2       
ma9t5ance treatm5t2 opioid ,! t]ms      

controll$ sub/ance1 detoxification      
treatm5t1 disp5se1 ma9t5ance treatm5t1 &
 opioid h ! mean+s giv5 ! t]ms 9 section
 #ajb ( ! ,controll$ ,sub/ances ,act    
7#ba ,u4,s4,c4 #hjb74  7,b7 ,secret>y ,!
 t]m ,secret>y means ! ,secret>y (      
,heal? & ,human ,s]vices4  7#b7 ,waiv]  
7,a7 ,9 g5]al ,! requirem5ts ( section  
#cjc7;h7 ( ,controll$ ,sub/ances ,act   
7#ba ,u4,s4,c4 #hbc7;h77 applicable to  
me?adone m$ication = opioid use disord] 
are waiv$1 & ! ,attorney ,g5]al1 9      
consultation ) ! ,secret>y1 %all regi/] 
p]sons describ$ 9 subp>agraph 7,b7 to   
prescribe me?adone = opioid use disord] 
to be disp5s$ ?r\gh a ph>macy =         
individuals = unsup]vis$ use4  7,b7     
,p]sons describ$ ,p]sons describ$ 9 ?is 
subp>agraph are p]sons :o-- 7i7 are     
lic5s$1 regi/]$1 or o!rwise p]mitt$1 by 
! ,unit$ ,/ates or ! jurisdiction 9 :i* 
!y practice1 to prescribe controll$     
sub/ances 9 ! c\rse ( pr(essional       
practice2 &  7ii7 are-- 7,i7 employees  
or contractors ( an opioid treatm5t     

program2 or  7,,ii7 addiction m$ic9e    
physicians or addiction psy*iatri/s :o  
hold a subspecialty bo>d c]tification 9 
addiction m$ic9e f ! ,am]ican ,bo>d (   
,prev5tive ,m$ic9e1 a bo>d c]tification 
9 addiction m$ic9e f ! ,am]ican ,bo>d ( 
,addiction ,m$ic9e1 a subspecialty bo>d 
c]tification 9 addiction psy*iatry f !  
,am]ican ,bo>d ( ,psy*iatry &           
,neurology1 or a subspecialty bo>d      
c]tification 9 addiction m$ic9e f !     
,am]ican ,o/eopa?ic ,association4  7,c7 
,requirem5ts = prescrib+ me?adone ,!    
prescrib+ ( me?adone pursuant to        
subp>agraph 7,a7 %all be-- 7i7          
exclusively by electronic prescrib+ &   
disp5s$ to ! pati5t treat$ pursuant to  
subp>agraph 7,a72  7ii7 = a supply ( n m
 ?an #cj days pursuant to ea*           
prescription2 &  7iii7 subject to !     
re/rictions li/$ 9 section #h4ab7;i77#c7
 ( title #db1 ,code ( ,f$]al            
,regulations1 or successor regulation or
 guidance4  7,d7 ,requirem5ts = disp5s+ 
me?adone ,! disp5s+ ( me?adone to an    

individual pursuant to subp>agraph 7,a7 
%all be 9 addition to ! o!r c>e t !     
individual cont9ues to h access to ?r\gh
 an opioid treatm5t program4  7,e7      
,regi/ration requirem5ts ,p]sons regi/]$
 9 a ,/ate pursuant to subp>agraph 7,a7 
%all-- 7i7 ensure & docum5t1 ) respect  
to ea* pati5t treat$ pursuant to        
subp>agraph 7,a71 in=m$ cons5t to       
treatm5t2 &  7ii7 include 9 su* in=m$   
cons5t1 specific in=m$ cons5t reg>d+    
diff]5ces 9 confid5tiality protections  
applicable :5 disp5s+ ?r\gh an opioid   
treatm5t program v]sus disp5s+ ?r\gh a  
ph>macy pursuant to subp>agraph 7,a74   
7,f7 ,cessation & )drawal ( regi/ration 
,at ! reque/ ( a ,/ate1 ! ,attorney     
,g5]al1 9 consultation ) ! ,secret>y1   
%all-- 7i7 cease regi/]+ p]sons 9 !     
,/ate pursuant to subp>agraph 7,a72 &   
7ii7 )draw any su* regi/ration 9 effect 
= a p]son 9 ! ,/ate4  7,g7 ,ma9t5ance & 
detoxification treatm5t ,ma9t5ance      
treatm5t or detoxification treatm5t     
provid$ pursuant to subp>agraph 7,a7 &  

o!r c>e provid$ 9 conjunction ) su*     
treatm5t1 su* z c\nsel+ & o!r ancill>y  
s]vices1 may be provid$ by means (      
teleheal?1 z det]m9$ jo9tly by ! ,/ate &
 ! ,secret>y to be feasible &           
appropriate4  7b7 ,annual report+ ,n    
lat] ?an #ahj days aft] ! date (        
enactm5t ( ?is ,act1 & annually !reaft]1
 ! ,assi/ant ,secret>y = ,m5tal ,heal? &
 ,sub/ance ,use & ! ,adm9i/rator ( !    
,drug ,en=cem5t ,adm9i/ration %all      
jo9tly submit a report to ,congress t   
includes-- 7#a7 ! numb] ( p]sons regi/]$
 pursuant to subsection 7a72  7#b7 !    
numb] ( pati5ts be+ prescrib$ me?adone  
pursuant to subsection 7a72 &  7#c7 a   
li/ ( ! ,/ates 9 :i* p]sons are regi/]$ 
pursuant to su* subsection 7a74  #c4    
,s5se ( ,congress on ne$ to r$uce b>ri]s
 to pati5t c>e ?r\gh opioid treatm5t    
programs ,x is ! s5se ( ,congress t--   
7#a7 pati5ts receiv+ s]vices ?r\gh      
opioid treatm5t programs face b>ri]s to 
_! c>e2 &  7#b7 ea* ,/ate %\ld align !  
regulation ( opioid treatm5t programs 9 

a mann] t is consi/5t ) ! int5t ( ?is   
,act4  #a4 ,%ort title ,?is ,act may be 
cit$ z ! ,mod]niz+ ,opioid ,treatm5t    
,access ,act4  #b4 ,expansion ( me?adone
 = opioid use disord] ?r\gh prescrib+ & 
ph>macies ,section #cjc7;h7 ( !         
,controll$ ,sub/ances ,act 7#ba         
,u4,s4,c4 #hbc7;h771 is am5d$-- 7#a7 9  
p>agraph 7#a7-- 7,a7 9 ! matt] prec$+   
subp>agraph 7,a71 9 ! fir/ s5t5ce1 by   
ins]t+ 7o!r ?an n>cotic drugs 9 s*$ule  
,,iii1 ,,iv1 or ,v7 aft] drugs2 &  7,b7 
by /rik+ subp>agraph 7,b7 & ins]t+ !    
foll[+3  7,b7 if ! ,attorney ,g5]al     
det]m9es t ! applicant w comply ) /&>ds 
e/abli%$ by ! ,attorney ,g5]al          
respect+-- 7i7 security ( /ocks (       
n>cotic drugs = su* treatm5t2 &  7ii7 ! 
ma9t5ance ( records 79 accordance )     
section #cjg7 on su* drugs2 &  2 &  7#b7
 by /rik+ p>agraph 7#b7 & ins]t+ !      
foll[+3  7#b7 7,a7 ,! requirem5ts (     
p>agraph 7#a7 applicable to me?adone    
m$ication = opioid use disord] are      
waiv$1 & ! ,attorney ,g5]al1 9          

consultation ) ! ,secret>y1 %all        
sep>ately regi/] p]sons describ$ 9      
subp>agraph 7,b7 to prescribe me?adone =
 opioid use disord] to be disp5s$ ?r\gh 
a ph>macy = individuals = unsup]vis$    
use4  7,b7 ,p]sons describ$ 9 ?is       
subp>agraph are p]sons :o-- 7i7 are     
lic5s$1 regi/]$1 or o!rwise p]mitt$1 by 
! ,unit$ ,/ates or ! jurisdiction 9 :i* 
!y practice1 to prescribe controll$     
sub/ances 9 ! c\rse ( pr(essional       
practice2 &  7ii7 are addiction m$ic9e  
physicians or addiction psy*iatri/s :o  
hold a subspecialty bo>d c]tification 9 
addiction m$ic9e f ! ,am]ican ,bo>d (   
,prev5tive ,m$ic9e1 a bo>d c]tification 
9 addiction m$ic9e f ! ,am]ican ,bo>d ( 
,addiction ,m$ic9e1 a subspecialty bo>d 
c]tification 9 addiction psy*iatry f !  
,am]ican ,bo>d ( ,psy*iatry &           
,neurology1 or a subspecialty bo>d      
c]tification 9 addiction m$ic9e f !     
,am]ican ,o/eopa?ic ,association4  7,c7 
,! prescrib+ ( me?adone pursuant to     
subp>agraph 7,a7 %all be-- 7i7          

exclusively by electronic prescrib+ &   
disp5s$ to ! pati5t treat$ pursuant to  
subp>agraph 7,a72  7ii7 = a supply ( n m
 ?an #cj days pursuant to ea*           
prescription2 &  7iii7 subject to !     
re/rictions li/$ 9 section #h4ab7;i77#c7
 ( title #db1 ,code ( ,f$]al            
,regulations1 or successor regulation or
 guidance4  7,d7 ,! disp5s+ ( me?adone  
to an individual pursuant to subp>agraph
 7,a7 %all be 9 addition to ! o!r c>e t 
! individual cont9ues to h access to    
?r\gh an opioid treatm5t program4  7,e7 
,p]sons regi/]$ pursuant to subp>agraph 
7,a7 %all-- 7i7 ensure & docum5t1 )     
respect to ea* pati5t treat$ pursuant to
 subp>agraph 7,a71 in=m$ cons5t to      
treatm5t2 &  7ii7 include 9 su* in=m$   
cons5t1 specific in=m$ cons5t reg>d+    
diff]5ces 9 confid5tiality protections  
applicable :5 disp5s+ ?r\gh an opioid   
treatm5t program v]sus disp5s+ ?r\gh a  
ph>macy pursuant to subp>agraph 7,a74   
7,f7 ,at ! reque/ ( a ,/ate1 ! ,attorney
 ,g5]al %all-- 7i7 cease regi/]+ p]sons 

9 ! ,/ate pursuant to subp>agraph 7,a72 
&  7ii7 )draw any su* regi/ration 9     
effect = a p]son 9 ! ,/ate4  7,g7       
,ma9t5ance treatm5t or detoxification   
treatm5t provid$ pursuant to subp>agraph
 7,a7 & o!r c>e provid$ 9 conjunction ) 
su* treatm5t1 su* z c\nsel+ & o!r       
ancill>y s]vices1 may be provid$ by     
means ( teleheal?4  7#c7 ,n lat] ?an    
#ahj days aft] ! date ( enactm5t ( ?is  
p>agraph1 & annually !reaft]1 !         
,assi/ant ,secret>y = ,m5tal ,heal? &   
,sub/ance ,use & ! ,adm9i/rator ( !     
,drug ,en=cem5t ,adm9i/ration %all      
jo9tly submit to ,congress a report t   
includes-- 7,a7 ! numb] ( p]sons regi/]$
 pursuant to p>agraph 7#b72  7,b7 a li/ 
( ,/ates 9 :i* p]sons are regi/]$       
pursuant to p>agraph 7#b74  4  ,febru>y 
#a1 #bjbd,report$ ) an am5dm5t