,,ib ,union ,cal5d> ,no4 #aah #aai?     
,,congress  #a/ ,session  ,h4 ,r4 #bcea 
,report ,no4 #aai-adi ,,9 ,,! ,,h\se ,,(
 ,,repres5tatives  ,m>* #bf1 #bjbe,mr4  
,mc,dowell introduc$ ! foll[+ bill2 :i* 
0 ref]r$ to ! ,committee on             
,transportation & ,infra/ructure  ,june 
#f1 #bjbe;,additional sponsors3 ,mr4    
,goldman ( ,texas & ,ms4 ,gill5  ,june  
#f1 #bjbe;,committ$ to ! ,committee ( ! 
,:ole ,h\se on ! ,/ate ( ! ,union &     
ord]$ to be pr9t$  ,a ,,bill  ,to direct
 ! ,comm&ant ( ! ,coa/ ,gu>d to update !
 policy ( ! ,coa/ ,gu>d reg>d+ ! use (  
m$ication to treat drug ov]dose1 & = o!r
 purposes4  #a4 ,controll$ sub/ance     
onbo>d vessels ,section #gjejc7;a7 (    
title #df1 ,unit$ ,/ates ,code1 is      
am5d$-- 7#a7 9 ! matt] prec$+ p>agraph  
7#a7 by /rik+ ,:ile on bo>d a cov]$     
vessel1 an & ins]t+ ,an2  7#b7 by am5d+ 
p>agraph 7#a7 to read z foll[s3  7#a7   
manufacture or di/ribute1 possess )     
int5t to manufacture or di/ribute1 or   
place or cause to be plac$ ) int5t to   

manufacture or di/ribute a controll$    
sub/ance on bo>d a cov]$ vessel2  2     
7#c7 9 p>agraph 7#b7 by ins]t+ on bo>d a
 cov]$ vessel be=e ! semicolon2 &  7#d7 
9 p>agraph 7#c7 by ins]t+ :ile on bo>d a
 cov]$ vessel aft] su* individual4  #b4 
,policy & brief+ on availability (      
naloxone to treat opioid ov]doses  7a7  
,policy ,n lat] ?an #a ye> aft] ! date (
 enactm5t ( ?is ,act1 ! ,comm&ant ( !   
,coa/ ,gu>d %all update ! policy ( !    
,coa/ ,gu>d reg>d+ ! use ( m$ication to 
treat drug ov]doses1 includ+ ! use (    
naloxone or o!r simil> m$ication to     
treat opioid1 includ+ f5tanyl1 ov]doses4
  7b7 ,availability ,! updat$ policy    
requir$ "u subsection 7a7 %all require  
naloxone or o!r simil> m$ication be     
available = memb]s ( ! ,coa/ ,gu>d--    
7#a7 on all ,coa/ ,gu>d in/allations2 & 
7#b7 9 ea* op]ational environm5t4  7c7  
,p>ticipation 9 track+ sy/em ,n lat] ?an
 #a ye> aft] ! e>li] ( ! date ( enactm5t
 ( ?is ,act or ! date on :i* ! track+   
sy/em e/abli%$ "u section #gjf ( !      

,national ,def5se ,au?orization ,act =  
,fiscal ,ye> #bjbd 7#aj ,u4,s4,c4 #ajij 
note7 is e/abli%$1 ! ,comm&ant %all     
ensure ! p>ticipation ( ! ,coa/ ,gu>d 9 
! su* track+ sy/em4  7d7 ,memor&um (    
und]/&+ ,n lat] ?an #a ye> aft] ! e>li] 
( ! date ( enactm5t ( ?is ,act or ! date
 on :i* ! track+ sy/em e/abli%$ "u      
section #gjf ( ! ,national ,def5se      
,au?orization ,act = ,fiscal ,ye> #bjbd 
7#aj ,u4,s4,c4 #ajij note7 is e/abli%$1 
! ,secret>y ( ! dep>tm5t 9 :i* ! ,coa/  
,gu>d is op]at+ :5 n op]at+ z a s]vice 9
 ! ,navy & ! ,secret>y ( ,def5se %all   
f9alize a memor&um ( und]/&+ to         
facilitate ,coa/ ,gu>d access su* track+
 sy/em4  7e7 ,brief+  7#a7 ,9 g5]al ,n  
lat] ?an #b ye>s aft] ! date ( enactm5t 
( ?is ,act1 ! ,comm&ant %all provide !  
,committee on ,transportation &         
,infra/ructure ( ! ,h\se (              
,repres5tatives & ! ,committee on       
,comm]ce1 ,sci5ce1 & ,transportation ( !
 ,s5ate a brief+ on ! use1 by memb]s &  
p]sonnel ( ! ,coa/ ,gu>d at ,coa/ ,gu>d 

facilities1 onbo>d ,coa/ ,gu>d assets1 &
 dur+ ,coa/ ,gu>d op]ations1 (-- 7,a7   
naloxone or o!r simil> m$ication to     
treat opioid1 includ+ f5tanyl1 ov]doses2
 &  7,b7 opioids1 includ+ f5tanyl4  7#b7
 ,elem5ts ,! brief+ requir$ "u p>agraph 
7#a7 %all include ! foll[+3 7,a7 ,a     
description (-- 7i7 ! progress made 9 ! 
implem5tation ( ! updat$ policy requir$ 
"u subsection 7a72  7ii7 ! preval5ce &  
incid5ce ( ! illegal use ( f5tanyl & o!r
 controll$ sub/ances 9 ! ,coa/ ,gu>d    
dur+ ! #e-ye> p]iod prec$+ ! brief+2    
7iii7 processes ( ! ,coa/ ,gu>d to      
mitigate sub/ance abuse 9 ! ,coa/ ,gu>d1
 p>ticul>ly ) respect to f5tanyl2 &     
7iv7 ! /atus ( ! memor&um ( und]/&+     
requir$ "u subsection 7d74  7,b7 ,= !   
#e-ye> p]iod prec$+ ! brief+1 a review (
 in/ances 9 :i* naloxone or o!r simil>  
m$ication 0 us$ to treat opioid1 includ+
 f5tanyl1 ov]doses at a ,coa/ ,gu>d     
facility1 onbo>d a ,coa/ ,gu>d asset1 or
 dur+ a ,coa/ ,gu>d op]ation4  7f7      
,privacy ,9 c>ry+ out ! requirem5ts (   

?is section1 ! ,comm&ant %all ensure    
compliance ) all applicable privacy law1
 includ+ section #eeb;a ( title #e1     
,unit$ ,/ates ,code 7commonly ref]r$ to 
z ! ,privacy ,act71 & ! privacy         
regulations promulgat$ "u section       
#bfd7;c7 ( ! ,heal? ,insurance          
,portability & ,acc\ntability ,act 7#db 
,u4,s4,c4 #acbj;d-#b note74  7g7 ,rule (
 con/ruction ,= purposes ( !            
availability requirem5t "u subsection   
7b71 ) respect to a ,coa/ ,gu>d         
in/allation compris$ ( multiple ,coa/   
,gu>d facilities or units1 naloxone or  
o!r simil> m$ication available at a s+le
 ,coa/ ,gu>d facility )9 ! in/allation  
%all be consid]$ to be available to all 
,coa/ ,gu>d facilities or units on !    
in/allation if appropriate arrangem5ts  
are 9 place to ensure access1 at all    
times dur+ op]ations1 to ! naloxone or  
o!r simil> m$ication conta9$ )9 su* s+le
 ,coa/ ,gu>d facility4  ,june #f1       
#bjbe;,committ$ to ! ,committee ( !     
,:ole ,h\se on ! ,/ate ( ! ,union &     

ord]$ to be pr9t$