,,ib ,union ,cal5d> ,no4 #hd #aai?      
,,congress  #a/ ,session  ,h4 ,r4 #bdhc 
,report ,no4 #aai-aad1 ,"p ,i ,,9 ,,!   
,,h\se ,,( ,,repres5tatives  ,m>* #ca1  
#bjbe,mr4 ,gu?rie 7= himself & ,ms4     
,pett]s57 introduc$ ! foll[+ bill2 :i* 0
 ref]r$ to ! ,committee on ,en]gy &     
,comm]ce1 & 9 addition to ! ,committees 
on ,education & ,work=ce1 ! ,judici>y1 &
 ,f9ancial ,s]vices1 = a p]iod to be    
subsequ5tly det]m9$ by ! ,speak]1 9 ea* 
case = consid]ation ( su* provisions z  
fall )9 ! jurisdiction ( ! committee    
conc]n$  ,may #bi1 #bjbe,report$ f !    
,committee on ,en]gy & ,comm]ce ) an    
amendment,strike out all aft] ! enact+  
clause & ins]t ! "p pr9t$ 9 italic  ,may
 #bi1 #bjbe ,committees on ,education & 
,work=ce1 ! ,judici>y1 & ,f9ancial      
,s]vices dis*>g$2 committ$ to !         
,committee ( ! ,:ole ,h\se on ! ,/ate ( 
! ,union & ord]$ to be printed,for text 
( introduc$ bill1 see copy ( bill z     
introduc$ on ,m>* #ca1 #bjbe  ,a ,,bill 
,to reau?orize c]ta9 programs t provide 

= opioid use disord] prev5tion1         
treatm5t1 & recov]y1 & = o!r purposes4  
#a4 ,%ort title2 table ( cont5ts  7a7   
,%ort title ,?is ,act may be cit$ z !   
,,support = ,pati5ts & ,communities     
,reau?orization ,act ( #bjbe4  7b7      
,table ( cont5ts ,! table ( cont5ts =   
?is ,act is z foll[s3 ,sec4 #a4 ,%ort   
title2 table ( cont5ts4,title           
,i--,prevention,sec4 #aja4 ,pr5atal &   
po/natal heal?4,sec4 #ajb4 ,monitor+ &  
education reg>d+ infections associat$ ) 
illicit drug use & o!r risk             
factors4,sec4 #ajc4 ,prev5t+ ov]doses ( 
controll$ sub/ances4,sec4 #ajd4 ,support
 = individuals & families impact$ by    
fetal alcohol spectrum disord]4,sec4    
#aje4 ,promot+ /ate *oice 9 ,,pdmp      
sy/ems4,sec4 #ajf4 ,fir/ respond] tra9+ 
program4,sec4 #ajg4 ,donald ,j4 ,coh5   
,national ,*ild ,traumatic ,/ress       
,initiative4,sec4 #ajh4 ,protect+       
suicide prev5tion lifel9e f cyb]security
 incid5ts4,sec4 #aji4 ,monitor+ &       
report+ ( *ild1 y\?1 & adult            

trauma4,sec4 #aaj4 ,bruce's law4,sec4   
#aaa4 ,guidance on at-home drug disposal
 sy/ems4,sec4 #aab4 ,assessm5t ( opioid 
drugs & actions4,sec4 #aac4 ,grant      
program = ,/ate & ,tribal response to   
opioid use disord]s4,title              
,,ii--,treatment,sec4 #bja4 ,resid5tial 
treatm5t program = pregnant & po/p>tum  
wom54,sec4 #bjb4 ,improv+ access to     
addiction m$ic9e provid]s4,sec4 #bjc4   
,m5tal & behavioral heal? education &   
tra9+ grants4,sec4 #bjd4 ,loan repaym5t 
program = sub/ance use disord] treatm5t 
work=ce4,sec4 #bje4 ,developm5t &       
dissem9ation ( model tra9+ programs =   
sub/ance use disord] pati5t             
records4,sec4 #bjf4 ,task =ce on be/    
practices = trauma-in=m$ id5tification1 
ref]ral1 & support4,sec4 #bjg4 ,grants  
to enhance access to sub/ance use       
disord] treatm5t4,sec4 #bjh4 ,/ate      
guidance relat$ to individuals ) s]i\s  
m5tal illness & *ildr5 ) s]i\s emotional
 di/urbance4,sec4 #bji4 ,review+ !      
s*$ul+ ( approv$ products conta9+ a     

comb9ation ( bupr5orph9e &              
naloxone4,title ,,iii--,recovery,sec4   
#cja4 ,build+ communities (             
recov]y4,sec4 #cjb4 ,pe] support        
te*nical assi/ance c5t]4,sec4 #cjc4     
,compreh5sive opioid recov]y c5t]s4,sec4
 #cjd4 ,y\? prev5tion & recov]y4,sec4   
#cje4 ,,c>e] ,act4,sec4 #cjf4 ,address+ 
economic & work=ce impacts ( ! opioid   
crisis4,title ,,iv--,miscellane\s       
matters,sec4 #dja4 ,deliv]y ( a         
controll$ sub/ance by a ph>macy to a    
prescrib+ practition]4,sec4 #djb4       
,requir$ tra9+ = prescrib]s ( controll$ 
sub/ances4  ,i ,prev5tion  #aja4        
,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+ su* sums z may be        
necess>y = ea* ( ! fiscal ye>s #bjai    
?r\gh #bjbc & ins]t+ #d1bej1jjj = ea* ( 
fiscal ye>s #bjbf ?r\gh #bjcj4  #ajb4   
,monitor+ & 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+ fiscal
 ye>s #bjai ?r\gh #bjbc & ins]t+ fiscal 
ye>s #bjbf ?r\gh #bjcj4  #ajc4 ,prev5t+ 
ov]doses ( controll$ sub/ances  7a7 ,9  
g5]al ,section #cib;,a ( ! ,public      
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#bhj;b-#a7 is am5d$-- 7#a7 9 subsection 
7a77#b7-- 7,a7 9 subp>agraph 7,c71 by   
ins]t+ & associat$ risks be=e ! p]iod at
 ! end2 &  7,b7 9 subp>agraph 7,d71 by  
/rik+ opioids & ins]t+ sub/ances caus+  
ov]dose2 &  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,f71 by ins]t+ &  
associat$ risk factors aft] ov]doses4   
7b7 ,additional grants ,section         
#cib;,a7a77#c7 ( ! ,public ,heal?       

,s]vice ,act 7#db ,u4,s4,c4             
#bhj;b-#a7;a77#c77 is am5d$-- 7#a7 9 !  
matt] prec$+ subp>agraph 7,a71 by /rik+ 
& ,indian ,tribes-- & ins]t+ & ,indian  
,tribes = ! foll[+ purposes32  7#b7 by  
am5d+ subp>agraph 7,a7 to read z foll[s3
  7,a7 ,to c>ry out innovative projects 
= grantees to detect1 id5tify1 & rapidly
 respond to controll$ sub/ance misuse1  
abuse1 & ov]doses1 & associat$ risk     
factors1 includ+ *anges 9 patt]ns ( su* 
controll$ sub/ance use4 ,su* projects   
may include ! use ( innovative1         
evid5ce-bas$ /rategies = detect+ su*    
patt]ns1 su* z wa/ewat] surveillance1 if
 prov5 to support actionable prev5tion  
/rategies1 9 a mann] consi/5t )         
applicable ,f$]al & ,/ate privacy laws4 
2 &  7#c7 9 subp>agraph 7,b71 by /rik+ =
 any & ins]t+ ,= any4  7c7 ,au?orization
 ( appropriations ,section #cib;,a7e7 ( 
! ,public ,heal? ,s]vice ,act 7#db      
,u4,s4,c4 #bhj;b-#a7;e77 is am5d$ by    
/rik+ #dif1jjj1jjj = ea* ( fiscal ye>s  
#bjai ?r\gh #bjbc & ins]t+ #eje1egi1jjj 

= ea* ( fiscal ye>s #bjbf ?r\gh #bjcj4  
#ajd4 ,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$ 
to read z foll[s3  ,o ,fetal alcohol    
spectrum disord] prev5tion & s]vices    
program  #cii;,h4 ,fetal alcohol        
spectrum disord]s prev5tion1 int]v5tion1
 & s]vices deliv]y program  7a7 ,9 g5]al
 ,! ,secret>y %all e/abli% or cont9ue   
activities to support a compreh5sive    
fetal alcohol spectrum disord]s 7ref]r$ 
to 9 ?is section z ,,fasd7 education1   
prev5tion1 id5tification1 int]v5tion1 & 
s]vices deliv]y program1 :i* may        
include-- 7#a7 an education & public    
aw>5ess program to support1 conduct1 &  
evaluate ! effectiv5ess (-- 7,a7        
educational programs t>get+ heal?       
pr(essions s*ools1 social & o!r         
supportive s]vices1 educators &         
c\nselors & o!r s]vice provid]s 9 all   
phases ( *ildhood developm5t1 & o!r     

relevant s]vice provid]s1 conc]n+ !     
prev5tion1 id5tification1 & provision ( 
s]vices = infants1 *ildr51 adolesc5ts1 &
 adults ) ,,fasd2  7,b7 /rategies to    
educate s*ool-age *ildr51 includ+       
pregnant & high-risk y\?1 conc]n+       
,,fasd2  7,c7 public & community aw>5ess
 programs conc]n+ ,,fasd2 &  7,d7       
/rategies to coord9ate in=mation &      
s]vices across affect$ community        
ag5cies1 includ+ ag5cies provid+ social 
s]vices su* z fo/] c>e1 adoption1 &     
social "w1 ag5cies provid+ heal?        
s]vices1 & ag5cies involv$ 9 education1 
vocational tra9+1 & civil & crim9al     
ju/ice2  7#b7 support+ & conduct+ rese>*
 on ,,fasd1 z appropriate1 includ+ to-- 
7,a7 develop appropriate m$ical         
diagno/ic me?ods = id5tify+ ,,fasd2 &   
7,b7 develop effective culturally &     
l+ui/ically appropriate evid5ce-bas$ or 
evid5ce-in=m$ int]v5tions & appropriate 
supports = prev5t+ pr5atal alcohol      
exposure1 :i* may co-occur ) exposure to
 o!r sub/ances2  7#c7 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 provid+ tra9+ ) respect to
 ,,fasd = pr(essionals across relevant  
sectors2 &  7,e7 dissem9at+ in=mation   
ab\t ,,fasd & support s]vices to affect$
 individuals & _! families2 &  7#d7 an  
appli$ rese>* program conc]n+ int]v5tion
 & prev5tion to support & conduct s]vice
 demon/ration projects1 cl9ical /udies &
 o!r rese>* models provid+ advocacy1    
educational & vocational tra9+1 c\nsel+1
 m$ical & m5tal heal?1 & o!r supportive 
s]vices1 z well z models t integrate &  
coord9ate su* s]vices1 t are aim$ at !  
unique *all5ges fac+ individuals ) fetal
 alcohol spectrum disord] or fetal      

alcohol effect & _! families4  7b7      
,grants & ,te*nical ,assi/ance  7#a7 ,9 
g5]al ,! ,secret>y may aw>d grants1     
coop]ative agreem5ts & contracts &      
provide te*nical assi/ance to eligible  
entities to c>ry out subsection 7a74    
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  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 
res\rces to support an improv$ quality (
 life = an individual ) ,,fasd & !      
family ( su* individual4  #cii;,i4      
,/r5g!n+ capacity & education = fetal   
alcohol spectrum disord]s  7a7 ,9 g5]al 
,! ,secret>y %all aw>d grants1          
contracts1 or coop]ative agreem5ts1 z ! 

,secret>y det]m9es appropriate1 to      
public or nonpr(it private entities )   
demon/rat$ exp]tise 9 ! field ( fetal   
alcohol spectrum disord]s 7ref]r$ to 9  
?is section z ,,fasd74 ,su* aw>ds %all  
be = ! purposes ( build+ local1 ,tribal1
 ,/ate1 & nationwide capacities to      
prev5t ! occurr5ce ( ,,fasd 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 ,develop+ &       
support+ public education & outrea*     
activities to raise public aw>5ess ( !  
risks associat$ ) alcohol consumption   
dur+ pregnancy4  7#b7 ,act+ z a         
cle>+h\se = evid5ce-bas$ res\rces on    
,,fasd prev5tion1 id5tification1 &      
culturally & l+ui/ically appropriate be/
 practices to help in=m sy/ems ( c>e =  
individuals ) ,,fasd across _! lifespan4
  7#c7 ,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 improv+ !    
capacity = ,/ate1 ,tribal1 & local      
affiliates4  7#d7 ,provid+ te*nical     
assi/ance to recipi5ts ( grants1        
coop]ative agreem5ts1 or contracts "u   
section #cii;,h1 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      
,res\rce developm5t & dissem9ation4     
7#b7 ,int]v5tion s]vices4  7#c7 ,tra9+ &
 te*nical assi/ance4  #cii;,j4          
,au?orization ( appropriations ,!re are 
au?oriz$ to be appropriat$ to c>ry out  
?is "p #ab1ejj1jjj = ea* ( fiscal ye>s  
#bjbf ?r\gh #bjcj4  4  7b7 ,report ,n   

lat] ?an #d ye>s aft] ! date ( enactm5t 
( ?is ,act1 & e ye> !reaft]1 ! ,secret>y
 ( ,heal? & ,human ,s]vices %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+-- 7#a7 a review ( !      
activities c>ri$ out pursuant to        
sections #cii;,h & #cii;,i ( ! ,public  
,heal? ,s]vice ,act1 z am5d$1 to advance
 public education & aw>5ess ( fetal     
alcohol spectrum disord]s 7ref]r$ to 9  
?is section z ,,fasd72  7#b7 a          
description (-- 7,a7 ! activities c>ri$ 
out pursuant to su* sections #cii;,h &  
#cii;,i to id5tify1 prev5t1 & treat     
,,fasd2 &  7,b7 me?ods us$ to evaluate !
 outcomes ( su* activities2 &  7#c7 an  
assessm5t ( activities c>ri$ out        
pursuant to su* sections #cii;,h &      
#cii;,i to support individuals ) ,,fasd4
  #aje4 ,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+ at ! end
 ! 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 
#ajf4 ,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+ #eg1jjj1jjj =
 ea* ( fiscal ye>s #bjbf ?r\gh #bjcj4   
#ajg4 ,donald ,j4 ,coh5 ,national ,*ild 
,traumatic ,/ress ,initiative  7a7      
,te*nical am5dm5t ,! second "p ,g (     
title ,v ( ! ,public ,heal? ,s]vice ,act
 7#db ,u4,s4,c4 #bijkk et seq471 z add$ 
by section #add ( ! ,community ,r5ewal  
,tax ,relief ,act ( #bjjj 7,public ,law 
#ajf-eed71 is am5d$-- 7#a7 by r$esignat+
 su* "p z "p ,j2 &  7#b7 by r$esignat+  
sections #eha ?r\gh #ehd z sections #eif
 ?r\gh #eif;,c1 respectively4  7b7 ,9   
g5]al ,section #ehb ( ! ,public ,heal?  
,s]vice ,act 7#db ,u4,s4,c4 #bij;hh-#a7 
is am5d$-- 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] ,! ,,nctsi  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 = ! 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 by am5d+ subsection 

7j7 to read z foll[s3  7j7 ,au?orization
 ( appropriations ,!re is au?oriz$ to be
 appropriat$ to c>ry out ?is section--  
7#a7 #ih1hhg1jjj = fiscal ye> #bjbf2    
7#b7 #ih1hhg1jjj = fiscal ye> #bjbg2    
7#c7 #ih1hhg1jjj = fiscal ye> #bjbh2    
7#d7 #ajj1jjj1jjj = fiscal ye> #bjbi2 & 
7#e7 #ajj1jjj1jjj = fiscal ye> #bjcj4  4
  #ajh4 ,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$]al  
law t are 9 effect on ! date ( !        
enactm5t ( ! ,,support = ,pati5ts &     
,communities ,reau?orization ,act (     
#bjbe4  4  7c7 ,/udy ,n lat] ?an #ahj   
days aft] ! date ( ! enactm5t ( ?is     
,act1 ! ,comptroll] ,g5]al ( ! ,unit$   
,/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 on ! f9d+s ( su*
 /udy to ! ,committee on ,heal?1        
,education1 ,labor1 & ,p5sions ( !      
,s5ate & ! ,committee on ,en]gy &       
,comm]ce ( ! ,h\se ( ,repres5tatives4   
#aji4 ,monitor+ & report+ ( *ild1 y\?1 &

 adult trauma ,section #gaca7;e7 ( !    
,,support = ,pati5ts & ,communities ,act
 7#db ,u4,s4,c4 #bdbt7e77 is am5d$ by   
/rik+ #b1jjj1jjj = ea* ( fiscal ye>s    
#bjai ?r\gh #bjbc & ins]t+ #i1jjj1jjj = 
ea* ( fiscal ye>s #bjbf ?r\gh #bjcj4    
#aaj4 ,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 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\p7 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 ,en]gy &      
,comm]ce & ! ,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$uce & prev5t drug   
ov]dose by f5tanyl contam9ation (       
illegal drugs1 9 all populations1 &     
specifically among y\? at risk =        
sub/ance misuse4  2 &  7#b7 by /rik+    
subsection 7i7 & ins]t+ ! foll[+3  7i7  
,sunset ,! ,committee %all t]m9ate on   
,septemb] #cj1 #bjcj4  4  #aaa4         
,guidance on at-home drug disposal      
sy/ems  7a7 ,9 g5]al ,n lat] ?an "o ye> 
aft] ! date ( enactm5t ( ?is ,act1 !    
,secret>y ( ,heal? & ,human ,s]vices1 9 
consultation ) ! ,adm9i/rator ( ! ,drug 
,en=cem5t ,adm9i/ration1 %all publi%    
guidance to facilitate ! use ( at-home  
safe disposal sy/ems = applicable drugs4
  7b7 ,cont5ts ,! guidance "u subsection
 7a7 %all include-- 7#a7 recomm5d$ /&>ds
 = effective at-home drug disposal      
sy/ems to meet applicable requirem5ts   

en=c$ by ! ,food & ,drug ,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/em1
 z appropriate2 &  7#d7 recomm5d$ use ( 
lic5s$ heal? provid]s = ! dissem9ation (
 education1 in/ruction1 & at-home drug  
disposal sy/ems1 z appropriate4  #aab4  
,assessm5t ( opioid drugs & actions  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>y7 %all publi%  
on ! website ( ! ,food & ,drug          
,adm9i/ration 7ref]r$ to 9 ?is section z
 ! ,,fda7 a report t outl9es a plan =   
assess+ opioid analgesic drugs t are    
approv$ "u section #eje ( ! ,f$]al      
,food1 ,drug1 & ,cosmetic ,act 7#ba     
,u4,s4,c4 #cee7 t addresses ! public    
heal? effects ( su* opioid analgesic    
drugs z "p ( ! b5efit-risk assessm5t & !
 activities ( ! ,,fda t relate to       

facilitat+ ! developm5t ( nonaddictive  
m$ical products int5d$ to treat pa9 or  
addiction4 ,su* report %all include--   
7#a7 an update on ! actions tak5 by !   
,,fda to consid] ! effectiv5ess1 safety1
 b5efit-risk pr(ile1 & use ( approv$    
opioid analgesic drugs2  7#b7 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#c7 an ov]view ( !   
/eps t ! ,,fda has tak5 to support !    
developm5t & approval ( nonaddictive    
m$ical products int5d$ to treat pa9 or  
addiction1 & actions plann$ to fur!r    
support ! developm5t & approval ( su*   
products2 &  7#d7 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 subsection 7b74  7b7 ,public

 input ,9 c>ry+ out subsection 7a71 !   
,secret>y %all provide 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      
analgesic drugs4  #aac4 ,grant program =
 ,/ate & ,tribal response to opioid use 
disord]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 su* z     
f5tanyl & xylaz9e te/ /rips1 to ! ext5t 
! pur*ase & possession ( su* products is
 consi/5t ) ,f$]al & ,/ate law4  ,,ii   
,treatm5t  #bja4 ,resid5tial treatm5t   
program = pregnant & po/p>tum wom5      
,section #ejh ( ! ,public ,heal? ,s]vice
 ,act 7#db ,u4,s4,c4 #bij;bb-#a7 is     
am5d$-- 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  
#bjbf ?r\gh #bjcj4  #bjb4 ,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$ic9e1 aft] psy*iatry14  #bjc4 ,m5tal &
 behavioral heal? education & tra9+     
grants ,section #gef7;f7 ( ! ,public    
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#bid;e-#a7;f77 is am5d$ by /rik+ fiscal 
ye>s #bjbc ?r\gh #bjbg & ins]t+ fiscal  

ye>s #bjbf ?r\gh #bjcj4  #bjd4 ,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+ #dj1jjj1jjj = ea* (
 fiscal ye>s #bjbf ?r\gh #bjcj4  #bje4  
,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  #bjf4 ,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$+ subp>agraph 7,a71 by     
ins]t+ 1 developm5tal disability s]vice 
provid]s be=e 1 individuals :o are2 &   
7#c7 9 subsection 7i71 by /rik+ #bjbc & 
ins]t+ #bjcj4  #bjg4 ,grants to enhance 
access to sub/ance use disord] treatm5t 
,section #cbjc ( ! ,,support = ,pati5ts 
& ,communities ,act 7#ba ,u4,s4,c4 #hbc 
note7 is am5d$-- 7#a7 by /rik+          
subsection 7b72 &  7#b7 by /rik+ 7a7 ,9 
g5]al4--,! ,secret>y & ins]t+ ! foll[+3 
,! ,secret>y4  #bjh4 ,/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]vices 7ref]r$ to 9   
?is section z ! ,secret>y71 act+ ?r\gh !
 ,assi/ant ,secret>y = ,m5tal ,heal? &  
,sub/ance ,use1 %all conduct a review ( 
,/ate use ( 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      
7ref]r$ to 9 ?is section z ! block grant
 program7 = fir/ episode psy*osis       
activities4 ,su* review %all consid] !  
foll[+3 7#a7 ,h[ ,/ates use funds =     
evid5ce-bas$ treatm5ts & s]vices accord+
 to ! /&>d ( c>e = individuals ) e>ly   
s]i\s m5tal illness & *ildr5 ) a s]i\s  
emotional di/urbance4  7#b7 ,! p]c5tages
 ( ! ,/ate fund+ "u ! block grant       
program exp5d$ on e>ly s]i\s m5tal      
illness & fir/ episode psy*osis1 & !    
numb] ( individuals s]v$ "u su* funds4  
7b7 ,report & guidance  7#a7 ,report ,n 
lat] ?an #ahj days aft] ! completion ( !
 review "u subsection 7a71 ! ,secret>y  
%all submit to ! ,committee on ,heal?1  
,education1 ,labor1 & ,p5sions & !      
,committee on ,appropriations ( ! ,s5ate
 & ! ,committee on ,en]gy & ,comm]ce & !
 ,committee on ,appropriations ( ! ,h\se
 ( ,repres5tatives a report describ+--  
7,a7 ! f9d+s ( ! review "u subsection   
7a72 &  7,b7 any recomm5dations = *anges
 to ! block grant program t w\ld        

facilitate improv$ outcomes =           
individuals ) s]i\s m5tal illness &     
*ildr5 ) s]i\s emotional di/urbance4    
7#b7 ,guidance ,n lat] ?an #a ye> aft] !
 date on :i* ! report is submitt$ "u    
p>agraph 7#a71 ! ,secret>y %all update !
 guidance provid$ to ,/ates "u ! block  
grant program on coord9at$ specialty c>e
 & o!r evid5ce-bas$ m5tal heal? c>e     
s]vices = individuals ) s]i\s m5tal     
illness & *ildr5 ) a s]i\s emotional    
di/urbance1 bas$ on ! f9d+s &           
recomm5dations ( su* report4  #bji4     
,review+ ! s*$ul+ ( approv$ products    
conta9+ a comb9ation ( bupr5orph9e &    
naloxone  7a7 ,secret>y ( ,,hhs ,!      
,secret>y ( ,heal? & ,human ,s]vices    
%all1 consi/5t ) ! requirem5ts &        
proc$ures set =? 9 sections #bja & #bjb 
( ! ,controll$ ,sub/ances ,act 7#ba     
,u4,s4,c4 #haa1 #hab7-- 7#a7 review !   
relevant data p]ta9+ to ! s*$ul+ (      
products conta9+ a comb9ation (         
bupr5orph9e & naloxone t h be5 approv$  
"u section #eje ( ! ,f$]al ,food1 ,drug1

 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cee72 
&  7#b7 if appropriate1 reque/ t !      
,attorney ,g5]al initiate rulemak+      
proce$+s to revise ! s*$ules accord+ly )
 respect to su* products4  7b7 ,attorney
 ,g5]al ,! ,attorney ,g5]al %all review 
any reque/ made by ! ,secret>y ( ,heal? 
& ,human ,s]vices "u subsection 7a77#b7 
& det]m9e :e!r to initiate proce$+s to  
revise ! s*$ules 9 accordance ) !       
crit]ia set =? 9 sections #bja & #bjb ( 
! ,controll$ ,sub/ances ,act 7#ba       
,u4,s4,c4 #haa1 #hab74  ,,iii ,recov]y  
#cja4 ,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+ #ag1jjj1jjj = ea* (
 fiscal ye>s #bjbf ?r\gh #bjcj4  #cjb4  
,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 build+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$esignat+ subsections 7d7
 & 7e7 z subsections 7e7 & 7f71         
respectively2  7#c7 by ins]t+ aft]      
subsection 7c7 ! foll[+3  7d7 ,regional 
c5t]s  7#a7 ,9 g5]al ,! ,secret>y may   
e/abli% "o regional te*nical assi/ance  
c5t] 7ref]r$ to 9 ?is subsection z !    
,regional ,c5t]71 ) exi/+ res\rces1 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 ,act ( #bjbe1 !         
,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 ( ! ,regional ,c5t] "u   
?is subsection1 su* z any impact 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 ( ! ,regional ,c5t] "u ?is    
subsection4  7#c7 ,t]m9ation ,?is       
subsection %all t]m9ate on ,septemb]    
#cj1 #bjcj4  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   
#bjbf ?r\gh #bjcj4  #cjc4 ,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 & assurances1     
includ+ relevant docum5tation12 &  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+    
#bjbf ?r\gh #bjcj4  #cjd4 ,y\? prev5tion
 & recov]y ,section #gajb7;c7 ( !       
,,support = ,pati5ts & ,communities ,act
 7#db ,u4,s4,c4 #bij;bb-#g;a7c77 7z     
am5d$ by section #aaj7;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 consortium ( 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+ #bjbh2 &  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$-- 7,a7 #aj1jjj1jjj =     
fiscal ye> #bjbf2  7,b7 #ab1jjj1jjj =   
fiscal ye> #bjbg2  7,c7 #ac1jjj1jjj =   
fiscal ye> #bjbh2  7,d7 #ad1jjj1jjj =   
fiscal ye> #bjbi2 &  7,e7 #ae1jjj1jjj = 
fiscal ye> #bjcj4  4  #cje4 ,,c>e] ,act 
7a7 ,9 g5]al ,section #gahc ( !         
,,support = ,pati5ts & ,communities ,act
 7#db ,u4,s4,c4 #bij;ee-#h7 is am5d$--  
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+ vocational 
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 ( #bjbe 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 #bjcj2 &  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  
#bjbf ?r\gh #bjcj4  7b7 ,reau?orization 
( ! ,,c>e] ,act2 ,recov]y ,h\s+ ,pilot  
,program  7#a7 ,9 g5]al ,section #hjga (
 ! ,,support = ,pati5ts & ,communities  
,act 7#db ,u4,s4,c4 #ecja note2 ,public 
,law #aae-bga7 is am5d$-- 7,a7 by /rik+ 
! section head+ & ins]t+ ,,c>e] ,act2   
,recov]y ,h\s+ ,pilot ,program2  7,b7 9 

subsection 7a71 by /rik+ ?r\gh #bjbc &  
ins]t+ ?r\gh #bjcj2  7,c7 9 subsection  
7b7-- 7i7 9 p>agraph 7#a71 by /rik+ n   
lat] ?an #fj days aft] ! date ( enactm5t
 ( ?is ,act & ins]t+ n lat] ?an #fj days
 aft] ! date ( enactm5t ( ! ,,support = 
,pati5ts & ,communities ,reau?orization 
,act ( #bjbe2 &  7ii7 9 p>agraph        
7#b77;,b77i7-- 7,i7 9 subclause 7,i7--  
7aa7 by /rik+ = cal5d> ye>s #bjac ?r\gh 
#bjag2 &  7bb7 by ins]t+ = cal5d> ye>s  
#bjah ?r\gh #bjbb aft] rates (          
unemploym5t2  7,,ii7 9 subclause        
7,,ii7-- 7aa7 by /rik+ = cal5d> ye>s    
#bjac ?r\gh #bjag2 &  7bb7 by ins]t+ =  
cal5d> ye>s #bjah ?r\gh #bjbb aft]      
p>ticipation rates2 &  7,,iii7 by /rik+ 
subclause 7,,iii7 & ins]t+ ! foll[+3    
7,,iii7 ,! 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  2 &  7,d7 9        
subsection 7f71 by /rik+ ,= ! #b-ye>    

p]iod foll[+ ! date ( enactm5t ( ?is    
,act1 ! & ins]t+ ,!4  7#b7 ,con=m+      
am5dm5t ,subtitle ,f ( title ,,viii ( ! 
,,support = ,pati5ts & ,communities ,act
 7,public ,law #aae-bga2 #acb ,/at4     
#djie7 is am5d$ by /rik+ ! subtitle     
head+ & ins]t+ ! foll[+3 ,subtitle      
,f--,,c>e] ,act2 ,recov]y ,h\s+ ,pilot  
,program4  7c7 ,cl]ical am5dm5ts ,!     
table ( cont5ts 9 section #a7;b7 ( !    
,,support = ,pati5ts & ,communities ,act
 7,public ,law #aae-bga2 #acb ,/at4     
#chid7 is am5d$-- 7#a7 by /rik+ ! item  
relat+ to section #gahc & ins]t+ !      
foll[+3  ,sec4 #gahc4 ,,c>e] ,act2      
treatm5t1 recov]y1 & work=ce support    
grants4  2  7#b7 by /rik+ ! item relat+ 
to subtitle ,f ( title ,,viii & ins]t+ !
 foll[+3  ,subtitle ,f--,,c>e] ,act2    
,recov]y ,h\s+ ,pilot ,program  2 &     
7#c7 by /rik+ ! item relat+ to section  
#hjga & ins]t+ ! foll[+3  ,sec4 #hjga4  
,,c>e] ,act2 ,recov]y ,h\s+ ,pilot      
,program4  4  #cjf4 ,address+ economic &
 work=ce impacts ( ! opioid crisis      

,section #hjda7;g77#a7 ( ! ,,support =  
,pati5ts & ,communities ,act 7#bi       
,u4,s4,c4 #cbbe;a7g77#a77 is am5d$ by   
/rik+ #bjbc & ins]t+ #bjcj4  ,,iv       
,miscellane\s matt]s  #dja4 ,deliv]y ( a
 controll$ sub/ance by a ph>macy to a   
prescrib+ 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       
subject to a risk evaluation &          
mitigation /rategy pursuant to section  
#eje-a ( ! ,f$]al ,food1 ,drug1 &       
,cosmetic ,act 7#ba ,u4,s4,c4 #cee-a7 t 
includes elem5ts to assure safe use ( ! 
drug describ$ 9 subsection 7f77#c77;,e7 
( su* section1 includ+ a requirem5t =   
po/-adm9i/ration monitor+ by a heal? c>e
 provid]2  4  #djb4 ,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$ical ,association1 ! ,academy (      
,g5]al ,d5ti/ry1 ! ,am]ican ,optometric 
,association1 be=e or any o!r           
organization2  7bb7 by /rik+ or !       
,commission & ins]t+ 1 ! ,commission2 & 
7cc7 by ins]t+ 1 or ! ,c\ncil on        
,podiatric ,m$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    
,may #bi1 #bjbe,report$ f ! ,committee  
on ,en]gy & ,comm]ce ) an amendment,may 
#bi1 #bjbe ,committees on ,education &  
,work=ce1 ! ,judici>y1 & ,f9ancial      
,s]vices dis*>g$2 committ$ to !         

,committee ( ! ,:ole ,h\se on ! ,/ate ( 
! ,union & ord]$ to be pr9t$