,,ii ,cal5d> ,no4 #cjg #aai? ,,congress 
#b;d ,session  ,s4 #iba  ,,9 ,,! ,,s5ate
 ,,( ,,! ,,unit$ ,,/ates  ,m>* #aj1     
#bjbe,mr4 ,banks 7= himself1 ,mr4       
,padilla1 ,mr4 ,grassley1 ,mr4 ,w>n]1   
,mr4 ,"y1 ,mr4 ,scott ( ,florida1 ,mr4  
,mull91 ,mr4 ,kim1 ,ms4 ,klobu*>1 ,mr4  
,w>nock1 ,ms4 ,hassan1 ,mrs4 ,moody1 &  
,mr4 ,tub]ville7 introduc$ ! foll[+     
bill2 :i* 0 read twice & ref]r$ to !    
,committee on ,heal?1 ,education1       
,labor1 & ,p5sions  ,janu>y #bh1        
#bjbf,report$ by ,mr4 ,cassidy1 ) an    
amendment,strike out all aft] ! enact+  
clause & ins]t ! "p pr9t$ 9 italic  ,a  
,,bill  ,to direct ! ,secret>y ( ,heal? 
& ,human ,s]vices to issue guidance on  
:e!r hospital em]g5cy dep>tm5ts %\ld    
implem5t f5tanyl te/+ z a r\t9e proc$ure
 = pati5ts exp]i5c+ an ov]dose1 & = o!r 
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ,tyl]'s ,law4  #b4 ,te/+ =   
f5tanyl 9 hospital em]g5cy dep>tm5ts    
7a7 ,/udy ,n lat] ?an #a ye> aft] ! date
 ( enactm5t ( ?is ,act1 ! ,secret>y (   

,heal? & ,human ,s]vices %all complete a
 /udy to det]m9e-- 7#a7 h[ frequ5tly    
hospital em]g5cy dep>tm5ts te/ = f5tanyl
 79 addition to te/+ = o!r sub/ances su*
 z amphetam9es1 ph5cyclid9e1 coca9e1    
opiates1 & m>ijuana7 :5 a pati5t is     
exp]i5c+ an ov]dose2  7#b7 ! co/s       
associat$ ) su* te/+ = f5tanyl2  7#c7 ! 
pot5tial b5efits & risks = pati5ts      
receiv+ su* te/+ = f5tanyl2 &  7#d7 h[  
f5tanyl te/+ 9 hospital em]g5cy         
dep>tm5ts may impact ! exp]i5ce ( !     
pati5t1 includ+-- 7,a7 protections = !  
confid5tiality & privacy ( ! pati5t's   
p]sonal heal? in=mation2 &  7,b7 !      
pati5t-physician relation%ip4  7b7      
,guidance ,n lat] ?an #f mon?s aft]     
completion ( ! /udy "u subsection 7a71  
bas$ on ! results ( su* /udy1 !         
,secret>y ( ,heal? & ,human ,s]vices    
%all issue guidance on ! foll[+3 7#a7   
,:e!r hospital em]g5cy dep>tm5ts %\ld   
implem5t f5tanyl te/+ z a r\t9e proc$ure
 = pati5ts exp]i5c+ an ov]dose4  7#b7   
,h[ hospitals c ensure t cl9icians 9 _! 

hospital em]g5cy dep>tm5ts are aw>e (   
:i* sub/ances are be+ te/$ = 9 _!       
r\t9ely-adm9i/]$ drug te/s1 reg>dless ( 
:e!r ^? te/s scre5 = f5tanyl4  7#c7 ,h[ 
! adm9i/ration ( f5tanyl te/+ 9 hospital
 em]g5cy dep>tm5ts may affect ! future  
risk ( ov]dose & g5]al heal? outcomes4  
7c7 ,def9ition ,9 ?is section1 ! t]m    
hospital em]g5cy dep>tm5t means a       
hospital em]g5cy dep>tm5t z su* t]m is  
us$ 9 section #ahfg7;a7 ( ! ,social     
,security ,act 7#db ,u4,s4,c4           
#acie;dd7a774  #a4 ,%ort title ,?is ,act
 may be cit$ z ,tyl]'s ,law4  #b4 ,te/+ 
= f5tanyl 9 hospital em]g5cy dep>tm5ts  
7a7 ,/udy ,n lat] ?an #c ye>s aft] !    
date ( enactm5t ( ?is ,act1 ! ,secret>y 
( ,heal? & ,human ,s]vices1 act+ ?r\gh !
 ,assi/ant ,secret>y = ,m5tal ,heal? &  
,sub/ance ,use & 9 coord9ation ) o!r    
,f$]al dep>tm5ts1 ag5cies1 or           
/akehold]s1 z appropriate1 %all complete
 a /udy to det]m9e-- 7#a7 h[ frequ5tly  
hospital em]g5cy dep>tm5ts te/ = f5tanyl
 or f5tanyl-relat$ sub/ances :5 a pati5t

 is exp]i5c+ an ov]dose1 & te/ = o!r    
controll$ sub/ances relat$ to su* an    
ov]dose2  7#b7 sc5>ios 9 :i* hospital   
em]g5cy dep>tm5ts d n adm9i/] te/s =    
f5tanyl or f5tanyl-relat$ sub/ances :5 a
 pati5t is exp]i5c+ an ov]dose1 or = o!r
 controll$ sub/ances relat$ to su* an   
ov]dose2  7#c7 ! co/s associat$ ) su*   
te/+ = f5tanyl or f5tanyl-relat$        
sub/ances2  7#d7 ! pot5tial b5efits &   
risks = pati5ts receiv+ su* te/+ =      
f5tanyl or f5tanyl-relat$ sub/ances2    
7#e7 pot5tial /aff tra9+ ne$s to support
 te/+ = f5tanyl or f5tanyl-relat$       
sub/ances2  7#f7 h[ te/+ = f5tanyl or   
f5tanyl-relat$ sub/ances 9 hospital     
em]g5cy dep>tm5ts may impact ! exp]i5ce 
( ! pati5t1 includ+-- 7,a7 protections =
 ! privacy & security ( ! pati5t's      
protect$ heal? in=mation 7z def9$ 9     
section #afj4ajc ( title #de1 ,code (   
,f$]al ,regulations 7or any successor   
regulations77 "u "p #afj ( title #de1   
,code ( ,f$]al ,regulations1 & subp>ts  
,c & ,e ( "p #afd ( title #de1 ,code (  

,f$]al ,regulations 7or any successor   
regulations72 &  7,b7 ! pati5t-heal? c>e
 pr(essional relation%ip2 &  7#g7 b>ri]s
 t hospital em]g5cy dep>tm5ts may       
enc\nt] :5 try+ to implem5t te/+ =      
f5tanyl or f5tanyl-relat$ sub/ances &   
recomm5dations on h[ be/ to address ^?  
b>ri]s4  7b7 ,guidance ,n lat] ?an #i   
mon?s aft] completion ( ! /udy "u       
subsection 7a71 bas$ on ! results ( su* 
/udy1 ! ,secret>y ( ,heal? & ,human     
,s]vices1 act+ ?r\gh ! ,assi/ant        
,secret>y = ,m5tal ,heal? & ,sub/ance   
,use & 9 coord9ation ) o!r ,f$]al       
dep>tm5ts1 ag5cies1 or /akehold]s1 z    
appropriate1 %all issue guidance on !   
foll[+3 7#a7 ,:e!r hospital em]g5cy     
dep>tm5ts %\ld implem5t te/+ = f5tanyl  
or f5tanyl-relat$ sub/ances z a r\t9e   
proc$ure = pati5ts exp]i5c+ an ov]dose4 
7#b7 ,h[ hospitals c ensure t heal? c>e 
pr(essionals 9 _! hospital em]g5cy      
dep>tm5ts are aw>e ( :i* sub/ances are  
be+ te/$ = 9 _! r\t9ely-adm9i/]$ drug   
te/s1 reg>dless ( :e!r ^? te/s scre5 =  

f5tanyl or f5tanyl-relat$ sub/ances4    
7#c7 ,h[ ! adm9i/ration ( te/+ = f5tanyl
 or f5tanyl-relat$ sub/ances 9 hospital 
em]g5cy dep>tm5ts may affect ! future   
risk ( ov]dose & heal? outcomes4  7#d7  
,available ,f$]al res\rces t c assi/    
hospital em]g5cy dep>tm5ts 9 implem5t+  
te/+ = f5tanyl or f5tanyl-relat$        
sub/ances4  7c7 ,def9itions ,9 ?is      
section1 ! t]m hospital em]g5cy dep>tm5t
 means an em]g5cy dep>tm5t ( a hospital 
or an indep5d5t free/&+ em]g5cy dep>tm5t
 7z su* t]ms are def9$ 9 section        
#bgii;,a-#a7;a77#c7 ( ! ,public ,heal?  
,s]vice ,act 7#db ,u4,s4,c4             
#cjj;gg-#aaa7;a77#c7774  ,janu>y #bh1   
#bjbf,report$ ) an am5dm5t