Public Law 114–198: To authorize the Attorney General and Secretary of Health and Human Services to award grants to address the prescription opioid abuse and heroin use crisis, and for other purposes. Public Law198 Public Law 114–198130 Stat. 695 2016-07-22 2016-07-22 United States Government Publishing OfficeNational Archives and Records AdministrationOffice of the Federal Registertext/xmlENPursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain. GPO Locator to USLM Converter 4.15.31;Stage2.202507022026-01-02 114public PUBLIC LAW 114–198—JULY 22, 2016 130 STAT. 695 Public Law114–198 114th Congress
An Act To authorize the Attorney General and Secretary of Health and Human Services to award grants to address the prescription opioid abuse and heroin use crisis, and for other purposes.

July 22, 2016

[S. 524]

   Be it enacted by the Senate and House of Representa­tives of the United States of America in Congress assembled,

Comprehensive Addiction and Recovery Act

of 2016.

42 USC 201 note.
SECTION 1. SHORT TITLE; TABLE OF CONTENTS.(a) Short Title.—This Act may be cited as the “Comprehensive Addiction and Recovery Act of 2016”. (b) Table of Contents.—The table of contents for this Act is as follows: Sec. 1.  TITLE I— Sec. 101.  Sec. 102.  Sec. 103.  Sec. 104.  Sec. 105.  Sec. 106.  Sec. 107.  Sec. 108.  Sec. 109.  Sec. 110.  TITLE II— Sec. 201.  Sec. 202.  Sec. 203.  TITLE III— Sec. 301.  Sec. 302.  Sec. 303.  TITLE IV— Sec. 401.  TITLE V— Sec. 501.  Sec. 502.  Sec. 503.  Sec. 504.  TITLE VI— Sec. 601.  TITLE VII— Sec. 701.  Sec. 702.  Sec. 703.  Sec. 704.  Sec. 705.  Sec. 706.  Sec. 707.  Sec. 708.  TITLE VIII— Sec. 801.  TITLE IX— Sec. 901.  Sec. 902.  Subtitle A— Sec. 911.  Sec. 912.  Sec. 913.  Sec. 914.  Sec. 915.  Subtitle B— Sec. 921.  Sec. 922.  Sec. 923.  Sec. 924.  Subtitle C— Sec. 931.  Sec. 932.  Sec. 933.  Subtitle D— Sec. 941.  Sec. 942.  Sec. 943.  Subtitle E— Sec. 951.  130 STAT. 697
<num value="I">TITLE I—</num><heading>PREVENTION AND EDUCATION</heading> <section id="d239274e448" identifier="/us/pl/114/198/tI/s101" style="-uslm-lc:I658143"><num class="fontsize12" value="101">SEC. 101. </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfd07e15-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Establishment.</p></sidenote><heading>TASK FORCE ON PAIN MANAGEMENT.</heading><subsection class="firstIndent0 fontsize10" id="ycfd18f86-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s101/a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="a">(a) </num><heading class="fontsize10"><inline class="smallCaps">Definitions</inline>.—</heading><chapeau>In this section:</chapeau><paragraph class="fontsize10" id="ycfd18f87-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s101/a/1" role="definitions" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><heading class="fontsize10"><inline class="smallCaps">Secretary</inline>.—</heading><content>The term “<term>Secretary</term>” means the Secretary of Health and Human Services.</content></paragraph> <paragraph class="fontsize10" id="ycfd18f88-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s101/a/2" role="definitions" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><heading class="fontsize10"><inline class="smallCaps">Task force</inline>.—</heading><content>The term “<term>task force</term>” means the Pain Management Best Practices Inter-Agency Task Force convened under subsection (b).</content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ycfd18f89-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s101/b" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="b">(b) </num><heading class="fontsize10"><inline class="smallCaps">Inter-Agency Task Force</inline>.—</heading><content>Not later than 2 years after the date of enactment of this Act, the Secretary, in cooperation with the Secretary of Veterans Affairs and the Secretary of Defense, shall convene a Pain Management Best Practices Inter-Agency Task Force.</content></subsection> <subsection class="firstIndent0 fontsize10" id="ycfd18f8a-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s101/c" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="c">(c) </num><heading class="fontsize10"><inline class="smallCaps">Membership</inline>.—</heading><chapeau>The task force shall be comprised of—</chapeau><paragraph class="fontsize10" id="ycfd18f8b-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s101/c/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><chapeau>representatives of—</chapeau><subparagraph class="fontsize10" id="ycfd18f8c-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s101/c/1/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>the Department of Health and Human Services and relevant agencies within the Department of Health and Human Services;</content></subparagraph> <subparagraph class="fontsize10" id="ycfd18f8d-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s101/c/1/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>the Department of Veterans Affairs;</content></subparagraph> <subparagraph class="fontsize10" id="ycfd18f8e-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s101/c/1/C" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">(C) </num><content>the Department of Defense; and</content></subparagraph> <subparagraph class="fontsize10" id="ycfd18f8f-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s101/c/1/D" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="D">(D) </num><content>the Office of National Drug Control Policy;</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ycfd18f90-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s101/c/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><content>currently licensed and practicing physicians, dentists, and nonphysician prescribers;</content></paragraph> <paragraph class="fontsize10" id="ycfd18f91-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s101/c/3" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">(3) </num><content>currently licensed and practicing pharmacists and pharmacies;</content></paragraph> <paragraph class="fontsize10" id="ycfd18f92-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s101/c/4" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="4">(4) </num><content>experts in the fields of pain research and addiction research, including adolescent and young adult addiction research;</content></paragraph> <paragraph class="fontsize10" id="ycfd18f93-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s101/c/5" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="5">(5) </num><chapeau>representatives of—</chapeau><subparagraph class="fontsize10" id="ycfd18f94-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s101/c/5/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>pain management professional organizations;</content></subparagraph> <subparagraph class="fontsize10" id="ycfd18f95-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s101/c/5/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>the mental health treatment community;</content></subparagraph> <subparagraph class="fontsize10" id="ycfd18f96-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s101/c/5/C" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">(C) </num><content>the addiction treatment community, including individuals in recovery from substance use disorder;</content></subparagraph> <subparagraph class="fontsize10" id="ycfd18f97-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s101/c/5/D" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="D">(D) </num><content>pain advocacy groups, including patients;</content></subparagraph> <subparagraph class="fontsize10" id="ycfd18f98-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s101/c/5/E" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="E">(E) </num><content>veteran service organizations;</content></subparagraph> <subparagraph class="fontsize10" id="ycfd18f99-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s101/c/5/F" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="F">(F) </num><content>groups with expertise on overdose reversal, including first responders;</content></subparagraph> <subparagraph class="fontsize10" id="ycfd18f9a-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s101/c/5/G" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="G">(G) </num><content>State medical boards; and</content></subparagraph> <subparagraph class="fontsize10" id="ycfd18f9b-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s101/c/5/H" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="H">(H) </num><content>hospitals;</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ycfd18f9c-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s101/c/6" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="6">(6) </num><content>experts on the health of, and prescription opioid use disorders in, members of the Armed Forces and veterans; and</content></paragraph> <paragraph class="fontsize10" id="ycfd18f9d-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s101/c/7" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="7">(7) </num><content>experts in the field of minority health.</content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ycfd18f9e-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s101/d" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="d">(d) </num><heading class="fontsize10"><inline class="smallCaps">Representation</inline>.—</heading><content>The Secretary shall ensure that the membership of the task force includes individuals representing rural and underserved areas.</content></subsection> <subsection class="firstIndent0 fontsize10" id="ycfd18f9f-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s101/e" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="e">(e) </num><heading class="fontsize10"><inline class="smallCaps">Duties</inline>.—</heading><chapeau>The task force shall—</chapeau><paragraph class="fontsize10" id="ycfd18fa0-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s101/e/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><content>identify, review, and, as appropriate, determine whether there are gaps in or inconsistencies between best practices for pain management (including chronic and acute pain) developed or adopted by Federal agencies;</content></paragraph> <paragraph class="fontsize10" id="ycfd18fa1-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s101/e/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfd18fa2-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Deadline.</p><p class="leftAlign firstIndent0 fontsize8" id="xcfd18fa3-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Recommenda-</p><p class="leftAlign firstIndent0 fontsize8" id="xcfd18fa4-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">tions.</p><p class="leftAlign firstIndent0 fontsize8" id="xcfd18fa5-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Public information.</p></sidenote><chapeau>not later than 1 year after the date on which the task force is convened under subsection (b), propose updates to best practices and recommendations on addressing gaps or inconsistencies identified under paragraph (1), as appropriate, and submit to relevant Federal agencies and the general public <page identifier="/us/stat/130/698">130 STAT. 698</page> such proposed updates and recommendations, taking into consideration—</chapeau><subparagraph class="fontsize10" id="ycfd1b6b6-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s101/e/2/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>existing pain management research and other relevant research;</content></subparagraph> <subparagraph class="fontsize10" id="ycfd1b6b7-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s101/e/2/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>recommendations from relevant conferences and existing relevant evidence-based guidelines;</content></subparagraph> <subparagraph class="fontsize10" id="ycfd1b6b8-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s101/e/2/C" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">(C) </num><content>ongoing efforts at the State and local levels and by medical professional organizations to develop improved pain management strategies, including consideration of differences within and between classes of opioids, the availability of opioids with abuse deterrent technology, and pharmacological, nonpharmacological, and medical device alternatives to opioids to reduce opioid monotherapy in appropriate cases;</content></subparagraph> <subparagraph class="fontsize10" id="ycfd1b6b9-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s101/e/2/D" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="D">(D) </num><content>the management of high-risk populations who receive opioids in the course of medical care, other than for pain management;</content></subparagraph> <subparagraph class="fontsize10" id="ycfd1b6ba-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s101/e/2/E" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="E">(E) </num><content>the 2016 Guideline for Prescribing Opioids for Chronic Pain issued by the Centers for Disease Control and Prevention; and</content></subparagraph> <subparagraph class="fontsize10" id="ycfd1b6bb-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s101/e/2/F" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="F">(F) </num><content>private sector, State, and local government efforts related to pain management and prescribing pain medication;</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ycfd1b6bc-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s101/e/3" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">(3) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfd1b6bd-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Public information.</p><p class="leftAlign firstIndent0 fontsize8" id="xcfd1b6be-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Time period.</p></sidenote><content>provide the public with at least 90 days to submit comments on any proposed updates and recommendations under paragraph (2); and</content></paragraph> <paragraph class="fontsize10" id="ycfd1b6bf-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s101/e/4" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="4">(4) </num><content>develop a strategy for disseminating information about best practices for pain management (including chronic and acute pain) to stakeholders, if appropriate.</content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ycfd1b6c0-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s101/f" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="f">(f) </num><heading class="fontsize10"><inline class="smallCaps">Limitation</inline>.—</heading><content>The task force shall not have rulemaking authority.</content></subsection> <subsection class="firstIndent0 fontsize10" id="ycfd1b6c1-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s101/g" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="g">(g) </num><heading class="fontsize10"><inline class="smallCaps">Sunset</inline>.—</heading><content>The task force under this section shall sunset after 3 years.</content></subsection> </section> <section id="d239274e704" identifier="/us/pl/114/198/tI/s102" style="-uslm-lc:I658143"><num class="fontsize12" value="102">SEC. 102. </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfd1b6c2-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">42 USC</p><p class="leftAlign firstIndent0 fontsize8" id="xcfd1b6c3-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">290bb–25g.</p><p class="leftAlign firstIndent0 fontsize8" id="xcfd1b6c4-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Coordination.</p></sidenote><heading>AWARENESS CAMPAIGNS.</heading><subsection class="firstIndent0 fontsize10" id="ycfd204e5-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s102/a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="a">(a) </num><heading class="fontsize10"><inline class="smallCaps">In General</inline>.—</heading><content>The Secretary of Health and Human Services, in coordination with the heads of other departments and agencies, shall, as appropriate, through existing programs and activities, advance the education and awareness of the public (including providers, patients, and consumers) and other appropriate entities regarding the risk of abuse of prescription opioids if such drugs are not taken as prescribed.</content></subsection> <subsection class="firstIndent0 fontsize10" id="ycfd204e6-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s102/b" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="b">(b) </num><heading class="fontsize10"><inline class="smallCaps">Topics</inline>.—</heading><chapeau>The education and awareness campaigns under subsection (a) shall address—</chapeau><paragraph class="fontsize10" id="ycfd204e7-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s102/b/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><content>the dangers of opioid abuse;</content></paragraph> <paragraph class="fontsize10" id="ycfd204e8-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s102/b/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><content>the prevention of opioid abuse, including through safe disposal of prescription medications and other safety precautions; and</content></paragraph> <paragraph class="fontsize10" id="ycfd204e9-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s102/b/3" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">(3) </num><content>the detection of early warning signs of addiction.</content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ycfd204ea-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s102/c" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="c">(c) </num><heading class="fontsize10"><inline class="smallCaps">Other Requirements</inline>.—</heading><chapeau>The education and awareness campaigns under subsection (a) shall, as appropriate—</chapeau><paragraph class="fontsize10" id="ycfd204eb-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s102/c/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><content>take into account any association between prescription opioid abuse and heroin use;</content></paragraph> <paragraph class="fontsize10" id="ycfd204ec-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s102/c/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><chapeau>emphasize—</chapeau><subparagraph class="fontsize10" id="ycfd204ed-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s102/c/2/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>the similarities between heroin and prescription opioids; and<page identifier="/us/stat/130/699">130 STAT. 699</page></content></subparagraph> <subparagraph class="fontsize10" id="ycfd204ee-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s102/c/2/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>the effects of heroin and prescription opioids on the human body; and</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ycfd204ef-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s102/c/3" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">(3) </num><content>bring greater public awareness to the dangerous effects of fentanyl when mixed with heroin or abused in a similar manner.</content></paragraph> </subsection> </section> <section id="d239274e786" identifier="/us/pl/114/198/tI/s103" style="-uslm-lc:I658143"><num class="fontsize12" value="103">SEC. 103. </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfd204f0-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180"><ref href="/us/usc/t21/s1536">21 USC 1536</ref>.</p></sidenote><heading>COMMUNITY-BASED COALITION ENHANCEMENT GRANTS TO ADDRESS LOCAL DRUG CRISES.</heading><subsection class="firstIndent0 fontsize10" id="ycfd31661-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s103/a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="a">(a) </num><heading class="fontsize10"><inline class="smallCaps">Definitions</inline>.—</heading><chapeau>In this section:</chapeau><paragraph class="fontsize10" id="ycfd31662-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s103/a/1" role="definitions" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><heading class="fontsize10"><inline class="smallCaps">Administrator</inline>.—</heading><content>The term “<term>Administrator</term>” means the Administrator of the Substance Abuse and Mental Health Services Administration.</content></paragraph> <paragraph class="fontsize10" id="ycfd31663-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s103/a/2" role="definitions" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><heading class="fontsize10"><inline class="smallCaps">Director</inline>.—</heading><content>The term “<term>Director</term>” means the Director of the Office of National Drug Control Policy.</content></paragraph> <paragraph class="fontsize10" id="ycfd31664-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s103/a/3" role="definitions" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">(3) </num><heading class="fontsize10"><inline class="smallCaps">Drug-free communities act of 1997</inline>.—</heading><content>The term “<term>Drug-Free Communities Act of 1997</term>” means chapter 2 of the National Narcotics Leadership Act of 1988 (<ref href="/us/usc/t21/s1521/etseq">21 U.S.C. 1521 et seq.</ref>).</content></paragraph> <paragraph class="fontsize10" id="ycfd31665-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s103/a/4" role="definitions" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="4">(4) </num><heading class="fontsize10"><inline class="smallCaps">Eligible entity</inline>.—</heading><chapeau>The term “<term>eligible entity</term>” means an organization that—</chapeau><subparagraph class="fontsize10" id="ycfd31666-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s103/a/4/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>on or before the date of submitting an application for a grant under this section, receives or has received a grant under the Drug-Free Communities Act of 1997; and</content></subparagraph> <subparagraph class="fontsize10" id="ycfd31667-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s103/a/4/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><chapeau>has documented, using local data, rates of abuse of opioids or methamphetamines at levels that are—</chapeau><clause class="fontsize10" id="ycfd31668-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s103/a/4/B/i" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">(i) </num><content>significantly higher than the national average as determined by the Secretary (including appropriate consideration of the results of the Monitoring the Future Survey published by the National Institute on Drug Abuse and the National Survey on Drug Use and Health published by the Substance Abuse and Mental Health Services Administration); or</content></clause> <clause class="fontsize10" id="ycfd31669-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s103/a/4/B/ii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">(ii) </num><content>higher than the national average, as determined by the Secretary (including appropriate consideration of the results of the surveys described in clause (i)), over a sustained period of time.</content></clause> </subparagraph> </paragraph> <paragraph class="fontsize10" id="ycfd3166a-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s103/a/5" role="definitions" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="5">(5) </num><heading class="fontsize10"><inline class="smallCaps">Emerging drug abuse issue</inline>.—</heading><chapeau>The term “<term>emerging drug abuse issue</term>” means a substance use disorder within an area involving—</chapeau><subparagraph class="fontsize10" id="ycfd3166b-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s103/a/5/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>a sudden increase in demand for particular drug abuse treatment services relative to previous demand; and</content></subparagraph> <subparagraph class="fontsize10" id="ycfd3166c-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s103/a/5/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>a lack of resources in the area to address the emerging problem.</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ycfd3166d-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s103/a/6" role="definitions" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="6">(6) </num><heading class="fontsize10"><inline class="smallCaps">Local drug crisis</inline>.—</heading><chapeau>The term “<term>local drug crisis</term>” means, with respect to the area served by an eligible entity—</chapeau><subparagraph class="fontsize10" id="ycfd3166e-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s103/a/6/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>a sudden increase in the abuse of opioids or methamphetamines, as documented by local data;</content></subparagraph> <subparagraph class="fontsize10" id="ycfd3166f-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s103/a/6/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>the abuse of prescription medications, specifically opioids or methamphetamines, that is significantly higher than the national average, over a sustained period of time, as documented by local data; or</content></subparagraph> <subparagraph class="fontsize10" id="ycfd31670-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s103/a/6/C" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">(C) </num><content>a sudden increase in opioid-related deaths, as documented by local data.</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ycfd31671-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s103/a/7" role="definitions" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="7">(7) </num><heading class="fontsize10"><inline class="smallCaps">Opioid</inline>.—</heading><content>The term “<term>opioid</term>” means any drug having an addiction-forming or addiction-sustaining liability similar to morphine or being capable of conversion into a drug having such addiction-forming or addiction-sustaining liability.<page identifier="/us/stat/130/700">130 STAT. 700</page></content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ycfd31672-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s103/b" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="b">(b) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfd31673-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Coordination.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">Program Authorized</inline>.—</heading><content>The Director, in coordination with the Administrator, may make grants to eligible entities to implement comprehensive community-wide strategies that address local drug crises and emerging drug abuse issues within the area served by the eligible entity.</content></subsection> <subsection class="firstIndent0 fontsize10" id="ycfd31674-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s103/c" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="c">(c) </num><heading class="fontsize10"><inline class="smallCaps">Application</inline>.—</heading><paragraph class="fontsize10" id="ycfd31675-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s103/c/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><content>An eligible entity seeking a grant under this section shall submit an application to the Director at such time, in such manner, and accompanied by such information as the Director may require.</content></paragraph> <paragraph class="fontsize10" id="ycfd31676-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s103/c/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><heading class="fontsize10"><inline class="smallCaps">Criteria</inline>.—</heading><content>As part of an application for a grant under this section, the Director shall require an eligible entity to submit a detailed, comprehensive, multisector plan for addressing the local drug crisis or emerging drug abuse issue within the area served by the eligible entity.</content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ycfd33d87-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s103/d" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="d">(d) </num><heading class="fontsize10"><inline class="smallCaps">Use of Funds</inline>.—</heading><chapeau>An eligible entity shall use a grant received under this section—</chapeau><paragraph class="fontsize10" id="ycfd33d88-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s103/d/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><content>for programs designed to implement comprehensive community-wide prevention strategies to address the local drug crisis in the area served by the eligible entity, in accordance with the plan submitted under subsection (c)(2);</content></paragraph> <paragraph class="fontsize10" id="ycfd33d89-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s103/d/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><content>to obtain specialized training and technical assistance from the organization funded under <ref href="/us/pl/107/82/s4">section 4 of Public Law 107–82</ref> (<ref href="/us/usc/t21/s1521">21 U.S.C. 1521 note</ref>); and</content></paragraph> <paragraph class="fontsize10" id="ycfd33d8a-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s103/d/3" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">(3) </num><content>for programs designed to implement comprehensive community-wide strategies to address emerging drug abuse issues in the community.</content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ycfd33d8b-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s103/e" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="e">(e) </num><heading class="fontsize10"><inline class="smallCaps">Supplement Not Supplant</inline>.—</heading><content>An eligible entity shall use Federal funds received under this section only to supplement the funds that would, in the absence of those Federal funds, be made available from other Federal and non-Federal sources for the activities described in this section, and not to supplant those funds.</content></subsection> <subsection class="firstIndent0 fontsize10" id="ycfd33d8c-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s103/f" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="f">(f) </num><heading class="fontsize10"><inline class="smallCaps">Evaluation</inline>.—</heading><content>A grant under this section shall be subject to the same evaluation requirements and procedures as the evaluation requirements and procedures imposed on the recipient of a grant under the Drug-Free Communities Act of 1997, and may also include an evaluation of the effectiveness at reducing abuse of opioids or methamphetamines.</content></subsection> <subsection class="firstIndent0 fontsize10" id="ycfd33d8d-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s103/g" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="g">(g) </num><heading class="fontsize10"><inline class="smallCaps">Limitation on Administrative Expenses</inline>.—</heading><content>Not more than 8 percent of the amounts made available to carry out this section for a fiscal year may be used to pay for administrative expenses.</content></subsection> <subsection class="firstIndent0 fontsize10" id="ycfd33d8e-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s103/h" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="h">(h) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfd33d8f-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Contracts.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">Delegation Authority</inline>.—</heading><content>The Director may enter into an interagency agreement with the Administrator to delegate authority for the execution of grants and for such other activities as may be necessary to carry out this section.</content></subsection> <subsection class="firstIndent0 fontsize10" id="ycfd33d90-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s103/i" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">(i) </num><heading class="fontsize10"><inline class="smallCaps">Authorization of Appropriations</inline>.—</heading><content>For the purpose of carrying out this section, there are authorized to be appropriated $5,000,000 for each of fiscal years 2017 through 2021.</content></subsection> </section> <section id="d239274e1039" identifier="/us/pl/114/198/tI/s104" style="-uslm-lc:I658143"><num class="fontsize12" value="104">SEC. 104. </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfd33d91-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">42 USC</p><p class="leftAlign firstIndent0 fontsize8" id="xcfd33d92-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">290bb–25g note.</p></sidenote><heading>INFORMATION MATERIALS AND RESOURCES TO PREVENT ADDICTION RELATED TO YOUTH SPORTS INJURIES.</heading><subsection class="firstIndent0 fontsize10" id="ycfd364a3-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s104/a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="a">(a) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfd364a4-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Public information.</p><p class="leftAlign firstIndent0 fontsize8" id="xcfd364a5-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Web posting.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">Report</inline>.—</heading><content>The Secretary of Health and Human Services (referred to in this section as the “Secretary”) shall, not later than 24 months after the date of the enactment of this section, make publicly available on the appropriate website of the Department of Health and Human Services a report determining the extent to which informational materials and resources described <page identifier="/us/stat/130/701">130 STAT. 701</page> in subsection (c) are available to teenagers and adolescents who play youth sports, families of such teenagers and adolescents, nurses, youth sports groups, and relevant health care provider groups.</content></subsection> <subsection class="firstIndent0 fontsize10" id="ycfd364a6-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s104/b" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="b">(b) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfd364a7-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Deadline.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">Development of Informational Materials and Resources</inline>.—</heading><content>The Secretary may, for purposes of preventing substance use disorder in teenagers and adolescents who are injured playing youth sports and are subsequently prescribed an opioid, not later than 12 months after the report is made publicly available under subsection (a), and taking into consideration the findings of such report and in coordination with relevant health care provider groups, facilitate the development of informational materials and resources described in subsection (c) for teenagers and adolescents who play youth sports, families of such teenagers and adolescents, nurses, youth sports groups, and relevant health care provider groups.</content></subsection> <subsection class="firstIndent0 fontsize10" id="ycfd364a8-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s104/c" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="c">(c) </num><heading class="fontsize10"><inline class="smallCaps">Materials and Resources Described</inline>.—</heading><content>For purposes of this section, the informational materials and resources described in this subsection are informational materials and resources with respect to youth sports injuries for which opioids are potentially prescribed, including materials and resources focused on the risks associated with opioid use and misuse, treatment options for such injuries that do not involve the use of opioids, and how to seek treatment for addiction.</content></subsection> <subsection class="firstIndent0 fontsize10" id="ycfd364a9-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s104/d" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="d">(d) </num><heading class="fontsize10"><inline class="smallCaps">No Additional Funds</inline>.—</heading><content>No additional funds are authorized to be appropriated for the purpose of carrying out this section. This section shall be carried out using amounts otherwise available for such purpose.</content></subsection> </section> <section id="d239274e1098" identifier="/us/pl/114/198/tI/s105" role="instruction" style="-uslm-lc:I658143"><num class="fontsize12" value="105">SEC. 105. </num><heading>ASSISTING VETERANS WITH MILITARY EMERGENCY MEDICAL TRAINING TO MEET REQUIREMENT FOR BECOMING CIVILIAN HEALTH CARE PROFESSIONALS.</heading><content class="firstIndent0 fontsize10" id="xcfd3b2ca-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658120">  Part B of title III of the Public Health Service Act (<ref href="/us/usc/t42/s243/etseq">42 U.S.C. 243 et seq.</ref>) <amendingAction type="amend">is amended</amendingAction> by <amendingAction type="insert">inserting</amendingAction> after section 314 the following:<quotedContent><section class="centered fontsize12" id="ycfd400eb-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658143"><num class="fontsize12" value="315">“SEC. 315. </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfd400ec-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180"><ref href="/us/usc/t42/s247">42 USC 247</ref>.</p></sidenote><heading class="fontsize12">ASSISTING VETERANS WITH MILITARY EMERGENCY MEDICAL TRAINING TO MEET REQUIREMENTS FOR BECOMING CIVILIAN HEALTH CARE PROFESSIONALS.</heading><subsection class="firstIndent0 fontsize10" id="ycfd400ed-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="a">“(a) </num><heading class="fontsize10"><inline class="smallCaps">Program</inline>.—</heading><paragraph class="fontsize10" id="ycfd400ee-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">“(1) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfd400ef-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Consultation.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><content>The Secretary may establish a program, in consultation with the Secretary of Labor, consisting of awarding demonstration grants to States to streamline State requirements and procedures in order to assist veterans who held certain military occupational specialties related to medical care or who have completed certain medical training while serving in the Armed Forces of the United States to meet certification, licensure, and other requirements applicable to civilian health care professions (such as emergency medical technician, paramedic, licensed practical nurse, registered nurse, physical therapy assistant, or physician assistant professions) in the State.</content></paragraph> <paragraph class="fontsize10" id="ycfd400f0-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">“(2) </num><heading class="fontsize10"><inline class="smallCaps">Consultation and collaboration</inline>.—</heading><content>In determining the eligible military occupational specialties or training courses and the assistance required as described in paragraph (1), the Secretary shall consult with the Secretary of Defense, the Secretary of Veterans Affairs, and the Assistant Secretary of Labor for Veterans’ Employment and Training, and shall collaborate with the initiatives carried out under section 4114 <page identifier="/us/stat/130/702">130 STAT. 702</page> of <ref href="/us/usc/t38">title 38, United States Code</ref>, and sections 1142 through 1144 of <ref href="/us/usc/t10">title 10, United States Code</ref>.</content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ycfd400f1-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="b">“(b) </num><heading class="fontsize10"><inline class="smallCaps">Use of Funds</inline>.—</heading><chapeau>Amounts received as a demonstration grant under this section shall be used to—</chapeau><paragraph class="fontsize10" id="ycfd400f2-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">“(1) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfd400f3-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Plan.</p></sidenote><chapeau>prepare and implement a plan to streamline State requirements and procedures as described in subsection (a), including by—</chapeau><subparagraph class="fontsize10" id="ycfd400f4-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">“(A) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfd400f5-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Determination.</p></sidenote><content>determining the extent to which the requirements for the education, training, and skill level of civilian health care professions (such as emergency medical technicians, paramedics, licensed practical nurses, registered nurses, physical therapy assistants, or physician assistants) in the State are equivalent to requirements for the education, training, and skill level of veterans who served in medical related fields while a member of the Armed Forces of the United States; and</content></subparagraph> <subparagraph class="fontsize10" id="ycfd400f6-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">“(B) </num><content>identifying methods, such as waivers, for veterans who served in medical related fields while a member of the Armed Forces of the United States to forgo or meet any such equivalent State requirements; and</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ycfd400f7-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">“(2) </num><content>if necessary to meet workforce shortages or address gaps in education, training, or skill level to meet certification, licensure or other requirements applicable to becoming a civilian health care professional (such as an emergency medical technician, paramedic, licensed practical nurse, registered nurse, physical therapy assistant, or physician assistant professions) in the State, develop or expand career pathways at institutions of higher education to support veterans in meeting such requirements.</content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ycfd400f8-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="c">“(c) </num><heading class="fontsize10"><inline class="smallCaps">Report</inline>.—</heading><content>Upon the completion of the demonstration program under this section, the Secretary shall submit to Congress a report on the program.</content></subsection> <subsection class="firstIndent0 fontsize10" id="ycfd400f9-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="d">“(d) </num><heading class="fontsize10"><inline class="smallCaps">Funding</inline>.—</heading><content>No additional funds are authorized to be appropriated for the purpose of carrying out this section. This section shall be carried out using amounts otherwise available for such purpose.</content></subsection> <subsection class="firstIndent0 fontsize10" id="ycfd400fa-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="e">“(e) </num><heading class="fontsize10"><inline class="smallCaps">Sunset</inline>.—</heading><content>The demonstration program under this section shall not exceed 5 years.”</content></subsection> </section> </quotedContent>.</content></section> <section id="d239274e1230" identifier="/us/pl/114/198/tI/s106" style="-uslm-lc:I658143"><num class="fontsize12" value="106">SEC. 106. </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfd400fb-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180"><ref href="/us/usc/t21/s355">21 USC 355 note</ref>.</p></sidenote><heading>FDA OPIOID ACTION PLAN.</heading><subsection class="firstIndent0 fontsize10" id="ycfd4762c-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s106/a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="a">(a) </num><heading class="fontsize10"><inline class="smallCaps">In General</inline>.—</heading><paragraph class="fontsize10" id="ycfd4762d-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s106/a/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><heading class="fontsize10"><inline class="smallCaps">New drug application</inline>.—</heading><subparagraph class="fontsize10" id="ycfd4762e-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s106/a/1/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><content>Subject to subparagraph (B), prior to the approval pursuant to an application submitted under section 505(b) of the Federal Food, Drug, and Cosmetic Act (<ref href="/us/usc/t21/s355/b">21 U.S.C. 355(b)</ref>) of a new drug that is an opioid, the Secretary of Health and Human Services (referred to in this section as the “Secretary”) shall refer the application to an advisory committee of the Food and Drug Administration to seek recommendations from such advisory committee.</content></subparagraph> <subparagraph class="fontsize10" id="ycfd4762f-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s106/a/1/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><heading class="fontsize10"><inline class="smallCaps">Public health exemption</inline>.—</heading><chapeau>A referral to an advisory committee under subparagraph (A) is not required with respect to a new opioid drug or drugs if the Secretary—</chapeau><clause class="fontsize10" id="ycfd47630-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s106/a/1/B/i" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">(i) </num><content>finds that such a referral is not in the interest of protecting and promoting public health;<page identifier="/us/stat/130/703">130 STAT. 703</page></content></clause> <clause class="fontsize10" id="ycfd47631-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s106/a/1/B/ii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">(ii) </num><content>finds that such a referral is not necessary based on a review of the relevant scientific information; and</content></clause> <clause class="fontsize10" id="ycfd47632-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s106/a/1/B/iii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="iii">(iii) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfd47633-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Notice.</p></sidenote><content>submits a notice containing the rationale for such findings to the Committee on Health, Education, Labor, and Pensions of the Senate and the Committee on Energy and Commerce of the House of Representatives.</content></clause> </subparagraph> </paragraph> <paragraph class="fontsize10" id="ycfd47634-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s106/a/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfd47635-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Recommenda-</p><p class="leftAlign firstIndent0 fontsize8" id="xcfd47636-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">tions.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">Pediatric opioid labeling</inline>.—</heading><content>The Secretary shall convene the Pediatric Advisory Committee of the Food and Drug Administration to seek recommendations from such Committee regarding a framework for the inclusion of information in the labeling of drugs that are opioids relating to the use of such drugs in pediatric populations before the Secretary approves any labeling or change to labeling for any drug that is an opioid intended for use in a pediatric population.</content></paragraph> <paragraph class="fontsize10" id="ycfd47637-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s106/a/3" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">(3) </num><heading class="fontsize10"><inline class="smallCaps">Sunset</inline>.—</heading><content>The requirements of paragraphs (1) and (2) shall cease to be effective on October 1, 2022.</content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ycfd47638-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s106/b" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="b">(b) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfd47639-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Deadline.</p><p class="leftAlign firstIndent0 fontsize8" id="xcfd4763a-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Consultation.</p><p class="leftAlign firstIndent0 fontsize8" id="xcfd4763b-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Recommenda-</p><p class="leftAlign firstIndent0 fontsize8" id="xcfd4763c-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">tions.</p><p class="leftAlign firstIndent0 fontsize8" id="xcfd4763d-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180"><ref href="/us/usc/t21/s355–1">21 USC 355–1 note</ref>.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">Prescriber Education</inline>.—</heading><chapeau>Not later than 1 year after the date of the enactment of this Act, the Secretary, acting through the Commissioner of Food and Drugs, as part of the Food and Drug Administration’s evaluation of the Extended-Release/Long-Acting Opioid Analgesics Risk Evaluation and Mitigation Strategy, and in consultation with relevant stakeholders, shall develop recommendations regarding education programs for prescribers of opioids pursuant to section 505–1 of the Federal Food, Drug, and Cosmetic Act (<ref href="/us/usc/t21/s355–1">21 U.S.C. 355–1</ref>), including recommendations on—</chapeau><paragraph class="fontsize10" id="ycfd49d4e-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s106/b/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><content>which prescribers should participate in such programs; and</content></paragraph> <paragraph class="fontsize10" id="ycfd49d4f-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s106/b/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><content>how often participation in such programs is necessary.</content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ycfd49d50-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s106/c" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="c">(c) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfd49d51-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Deadline.</p><p class="leftAlign firstIndent0 fontsize8" id="xcfd49d52-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Time period.</p><p class="leftAlign firstIndent0 fontsize8" id="xcfd49d53-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Federal Register, publication.</p><p class="leftAlign firstIndent0 fontsize8" id="xcfd49d54-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180"><ref href="/us/usc/t21/s355">21 USC 355 note</ref>.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">Guidance on Evaluating the Abuse Deterrence of Generic Solid Oral Opioid Drug Products</inline>.—</heading><content>Not later than 18 months after the end of the period for public comment on the draft guidance entitled “General Principles for Evaluating the Abuse Deterrence of Generic Solid Oral Opioid Drug Products” issued by the Center for Drug Evaluation and Research of the Food and Drug Administration in March 2016, the Commissioner of Food and Drugs shall publish in the Federal Register a final version of such guidance.</content></subsection> </section> <section id="d239274e1378" identifier="/us/pl/114/198/tI/s107" style="-uslm-lc:I658143"><num class="fontsize12" value="107">SEC. 107. </num><heading>IMPROVING ACCESS TO OVERDOSE TREATMENT.</heading><subsection class="firstIndent0 fontsize10" id="ycfd53995-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s107/a" role="instruction" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="a">(a) </num><heading class="fontsize10"><inline class="smallCaps">Grants for Reducing Overdose Deaths</inline>.—</heading><content>Part D of title V of the Public Health Service Act (<ref href="/us/usc/t42/s290dd/etseq">42 U.S.C. 290dd et seq.</ref>) <amendingAction type="amend">is amended</amendingAction> by <amendingAction type="add">adding</amendingAction> at the end the following:<quotedContent><section class="centered fontsize12" id="ycfd5aec6-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658143"><num class="fontsize12" value="544">“SEC. 544. </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfd5aec7-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180"><ref href="/us/usc/t42/s290dd–3">42 USC 290dd–3</ref>.</p></sidenote><heading class="fontsize12">GRANTS FOR REDUCING OVERDOSE DEATHS.</heading><subsection class="firstIndent0 fontsize10" id="ycfd5aec8-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="a">“(a) </num><heading class="fontsize10"><inline class="smallCaps">Establishment</inline>.—</heading><paragraph class="fontsize10" id="ycfd5aec9-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">“(1) </num><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><content>The Secretary shall award grants to eligible entities to expand access to drugs or devices approved or cleared under the Federal Food, Drug, and Cosmetic Act for emergency treatment of known or suspected opioid overdose.</content></paragraph> <paragraph class="fontsize10" id="ycfd5aeca-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">“(2) </num><heading class="fontsize10"><inline class="smallCaps">Maximum grant amount</inline>.—</heading><content>A grant awarded under this section may not be for more than $200,000 per grant year.</content></paragraph> <paragraph class="fontsize10" id="ycfd5aecb-e85f-11f0-a1e4-69761a48a15a" role="definitions" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">“(3) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfd5aecc-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Definition.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">Eligible entity</inline>.—</heading><content>For purposes of this section, the term ‘<term>eligible entity</term>’ means a Federally qualified health center (as defined in section 1861(aa) of the Social Security Act), an opioid treatment program under part 8 of title 42, Code <page identifier="/us/stat/130/704">130 STAT. 704</page> of Federal Regulations, any practitioner dispensing narcotic drugs pursuant to section 303(g) of the Controlled Substances Act, or any other entity that the Secretary deems appropriate.</content></paragraph> <paragraph class="fontsize10" id="ycfd5aecd-e85f-11f0-a1e4-69761a48a15a" role="definitions" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="4">“(4) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfd5aece-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Definition.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">Prescribing</inline>.—</heading><chapeau>For purposes of this section, the term ‘<term>prescribing</term>’ means, with respect to a drug or device approved or cleared under the Federal Food, Drug, and Cosmetic Act for emergency treatment of known or suspected opioid overdose, the practice of prescribing such drug or device—</chapeau><subparagraph class="fontsize10" id="ycfd5aecf-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">“(A) </num><content>in conjunction with an opioid prescription for patients at an elevated risk of overdose;</content></subparagraph> <subparagraph class="fontsize10" id="ycfd5aed0-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">“(B) </num><content>in conjunction with an opioid agonist approved under section 505 of the Federal Food, Drug, and Cosmetic Act for the treatment of opioid use disorder;</content></subparagraph> <subparagraph class="fontsize10" id="ycfd5aed1-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">“(C) </num><content>to the caregiver or a close relative of patients at an elevated risk of overdose from opioids; or</content></subparagraph> <subparagraph class="fontsize10" id="ycfd5aed2-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="D">“(D) </num><content>in other circumstances in which a provider identifies a patient is at an elevated risk for an intentional or unintentional drug overdose from heroin or prescription opioid therapies.</content></subparagraph> </paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ycfd5aed3-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="b">“(b) </num><heading class="fontsize10"><inline class="smallCaps">Application</inline>.—</heading><chapeau>To be eligible to receive a grant under this section, an eligible entity shall submit to the Secretary, in such form and manner as specified by the Secretary, an application that describes—</chapeau><paragraph class="fontsize10" id="ycfd5aed4-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">“(1) </num><content>the extent to which the area to which the entity will furnish services through use of the grant is experiencing significant morbidity and mortality caused by opioid abuse;</content></paragraph> <paragraph class="fontsize10" id="ycfd5aed5-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">“(2) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfd5aed6-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Criteria.</p></sidenote><content>the criteria that will be used to identify eligible patients to participate in such program; and</content></paragraph> <paragraph class="fontsize10" id="ycfd5aed7-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">“(3) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfd5aed8-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Plan.</p></sidenote><content>a plan for sustaining the program after Federal support for the program has ended.</content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ycfd5aed9-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="c">“(c) </num><heading class="fontsize10"><inline class="smallCaps">Use of Funds</inline>.—</heading><chapeau>An eligible entity receiving a grant under this section may use amounts under the grant for any of the following activities, but may use not more than 20 percent of the grant funds for activities described in paragraphs (3) and (4):</chapeau><paragraph class="fontsize10" id="ycfd5aeda-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">“(1) </num><content>To establish a program for prescribing a drug or device approved or cleared under the Federal Food, Drug, and Cosmetic Act for emergency treatment of known or suspected opioid overdose.</content></paragraph> <paragraph class="fontsize10" id="ycfd5aedb-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">“(2) </num><content>To train and provide resources for health care providers and pharmacists on the prescribing of drugs or devices approved or cleared under the Federal Food, Drug, and Cosmetic Act for emergency treatment of known or suspected opioid overdose.</content></paragraph> <paragraph class="fontsize10" id="ycfd5aedc-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">“(3) </num><content>To purchase drugs or devices approved or cleared under the Federal Food, Drug, and Cosmetic Act for emergency treatment of known or suspected opioid overdose, for distribution under the program described in paragraph (1).</content></paragraph> <paragraph class="fontsize10" id="ycfd5aedd-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="4">“(4) </num><content>To offset the co-payments and other cost sharing associated with drugs or devices approved or cleared under the Federal Food, Drug, and Cosmetic Act for emergency treatment of known or suspected opioid overdose.</content></paragraph> <paragraph class="fontsize10" id="ycfd5aede-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="5">“(5) </num><content>To establish protocols to connect patients who have experienced a drug overdose with appropriate treatment, including medication-assisted treatment and appropriate counseling and behavioral therapies.</content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ycfd5aedf-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="d">“(d) </num><heading class="fontsize10"><inline class="smallCaps">Evaluations by Recipients</inline>.—</heading><content>As a condition of receipt of a grant under this section, an eligible entity shall, for each year for which the grant is received, submit to the Secretary an <page identifier="/us/stat/130/705">130 STAT. 705</page> evaluation of activities funded by the grant which contains such information as the Secretary may reasonably require.</content></subsection> <subsection class="firstIndent0 fontsize10" id="ycfd5aee0-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="e">“(e) </num><heading class="fontsize10"><inline class="smallCaps">Reports by the Secretary</inline>.—</heading><content>Not later than 5 years after the date on which the first grant under this section is awarded, the Secretary shall submit to the appropriate committees of the House of Representatives and of the Senate a report aggregating the information received from the grant recipients for such year under subsection (d) and evaluating the outcomes achieved by the programs funded by grants awarded under this section.</content></subsection> <subsection class="firstIndent0 fontsize10" id="ycfd5aee1-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="f">“(f) </num><heading class="fontsize10"><inline class="smallCaps">Authorization of Appropriations</inline>.—</heading><content>There is authorized to be appropriated to carry out this section, $5,000,000 for the period of fiscal years 2017 through 2021.”</content></subsection> </section> </quotedContent>.</content></subsection> <subsection class="firstIndent0 fontsize10" id="ycfd5aee2-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s107/b" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="b">(b) </num><heading class="fontsize10"><inline class="smallCaps">Improving Access to Overdose Treatment</inline>.—</heading><paragraph class="fontsize10" id="ycfd5aee3-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s107/b/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfd5aee4-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Deadline.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">Information on best practices</inline>.—</heading><chapeau>Not later than 180 days after the date of enactment of this Act:</chapeau><subparagraph class="fontsize10" id="ycfd5aee5-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s107/b/1/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>The Secretary of Health and Human Services may provide information to prescribers within Federally qualified health centers (as defined in paragraph (4) of section 1861(aa) of the Social Security Act (<ref href="/us/usc/t42/s1395x/aa">42 U.S.C. 1395x(aa)</ref>)), and the health care facilities of the Indian Health Service, on best practices for prescribing or co-prescribing a drug or device approved or cleared under the Federal Food, Drug, and Cosmetic Act (<ref href="/us/usc/t21/s301/etseq">21 U.S.C. 301 et seq.</ref>) for emergency treatment of known or suspected opioid overdose, including for patients receiving chronic opioid therapy and patients being treated for opioid use disorders.</content></subparagraph> <subparagraph class="fontsize10" id="ycfd5d5f6-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s107/b/1/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>The Secretary of Defense may provide information to prescribers within Department of Defense medical facilities on best practices for prescribing or co-prescribing a drug or device approved or cleared under the Federal Food, Drug, and Cosmetic Act (<ref href="/us/usc/t21/s301/etseq">21 U.S.C. 301 et seq.</ref>) for emergency treatment of known or suspected opioid overdose, including for patients receiving chronic opioid therapy and patients being treated for opioid use disorders.</content></subparagraph> <subparagraph class="fontsize10" id="ycfd5d5f7-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s107/b/1/C" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">(C) </num><content>The Secretary of Veterans Affairs may provide information to prescribers within Department of Veterans Affairs medical facilities on best practices for prescribing or co-prescribing a drug or device approved or cleared under the Federal Food, Drug, and Cosmetic Act (<ref href="/us/usc/t21/s301/etseq">21 U.S.C. 301 et seq.</ref>) for emergency treatment of known or suspected opioid overdose, including for patients receiving chronic opioid therapy and patients being treated for opioid use disorders.</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ycfd5d5f8-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s107/b/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><heading class="fontsize10"><inline class="smallCaps">Rule of construction</inline>.—</heading><content>Nothing in this subsection should be construed to establish or contribute to a medical standard of care.</content></paragraph> </subsection> </section> <section id="d239274e1645" identifier="/us/pl/114/198/tI/s108" style="-uslm-lc:I658143"><num class="fontsize12" value="108">SEC. 108. </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfd5d5f9-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180"><ref href="/us/usc/t42/s284q–1">42 USC 284q–1</ref>.</p></sidenote><heading>NIH OPIOID RESEARCH.</heading><subsection class="firstIndent0 fontsize10" id="ycfd5fd0a-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s108/a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="a">(a) </num><heading class="fontsize10"><inline class="smallCaps">In General</inline>.—</heading><chapeau>The Director of the National Institutes of Health (referred to in this section as the “NIH”) may intensify and coordinate fundamental, translational, and clinical research of the NIH with respect to—</chapeau><paragraph class="fontsize10" id="ycfd5fd0b-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s108/a/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><content>the understanding of pain;</content></paragraph> <paragraph class="fontsize10" id="ycfd5fd0c-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s108/a/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><content>the discovery and development of therapies for chronic pain; and</content></paragraph> <paragraph class="fontsize10" id="ycfd5fd0d-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s108/a/3" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">(3) </num><content>the development of alternatives to opioids for effective pain treatments.<page identifier="/us/stat/130/706">130 STAT. 706</page></content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ycfd5fd0e-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s108/b" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="b">(b) </num><heading class="fontsize10"><inline class="smallCaps">Priority and Direction</inline>.—</heading><content>The prioritization and direction of the Federally funded portfolio of pain research studies shall consider recommendations made by the Interagency Pain Research Coordinating Committee in concert with the Pain Management Best Practices Inter-Agency Task Force, and in accordance with the National Pain Strategy, the Federal Pain Research Strategy, and the NIH-Wide Strategic Plan for Fiscal Years 2016–2020, the latter of which calls for the relative burdens of individual diseases and medical disorders to be regarded as crucial considerations in balancing the priorities of the Federal research portfolio.</content></subsection> </section> <section id="d239274e1691" identifier="/us/pl/114/198/tI/s109" style="-uslm-lc:I658143"><num class="fontsize12" value="109">SEC. 109. </num><heading>NATIONAL ALL SCHEDULES PRESCRIPTION ELECTRONIC REPORTING REAUTHORIZATION.</heading><subsection class="firstIndent0 fontsize10" id="ycfd7aabf-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s109/a" role="instruction" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="a">(a) </num><heading class="fontsize10"><inline class="smallCaps">Amendment to Purpose</inline>.—</heading><content>Paragraph (1) of section 2 of the National All Schedules Prescription Electronic Reporting Act of 2005 (<ref href="/us/pl/109/60">Public Law 109–60</ref>)<sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfd7aac0-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180"><ref href="/us/usc/t42/s280g–3">42 USC 280g–3 note</ref>.</p></sidenote> <amendingAction type="amend">is amended</amendingAction> to read as follows:<quotedContent><paragraph class="fontsize10" id="ycfd7aac1-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">“(1) </num><content>foster the establishment of State-administered controlled substance monitoring systems in order to ensure that health care providers have access to the accurate, timely prescription history information that they may use as a tool for the early identification of patients at risk for addiction in order to initiate appropriate medical interventions and avert the tragic personal, family, and community consequences of untreated addiction; and”</content></paragraph> </quotedContent>.</content></subsection> <subsection class="firstIndent0 fontsize10" id="ycfd7aac2-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s109/b" role="instruction" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="b">(b) </num><heading class="fontsize10"><inline class="smallCaps">Amendments to Controlled Substance Monitoring Program</inline>.—</heading><chapeau>Section 399O of the Public Health Service Act (<ref href="/us/usc/t42/s280g–3">42 U.S.C. 280g–3</ref>) <amendingAction type="amend">is amended</amendingAction>—</chapeau><paragraph class="fontsize10" id="ycfd7aac3-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s109/b/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><chapeau>in subsection (a)(1)—</chapeau><subparagraph class="fontsize10" id="ycfd7aac4-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s109/b/1/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>in the matter preceding subparagraph (A), by <amendingAction type="insert">inserting</amendingAction> “<quotedText>, in consultation with the Administrator of the Substance Abuse and Mental Health Services Administration and Director of the Centers for Disease Control and Prevention,</quotedText>” after “<quotedText>the Secretary</quotedText>”;</content></subparagraph> <subparagraph class="fontsize10" id="ycfd7aac5-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s109/b/1/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>in subparagraph (A), by <amendingAction type="delete">striking</amendingAction> “<quotedText>or</quotedText>”;</content></subparagraph> <subparagraph class="fontsize10" id="ycfd7aac6-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s109/b/1/C" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">(C) </num><content>in subparagraph (B), by <amendingAction type="delete">striking</amendingAction> the period at the end and <amendingAction type="insert">inserting</amendingAction> “<quotedText>; or</quotedText>”; and</content></subparagraph> <subparagraph class="fontsize10" id="ycfd7aac7-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s109/b/1/D" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="D">(D) </num><content>by <amendingAction type="add">adding</amendingAction> at the end the following:<quotedContent><subparagraph class="indentUp0 fontsize10" id="ycfd7aac8-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">“(C) </num><content>to maintain an existing State-controlled substance monitoring program.”</content></subparagraph> </quotedContent>;</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ycfd7aac9-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s109/b/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><content>by <amendingAction type="amend">amending</amendingAction> subsection (b) to read as follows:<quotedContent><subsection class="indentDown1 firstIndent0 fontsize10" id="ycfd7d1da-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="b">“(b) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfd7d1db-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Federal Register, publication.</p><p class="leftAlign firstIndent0 fontsize8" id="xcfd7d1dc-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Public information.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">Minimum Requirements</inline>.—</heading><content>The Secretary shall maintain and, as appropriate, supplement or revise (after publishing proposed additions and revisions in the Federal Register and receiving public comments thereon) minimum requirements for criteria to be used by States for purposes of clauses (ii), (v), (vi), and (vii) of subsection (c)(1)(A).”</content></subsection> </quotedContent>;</content></paragraph> <paragraph class="fontsize10" id="ycfd7d1dd-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s109/b/3" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">(3) </num><chapeau>in subsection (c)—</chapeau><subparagraph class="fontsize10" id="ycfd7d1de-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s109/b/3/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><chapeau>in paragraph (1)(B)—</chapeau><clause class="fontsize10" id="ycfd7d1df-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s109/b/3/A/i" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">(i) </num><content>in the matter preceding clause (i), by <amendingAction type="delete">striking</amendingAction> “<quotedText>(a)(1)(B)</quotedText>” and <amendingAction type="insert">inserting</amendingAction> “<quotedText>(a)(1)(B) or (a)(1)(C)</quotedText>”;</content></clause> <clause class="fontsize10" id="ycfd7d1e0-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s109/b/3/A/ii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">(ii) </num><content>in clause (i), by <amendingAction type="delete">striking</amendingAction> “<quotedText>program to be improved</quotedText>” and <amendingAction type="insert">inserting</amendingAction> “<quotedText>program to be improved or maintained</quotedText>”;</content></clause> <clause class="fontsize10" id="ycfd7d1e1-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s109/b/3/A/iii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="iii">(iii) </num><content>by <amendingAction type="redesignate">redesignating</amendingAction> clauses (iii) and (iv) as clauses (iv) and (v), respectively;</content></clause> <clause class="fontsize10" id="ycfd7d1e2-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s109/b/3/A/iv" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="iv">(iv) </num><content>by <amendingAction type="insert">inserting</amendingAction> after clause (ii), the following:<page identifier="/us/stat/130/707">130 STAT. 707</page> <quotedContent><subsection class="fontsize10" id="ycfd7d1e3-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="iii">“(iii)</num><content> a plan to apply the latest advances in health information technology, to the extent practicable, in order to incorporate prescription drug monitoring program data directly into the workflow of prescribers and dispensers to ensure timely access to patients’ controlled prescription drug history;”</content></subsection> </quotedContent>;</content></clause> <clause class="fontsize10" id="ycfd7d1e4-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s109/b/3/A/v" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="v">(v) </num><content>in clause (iv) (as so redesignated), by <amendingAction type="delete">striking</amendingAction> “<quotedText>; and</quotedText>” and <amendingAction type="insert">inserting</amendingAction> the following: “<quotedText>and at least one health information technology system such as electronic health records, health information exchanges, or e-prescribing systems;</quotedText>”;</content></clause> <clause class="fontsize10" id="ycfd7d1e5-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s109/b/3/A/vi" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="vi">(vi) </num><chapeau>in clause (v) (as so redesignated)—</chapeau><subclause class="fontsize10" id="ycfd7d1e6-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s109/b/3/A/vi/I" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="I">(I) </num><content>by <amendingAction type="delete">striking</amendingAction> “<quotedText>public health</quotedText>” and <amendingAction type="insert">inserting</amendingAction> “<quotedText>public health or safety</quotedText>”; and</content></subclause> <subclause class="fontsize10" id="ycfd7d1e7-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s109/b/3/A/vi/II" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="II">(II) </num><content>by <amendingAction type="delete">striking</amendingAction> the period and <amendingAction type="insert">inserting</amendingAction> “<quotedText>; and</quotedText>”; and</content></subclause> </clause> <clause class="fontsize10" id="ycfd7d1e8-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s109/b/3/A/vii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="vii">(vii) </num><content>by <amendingAction type="add">adding</amendingAction> at the end the following:<quotedContent><clause class="indentUp0 fontsize10" id="ycfd7d1e9-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="vi">“(vi) </num><content>information, where applicable, on how the controlled substance monitoring program jointly works with the applicant’s respective State substance abuse agency to ensure information collected and maintained by the controlled substance monitoring program is used to inform the provision of clinically appropriate substance use disorder services to individuals in need.”</content></clause> </quotedContent>;</content></clause> </subparagraph> <subparagraph class="fontsize10" id="ycfd7d1ea-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s109/b/3/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><chapeau>in paragraph (3)—</chapeau><clause class="fontsize10" id="ycfd7d1eb-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s109/b/3/B/i" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">(i) </num><content>by <amendingAction type="delete">striking</amendingAction> “<quotedText>If a State that submits</quotedText>” and <amendingAction type="insert">inserting</amendingAction> the following:<quotedContent><subparagraph class="indentDown1 fontsize10" id="ycfd7d1ec-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">“(A) </num><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><content>If a State that submits”</content></subparagraph> </quotedContent>;</content></clause> <clause class="fontsize10" id="ycfd7d1ed-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s109/b/3/B/ii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">(ii) </num><content>by <amendingAction type="insert">inserting</amendingAction> before the period at the end “<quotedText>and include timelines for full implementation of such interoperability. The State shall also describe the manner in which it will achieve interoperability between its monitoring program and health information technology systems, as allowable under State law, and include timelines for the implementation of such interoperability</quotedText>”; and</content></clause> <clause class="fontsize10" id="ycfd7f8fe-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s109/b/3/B/iii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="iii">(iii) </num><content>by <amendingAction type="add">adding</amendingAction> at the end the following:<quotedContent><subparagraph class="indentDown1 fontsize10" id="ycfd7f8ff-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">“(B) </num><heading class="fontsize10"><inline class="smallCaps">Monitoring of efforts</inline>.—</heading><content>The Secretary shall monitor State efforts to achieve interoperability, as described in subparagraph (A).”</content></subparagraph> </quotedContent>; and</content></clause> </subparagraph> <subparagraph class="fontsize10" id="ycfd7f900-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s109/b/3/C" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">(C) </num><chapeau>in paragraph (5)—</chapeau><clause class="fontsize10" id="ycfd7f901-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s109/b/3/C/i" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">(i) </num><content>by <amendingAction type="delete">striking</amendingAction> “<quotedText>implement or improve</quotedText>” and <amendingAction type="insert">inserting</amendingAction> “<quotedText>establish, improve, or maintain</quotedText>”; and</content></clause> <clause class="fontsize10" id="ycfd7f902-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s109/b/3/C/ii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">(ii) </num><content>by <amendingAction type="add">adding</amendingAction> at the end the following: “<quotedText>The Secretary shall redistribute any funds that are so returned among the remaining grantees under this section in accordance with the formula described in subsection (a)(2)(B).</quotedText>”;</content></clause> </subparagraph> </paragraph> <paragraph class="fontsize10" id="ycfd7f903-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s109/b/4" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="4">(4) </num><chapeau>in subsection (d)—</chapeau><subparagraph class="fontsize10" id="ycfd7f904-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s109/b/4/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><chapeau>in the matter preceding paragraph (1)—</chapeau><clause class="fontsize10" id="ycfd7f905-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s109/b/4/A/i" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">(i) </num><content>by <amendingAction type="delete">striking</amendingAction> “<quotedText>In implementing or improving</quotedText>” and all that follows through “<quotedText>(a)(1)(B)</quotedText>” and <amendingAction type="insert">inserting</amendingAction> “<quotedText>In establishing, improving, or maintaining a controlled substance monitoring program under this section, a State shall comply, or with respect to a State that applies for a grant under subparagraph (B) or (C) of subsection (a)(1)</quotedText>”; and<page identifier="/us/stat/130/708">130 STAT. 708</page></content></clause> <clause class="fontsize10" id="ycfd7f906-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s109/b/4/A/ii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">(ii) </num><content>by <amendingAction type="delete">striking</amendingAction> “<quotedText>public health</quotedText>” and <amendingAction type="insert">inserting</amendingAction> “<quotedText>public health or safety</quotedText>”; and</content></clause> </subparagraph> <subparagraph class="fontsize10" id="ycfd7f907-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s109/b/4/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>by <amendingAction type="add">adding</amendingAction> at the end the following:<quotedContent><paragraph class="indentDown1 fontsize10" id="ycfd7f908-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="5">“(5) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfd7f909-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Reports.</p></sidenote><content>The State shall report on interoperability with the controlled substance monitoring program of Federal agencies, where appropriate, interoperability with health information technology systems such as electronic health records, health information exchanges, and e-prescribing, where appropriate, and whether or not the State provides automatic, up-to-date, or daily information about a patient when a practitioner (or the designee of a practitioner, where permitted) requests information about such patient.”</content></paragraph> </quotedContent>;</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ycfd7f90a-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s109/b/5" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="5">(5) </num><content>in subsections (e), (f)(1), and (g), by <amendingAction type="delete">striking</amendingAction> “<quotedText>implementing or improving</quotedText>” each place it appears and <amendingAction type="insert">inserting</amendingAction> “<quotedText>establishing, improving, or maintaining</quotedText>”;</content></paragraph> <paragraph class="fontsize10" id="ycfd7f90b-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s109/b/6" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="6">(6) </num><chapeau>in subsection (f)—</chapeau><subparagraph class="fontsize10" id="ycfd7f90c-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s109/b/6/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><chapeau>in paragraph (1)—</chapeau><clause class="fontsize10" id="ycfd7f90d-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s109/b/6/A/i" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">(i) </num><content>in subparagraph (B), by <amendingAction type="delete">striking</amendingAction> “<quotedText>misuse of a schedule II, III, or IV substance</quotedText>” and <amendingAction type="insert">inserting</amendingAction> “<quotedText>misuse of a controlled substance included in schedule II, III, or IV of section 202(c) of the Controlled Substances Act</quotedText>”; and</content></clause> <clause class="fontsize10" id="ycfd7f90e-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s109/b/6/A/ii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">(ii) </num><chapeau>in subparagraph (D)—</chapeau><subclause class="fontsize10" id="ycfd7f90f-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s109/b/6/A/ii/I" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="I">(I) </num><content>by <amendingAction type="insert">inserting</amendingAction> “<quotedText>a State substance abuse agency,</quotedText>” after “<quotedText>State health department,</quotedText>”; and</content></subclause> <subclause class="fontsize10" id="ycfd7f910-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s109/b/6/A/ii/II" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="II">(II) </num><content>by <amendingAction type="delete">striking</amendingAction> “<quotedText>such department, program, or administration</quotedText>” each place it appears and <amendingAction type="insert">inserting</amendingAction> “<quotedText>such department, program, agency, or administration</quotedText>” in each such place; and</content></subclause> </clause> </subparagraph> <subparagraph class="fontsize10" id="ycfd7f911-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s109/b/6/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>by <amendingAction type="add">adding</amendingAction> at the end the following:<quotedContent><paragraph class="indentDown1 fontsize10" id="ycfd82022-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">“(3) </num><heading class="fontsize10"><inline class="smallCaps">Evaluation and reporting</inline>.—</heading><chapeau>Subject to subsection (g), a State receiving a grant under subsection (a) shall provide the Secretary with aggregate data to enable the Secretary—</chapeau><subparagraph class="fontsize10" id="ycfd82023-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">“(A) </num><content>to evaluate the success of the State’s program in achieving its purposes; or</content></subparagraph> <subparagraph class="fontsize10" id="ycfd82024-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">“(B) </num><content>to prepare and submit the report to Congress required by subsection (k)(2).</content></subparagraph> </paragraph> <paragraph class="indentDown1 fontsize10" id="ycfd82025-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="4">“(4) </num><heading class="fontsize10"><inline class="smallCaps">Research by other entities</inline>.—</heading><content>A department, program, agency, or administration receiving nonidentifiable information under paragraph (1)(D) may make such information available to other entities for research purposes.”</content></paragraph> </quotedContent>;</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ycfd82026-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s109/b/7" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="7">(7) </num><content>by <amendingAction type="delete">striking</amendingAction> subsection (k);</content></paragraph> <paragraph class="fontsize10" id="ycfd82027-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s109/b/8" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="8">(8) </num><content>by <amendingAction type="redesignate">redesignating</amendingAction> subsections (h) through (j) as subsections (i) through (k), respectively;</content></paragraph> <paragraph class="fontsize10" id="ycfd82028-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s109/b/9" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="9">(9) </num><content>in subsections (c)(1)(A)(iv) and (d)(4), by <amendingAction type="delete">striking</amendingAction> “<quotedText>subsection (h)</quotedText>” each place it appears and <amendingAction type="insert">inserting</amendingAction> “<quotedText>subsection (i)</quotedText>”;</content></paragraph> <paragraph class="fontsize10" id="ycfd82029-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s109/b/10" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="10">(10) </num><content>by <amendingAction type="insert">inserting</amendingAction> after subsection (g) the following:<quotedContent><subsection class="indentDown1 firstIndent0 fontsize10" id="ycfd8202a-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="h">“(h) </num><heading class="fontsize10"><inline class="smallCaps">Education and Access to the Monitoring System</inline>.—</heading><chapeau>A State receiving a grant under subsection (a) shall take steps to—</chapeau><paragraph class="fontsize10" id="ycfd8202b-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">“(1) </num><content>facilitate prescriber and dispenser use of the State’s controlled substance monitoring system, to the extent practicable; and</content></paragraph> <paragraph class="fontsize10" id="ycfd8202c-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">“(2) </num><content>educate prescribers and dispensers on the benefits of the system.”</content></paragraph> </subsection> </quotedContent>;</content></paragraph> <paragraph class="fontsize10" id="ycfd8202d-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s109/b/11" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="11">(11) </num><chapeau>in subsection (k)(2)(A), as so redesignated—<page identifier="/us/stat/130/709">130 STAT. 709</page></chapeau><subparagraph class="fontsize10" id="ycfd8202e-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s109/b/11/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>in clause (ii), by <amendingAction type="delete">striking</amendingAction> “<quotedText>or affected</quotedText>” and <amendingAction type="insert">inserting</amendingAction> “<quotedText>, established or strengthened initiatives to ensure linkages to substance use disorder services, or affected</quotedText>”; and</content></subparagraph> <subparagraph class="fontsize10" id="ycfd8202f-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s109/b/11/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>in clause (iii), by <amendingAction type="delete">striking</amendingAction> “<quotedText>including an assessment</quotedText>” and <amendingAction type="insert">inserting</amendingAction> “<quotedText>and between controlled substance monitoring programs and health information technology systems, including an assessment</quotedText>”;</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ycfd82030-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s109/b/12" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="12">(12) </num><content>in subsection (l)(1), by <amendingAction type="delete">striking</amendingAction> “<quotedText>establishment, implementation, or improvement</quotedText>” and <amendingAction type="insert">inserting</amendingAction> “<quotedText>establishment, improvement, or maintenance</quotedText>”;</content></paragraph> <paragraph class="fontsize10" id="ycfd82031-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s109/b/13" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="13">(13) </num><content>in subsection (m)(8), by <amendingAction type="delete">striking</amendingAction> “<quotedText>and the District of Columbia</quotedText>” and <amendingAction type="insert">inserting</amendingAction> “<quotedText>, the District of Columbia, and any commonwealth or territory of the United States</quotedText>”; and</content></paragraph> <paragraph class="fontsize10" id="ycfd82032-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s109/b/14" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="14">(14) </num><content>by <amendingAction type="amend">amending</amendingAction> subsection (n) to read as follows:<quotedContent><subsection class="indentDown1 firstIndent0 fontsize10" id="ycfd84643-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="n">“(n) </num><heading class="fontsize10"><inline class="smallCaps">Authorization of Appropriations</inline>.—</heading><content>To carry out this section, there are authorized to be appropriated, $10,000,000 for each of fiscal years 2017 through 2021.”</content></subsection> </quotedContent>.</content></paragraph> </subsection> </section> <section id="d239274e2312" identifier="/us/pl/114/198/tI/s110" style="-uslm-lc:I658143"><num class="fontsize12" value="110">SEC. 110. </num><heading>OPIOID OVERDOSE REVERSAL MEDICATION ACCESS AND EDUCATION GRANT PROGRAMS.</heading><subsection class="firstIndent0 fontsize10" id="ycfd89464-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s110/a" role="instruction" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="a">(a) </num><heading class="fontsize10"><inline class="smallCaps">In General</inline>.—</heading><content>Part D of title V of the Public Health Service Act (<ref href="/us/usc/t42/s290dd/etseq">42 U.S.C. 290dd et seq.</ref>), as amended by section 107, is further amended by <amendingAction type="add">adding</amendingAction> at the end the following:<quotedContent><section class="centered fontsize12" id="ycfd90995-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658143"><num class="fontsize12" value="545">“SEC. 545. </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfd90996-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180"><ref href="/us/usc/t42/s290ee">42 USC 290ee</ref>.</p></sidenote><heading class="fontsize12">OPIOID OVERDOSE REVERSAL MEDICATION ACCESS AND EDUCATION GRANT PROGRAMS.</heading><subsection class="firstIndent0 fontsize10" id="ycfd90997-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="a">“(a) </num><heading class="fontsize10"><inline class="smallCaps">Grants to States</inline>.—</heading><chapeau>The Secretary shall make grants to States to—</chapeau><paragraph class="fontsize10" id="ycfd90998-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">“(1) </num><content>implement strategies for pharmacists to dispense a drug or device approved or cleared under the Federal Food, Drug, and Cosmetic Act for emergency treatment of known or suspected opioid overdose, as appropriate, pursuant to a standing order;</content></paragraph> <paragraph class="fontsize10" id="ycfd90999-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">“(2) </num><content>encourage pharmacies to dispense opioid overdose reversal medication pursuant to a standing order;</content></paragraph> <paragraph class="fontsize10" id="ycfd9099a-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">“(3) </num><chapeau>develop or provide training materials that persons authorized to prescribe or dispense a drug or device approved or cleared under the Federal Food, Drug, and Cosmetic Act for emergency treatment of known or suspected opioid overdose may use to educate the public concerning—</chapeau><subparagraph class="fontsize10" id="ycfd9099b-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">“(A) </num><content>when and how to safely administer such drug or device; and</content></subparagraph> <subparagraph class="fontsize10" id="ycfd9099c-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">“(B) </num><content>steps to be taken after administering such drug or device; and</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ycfd9099d-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="4">“(4) </num><content>educate the public concerning the availability of drugs or devices approved or cleared under the Federal Food, Drug, and Cosmetic Act for emergency treatment of known or suspected opioid overdose without a person-specific prescription.</content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ycfd9099e-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="b">“(b) </num><heading class="fontsize10"><inline class="smallCaps">Certain Requirement</inline>.—</heading><content>A grant may be made under this section only if the State involved has authorized standing orders to be issued for drugs or devices approved or cleared under the Federal Food, Drug, and Cosmetic Act for emergency treatment of known or suspected opioid overdose.</content></subsection> <subsection class="firstIndent0 fontsize10" id="ycfd9099f-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="c">“(c) </num><heading class="fontsize10"><inline class="smallCaps">Preference in Making Grants</inline>.—</heading><chapeau>In making grants under this section, the Secretary may give preference to States that have a significantly higher rate of opioid overdoses than the national average, and that—<page identifier="/us/stat/130/710">130 STAT. 710</page></chapeau><paragraph class="fontsize10" id="ycfd909a0-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">“(1) </num><content>have not implemented standing orders regarding drugs or devices approved or cleared under the Federal Food, Drug, and Cosmetic Act for emergency treatment of known or suspected opioid overdose;</content></paragraph> <paragraph class="fontsize10" id="ycfd909a1-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">“(2) </num><content>authorize standing orders to be issued that permit community-based organizations, substance abuse programs, or other nonprofit entities to acquire, dispense, or administer drugs or devices approved or cleared under the Federal Food, Drug, and Cosmetic Act for emergency treatment of known or suspected opioid overdose; or</content></paragraph> <paragraph class="fontsize10" id="ycfd909a2-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">“(3) </num><content>authorize standing orders to be issued that permit police, fire, or emergency medical services agencies to acquire and administer drugs or devices approved or cleared under the Federal Food, Drug, and Cosmetic Act for emergency treatment of known or suspected opioid overdose.</content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ycfd909a3-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="d">“(d) </num><heading class="fontsize10"><inline class="smallCaps">Grant Terms</inline>.—</heading><paragraph class="fontsize10" id="ycfd909a4-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">“(1) </num><heading class="fontsize10"><inline class="smallCaps">Number</inline>.—</heading><content>A State may not receive more than one grant under this section at a time.</content></paragraph> <paragraph class="fontsize10" id="ycfd909a5-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">“(2) </num><heading class="fontsize10"><inline class="smallCaps">Period</inline>.—</heading><content>A grant under this section shall be for a period of 3 years.</content></paragraph> <paragraph class="fontsize10" id="ycfd909a6-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">“(3) </num><heading class="fontsize10"><inline class="smallCaps">Limitation</inline>.—</heading><content>A State may use not more than 20 percent of a grant under this section for educating the public pursuant to subsection (a)(4).</content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ycfd909a7-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="e">“(e) </num><heading class="fontsize10"><inline class="smallCaps">Applications</inline>.—</heading><content>To be eligible to receive a grant under this section, a State shall submit an application to the Secretary in such form and manner and containing such information as the Secretary may reasonably require, including detailed proposed expenditures of grant funds.</content></subsection> <subsection class="firstIndent0 fontsize10" id="ycfd909a8-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="f">“(f) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfd909a9-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Evaluation.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">Reporting</inline>.—</heading><content>A State that receives a grant under this section shall, at least annually for the duration of the grant, submit a report to the Secretary evaluating the progress of the activities supported through the grant. Such reports shall include information on the number of pharmacies in the State that dispense a drug or device approved or cleared under the Federal Food, Drug, and Cosmetic Act for emergency treatment of known or suspected opioid overdose under a standing order, and other information as the Secretary determines appropriate to evaluate the use of grant funds.</content></subsection> <subsection class="firstIndent0 fontsize10" id="ycfd909aa-e85f-11f0-a1e4-69761a48a15a" role="definitions" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="g">“(g) </num><heading class="fontsize10"><inline class="smallCaps">Definitions</inline>.—</heading><content>In this section the term ‘<term>standing order</term>’ means a document prepared by a person authorized to prescribe medication that permits another person to acquire, dispense, or administer medication without a person-specific prescription.</content></subsection> <subsection class="firstIndent0 fontsize10" id="ycfd909ab-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="h">“(h) </num><heading class="fontsize10"><inline class="smallCaps">Authorization of Appropriations</inline>.—</heading><paragraph class="fontsize10" id="ycfd909ac-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">“(1) </num><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><content>To carry out this section, there are authorized to be appropriated $5,000,000 for the period of fiscal years 2017 through 2019.</content></paragraph> <paragraph class="fontsize10" id="ycfd909ad-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">“(2) </num><heading class="fontsize10"><inline class="smallCaps">Administrative costs</inline>.—</heading><content>Not more than 3 percent of the amounts made available to carry out this section may be used by the Secretary for administrative expenses of carrying out this section.”</content></paragraph> </subsection> </section> </quotedContent>.</content></subsection> <subsection class="firstIndent0 fontsize10" id="ycfd909ae-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tI/s110/b" role="instruction" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="b">(b) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfd909af-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Effective date.</p><p class="leftAlign firstIndent0 fontsize8" id="xcfd909b0-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180"><ref href="/us/usc/t42/s257">42 USC 257 note</ref>.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">Technical Clarification</inline>.—</heading><content>Effective as if included in the enactment of the Children’s Health Act of 2000 (<ref href="/us/pl/106/310">Public Law 106–310</ref>), section 3405(a) of such Act (<ref href="/us/stat/114/1221">114 Stat. 1221</ref>) <amendingAction type="amend">is amended</amendingAction> by <amendingAction type="delete">striking</amendingAction> “<quotedText>Part E of title III</quotedText>” and <amendingAction type="insert">inserting</amendingAction> “<quotedText>Part E of title III of the Public Health Service Act</quotedText>”.<page identifier="/us/stat/130/711">130 STAT. 711</page></content></subsection> </section> <num value="II">TITLE II—</num><heading>LAW ENFORCEMENT AND TREATMENT</heading> <section id="d239274e2554" identifier="/us/pl/114/198/tII/s201" style="-uslm-lc:I658143"><num class="fontsize12" value="201">SEC. 201. </num><heading>COMPREHENSIVE OPIOID ABUSE GRANT PROGRAM.</heading><subsection class="firstIndent0 fontsize10" id="ycfda6941-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tII/s201/a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="a">(a) </num><heading class="fontsize10"><inline class="smallCaps">Comprehensive Opioid Abuse Grant Program</inline>.—</heading><paragraph class="fontsize10" id="ycfda6942-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tII/s201/a/1" role="instruction" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><content>Title I of the Omnibus Crime Control and Safe Streets Act of 1968 (<ref href="/us/usc/t42/s3711/etseq">42 U.S.C. 3711 et seq.</ref>) <amendingAction type="amend">is amended</amendingAction> by <amendingAction type="add">adding</amendingAction> at the end the following:<quotedContent><part id="ycfdba1c3-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658173"><num class="fontsize12 bold" value="LL">“PART LL—</num><heading class="fontsize12 bold">COMPREHENSIVE OPIOID ABUSE GRANT PROGRAM</heading><section class="indentUp1 firstIndent-2" id="ycfdba1c4-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658144"><num class="bold" value="3021">“SEC. 3021. </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfdba1c5-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180"><ref href="/us/usc/t42/s3797ff">42 USC 3797ff</ref>.</p></sidenote><heading class="bold">DESCRIPTION.</heading><subsection class="indentDown2 firstIndent0 fontsize10" id="ycfdba1c6-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="a">“(a) </num><heading class="fontsize10"><inline class="smallCaps">Grants Authorized</inline>.—</heading><chapeau>From amounts made available to carry out this part, the Attorney General may make grants to States, units of local government, and Indian tribes, for use by the State, unit of local government, or Indian tribe to provide services primarily relating to opioid abuse, including for any one or more of the following:</chapeau><paragraph class="fontsize10" id="ycfdba1c7-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">“(1) </num><chapeau>Developing, implementing, or expanding a treatment alternative to incarceration program, which may include—</chapeau><subparagraph class="fontsize10" id="ycfdba1c8-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">“(A) </num><content>prebooking or postbooking components, which may include the activities described in part DD or HH of this title;</content></subparagraph> <subparagraph class="fontsize10" id="ycfdba1c9-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">“(B) </num><content>training for criminal justice agency personnel on substance use disorders and co-occurring mental illness and substance use disorders;</content></subparagraph> <subparagraph class="fontsize10" id="ycfdba1ca-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">“(C) </num><content>a mental health court, including the activities described in part V of this title;</content></subparagraph> <subparagraph class="fontsize10" id="ycfdba1cb-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="D">“(D) </num><content>a drug court, including the activities described in part EE of this title;</content></subparagraph> <subparagraph class="fontsize10" id="ycfdba1cc-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="E">“(E) </num><content>a veterans treatment court program, including the activities described in subsection (i) of section 2991 of this title;</content></subparagraph> <subparagraph class="fontsize10" id="ycfdba1cd-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="F">“(F) </num><content>a focus on parents whose incarceration could result in their children entering the child welfare system; and</content></subparagraph> <subparagraph class="fontsize10" id="ycfdba1ce-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="G">“(G) </num><content>a community-based substance use diversion program sponsored by a law enforcement agency.</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ycfdba1cf-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">“(2) </num><content>In the case of a State, facilitating or enhancing planning and collaboration between State criminal justice agencies and State substance abuse agencies in order to more efficiently and effectively carry out activities or services described in any paragraph of this subsection that address problems related to opioid abuse.</content></paragraph> <paragraph class="fontsize10" id="ycfdba1d0-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">“(3) </num><content>Providing training and resources for first responders on carrying and administering an opioid overdose reversal drug or device approved or cleared by the Food and Drug Administration, and purchasing such a drug or device for first responders who have received such training to so carry and administer.</content></paragraph> <paragraph class="fontsize10" id="ycfdba1d1-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="4">“(4) </num><content>Locating or investigating illicit activities related to the unlawful distribution of opioids.</content></paragraph> <paragraph class="fontsize10" id="ycfdba1d2-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="5">“(5) </num><content>Developing, implementing, or expanding a medication-assisted treatment program used or operated by a criminal justice agency, which may include training criminal justice <page identifier="/us/stat/130/712">130 STAT. 712</page> agency personnel on medication-assisted treatment, and carrying out the activities described in part S of this title.</content></paragraph> <paragraph class="fontsize10" id="ycfdba1d3-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="6">“(6) </num><content>In the case of a State, developing, implementing, or expanding a prescription drug monitoring program to collect and analyze data related to the prescribing of schedules II, III, and IV controlled substances through a centralized database administered by an authorized State agency, which includes tracking the dispensation of such substances, and providing for interoperability and data sharing with each other such program in each other State, and with any interstate entity that shares information between such programs.</content></paragraph> <paragraph class="fontsize10" id="ycfdba1d4-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="7">“(7) </num><content>Developing, implementing, or expanding a program to prevent and address opioid abuse by juveniles.</content></paragraph> <paragraph class="fontsize10" id="ycfdba1d5-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="8">“(8) </num><content>Developing, implementing, or expanding a program (which may include demonstration projects) to utilize technology that provides a secure container for prescription drugs that would prevent or deter individuals, particularly adolescents, from gaining access to opioid medications that are lawfully prescribed for other individuals.</content></paragraph> <paragraph class="fontsize10" id="ycfdba1d6-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="9">“(9) </num><content>Developing, implementing, or expanding a prescription drug take-back program.</content></paragraph> <paragraph class="fontsize10" id="ycfdba1d7-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="10">“(10) </num><content>Developing, implementing, or expanding an integrated and comprehensive opioid abuse response program.</content></paragraph> </subsection> <subsection class="indentDown2 firstIndent0 fontsize10" id="ycfdba1d8-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="b">“(b) </num><heading class="fontsize10"><inline class="smallCaps">Contracts and Subawards</inline>.—</heading><chapeau>A State, unit of local government, or Indian tribe may, in using a grant under this part for purposes authorized by subsection (a), use all or a portion of that grant to contract with, or make one or more subawards to, one or more—</chapeau><paragraph class="fontsize10" id="ycfdba1d9-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">“(1) </num><content>local or regional organizations that are private and nonprofit, including faith-based organizations;</content></paragraph> <paragraph class="fontsize10" id="ycfdba1da-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">“(2) </num><content>units of local government; or</content></paragraph> <paragraph class="fontsize10" id="ycfdba1db-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">“(3) </num><content>tribal organizations.</content></paragraph> </subsection> <subsection class="indentDown2 firstIndent0 fontsize10" id="ycfdba1dc-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="c">“(c) </num><heading class="fontsize10"><inline class="smallCaps">Program Assessment Component; Waiver</inline>.—</heading><paragraph class="fontsize10" id="ycfdba1dd-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">“(1) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfdba1de-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Coordination.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">Program assessment component</inline>.—</heading><content>Each program funded under this part shall contain a program assessment component, developed pursuant to guidelines established by the Attorney General, in coordination with the National Institute of Justice.</content></paragraph> <paragraph class="fontsize10" id="ycfdba1df-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">“(2) </num><heading class="fontsize10"><inline class="smallCaps">Waiver</inline>.—</heading><content>The Attorney General may waive the requirement of paragraph (1) with respect to a program if, in the opinion of the Attorney General, the program is not of sufficient size to justify a full program assessment.</content></paragraph> </subsection> <subsection class="indentDown2 firstIndent0 fontsize10" id="ycfdba1e0-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="d">“(d) </num><heading class="fontsize10"><inline class="smallCaps">Administrative Costs</inline>.—</heading><content>Not more than 10 percent of a grant made under this part may be used for costs incurred to administer such grant.</content></subsection> <subsection class="indentDown2 firstIndent0 fontsize10" id="ycfdba1e1-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="e">“(e) </num><heading class="fontsize10"><inline class="smallCaps">Period</inline>.—</heading><content>The period of a grant made under this part may not be longer than 4 years, except that renewals and extensions beyond that period may be granted at the discretion of the Attorney General.</content></subsection> </section> <section class="indentUp1 firstIndent-2" id="ycfdba1e2-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658144"><num class="bold" value="3022">“SEC. 3022. </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfdba1e3-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180"><ref href="/us/usc/t42/s3797ff–1">42 USC 3797ff–1</ref>.</p></sidenote><heading class="bold">APPLICATIONS.</heading><chapeau class=" fontsize10" style="-uslm-lc:I658120">  “To request a grant under this part, the chief executive officer of a State, unit of local government, or Indian tribe shall submit an application to the Attorney General at such time and in such form as the Attorney General may require.<sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfdba1e4-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Certification.</p></sidenote> Such application shall include the following:</chapeau><page identifier="/us/stat/130/713">130 STAT. 713</page> <paragraph class="indentDown1 fontsize10" id="ycfdba1e5-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">“(1) </num><content>A certification that Federal funds made available under this part will not be used to supplant State, local, or tribal funds, but will be used to increase the amounts of such funds that would, in the absence of Federal funds, be made available for the activities described in section 3021(a).</content></paragraph> <paragraph class="indentDown1 fontsize10" id="ycfdba1e6-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">“(2) </num><content>An assurance that, for each fiscal year covered by an application, the applicant shall maintain and report such data, records, and information (programmatic and financial) as the Attorney General may reasonably require.</content></paragraph> <paragraph class="indentDown1 fontsize10" id="ycfdba1e7-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">“(3) </num><chapeau>A certification, made in a form acceptable to the Attorney General and executed by the chief executive officer of the applicant (or by another officer of the applicant, if qualified under regulations promulgated by the Attorney General), that—</chapeau><subparagraph class="fontsize10" id="ycfdba1e8-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">“(A) </num><content>the activities or services to be funded by the grant meet all the requirements of this part;</content></subparagraph> <subparagraph class="fontsize10" id="ycfdba1e9-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">“(B) </num><content>all the information contained in the application is correct;</content></subparagraph> <subparagraph class="fontsize10" id="ycfdba1ea-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">“(C) </num><content>there has been appropriate coordination with affected agencies; and</content></subparagraph> <subparagraph class="fontsize10" id="ycfdba1eb-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="D">“(D) </num><content>the applicant will comply with all provisions of this part and all other applicable Federal laws.</content></subparagraph> </paragraph> <paragraph class="indentDown1 fontsize10" id="ycfdba1ec-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="4">“(4) </num><content>An assurance that the applicant will work with the Drug Enforcement Administration to develop an integrated and comprehensive strategy to address opioid abuse.</content></paragraph> </section> <section class="indentUp1 firstIndent-2" id="ycfdba1ed-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658144"><num class="bold" value="3023">“SEC. 3023. </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfdba1ee-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Notice.</p><p class="leftAlign firstIndent0 fontsize8" id="xcfdba1ef-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180"><ref href="/us/usc/t42/s3797ff–2">42 USC 3797ff–2</ref>.</p></sidenote><heading class="bold">REVIEW OF APPLICATIONS.</heading><content class="indentDown1 firstIndent0 fontsize10" style="-uslm-lc:I658120">  “The Attorney General shall not finally disapprove any application (or any amendment to that application) submitted under this part without first affording the applicant reasonable notice of any deficiencies in the application and an opportunity for correction of any such deficiencies and reconsideration.</content></section> <section class="indentUp1 firstIndent-2" id="ycfdba1f0-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658144"><num class="bold" value="3024">“SEC. 3024. </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfdba1f1-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180"><ref href="/us/usc/t42/s3797ff–3">42 USC 3797ff–3</ref>.</p></sidenote><heading class="bold">EQUITABLE DISTRIBUTION OF FUNDS.</heading><chapeau class=" fontsize10" style="-uslm-lc:I658120">  “In awarding grants under this part, the Attorney General shall distribute funds in a manner that—</chapeau><paragraph class="indentDown1 fontsize10" id="ycfdba1f2-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">“(1) </num><content>equitably addresses the needs of underserved populations, including rural and tribal communities; and</content></paragraph> <paragraph class="indentDown1 fontsize10" id="ycfdba1f3-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">“(2) </num><chapeau>focuses on communities that have been disproportionately impacted by opioid abuse as evidenced in part by—</chapeau><subparagraph class="fontsize10" id="ycfdba1f4-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">“(A) </num><content>high rates of primary treatment admissions for heroin and other opioids;</content></subparagraph> <subparagraph class="fontsize10" id="ycfdba1f5-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">“(B) </num><content>high rates of drug poisoning deaths from heroin and other opioids; and</content></subparagraph> <subparagraph class="fontsize10" id="ycfdba1f6-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">“(C) </num><content>a lack of accessibility to treatment providers and facilities and to emergency medical services.</content></subparagraph> </paragraph> </section> <section class="indentUp1 firstIndent-2" id="ycfdba1f7-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658144"><num class="bold" value="3025">“SEC. 3025. </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfdba1f8-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180"><ref href="/us/usc/t42/s3797ff–4">42 USC 3797ff–4</ref>.</p></sidenote><heading class="bold">DEFINITIONS.</heading><chapeau class=" fontsize10" style="-uslm-lc:I658120">  “In this part:</chapeau><paragraph class="indentDown1 fontsize10" id="ycfdba1f9-e85f-11f0-a1e4-69761a48a15a" role="definitions" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">“(1) </num><content>The term ‘<term>first responder</term>’ includes a firefighter, law enforcement officer, paramedic, emergency medical technician, or other individual (including an employee of a legally organized and recognized volunteer organization, whether compensated or not), who, in the course of his or her professional duties, responds to fire, medical, hazardous material, or other similar emergencies.<page identifier="/us/stat/130/714">130 STAT. 714</page></content></paragraph> <paragraph class="indentDown1 fontsize10" id="ycfdba1fa-e85f-11f0-a1e4-69761a48a15a" role="definitions" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">“(2) </num><content>The term ‘<term>medication-assisted treatment</term>’ means the use of medications approved by the Food and Drug Administration for the treatment of opioid abuse.</content></paragraph> <paragraph class="indentDown1 fontsize10" id="ycfdba1fb-e85f-11f0-a1e4-69761a48a15a" role="definitions" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">“(3) </num><content>The term ‘<term>opioid</term>’ means any drug, including heroin, having an addiction-forming or addiction-sustaining liability similar to morphine or being capable of conversion into a drug having such addiction-forming or addiction-sustaining liability.</content></paragraph> <paragraph class="indentDown1 fontsize10" id="ycfdba1fc-e85f-11f0-a1e4-69761a48a15a" role="definitions" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="4">“(4) </num><content>The term ‘<term>schedule II, III, or IV controlled substance</term>’ means a controlled substance that is listed on schedule II, schedule III, or schedule IV of section 202(c) of the Controlled Substances Act (<ref href="/us/usc/t21/s812/c">21 U.S.C. 812(c)</ref>).</content></paragraph> <paragraph class="indentDown1 fontsize10" id="ycfdba1fd-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="5">“(5) </num><content>The terms ‘drug’ and ‘device’ have the meanings given those terms in section 201 of the Federal Food, Drug, and Cosmetic Act (<ref href="/us/usc/t21/s321">21 U.S.C. 321</ref>).</content></paragraph> <paragraph class="indentDown1 fontsize10" id="ycfdba1fe-e85f-11f0-a1e4-69761a48a15a" role="definitions" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="6">“(6) </num><chapeau>The term ‘<term>criminal justice agency</term>’ means a State, local, or tribal—</chapeau><subparagraph class="fontsize10" id="ycfdba1ff-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">“(A) </num><content>court;</content></subparagraph> <subparagraph class="fontsize10" id="ycfdba200-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">“(B) </num><content>prison;</content></subparagraph> <subparagraph class="fontsize10" id="ycfdba201-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">“(C) </num><content>jail;</content></subparagraph> <subparagraph class="fontsize10" id="ycfdba202-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="D">“(D) </num><content>law enforcement agency; or</content></subparagraph> <subparagraph class="fontsize10" id="ycfdba203-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="E">“(E) </num><content>other agency that performs the administration of criminal justice, including prosecution, pretrial services, and community supervision.</content></subparagraph> </paragraph> <paragraph class="indentDown1 fontsize10" id="ycfdba204-e85f-11f0-a1e4-69761a48a15a" role="definitions" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="7">“(7) </num><content>The term ‘<term>tribal organization</term>’ has the meaning given that term in section 4 of the Indian Self-Determination and Education Assistance Act (<ref href="/us/usc/t25/s450b">25 U.S.C. 450b</ref>).</content></paragraph> <paragraph class="indentDown1 fontsize10" id="ycfdba205-e85f-11f0-a1e4-69761a48a15a" role="definitions" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="8">“(8) </num><content>The term ‘<term>State substance abuse agency</term>’ has the meaning given that term in section 508(r)(6) of the Public Health Service Act (<ref href="/us/usc/t42/s290bb–1">42 U.S.C. 290bb–1</ref>).”</content></paragraph> </section> </part> </quotedContent>.</content></paragraph> <paragraph class="fontsize10" id="ycfdba206-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tII/s201/a/2" role="instruction" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><heading class="fontsize10"><inline class="smallCaps">Authorization of appropriations</inline>.—</heading><content>Section 1001(a) of title I of the Omnibus Crime Control and Safe Streets Act of 1968 (<ref href="/us/usc/t42/s3793/a">42 U.S.C. 3793(a)</ref>) <amendingAction type="amend">is amended</amendingAction> by <amendingAction type="insert">inserting</amendingAction> after paragraph (26) the following:<quotedContent><paragraph class="indentUp0 fontsize10" id="ycfdbc917-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="27">“(27) </num><content>There are authorized to be appropriated to carry out part LL $103,000,000 for each of fiscal years 2017 through 2021.”</content></paragraph> </quotedContent>.</content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ycfdbc918-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tII/s201/b" role="instruction" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="b">(b) </num><heading class="fontsize10"><inline class="smallCaps">Emergency Federal Law Enforcement Assistance</inline>.—</heading><content>Section 609Y(a) of the Justice Assistance Act of 1984 (<ref href="/us/usc/t42/s10513/a">42 U.S.C. 10513(a)</ref>) <amendingAction type="amend">is amended</amendingAction> by <amendingAction type="delete">striking</amendingAction> “<quotedText>September 30, 1984</quotedText>” and <amendingAction type="insert">inserting</amendingAction> “<quotedText>September 30, 2021</quotedText>”.</content></subsection> <subsection class="firstIndent0 fontsize10" id="ycfdbc919-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tII/s201/c" role="instruction" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="c">(c) </num><heading class="fontsize10"><inline class="smallCaps">Inclusion of Services for Pregnant Women Under Family-Based Substance Abuse Grants</inline>.—</heading><chapeau>Part DD of title I of the Omnibus Crime Control and Safe Streets Act (<ref href="/us/usc/t42/s3797s/etseq">42 U.S.C. 3797s et seq.</ref>) <amendingAction type="amend">is amended</amendingAction>—</chapeau><paragraph class="fontsize10" id="ycfdbc91a-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tII/s201/c/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfdbc91b-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180"><ref href="/us/usc/t42/s3797s">42 USC 3797s</ref>.</p></sidenote><content>in section 2921(2), by <amendingAction type="insert">inserting</amendingAction> before the period at the end “<quotedText>or pregnant women</quotedText>”; and</content></paragraph> <paragraph class="fontsize10" id="ycfdbc91c-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tII/s201/c/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfdbc91d-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180"><ref href="/us/usc/t42/s3797s–6">42 USC 3797s–6</ref>.</p></sidenote><chapeau>in section 2927—</chapeau><subparagraph class="fontsize10" id="ycfdbc91e-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tII/s201/c/2/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>in paragraph (1)(A), by <amendingAction type="insert">inserting</amendingAction> “<quotedText>pregnant or</quotedText>” before “<quotedText>a parent</quotedText>”; and</content></subparagraph> <subparagraph class="fontsize10" id="ycfdbc91f-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tII/s201/c/2/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>in paragraph (3), by <amendingAction type="insert">inserting</amendingAction> “<quotedText>or pregnant women</quotedText>” after “<quotedText>incarcerated parents</quotedText>”.</content></subparagraph> </paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ycfdbc920-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tII/s201/d" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="d">(d) </num><heading class="fontsize10"><inline class="smallCaps">GAO Study and Report on Federal Agency Programs and Research Relative to Substance Use and Substance Use Disorders Among Adolescents and Young Adults</inline>.—</heading><paragraph class="fontsize10" id="ycfdbc921-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tII/s201/d/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><heading class="fontsize10"><inline class="smallCaps">Study</inline>.—</heading><chapeau>The Comptroller General of the United States shall conduct a study on how Federal agencies, through grant programs, are addressing prevention of, treatment for, and <page identifier="/us/stat/130/715">130 STAT. 715</page> recovery from, substance use by, and substance use disorders among, adolescents and young adults. Such study shall include an analysis of each of the following:</chapeau><subparagraph class="fontsize10" id="ycfdbc922-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tII/s201/d/1/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><chapeau>The research that has been, and is being, conducted or supported pursuant to grant programs operated by Federal agencies on prevention of, treatment for, and recovery from substance use by and substance use disorders among adolescents and young adults, including an assessment of—</chapeau><clause class="fontsize10" id="ycfdbc923-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tII/s201/d/1/A/i" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">(i) </num><content>such research relative to any unique circumstances (including social and biological circumstances) of adolescents and young adults that may make adolescent-specific and young adult-specific treatment protocols necessary, including any effects that substance use and substance use disorders may have on brain development and the implications for treatment and recovery; and</content></clause> <clause class="fontsize10" id="ycfdbc924-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tII/s201/d/1/A/ii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">(ii) </num><content>areas of such research in which greater investment or focus is necessary relative to other areas of such research.</content></clause> </subparagraph> <subparagraph class="fontsize10" id="ycfdbc925-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tII/s201/d/1/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>Federal agency nonresearch programs and activities that address prevention of, treatment for, and recovery from substance use by and substance use disorders among adolescents and young adults, including an assessment of the effectiveness of such programs and activities in preventing substance use by and substance use disorders among adolescents and young adults, treating such adolescents and young adults in a way that accounts for any unique circumstances faced by adolescents and young adults, and supports long-term recovery among adolescents and young adults.</content></subparagraph> <subparagraph class="fontsize10" id="ycfdbc926-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tII/s201/d/1/C" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">(C) </num><content>Gaps that have been identified by officials of Federal agencies or experts in the efforts supported by grant programs operated by Federal agencies relating to prevention of, treatment for, and recovery from substance use by and substance use disorders among adolescents and young adults, including gaps in research, data collection, and measures to evaluate the effectiveness of such efforts, and the reasons for such gaps.</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ycfdbc927-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tII/s201/d/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><heading class="fontsize10"><inline class="smallCaps">Report</inline>.—</heading><chapeau>Not later than 2 years after the date of enactment of this Act, the Comptroller General shall submit to the appropriate committees of the Congress a report containing the results of the study conducted under paragraph (1), including—</chapeau><subparagraph class="fontsize10" id="ycfdbc928-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tII/s201/d/2/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfdbc929-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Summary.</p></sidenote><content>a summary of the findings of the study; and</content></subparagraph> <subparagraph class="fontsize10" id="ycfdbc92a-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tII/s201/d/2/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfdbc92b-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Recommenda-</p><p class="leftAlign firstIndent0 fontsize8" id="xcfdbc92c-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">tions.</p></sidenote><content>recommendations based on the results of the study, including recommendations for such areas of research and legislative and administrative action as the Comptroller General determines appropriate.</content></subparagraph> </paragraph> </subsection> </section> <section id="d239274e3168" identifier="/us/pl/114/198/tII/s202" role="instruction" style="-uslm-lc:I658143"><num class="fontsize12" value="202">SEC. 202. </num><heading>FIRST RESPONDER TRAINING.</heading><content class="firstIndent0 fontsize10" id="xcfdc174d-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658120">  Part D of title V of the Public Health Service Act (<ref href="/us/usc/t42/s290dd/etseq">42 U.S.C. 290dd et seq.</ref>), as amended by section 110, is further amended by <amendingAction type="add">adding</amendingAction> at the end the following:<quotedContent><section class="centered fontsize12" id="ycfdc8c7e-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658143"><num class="fontsize12" value="546">“SEC. 546. </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfdc8c7f-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180"><ref href="/us/usc/t42/s290ee–1">42 USC 290ee–1</ref>.</p></sidenote><heading class="fontsize12">FIRST RESPONDER TRAINING.</heading><subsection class="firstIndent0 fontsize10" id="ycfdc8c80-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="a">“(a) </num><heading class="fontsize10"><inline class="smallCaps">Program Authorized</inline>.—</heading><content>The Secretary shall make grants to States, local governmental entities, and Indian tribes and tribal <page identifier="/us/stat/130/716">130 STAT. 716</page> organizations (as defined in section 4 of the Indian Self-Determination and Education Assistance Act) to allow first responders and members of other key community sectors to administer a drug or device approved or cleared under the Federal Food, Drug, and Cosmetic Act for emergency treatment of known or suspected opioid overdose.</content></subsection> <subsection class="firstIndent0 fontsize10" id="ycfdc8c81-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="b">“(b) </num><heading class="fontsize10"><inline class="smallCaps">Application</inline>.—</heading><paragraph class="fontsize10" id="ycfdc8c82-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">“(1) </num><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><chapeau>An entity seeking a grant under this section shall submit an application to the Secretary—</chapeau><subparagraph class="fontsize10" id="ycfdc8c83-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">“(A) </num><content>that meets the criteria under paragraph (2); and</content></subparagraph> <subparagraph class="fontsize10" id="ycfdc8c84-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">“(B) </num><content>at such time, in such manner, and accompanied by such information as the Secretary may require.</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ycfdc8c85-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">“(2) </num><heading class="fontsize10"><inline class="smallCaps">Criteria</inline>.—</heading><chapeau>An entity, in submitting an application under paragraph (1), shall—</chapeau><subparagraph class="fontsize10" id="ycfdc8c86-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">“(A) </num><content>describe the evidence-based methodology and outcome measurements that will be used to evaluate the program funded with a grant under this section, and specifically explain how such measurements will provide valid measures of the impact of the program;</content></subparagraph> <subparagraph class="fontsize10" id="ycfdc8c87-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">“(B) </num><content>describe how the program could be broadly replicated if demonstrated to be effective;</content></subparagraph> <subparagraph class="fontsize10" id="ycfdc8c88-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">“(C) </num><content>identify the governmental and community agencies with which the entity will coordinate to implement the program; and</content></subparagraph> <subparagraph class="fontsize10" id="ycfdc8c89-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="D">“(D) </num><content>describe how the entity will ensure that law enforcement agencies will coordinate with their corresponding State substance abuse and mental health agencies to identify protocols and resources that are available to overdose victims and families, including information on treatment and recovery resources.</content></subparagraph> </paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ycfdc8c8a-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="c">“(c) </num><heading class="fontsize10"><inline class="smallCaps">Use of Funds</inline>.—</heading><chapeau>An entity shall use a grant received under this section to—</chapeau><paragraph class="fontsize10" id="ycfdc8c8b-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">“(1) </num><content>make a drug or device approved or cleared under the Federal Food, Drug, and Cosmetic Act for emergency treatment of known or suspected opioid overdose available to be carried and administered by first responders and members of other key community sectors;</content></paragraph> <paragraph class="fontsize10" id="ycfdc8c8c-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">“(2) </num><content>train and provide resources for first responders and members of other key community sectors on carrying and administering a drug or device approved or cleared under the Federal Food, Drug, and Cosmetic Act for emergency treatment of known or suspected opioid overdose; and</content></paragraph> <paragraph class="fontsize10" id="ycfdc8c8d-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">“(3) </num><content>establish processes, protocols, and mechanisms for referral to appropriate treatment, which may include an outreach coordinator or team to connect individuals receiving opioid overdose reversal drugs to followup services.</content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ycfdc8c8e-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="d">“(d) </num><heading class="fontsize10"><inline class="smallCaps">Technical Assistance Grants</inline>.—</heading><content>The Secretary shall make a grant for the purpose of providing technical assistance and training on the use of a drug or device approved or cleared under the Federal Food, Drug, and Cosmetic Act for emergency treatment of known or suspected opioid overdose, and mechanisms for referral to appropriate treatment for an entity receiving a grant under this section.</content></subsection> <subsection class="firstIndent0 fontsize10" id="ycfdc8c8f-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="e">“(e) </num><heading class="fontsize10"><inline class="smallCaps">Geographic Distribution</inline>.—</heading><content>In making grants under this section, the Secretary shall ensure that not less than 20 percent of grant funds are awarded to eligible entities that are not located <page identifier="/us/stat/130/717">130 STAT. 717</page> in metropolitan statistical areas (as defined by the Office of Management and Budget). The Secretary shall take into account the unique needs of rural communities, including communities with an incidence of individuals with opioid use disorder that is above the national average and communities with a shortage of prevention and treatment services.</content></subsection> <subsection class="firstIndent0 fontsize10" id="ycfdc8c90-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="f">“(f) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfdc8c91-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Determination.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">Evaluation</inline>.—</heading><chapeau>The Secretary shall conduct an evaluation of grants made under this section to determine—</chapeau><paragraph class="fontsize10" id="ycfdc8c92-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">“(1) </num><content>the number of first responders and members of other key community sectors equipped with a drug or device approved or cleared under the Federal Food, Drug, and Cosmetic Act for emergency treatment of known or suspected opioid overdose;</content></paragraph> <paragraph class="fontsize10" id="ycfdc8c93-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">“(2) </num><content>the number of opioid and heroin overdoses reversed by first responders and members of other key community sectors receiving training and supplies of a drug or device approved or cleared under the Federal Food, Drug, and Cosmetic Act for emergency treatment of known or suspected opioid overdose, through a grant received under this section;</content></paragraph> <paragraph class="fontsize10" id="ycfdc8c94-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">“(3) </num><content>the number of responses to requests for services by the entity or subgrantee, to opioid and heroin overdose; and</content></paragraph> <paragraph class="fontsize10" id="ycfdc8c95-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="4">“(4) </num><content>the extent to which overdose victims and families receive information about treatment services and available data describing treatment admissions.</content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ycfdc8c96-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="g">“(g) </num><heading class="fontsize10"><inline class="smallCaps">Authorization of Appropriations</inline>.—</heading><content>To carry out this section, there are authorized to be appropriated $12,000,000 for each of fiscal years 2017 through 2021.”</content></subsection> </section> </quotedContent>.</content></section> <section id="d239274e3352" identifier="/us/pl/114/198/tII/s203" style="-uslm-lc:I658143"><num class="fontsize12" value="203">SEC. 203. </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfdc8c97-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180"><ref href="/us/usc/t21/s822a">21 USC 822a</ref>.</p></sidenote><heading>PRESCRIPTION DRUG TAKE BACK EXPANSION.</heading><subsection class="firstIndent0 fontsize10" id="ycfdcdab8-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tII/s203/a" role="definitions" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="a">(a) </num><heading class="fontsize10"><inline class="smallCaps">Definition of Covered Entity</inline>.—</heading><chapeau>In this section, the term “<term>covered entity</term>” means—</chapeau><paragraph class="fontsize10" id="ycfdcdab9-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tII/s203/a/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><content>a State, local, or tribal law enforcement agency;</content></paragraph> <paragraph class="fontsize10" id="ycfdcdaba-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tII/s203/a/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><content>a manufacturer, distributor, or reverse distributor of prescription medications;</content></paragraph> <paragraph class="fontsize10" id="ycfdcdabb-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tII/s203/a/3" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">(3) </num><content>a retail pharmacy;</content></paragraph> <paragraph class="fontsize10" id="ycfdcdabc-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tII/s203/a/4" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="4">(4) </num><content>a registered narcotic treatment program;</content></paragraph> <paragraph class="fontsize10" id="ycfdcdabd-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tII/s203/a/5" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="5">(5) </num><content>a hospital or clinic with an onsite pharmacy;</content></paragraph> <paragraph class="fontsize10" id="ycfdcdabe-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tII/s203/a/6" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="6">(6) </num><content>an eligible long-term care facility; or</content></paragraph> <paragraph class="fontsize10" id="ycfdcdabf-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tII/s203/a/7" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="7">(7) </num><content>any other entity authorized by the Drug Enforcement Administration to dispose of prescription medications.</content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ycfdcdac0-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tII/s203/b" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="b">(b) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfdcdac1-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Coordination.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">Program Authorized</inline>.—</heading><content>The Attorney General, in coordination with the Administrator of the Drug Enforcement Administration, the Secretary of Health and Human Services, and the Director of the Office of National Drug Control Policy, shall coordinate with covered entities in expanding or making available disposal sites for unwanted prescription medications.</content></subsection> </section> <num value="III">TITLE III—</num><heading>TREATMENT AND RECOVERY</heading> <section id="d239274e3426" identifier="/us/pl/114/198/tIII/s301" role="instruction" style="-uslm-lc:I658143"><num class="fontsize12" value="301">SEC. 301. </num><heading>EVIDENCE-BASED PRESCRIPTION OPIOID AND HEROIN TREATMENT AND INTERVENTIONS DEMONSTRATION.</heading><content class="firstIndent0 fontsize10" id="xcfdd28e2-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658120">  Subpart 1 of part B of title V of the Public Health Service Act (<ref href="/us/usc/t42/s290bb/etseq">42 U.S.C. 290bb et seq.</ref>) <amendingAction type="amend">is amended</amendingAction> by <amendingAction type="add">adding</amendingAction> at the end the following:<quotedContent><section class="indentUp2 firstIndent-2" id="ycfdd7703-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658144"><num class="bold" value="514B">“SEC. 514B. </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfdd7704-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">42 USC</p><p class="leftAlign firstIndent0 fontsize8" id="xcfdd7705-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">290bb–10.</p></sidenote><heading class="bold">EVIDENCE-BASED PRESCRIPTION OPIOID AND HEROIN TREATMENT AND INTERVENTIONS DEMONSTRATION.</heading><subsection class="indentDown2 firstIndent0 fontsize10" id="ycfdd7706-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="a">“(a) </num><heading class="fontsize10"><inline class="smallCaps">Grants To Expand Access</inline>.—</heading><page identifier="/us/stat/130/718">130 STAT. 718</page> <paragraph class="fontsize10" id="ycfdd7707-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">“(1) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfdd7708-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Contracts.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">Authority to award grants</inline>.—</heading><content>The Secretary shall award grants, contracts, or cooperative agreements to State substance abuse agencies, units of local government, nonprofit organizations, and Indian tribes and tribal organizations (as defined in section 4 of the Indian Self-Determination and Education Assistance Act) that have a high rate, or have had a rapid increase, in the use of heroin or other opioids, in order to permit such entities to expand activities, including an expansion in the availability of evidence-based medication-assisted treatment and other clinically appropriate services, with respect to the treatment of addiction in the specific geographical areas of such entities where there is a high rate or rapid increase in the use of heroin or other opioids, such as in rural areas.</content></paragraph> <paragraph class="fontsize10" id="ycfdd7709-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">“(2) </num><heading class="fontsize10"><inline class="smallCaps">Nature of activities</inline>.—</heading><content>Funds awarded under paragraph (1) shall be used for activities that are based on reliable scientific evidence of efficacy in the treatment of problems related to heroin or other opioids.</content></paragraph> </subsection> <subsection class="indentDown2 firstIndent0 fontsize10" id="ycfdd770a-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="b">“(b) </num><heading class="fontsize10"><inline class="smallCaps">Application</inline>.—</heading><content>To be eligible for a grant, contract, or cooperative agreement under subsection (a), an entity shall submit an application to the Secretary at such time, in such manner, and accompanied by such information as the Secretary may reasonably require.</content></subsection> <subsection class="indentDown2 firstIndent0 fontsize10" id="ycfdd770b-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="c">“(c) </num><heading class="fontsize10"><inline class="smallCaps">Evaluation</inline>.—</heading><content>An entity that receives a grant, contract, or cooperative agreement under subsection (a) shall submit, in the application for such grant, contract, or agreement a plan for the evaluation of any project undertaken with funds provided under this section. Such entity shall provide the Secretary with periodic evaluations of the progress of such project and an evaluation at the completion of such project as the Secretary determines to be appropriate.</content></subsection> <subsection class="indentDown2 firstIndent0 fontsize10" id="ycfdd770c-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="d">“(d) </num><heading class="fontsize10"><inline class="smallCaps">Geographic Distribution</inline>.—</heading><content>In awarding grants, contracts, and cooperative agreements under this section, the Secretary shall ensure that not less than 15 percent of funds are awarded to eligible entities that are not located in metropolitan statistical areas (as defined by the Office of Management and Budget). The Secretary shall take into account the unique needs of rural communities, including communities with an incidence of individuals with opioid use disorder that is above the national average and communities with a shortage of prevention and treatment services.</content></subsection> <subsection class="indentDown2 firstIndent0 fontsize10" id="ycfdd770d-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="e">“(e) </num><heading class="fontsize10"><inline class="smallCaps">Additional Activities</inline>.—</heading><chapeau>In administering grants, contracts, and cooperative agreements under subsection (a), the Secretary shall—</chapeau><paragraph class="fontsize10" id="ycfdd770e-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">“(1) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfdd770f-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Evaluation.</p></sidenote><content>evaluate the activities supported under such subsection;</content></paragraph> <paragraph class="fontsize10" id="ycfdd7710-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">“(2) </num><content>disseminate information, as appropriate, derived from evaluations as the Secretary considers appropriate;</content></paragraph> <paragraph class="fontsize10" id="ycfdd7711-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">“(3) </num><content>provide States, Indian tribes and tribal organizations, and providers with technical assistance in connection with the provision of treatment of problems related to heroin and other opioids; and</content></paragraph> <paragraph class="fontsize10" id="ycfdd7712-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="4">“(4) </num><content>fund only those applications that specifically support recovery services as a critical component of the program involved.</content></paragraph> </subsection> <subsection class="indentDown2 firstIndent0 fontsize10" id="ycfdd7713-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="f">“(f) </num><heading class="fontsize10"><inline class="smallCaps">Authorization of Appropriations</inline>.—</heading><content>To carry out this section, there are authorized to be appropriated $25,000,000 for each of fiscal years 2017 through 2021.”</content></subsection> </section> </quotedContent>.<page identifier="/us/stat/130/719">130 STAT. 719</page></content></section> <section id="d239274e3559" identifier="/us/pl/114/198/tIII/s302" role="instruction" style="-uslm-lc:I658143"><num class="fontsize12" value="302">SEC. 302. </num><heading>BUILDING COMMUNITIES OF RECOVERY.</heading><content class="firstIndent0 fontsize10" id="xcfddc534-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658120">  Part D of title V of the Public Health Service Act (<ref href="/us/usc/t42/s290dd/etseq">42 U.S.C. 290dd et seq.</ref>), as amended by section 202, is further amended by <amendingAction type="add">adding</amendingAction> at the end the following:<quotedContent><section class="centered fontsize12" id="ycfde1355-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658143"><num class="fontsize12" value="547">“SEC. 547. </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfde3a66-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180"><ref href="/us/usc/t42/s290ee–2">42 USC 290ee–2</ref>.</p></sidenote><heading class="fontsize12">BUILDING COMMUNITIES OF RECOVERY.</heading><subsection class="firstIndent0 fontsize10" id="ycfde3a67-e85f-11f0-a1e4-69761a48a15a" role="definitions" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="a">“(a) </num><heading class="fontsize10"><inline class="smallCaps">Definition</inline>.—</heading><chapeau>In this section, the term ‘<term>recovery community organization</term>’ means an independent nonprofit organization that—</chapeau><paragraph class="fontsize10" id="ycfde3a68-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">“(1) </num><content>mobilizes resources within and outside of the recovery community to increase the prevalence and quality of long-term recovery from substance use disorders; and</content></paragraph> <paragraph class="fontsize10" id="ycfde3a69-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">“(2) </num><content>is wholly or principally governed by people in recovery for substance use disorders who reflect the community served.</content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ycfde3a6a-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="b">“(b) </num><heading class="fontsize10"><inline class="smallCaps">Grants Authorized</inline>.—</heading><content>The Secretary shall award grants to recovery community organizations to enable such organizations to develop, expand, and enhance recovery services.</content></subsection> <subsection class="firstIndent0 fontsize10" id="ycfde3a6b-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="c">“(c) </num><heading class="fontsize10"><inline class="smallCaps">Federal Share</inline>.—</heading><content>The Federal share of the costs of a program funded by a grant under this section may not exceed 50 percent.</content></subsection> <subsection class="firstIndent0 fontsize10" id="ycfde3a6c-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="d">“(d) </num><heading class="fontsize10"><inline class="smallCaps">Use of Funds</inline>.—</heading><chapeau>Grants awarded under subsection (b)—</chapeau><paragraph class="fontsize10" id="ycfde3a6d-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">“(1) </num><content>shall be used to develop, expand, and enhance community and statewide recovery support services; and</content></paragraph> <paragraph class="fontsize10" id="ycfde3a6e-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">“(2) </num><chapeau>may be used to—</chapeau><subparagraph class="fontsize10" id="ycfde3a6f-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">“(A) </num><chapeau>build connections between recovery networks, between recovery community organizations, and with other recovery support services, including—</chapeau><clause class="fontsize10" id="ycfde3a70-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">“(i) </num><content>behavioral health providers;</content></clause> <clause class="fontsize10" id="ycfde3a71-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">“(ii) </num><content>primary care providers and physicians;</content></clause> <clause class="fontsize10" id="ycfde3a72-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="iii">“(iii) </num><content>the criminal justice system;</content></clause> <clause class="fontsize10" id="ycfde3a73-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="iv">“(iv) </num><content>employers;</content></clause> <clause class="fontsize10" id="ycfde3a74-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="v">“(v) </num><content>housing services;</content></clause> <clause class="fontsize10" id="ycfde3a75-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="vi">“(vi) </num><content>child welfare agencies; and</content></clause> <clause class="fontsize10" id="ycfde3a76-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="vii">“(vii) </num><content>other recovery support services that facilitate recovery from substance use disorders;</content></clause> </subparagraph> <subparagraph class="fontsize10" id="ycfde3a77-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">“(B) </num><content>reduce the stigma associated with substance use disorders; and</content></subparagraph> <subparagraph class="fontsize10" id="ycfde3a78-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">“(C) </num><chapeau>conduct outreach on issues relating to substance use disorders and recovery, including—</chapeau><clause class="fontsize10" id="ycfde3a79-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">“(i) </num><content>identifying the signs of addiction;</content></clause> <clause class="fontsize10" id="ycfde3a7a-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">“(ii) </num><content>the resources available to individuals struggling with addiction and to families with a family member struggling with, or being treated for, addiction, including programs that mentor and provide support services to children;</content></clause> <clause class="fontsize10" id="ycfde3a7b-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="iii">“(iii) </num><content>the resources available to help support individuals in recovery; and</content></clause> <clause class="fontsize10" id="ycfde3a7c-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="iv">“(iv) </num><content>related medical outcomes of substance use disorders, the potential of acquiring an infectious disease from intravenous drug use, and neonatal abstinence syndrome among infants exposed to opioids during pregnancy.</content></clause> </subparagraph> </paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ycfde3a7d-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="e">“(e) </num><heading class="fontsize10"><inline class="smallCaps">Authorization of Appropriations</inline>.—</heading><content>There are authorized to be appropriated to carry out this section $1,000,000 for each of fiscal years 2017 through 2021.”</content></subsection> </section> </quotedContent>.<page identifier="/us/stat/130/720">130 STAT. 720</page></content></section> <section id="d239274e3725" identifier="/us/pl/114/198/tIII/s303" style="-uslm-lc:I658143"><num class="fontsize12" value="303">SEC. 303. </num><heading>MEDICATION-ASSISTED TREATMENT FOR RECOVERY FROM ADDICTION.</heading><subsection class="firstIndent0 fontsize10" id="ycfdf9a0e-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIII/s303/a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="a">(a) </num><heading class="fontsize10"><inline class="smallCaps">In General</inline>.—</heading><paragraph class="fontsize10" id="ycfdf9a0f-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIII/s303/a/1" role="instruction" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><chapeau>Section 303(g)(2) of the Controlled Substances Act (<ref href="/us/usc/t21/s823/g/2">21 U.S.C. 823(g)(2)</ref>) <amendingAction type="amend">is amended</amendingAction>—</chapeau><subparagraph class="fontsize10" id="ycfdf9a10-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIII/s303/a/1/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>in subparagraph (B), by <amendingAction type="delete">striking</amendingAction> clauses (i), (ii), and (iii) and <amendingAction type="insert">inserting</amendingAction> the following:<quotedContent><clause class="indentDown1 fontsize10" id="ycfdfc121-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">“(i) </num><content>The practitioner is a qualifying practitioner (as defined in subparagraph (G)).</content></clause> <clause class="indentDown1 fontsize10" id="ycfdfc122-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">“(ii) </num><chapeau>With respect to patients to whom the practitioner will provide such drugs or combinations of drugs, the practitioner has the capacity to provide directly, by referral, or in such other manner as determined by the Secretary—</chapeau><subclause class="fontsize10" id="ycfdfc123-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="I">“(I) </num><content>all drugs approved by the Food and Drug Administration for the treatment of opioid use disorder, including for maintenance, detoxification, overdose reversal, and relapse prevention; and</content></subclause> <subclause class="fontsize10" id="ycfdfc124-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="II">“(II) </num><content>appropriate counseling and other appropriate ancillary services.</content></subclause> </clause> <clause class="indentDown1 fontsize10" id="ycfdfc125-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="iii">“(iii)</num><subclause class="inline" id="ycfdfc126-e85f-11f0-a1e4-69761a48a15a"><num value="I">(I) </num><content>The total number of such patients of the practitioner at any one time will not exceed the applicable number. Except as provided in subclause (II), the applicable number is 30.</content></subclause> <subclause class="indentUp0 fontsize10" id="ycfdfc127-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="II">“(II) </num><content>The applicable number is 100 if, not sooner than 1 year after the date on which the practitioner submitted the initial notification, the practitioner submits a second notification to the Secretary of the need and intent of the practitioner to treat up to 100 patients.</content></subclause> <subclause class="indentUp0 fontsize10" id="ycfdfc128-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="III">“(III) </num><content>The Secretary may by regulation change such applicable number.</content></subclause> <subclause class="indentUp0 fontsize10" id="ycfdfc129-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="IV">“(IV) </num><content>The Secretary may exclude from the applicable number patients to whom such drugs or combinations of drugs are directly administered by the qualifying practitioner in the office setting.”</content></subclause> </clause> </quotedContent>;</content></subparagraph> <subparagraph class="fontsize10" id="ycfdfc12a-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIII/s303/a/1/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><chapeau>in subparagraph (D)—</chapeau><clause class="fontsize10" id="ycfdfc12b-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIII/s303/a/1/B/i" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">(i) </num><content>in clause (ii), by <amendingAction type="delete">striking</amendingAction> “<quotedText>Upon receiving a notification under subparagraph (B)</quotedText>” and <amendingAction type="insert">inserting</amendingAction> “<quotedText>Upon receiving a determination from the Secretary under clause (iii) finding that a practitioner meets all requirements for a waiver under subparagraph (B)</quotedText>”; and</content></clause> <clause class="fontsize10" id="ycfdfc12c-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIII/s303/a/1/B/ii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">(ii) </num><chapeau>in clause (iii)—</chapeau><subclause class="fontsize10" id="ycfdfc12d-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIII/s303/a/1/B/ii/I" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="I">(I) </num><content>by <amendingAction type="insert">inserting</amendingAction> “<quotedText>and shall forward such determination to the Attorney General</quotedText>” before the period at the end of the first sentence; and</content></subclause> <subclause class="fontsize10" id="ycfdfc12e-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIII/s303/a/1/B/ii/II" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="II">(II) </num><content>by <amendingAction type="delete">striking</amendingAction> “<quotedText>physician</quotedText>” and <amendingAction type="insert">inserting</amendingAction> “<quotedText>practitioner</quotedText>”;</content></subclause> </clause> </subparagraph> <subparagraph class="fontsize10" id="ycfdfc12f-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIII/s303/a/1/C" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">(C) </num><chapeau>in subparagraph (G)—</chapeau><clause class="fontsize10" id="ycfdfc130-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIII/s303/a/1/C/i" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">(i) </num><content>by <amendingAction type="amend">amending</amendingAction> clause (ii)(I) to read as follows:<quotedContent><subclause class="fontsize10" id="ycfdfe841-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="I">“(I) </num><content>The physician holds a board certification in addiction psychiatry or addiction medicine from the American Board of Medical Specialties.”</content></subclause> </quotedContent>;</content></clause> <clause class="fontsize10" id="ycfdfe842-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIII/s303/a/1/C/ii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">(ii) </num><content>by <amendingAction type="amend">amending</amendingAction> clause (ii)(II) to read as follows:<quotedContent><subparagraph class="fontsize10" id="ycfdfe843-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="II">“(II) </num><content>The physician holds an addiction certification or board certification from the American Society of Addiction Medicine or the American Board of Addiction Medicine.”</content></subparagraph> </quotedContent>;</content></clause> <clause class="fontsize10" id="ycfdfe844-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIII/s303/a/1/C/iii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="iii">(iii) </num><content>in clause (ii)(III), by <amendingAction type="delete">striking</amendingAction> “<quotedText>subspecialty</quotedText>”;<page identifier="/us/stat/130/721">130 STAT. 721</page></content></clause> <clause class="fontsize10" id="ycfdfe845-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIII/s303/a/1/C/iv" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="iv">(iv) </num><content>by <amendingAction type="amend">amending</amendingAction> clause (ii)(IV) to read as follows:<quotedContent><subclause class="indentDown1 fontsize10" id="ycfe00f56-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="IV">“(IV) </num><chapeau>The physician has, with respect to the treatment and management of opiate-dependent patients, completed not less than 8 hours of training (through classroom situations, seminars at professional society meetings, electronic communications, or otherwise) that is provided by the American Society of Addiction Medicine, the American Academy of Addiction Psychiatry, the American Medical Association, the American Osteopathic Association, the American Psychiatric Association, or any other organization that the Secretary determines is appropriate for purposes of this subclause. Such training shall include—</chapeau><item class="fontsize10" id="ycfe00f57-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="aa">“(aa) </num><content>opioid maintenance and detoxification;</content></item> <item class="fontsize10" id="ycfe00f58-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="bb">“(bb) </num><content>appropriate clinical use of all drugs approved by the Food and Drug Administration for the treatment of opioid use disorder;</content></item> <item class="fontsize10" id="ycfe00f59-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="cc">“(cc) </num><content>initial and periodic patient assessments (including substance use monitoring);</content></item> <item class="fontsize10" id="ycfe00f5a-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="dd">“(dd) </num><content>individualized treatment planning, overdose reversal, and relapse prevention;</content></item> <item class="fontsize10" id="ycfe00f5b-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ee">“(ee) </num><content>counseling and recovery support services;</content></item> <item class="fontsize10" id="ycfe00f5c-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ff">“(ff) </num><content>staffing roles and considerations;</content></item> <item class="fontsize10" id="ycfe00f5d-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="gg">“(gg) </num><content>diversion control; and</content></item> <item class="fontsize10" id="ycfe00f5e-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="hh">“(hh) </num><content>other best practices, as identified by the Secretary.”</content></item> </subclause> </quotedContent>; and</content></clause> <clause class="fontsize10" id="ycfe00f5f-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIII/s303/a/1/C/v" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="v">(v) </num><content>by <amendingAction type="add">adding</amendingAction> at the end the following:<quotedContent><clause class="indentDown2 fontsize10" id="ycfe05d80-e85f-11f0-a1e4-69761a48a15a" role="definitions" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="iii">“(iii) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfe05d81-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Definition.</p></sidenote><chapeau>The term ‘<term>qualifying practitioner</term>’ means—</chapeau><subclause class="fontsize10" id="ycfe05d82-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="I">“(I) </num><content>a qualifying physician, as defined in clause (ii); or</content></subclause> <subclause class="fontsize10" id="ycfe05d83-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="II">“(II) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfe05d84-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Time period.</p></sidenote><content>during the period beginning on the date of enactment of the Comprehensive Addiction and Recovery Act of 2016 and ending on October 1, 2021, a qualifying other practitioner, as defined in clause (iv).</content></subclause> </clause> <clause class="indentDown2 fontsize10" id="ycfe05d85-e85f-11f0-a1e4-69761a48a15a" role="definitions" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="iv">“(iv) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfe05d86-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Definition.</p></sidenote><chapeau>The term ‘<term>qualifying other practitioner</term>’ means a nurse practitioner or physician assistant who satisfies each of the following:</chapeau><subclause class="fontsize10" id="ycfe05d87-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="I">“(I) </num><content>The nurse practitioner or physician assistant is licensed under State law to prescribe schedule III, IV, or V medications for the treatment of pain.</content></subclause> <subclause class="fontsize10" id="ycfe05d88-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="II">“(II) </num><chapeau>The nurse practitioner or physician assistant has—</chapeau><item class="fontsize10" id="ycfe05d89-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="aa">“(aa) </num><content>completed not fewer than 24 hours of initial training addressing each of the topics listed in clause (ii)(IV) (through classroom situations, seminars at professional society meetings, electronic communications, or otherwise) provided by the American Society of Addiction Medicine, the American Academy of Addiction Psychiatry, the American Medical Association, the American Osteopathic Association, the American Nurses Credentialing Center, the American Psychiatric Association, the American Association of Nurse Practitioners, the American Academy of Physician Assistants, or any other organization that the Secretary determines is appropriate for purposes of this subclause; or</content></item> <item class="fontsize10" id="ycfe05d8a-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="bb">“(bb) </num><content>has such other training or experience as the Secretary determines will demonstrate the ability of <page identifier="/us/stat/130/722">130 STAT. 722</page> the nurse practitioner or physician assistant to treat and manage opiate-dependent patients.</content></item> </subclause> <subclause class="fontsize10" id="ycfe05d8b-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="III">“(III) </num><content>The nurse practitioner or physician assistant is supervised by, or works in collaboration with, a qualifying physician, if the nurse practitioner or physician assistant is required by State law to prescribe medications for the treatment of opioid use disorder in collaboration with or under the supervision of a physician.</content></subclause> <continuation class="firstIndent1 fontsize10" id="xcfe05d8c-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122">The Secretary may, by regulation, revise the requirements for being a qualifying other practitioner under this clause.”</continuation></clause> </quotedContent>; and</content></clause> </subparagraph> <subparagraph class="fontsize10" id="ycfe05d8d-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIII/s303/a/1/D" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="D">(D) </num><chapeau>in subparagraph (H)—</chapeau><clause class="fontsize10" id="ycfe05d8e-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIII/s303/a/1/D/i" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">(i) </num><content>in clause (i), by <amendingAction type="insert">inserting</amendingAction> after subclause (II) the following:<quotedContent><subclause class="indentDown2 fontsize10" id="ycfe05d8f-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="III">“(III) </num><content>Such other elements of the requirements under this paragraph as the Secretary determines necessary for purposes of implementing such requirements.”</content></subclause> </quotedContent>; and</content></clause> <clause class="fontsize10" id="ycfe05d90-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIII/s303/a/1/D/ii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">(ii) </num><content>by <amendingAction type="amend">amending</amendingAction> clause (ii) to read as follows:<quotedContent><clause class="indentDown3 firstIndent0 fontsize10" id="ycfe05d91-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">“(ii) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfe05d92-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Deadline.</p></sidenote><content>Not later than 18 months after the date of enactment of the Opioid Use Disorder Treatment Expansion and Modernization Act, the Secretary shall update the treatment improvement protocol containing best practice guidelines for the treatment of opioid-dependent patients in office-based settings.<sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfe05d93-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Consultation.</p></sidenote> The Secretary shall update such protocol in consultation with experts in opioid use disorder research and treatment.”</content></clause> </quotedContent>.</content></clause> </subparagraph> </paragraph> <paragraph class="fontsize10" id="ycfe05d94-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIII/s303/a/2" role="instruction" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><heading class="fontsize10"><inline class="smallCaps">Opioid defined</inline>.—</heading><content>Section 102(18) of the Controlled Substances Act (<ref href="/us/usc/t21/s802/18">21 U.S.C. 802(18)</ref>) <amendingAction type="amend">is amended</amendingAction> by <amendingAction type="insert">inserting</amendingAction> “<quotedText>or ‘opioid’ </quotedText>” after “<quotedText>The term ‘<term>opiate</term>’ </quotedText>”.</content></paragraph> <paragraph class="fontsize10" id="ycfe05d95-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIII/s303/a/3" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">(3) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfe05d96-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180"><ref href="/us/usc/t21/s823">21 USC 823 note</ref>.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">Reports to congress</inline>.—</heading><subparagraph class="fontsize10" id="ycfe05d97-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIII/s303/a/3/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfe05d98-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Consultation.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><chapeau>Not later than 3 years after the date of enactment of this Act and not later than 3 years thereafter, the Secretary of Health and Human Services, in consultation with the Drug Enforcement Administration and experts in opioid use disorder research and treatment, shall—</chapeau><clause class="fontsize10" id="ycfe05d99-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIII/s303/a/3/A/i" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">(i) </num><content>perform a thorough review of the provision of opioid use disorder treatment services in the United States, including services provided in opioid treatment programs and other specialty and nonspecialty settings; and</content></clause> <clause class="fontsize10" id="ycfe05d9a-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIII/s303/a/3/A/ii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">(ii) </num><content>submit a report to the Congress on the findings and conclusions of such review.</content></clause> </subparagraph> <subparagraph class="fontsize10" id="ycfe05d9b-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIII/s303/a/3/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfe05d9c-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Assessment.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">Contents</inline>.—</heading><chapeau>Each report under subparagraph (A) shall include an assessment of—</chapeau><clause class="fontsize10" id="ycfe05d9d-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIII/s303/a/3/B/i" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">(i) </num><content>compliance with the requirements of section 303(g)(2) of the Controlled Substances Act (<ref href="/us/usc/t21/s823/g/2">21 U.S.C. 823(g)(2)</ref>), as amended by this section;</content></clause> <clause class="fontsize10" id="ycfe05d9e-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIII/s303/a/3/B/ii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">(ii) </num><content>the measures taken by the Secretary of Health and Human Services to ensure such compliance;</content></clause> <clause class="fontsize10" id="ycfe05d9f-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIII/s303/a/3/B/iii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="iii">(iii) </num><content>whether there is further need to increase or decrease the number of patients a practitioner, pursuant to a waiver under section 303(g)(2) of the Controlled Substances Act (<ref href="/us/usc/t21/s823/g/2">21 U.S.C. 823(g)(2)</ref>), is permitted to treat;</content></clause> <clause class="fontsize10" id="ycfe05da0-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIII/s303/a/3/B/iv" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="iv">(iv) </num><content>the extent to which, and proportions with which, the full range of Food and Drug Administration-approved treatments for opioid use disorder are used <page identifier="/us/stat/130/723">130 STAT. 723</page> in routine health care settings and specialty substance use disorder treatment settings;</content></clause> <clause class="fontsize10" id="ycfe05da1-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIII/s303/a/3/B/v" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="v">(v) </num><content>access to, and use of, counseling and recovery support services, including the percentage of patients receiving such services;</content></clause> <clause class="fontsize10" id="ycfe05da2-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIII/s303/a/3/B/vi" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="vi">(vi) </num><content>changes in State or local policies and legislation relating to opioid use disorder treatment;</content></clause> <clause class="fontsize10" id="ycfe05da3-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIII/s303/a/3/B/vii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="vii">(vii) </num><content>the use of prescription drug monitoring programs by practitioners who are permitted to dispense narcotic drugs to individuals pursuant to a waiver described in clause (iii);</content></clause> <clause class="fontsize10" id="ycfe05da4-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIII/s303/a/3/B/viii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="viii">(viii) </num><content>the findings resulting from inspections by the Drug Enforcement Administration of practitioners described in clause (vii); and</content></clause> <clause class="fontsize10" id="ycfe05da5-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIII/s303/a/3/B/ix" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ix">(ix) </num><content>the effectiveness of cross-agency collaboration between Department of Health and Human Services and the Drug Enforcement Administration for expanding effective opioid use disorder treatment.</content></clause> </subparagraph> </paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ycfe05da6-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIII/s303/b" role="instruction" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="b">(b) </num><heading class="fontsize10"><inline class="smallCaps">State Flexibility</inline>.—</heading><content>Section 303(g)(2) of the Controlled Substances Act (<ref href="/us/usc/t21/s823/g/2">21 U.S.C. 823(g)(2)</ref>) <amendingAction type="amend">is amended</amendingAction> by <amendingAction type="delete">striking</amendingAction> subparagraphs (I) and (J), and <amendingAction type="insert">inserting</amendingAction> the following:<quotedContent><subparagraph class="indentUp0 firstIndent0 fontsize10" id="ycfe083b7-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="I">“(I) </num><chapeau>Notwithstanding section 708, nothing in this paragraph shall be construed to preempt any State law that—</chapeau><clause class="fontsize10" id="ycfe083b8-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">“(i) </num><content>permits a qualifying practitioner to dispense narcotic drugs in schedule III, IV, or V, or combinations of such drugs, for maintenance or detoxification treatment in accordance with this paragraph to a total number of patients that is more than 30 or less than the total number applicable to the qualifying practitioner under subparagraph (B)(iii)(II) if a State enacts a law modifying such total number and the Attorney General is notified by the State of such modification; or</content></clause> <clause class="fontsize10" id="ycfe083b9-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">“(ii) </num><content>requires a qualifying practitioner to comply with additional requirements relating to the dispensing of narcotic drugs in schedule III, IV, or V, or combinations of such drugs, including requirements relating to the practice setting in which the qualifying practitioner practices and education, training, and reporting requirements.”</content></clause> </subparagraph> </quotedContent>.</content></subsection> <subsection class="firstIndent0 fontsize10" id="ycfe083ba-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIII/s303/c" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="c">(c) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfe083bb-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Deadline.</p><p class="leftAlign firstIndent0 fontsize8" id="xcfe083bc-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180"><ref href="/us/usc/t21/s823">21 USC 823 note</ref>.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">Update Regulations</inline>.—</heading><content>Not later than 18 months after the date of enactment of this Act, the Attorney General and the Secretary of Health and Human Services, as appropriate, shall update regulations regarding practitioners described in subsection (a)(3)(B)(vii) (as amended by this section) to include nurse practitioners and physician assistants to ensure the quality of patient care and prevent diversion.</content></subsection> </section> <num value="IV">TITLE IV—</num><heading>ADDRESSING COLLATERAL CONSEQUENCES</heading> <section id="d239274e4261" identifier="/us/pl/114/198/tIV/s401" style="-uslm-lc:I658143"><num class="fontsize12" value="401">SEC. 401. </num><heading>GAO REPORT ON RECOVERY AND COLLATERAL CONSEQUENCES.</heading><subsection class="firstIndent0 fontsize10" id="ycfe0f8ed-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIV/s401/a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="a">(a) </num><heading class="fontsize10"><inline class="smallCaps">Report Required</inline>.—</heading><chapeau>Not later than 1 year after the date of enactment of this Act, the Comptroller General of the United States shall submit to the Committee on the Judiciary of the Senate and the Committee on the Judiciary of the House of Representatives a report that—<page identifier="/us/stat/130/724">130 STAT. 724</page></chapeau><paragraph class="fontsize10" id="ycfe0f8ee-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIV/s401/a/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><content>describes the collateral consequences for individuals with convictions for nonviolent drug-related offenses;</content></paragraph> <paragraph class="fontsize10" id="ycfe0f8ef-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIV/s401/a/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><content>describes the effect of the collateral consequences described in paragraph (1) on individuals in resuming their personal and professional activities, especially, to the extent data are available, the effect on individuals who are participating in or have completed a recovery program for a substance use disorder;</content></paragraph> <paragraph class="fontsize10" id="ycfe0f8f0-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIV/s401/a/3" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">(3) </num><content>discusses policy bases and justifications for imposing collateral consequences on individuals convicted of nonviolent drug-related offenses identified under paragraph (1); and</content></paragraph> <paragraph class="fontsize10" id="ycfe0f8f1-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIV/s401/a/4" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="4">(4) </num><content>provides perspectives on the potential for mitigating the effect of the collateral consequences described in paragraph (1) on individuals who are participating in or have completed a recovery program, while also taking into account the policy interests described in paragraph (3).</content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ycfe0f8f2-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIV/s401/b" role="definitions" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="b">(b) </num><heading class="fontsize10"><inline class="smallCaps">Definition</inline>.—</heading><chapeau>In this section, the term “<term>collateral consequence</term>”—</chapeau><paragraph class="fontsize10" id="ycfe0f8f3-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIV/s401/b/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><chapeau>means a penalty, disability, or disadvantage imposed upon an individual as a result of a criminal conviction for a drug-related offense—</chapeau><subparagraph class="fontsize10" id="ycfe0f8f4-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIV/s401/b/1/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>automatically by operation of law; or</content></subparagraph> <subparagraph class="fontsize10" id="ycfe0f8f5-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIV/s401/b/1/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>by authorized action of an administrative agency or court on a case-by-case basis; and</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ycfe0f8f6-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIV/s401/b/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><content>does not include a direct consequence imposed as part of the judgment of a court at sentencing, including a term of imprisonment or community supervision, or a fine.</content></paragraph> </subsection> </section> <num value="V">TITLE V—</num><heading>ADDICTION AND TREATMENT SERVICES FOR WOMEN, FAMILIES, AND VETERANS</heading> <section id="d239274e4333" identifier="/us/pl/114/198/tV/s501" style="-uslm-lc:I658143"><num class="fontsize12" value="501">SEC. 501. </num><heading>IMPROVING TREATMENT FOR PREGNANT AND POSTPARTUM WOMEN.</heading><subsection class="firstIndent0 fontsize10" id="ycfe2cdb7-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tV/s501/a" role="instruction" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="a">(a) </num><heading class="fontsize10"><inline class="smallCaps">General Amendments to the Residential Treatment Program for Pregnant and Postpartum Women</inline>.—</heading><chapeau>Section 508 of the Public Health Service Act (<ref href="/us/usc/t42/s290bb–1">42 U.S.C. 290bb–1</ref>) <amendingAction type="amend">is amended</amendingAction>—</chapeau><paragraph class="fontsize10" id="ycfe2cdb8-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tV/s501/a/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><chapeau>in subsection (a)—</chapeau><subparagraph class="fontsize10" id="ycfe2cdb9-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tV/s501/a/1/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><chapeau>in the matter preceding paragraph (1)—</chapeau><clause class="fontsize10" id="ycfe2cdba-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tV/s501/a/1/A/i" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">(i) </num><content>by <amendingAction type="insert">inserting</amendingAction> “<quotedText>(referred to in this section as the ‘Director’)</quotedText>” after “<quotedText>Substance Abuse Treatment</quotedText>”;</content></clause> <clause class="fontsize10" id="ycfe2cdbb-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tV/s501/a/1/A/ii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">(ii) </num><content>by <amendingAction type="delete">striking</amendingAction> “<quotedText>grants, cooperative agreement,</quotedText>” and <amendingAction type="insert">inserting</amendingAction> “<quotedText>grants, including the grants under subsection (r), cooperative agreements</quotedText>”; and</content></clause> <clause class="fontsize10" id="ycfe2cdbc-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tV/s501/a/1/A/iii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="iii">(iii) </num><content>by <amendingAction type="delete">striking</amendingAction> “<quotedText>for substance abuse</quotedText>” and <amendingAction type="insert">inserting</amendingAction> “<quotedText>for substance use disorders</quotedText>”; and</content></clause> </subparagraph> <subparagraph class="fontsize10" id="ycfe2cdbd-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tV/s501/a/1/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>in paragraph (1), by <amendingAction type="insert">inserting</amendingAction> “<quotedText>or receive outpatient treatment services from</quotedText>” after “<quotedText>reside in</quotedText>”;</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ycfe2cdbe-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tV/s501/a/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><content>in subsection (b)(2), by <amendingAction type="insert">inserting</amendingAction> “<quotedText>and her children</quotedText>” before the period at the end;</content></paragraph> <paragraph class="fontsize10" id="ycfe2cdbf-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tV/s501/a/3" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">(3) </num><chapeau>in subsection (c)—</chapeau><subparagraph class="fontsize10" id="ycfe2cdc0-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tV/s501/a/3/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>in paragraph (1), by <amendingAction type="delete">striking</amendingAction> “<quotedText>to the woman of the services</quotedText>” and <amendingAction type="insert">inserting</amendingAction> “<quotedText>of services for the woman and her children</quotedText>”; and</content></subparagraph> <subparagraph class="fontsize10" id="ycfe2cdc1-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tV/s501/a/3/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><chapeau>in paragraph (2)—<page identifier="/us/stat/130/725">130 STAT. 725</page></chapeau><clause class="fontsize10" id="ycfe2cdc2-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tV/s501/a/3/B/i" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">(i) </num><content>in subparagraph (A), by <amendingAction type="delete">striking</amendingAction> “<quotedText>substance abuse</quotedText>” and <amendingAction type="insert">inserting</amendingAction> “<quotedText>substance use disorders</quotedText>”; and</content></clause> <clause class="fontsize10" id="ycfe2cdc3-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tV/s501/a/3/B/ii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">(ii) </num><content>in subparagraph (B), by <amendingAction type="delete">striking</amendingAction> “<quotedText>such abuse</quotedText>” and <amendingAction type="insert">inserting</amendingAction> “<quotedText>such a disorder</quotedText>”;</content></clause> </subparagraph> </paragraph> <paragraph class="fontsize10" id="ycfe2cdc4-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tV/s501/a/4" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="4">(4) </num><chapeau>in subsection (d)—</chapeau><subparagraph class="fontsize10" id="ycfe2cdc5-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tV/s501/a/4/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>in paragraph (3)(A), by <amendingAction type="delete">striking</amendingAction> “<quotedText>maternal substance abuse</quotedText>” and <amendingAction type="insert">inserting</amendingAction> “<quotedText>a maternal substance use disorder</quotedText>”;</content></subparagraph> <subparagraph class="fontsize10" id="ycfe2cdc6-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tV/s501/a/4/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>by <amendingAction type="amend">amending</amendingAction> paragraph (4) to read as follows:<quotedContent><paragraph class="indentDown1 fontsize10" id="ycfe2cdc7-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="4">“(4) </num><content>Providing therapeutic, comprehensive child care for children during the periods in which the woman is engaged in therapy or in other necessary health and rehabilitative activities.”</content></paragraph> </quotedContent>;</content></subparagraph> <subparagraph class="fontsize10" id="ycfe2cdc8-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tV/s501/a/4/C" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">(C) </num><content>in paragraphs (9), (10), and (11), by <amendingAction type="delete">striking</amendingAction> “<quotedText>women</quotedText>” each place such term appears and <amendingAction type="insert">inserting</amendingAction> “<quotedText>woman</quotedText>”;</content></subparagraph> <subparagraph class="fontsize10" id="ycfe2cdc9-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tV/s501/a/4/D" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="D">(D) </num><content>in paragraph (9), by <amendingAction type="delete">striking</amendingAction> “<quotedText>units</quotedText>” and <amendingAction type="insert">inserting</amendingAction> “<quotedText>unit</quotedText>”; and</content></subparagraph> <subparagraph class="fontsize10" id="ycfe2cdca-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tV/s501/a/4/E" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="E">(E) </num><chapeau>in paragraph (11)—</chapeau><clause class="fontsize10" id="ycfe2cdcb-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tV/s501/a/4/E/i" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">(i) </num><content>in subparagraph (A), by <amendingAction type="delete">striking</amendingAction> “<quotedText>their children</quotedText>” and <amendingAction type="insert">inserting</amendingAction> “<quotedText>any child of such woman</quotedText>”;</content></clause> <clause class="fontsize10" id="ycfe2cdcc-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tV/s501/a/4/E/ii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">(ii) </num><content>in subparagraph (B), by <amendingAction type="delete">striking</amendingAction> “<quotedText>; and</quotedText>” and <amendingAction type="insert">inserting</amendingAction> a semicolon;</content></clause> <clause class="fontsize10" id="ycfe2cdcd-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tV/s501/a/4/E/iii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="iii">(iii) </num><content>in subparagraph (C), by <amendingAction type="delete">striking</amendingAction> the period and <amendingAction type="insert">inserting</amendingAction> “<quotedText>; and</quotedText>”; and</content></clause> <clause class="fontsize10" id="ycfe2cdce-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tV/s501/a/4/E/iv" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="iv">(iv) </num><content>by <amendingAction type="add">adding</amendingAction> at the end the following:<quotedContent><subparagraph class="indentDown1 fontsize10" id="ycfe2cdcf-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="D">“(D) </num><content>family reunification with children in kinship or foster care arrangements, where safe and appropriate.”</content></subparagraph> </quotedContent>;</content></clause> </subparagraph> </paragraph> <paragraph class="fontsize10" id="ycfe2cdd0-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tV/s501/a/5" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="5">(5) </num><chapeau>in subsection (e)—</chapeau><subparagraph class="fontsize10" id="ycfe2cdd1-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tV/s501/a/5/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><chapeau>in paragraph (1)—</chapeau><clause class="fontsize10" id="ycfe2cdd2-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tV/s501/a/5/A/i" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">(i) </num><content>in the matter preceding subparagraph (A), by <amendingAction type="delete">striking</amendingAction> “<quotedText>substance abuse</quotedText>” and <amendingAction type="insert">inserting</amendingAction> “<quotedText>substance use disorders</quotedText>”; and</content></clause> <clause class="fontsize10" id="ycfe2cdd3-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tV/s501/a/5/A/ii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">(ii) </num><content>in subparagraph (B), by <amendingAction type="delete">striking</amendingAction> “<quotedText>substance abuse</quotedText>” and <amendingAction type="insert">inserting</amendingAction> “<quotedText>substance use disorders</quotedText>”; and</content></clause> </subparagraph> <subparagraph class="fontsize10" id="ycfe2cdd4-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tV/s501/a/5/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><chapeau>in paragraph (2)—</chapeau><clause class="fontsize10" id="ycfe2cdd5-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tV/s501/a/5/B/i" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">(i) </num><content>by <amendingAction type="delete">striking</amendingAction> “<quotedText>(A) Subject</quotedText>” and <amendingAction type="insert">inserting</amendingAction> the following:<quotedContent><subparagraph class="indentDown1 fontsize10" id="ycfe2f4e6-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">“(A) </num><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><content>Subject”</content></subparagraph> </quotedContent>;</content></clause> <clause class="fontsize10" id="ycfe2f4e7-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tV/s501/a/5/B/ii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">(ii) </num><chapeau>in subparagraph (B)—</chapeau><subclause class="fontsize10" id="ycfe2f4e8-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tV/s501/a/5/B/ii/I" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="I">(I) </num><content>by <amendingAction type="delete">striking</amendingAction> “<quotedText>(B)(i) In the case</quotedText>” and <amendingAction type="insert">inserting</amendingAction> the following:<quotedContent><subparagraph class="indentDown2 fontsize10" id="ycfe2f4e9-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">“(B) </num><heading class="fontsize10"><inline class="smallCaps">Waiver of participation agreements</inline>.—</heading><clause class="fontsize10" id="ycfe2f4ea-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">“(i) </num><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><content>In the case”</content></clause> </subparagraph> </quotedContent>; and</content></subclause> <subclause class="fontsize10" id="ycfe2f4eb-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tV/s501/a/5/B/ii/II" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="II">(II) </num><content>by <amendingAction type="delete">striking</amendingAction> “<quotedText>(ii) A determination</quotedText>” and <amendingAction type="insert">inserting</amendingAction> the following:<quotedContent><subsection class="indentDown1 fontsize10" id="ycfe2f4ec-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">“(ii) </num><heading class="fontsize10"><inline class="smallCaps">Donations</inline>.—</heading><content>A determination”</content></subsection> </quotedContent>; and</content></subclause> </clause> <clause class="fontsize10" id="ycfe2f4ed-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tV/s501/a/5/B/iii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="iii">(iii) </num><content>by <amendingAction type="delete">striking</amendingAction> “<quotedText>(C) With respect</quotedText>” and <amendingAction type="insert">inserting</amendingAction> the following:<quotedContent><subparagraph class="indentDown1 fontsize10" id="ycfe2f4ee-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">“(C) </num><heading class="fontsize10"><inline class="smallCaps">Nonapplication of certain requirements</inline>.—</heading><content>With respect”</content></subparagraph> </quotedContent>;</content></clause> </subparagraph> </paragraph> <paragraph class="fontsize10" id="ycfe2f4ef-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tV/s501/a/6" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="6">(6) </num><chapeau>in subsection (g)—</chapeau><subparagraph class="fontsize10" id="ycfe2f4f0-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tV/s501/a/6/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>by <amendingAction type="delete">striking</amendingAction> “<quotedText>who are engaging in substance abuse</quotedText>” and <amendingAction type="insert">inserting</amendingAction> “<quotedText>who have a substance use disorder</quotedText>”; and</content></subparagraph> <subparagraph class="fontsize10" id="ycfe2f4f1-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tV/s501/a/6/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>by <amendingAction type="delete">striking</amendingAction> “<quotedText>such abuse</quotedText>” and <amendingAction type="insert">inserting</amendingAction> “<quotedText>such disorder</quotedText>”;</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ycfe2f4f2-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tV/s501/a/7" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="7">(7) </num><chapeau>in subsection (j)—<page identifier="/us/stat/130/726">130 STAT. 726</page></chapeau><subparagraph class="fontsize10" id="ycfe2f4f3-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tV/s501/a/7/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>in the matter preceding paragraph (1), by <amendingAction type="delete">striking</amendingAction> “<quotedText>to on</quotedText>” and <amendingAction type="insert">inserting</amendingAction> “<quotedText>to or on</quotedText>”; and</content></subparagraph> <subparagraph class="fontsize10" id="ycfe2f4f4-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tV/s501/a/7/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>in paragraph (3), by <amendingAction type="delete">striking</amendingAction> “<quotedText>Office for</quotedText>” and <amendingAction type="insert">inserting</amendingAction> “<quotedText>Office of</quotedText>”;</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ycfe2f4f5-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tV/s501/a/8" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="8">(8) </num><content>by <amendingAction type="amend">amending</amendingAction> subsection (m) to read as follows:<quotedContent><subsection class="indentDown1 firstIndent0 fontsize10" id="ycfe2f4f6-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="m">“(m) </num><heading class="fontsize10"><inline class="smallCaps">Allocation of Awards</inline>.—</heading><content>In making awards under subsection (a), the Director shall give priority to an applicant that agrees to use the award for a program serving an area that is a rural area, an area designated under section 332 by the Secretary as a health professional shortage area, or an area determined by the Director to have a shortage of family-based substance use disorder treatment options.”</content></subsection> </quotedContent>; and</content></paragraph> <paragraph class="fontsize10" id="ycfe2f4f7-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tV/s501/a/9" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="9">(9) </num><chapeau>in subsection (q)—</chapeau><subparagraph class="fontsize10" id="ycfe2f4f8-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tV/s501/a/9/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>in paragraph (3), by <amendingAction type="delete">striking</amendingAction> “<quotedText>funding agreement under subsection (a)</quotedText>” and <amendingAction type="insert">inserting</amendingAction> “<quotedText>funding agreement</quotedText>”; and</content></subparagraph> <subparagraph class="fontsize10" id="ycfe31c09-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tV/s501/a/9/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>in paragraph (4), by <amendingAction type="delete">striking</amendingAction> “<quotedText>substance abuse</quotedText>” and <amendingAction type="insert">inserting</amendingAction> “<quotedText>a substance use disorder</quotedText>”.</content></subparagraph> </paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ycfe31c0a-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tV/s501/b" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="b">(b) </num><heading class="fontsize10"><inline class="smallCaps">Reauthorization of Program</inline>.—</heading><chapeau>Section 508 of the Public Health Service Act (<ref href="/us/usc/t42/s290bb–1">42 U.S.C. 290bb–1</ref>), as amended by subsection (a), is further amended—</chapeau><paragraph class="fontsize10" id="ycfe31c0b-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tV/s501/b/1" role="instruction" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><content>in subsection (p), in the first sentence, by <amendingAction type="insert">inserting</amendingAction> “<quotedText>(other than subsection (r))</quotedText>” after “<quotedText>section</quotedText>”; and</content></paragraph> <paragraph class="fontsize10" id="ycfe31c0c-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tV/s501/b/2" role="instruction" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><content>in subsection (r), by <amendingAction type="delete">striking</amendingAction> “<quotedText>such sums</quotedText>” and all that follows through “<quotedText>2003</quotedText>” and <amendingAction type="insert">inserting</amendingAction> “<quotedText>$16,900,000 for each of fiscal years 2017 through 2021</quotedText>”.</content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ycfe31c0d-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tV/s501/c" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="c">(c) </num><heading class="fontsize10"><inline class="smallCaps">Pilot Program Grants for State Substance Abuse Agencies</inline>.—</heading><paragraph class="fontsize10" id="ycfe31c0e-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tV/s501/c/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><chapeau>Section 508 of the Public Health Service Act (<ref href="/us/usc/t42/s290bb–1">42 U.S.C. 290bb–1</ref>), as amended by subsections (a) and (b), is further amended—</chapeau><subparagraph class="fontsize10" id="ycfe31c0f-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tV/s501/c/1/A" role="instruction" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>by <amendingAction type="redesignate">redesignating</amendingAction> subsection (r), as amended by subsection (b), as subsection (s); and</content></subparagraph> <subparagraph class="fontsize10" id="ycfe31c10-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tV/s501/c/1/B" role="instruction" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>by <amendingAction type="insert">inserting</amendingAction> after subsection (q) the following new subsection:<quotedContent><subsection class="indentDown2 firstIndent0 fontsize10" id="ycfe39141-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="r">“(r) </num><heading class="fontsize10"><inline class="smallCaps">Pilot Program for State Substance Abuse Agencies</inline>.—</heading><paragraph class="fontsize10" id="ycfe39142-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">“(1) </num><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><chapeau>From amounts made available under subsection (s), the Director of the Center for Substance Abuse Treatment shall carry out a pilot program under which competitive grants are made by the Director to State substance abuse agencies—</chapeau><subparagraph class="fontsize10" id="ycfe3b853-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">“(A) </num><content>to enhance flexibility in the use of funds designed to support family-based services for pregnant and postpartum women with a primary diagnosis of a substance use disorder, including opioid use disorders;</content></subparagraph> <subparagraph class="fontsize10" id="ycfe3b854-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">“(B) </num><content>to help State substance abuse agencies address identified gaps in services furnished to such women along the continuum of care, including services provided to women in nonresidential-based settings; and</content></subparagraph> <subparagraph class="fontsize10" id="ycfe3b855-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">“(C) </num><content>to promote a coordinated, effective, and efficient State system managed by State substance abuse agencies by encouraging new approaches and models of service delivery.</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ycfe3b856-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">“(2) </num><heading class="fontsize10"><inline class="smallCaps">Requirements</inline>.—</heading><chapeau>In carrying out the pilot program under this subsection, the Director shall—</chapeau><subparagraph class="fontsize10" id="ycfe3b857-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">“(A) </num><content>require State substance abuse agencies to submit to the Director applications, in such form and manner <page identifier="/us/stat/130/727">130 STAT. 727</page> and containing such information as specified by the Director, to be eligible to receive a grant under the program;</content></subparagraph> <subparagraph class="fontsize10" id="ycfe3b858-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">“(B) </num><content>identify, based on such submitted applications, State substance abuse agencies that are eligible for such grants;</content></subparagraph> <subparagraph class="fontsize10" id="ycfe3b859-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">“(C) </num><content>require services proposed to be furnished through such a grant to support family-based treatment and other services for pregnant and postpartum women with a primary diagnosis of a substance use disorder, including opioid use disorders;</content></subparagraph> <subparagraph class="fontsize10" id="ycfe3b85a-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="D">“(D) </num><content>not require that services furnished through such a grant be provided solely to women that reside in facilities;</content></subparagraph> <subparagraph class="fontsize10" id="ycfe3b85b-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="E">“(E) </num><content>not require that grant recipients under the program make available through use of the grant all the services described in subsection (d); and</content></subparagraph> <subparagraph class="fontsize10" id="ycfe3b85c-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="F">“(F) </num><content>consider not applying the requirements described in paragraphs (1) and (2) of subsection (f) to an applicant, depending on the circumstances of the applicant.</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ycfe3b85d-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">“(3) </num><heading class="fontsize10"><inline class="smallCaps">Required services</inline>.—</heading><subparagraph class="fontsize10" id="ycfe3b85e-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">“(A) </num><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><chapeau>The Director shall specify a minimum set of services required to be made available to eligible women through a grant awarded under the pilot program under this subsection. Such minimum set of services—</chapeau><clause class="fontsize10" id="ycfe3b85f-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">“(i) </num><content>shall include the services requirements described in subsection (c) and be based on the recommendations submitted under subparagraph (B); and</content></clause> <clause class="fontsize10" id="ycfe3b860-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">“(ii) </num><content>may be selected from among the services described in subsection (d) and include other services as appropriate.</content></clause> </subparagraph> <subparagraph class="fontsize10" id="ycfe3b861-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">“(B) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfe3b862-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Recommenda-</p><p class="leftAlign firstIndent0 fontsize8" id="xcfe3b863-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">tions.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">Stakeholder input</inline>.—</heading><content>The Director shall convene and solicit recommendations from stakeholders, including State substance abuse agencies, health care providers, persons in recovery from substance abuse, and other appropriate individuals, for the minimum set of services described in subparagraph (A).</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ycfe3b864-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="4">“(4) </num><heading class="fontsize10"><inline class="smallCaps">Duration</inline>.—</heading><content>The pilot program under this subsection shall not exceed 5 years.</content></paragraph> <paragraph class="fontsize10" id="ycfe3b865-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="5">“(5) </num><heading class="fontsize10"><inline class="smallCaps">Evaluation and report to congress</inline>.—</heading><subparagraph class="fontsize10" id="ycfe3b866-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">“(A) </num><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><content>The Director of the Center for Behavioral Health Statistics and Quality shall evaluate the pilot program at the conclusion of the first grant cycle funded by the pilot program.</content></subparagraph> <subparagraph class="fontsize10" id="ycfe3b867-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">“(B) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfe3b868-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Coordination.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">Report</inline>.—</heading><chapeau>The Director of the Center for Behavioral Health Statistics and Quality, in coordination with the Director of the Center for Substance Abuse Treatment shall submit to the relevant committees of jurisdiction of the House of Representatives and the Senate a report on the evaluation under subparagraph (A). The report shall include, at a minimum—</chapeau><clause class="fontsize10" id="ycfe3b869-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">“(i) </num><content>outcomes information from the pilot program, including any resulting reductions in the use of alcohol and other drugs;</content></clause> <clause class="fontsize10" id="ycfe3b86a-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">“(ii) </num><content>engagement in treatment services;</content></clause> <clause class="fontsize10" id="ycfe3b86b-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="iii">“(iii) </num><content>retention in the appropriate level and duration of services;<page identifier="/us/stat/130/728">130 STAT. 728</page></content></clause> <clause class="fontsize10" id="ycfe3b86c-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="iv">“(iv) </num><content>increased access to the use of medications approved by the Food and Drug Administration for the treatment of substance use disorders in combination with counseling; and</content></clause> <clause class="fontsize10" id="ycfe3b86d-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="v">“(v) </num><content>other appropriate measures.</content></clause> </subparagraph> <subparagraph class="fontsize10" id="ycfe3b86e-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">“(C) </num><heading class="fontsize10"><inline class="smallCaps">Recommendation</inline>.—</heading><content>The report under subparagraph (B) shall include a recommendation by the Director of the Center for Substance Abuse Treatment as to whether the pilot program under this subsection should be extended.</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ycfe3b86f-e85f-11f0-a1e4-69761a48a15a" role="definitions" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="6">“(6) </num><heading class="fontsize10"><inline class="smallCaps">State substance abuse agencies defined</inline>.—</heading><content>For purposes of this subsection, the term ‘<term>State substance abuse agency</term>’ means, with respect to a State, the agency in such State that manages the Substance Abuse Prevention and Treatment Block Grant under part B of title XIX.”</content></paragraph> </subsection> </quotedContent>.</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ycfe3b870-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tV/s501/c/2" role="instruction" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><heading class="fontsize10"><inline class="smallCaps">Funding</inline>.—</heading><content>Subsection (s) of section 508 of the Public Health Service Act (<ref href="/us/usc/t42/s290bb–1">42 U.S.C. 290bb–1</ref>), as amended by subsection (a) and redesignated by paragraph (1), is further amended by <amendingAction type="add">adding</amendingAction> at the end the following new sentences: “<quotedText>Of the amounts made available for a year pursuant to the previous sentence to carry out this section, not more than 25 percent of such amounts shall be made available for such year to carry out subsection (r), other than paragraph (5) of such subsection. Notwithstanding the preceding sentence, no funds shall be made available to carry out subsection (r) for a fiscal year unless the amount made available to carry out this section for such fiscal year is more than the amount made available to carry out this section for fiscal year 2016.</quotedText>”.</content></paragraph> </subsection> </section> <section id="d239274e5127" identifier="/us/pl/114/198/tV/s502" role="instruction" style="-uslm-lc:I658143"><num class="fontsize12" value="502">SEC. 502. </num><heading>VETERANS TREATMENT COURTS.</heading><chapeau class="indentUp0 firstIndent0 fontsize10" id="xcfe40691-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658120">  Section 2991 of the Omnibus Crime Control and Safe Streets Act of 1968 (<ref href="/us/usc/t42/s3797aa">42 U.S.C. 3797aa</ref>) <amendingAction type="amend">is amended</amendingAction>—</chapeau><paragraph class="fontsize10" id="ycfe40692-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tV/s502/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><content>by <amendingAction type="redesignate">redesignating</amendingAction> subsection (i) as subsection (j); and</content></paragraph> <paragraph class="fontsize10" id="ycfe40693-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tV/s502/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><content>by <amendingAction type="insert">inserting</amendingAction> after subsection (h) the following:<quotedContent><subsection class="indentDown1 firstIndent0 fontsize10" id="ycfe454b4-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">“(i) </num><heading class="fontsize10"><inline class="smallCaps">Assisting Veterans</inline>.—</heading><paragraph class="fontsize10" id="ycfe47bc5-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">“(1) </num><heading class="fontsize10"><inline class="smallCaps">Definitions</inline>.—</heading><chapeau>In this subsection:</chapeau><subparagraph class="fontsize10" id="ycfe47bc6-e85f-11f0-a1e4-69761a48a15a" role="definitions" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">“(A) </num><heading class="fontsize10"><inline class="smallCaps">Peer-to-peer services or programs</inline>.—</heading><content>The term ‘<term>peer-to-peer services or programs</term>’ means services or programs that connect qualified veterans with other veterans for the purpose of providing support and mentorship to assist qualified veterans in obtaining treatment, recovery, stabilization, or rehabilitation.</content></subparagraph> <subparagraph class="fontsize10" id="ycfe47bc7-e85f-11f0-a1e4-69761a48a15a" role="definitions" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">“(B) </num><heading class="fontsize10"><inline class="smallCaps">Qualified veteran</inline>.—</heading><chapeau>The term ‘<term>qualified veteran</term>’ means a preliminarily qualified offender who—</chapeau><clause class="fontsize10" id="ycfe47bc8-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">“(i) </num><content>served on active duty in any branch of the Armed Forces, including the National Guard or Reserves; and</content></clause> <clause class="fontsize10" id="ycfe47bc9-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">“(ii) </num><content>was discharged or released from such service under conditions other than dishonorable, unless the reason for the dishonorable discharge was attributable to a substance abuse disorder.</content></clause> </subparagraph> <subparagraph class="fontsize10" id="ycfe47bca-e85f-11f0-a1e4-69761a48a15a" role="definitions" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">“(C) </num><heading class="fontsize10"><inline class="smallCaps">Veterans treatment court program</inline>.—</heading><chapeau>The term ‘<term>veterans treatment court program</term>’ means a court program involving collaboration among criminal justice, veterans, and mental health and substance abuse agencies that provides qualified veterans with—<page identifier="/us/stat/130/729">130 STAT. 729</page></chapeau><clause class="fontsize10" id="ycfe47bcb-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">“(i) </num><content>intensive judicial supervision and case management, which may include random and frequent drug testing where appropriate;</content></clause> <clause class="fontsize10" id="ycfe47bcc-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">“(ii) </num><content>a full continuum of treatment services, including mental health services, substance abuse services, medical services, and services to address trauma;</content></clause> <clause class="fontsize10" id="ycfe47bcd-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="iii">“(iii) </num><content>alternatives to incarceration; or</content></clause> <clause class="fontsize10" id="ycfe47bce-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="iv">“(iv) </num><content>other appropriate services, including housing, transportation, mentoring, employment, job training, education, or assistance in applying for and obtaining available benefits.</content></clause> </subparagraph> </paragraph> <paragraph class="fontsize10" id="ycfe47bcf-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">“(2) </num><heading class="fontsize10"><inline class="smallCaps">Veterans assistance program</inline>.—</heading><subparagraph class="fontsize10" id="ycfe47bd0-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">“(A) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfe47bd1-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Consultation.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><chapeau>The Attorney General, in consultation with the Secretary of Veterans Affairs, may award grants under this subsection to applicants to establish or expand—</chapeau><clause class="fontsize10" id="ycfe47bd2-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">“(i) </num><content>veterans treatment court programs;</content></clause> <clause class="fontsize10" id="ycfe47bd3-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">“(ii) </num><content>peer-to-peer services or programs for qualified veterans;</content></clause> <clause class="fontsize10" id="ycfe47bd4-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="iii">“(iii) </num><content>practices that identify and provide treatment, rehabilitation, legal, transitional, and other appropriate services to qualified veterans who have been incarcerated; or</content></clause> <clause class="fontsize10" id="ycfe47bd5-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="iv">“(iv) </num><content>training programs to teach criminal justice, law enforcement, corrections, mental health, and substance abuse personnel how to identify and appropriately respond to incidents involving qualified veterans.</content></clause> </subparagraph> <subparagraph class="fontsize10" id="ycfe47bd6-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">“(B) </num><heading class="fontsize10"><inline class="smallCaps">Priority</inline>.—</heading><chapeau>In awarding grants under this subsection, the Attorney General shall give priority to applications that—</chapeau><clause class="fontsize10" id="ycfe47bd7-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">“(i) </num><content>demonstrate collaboration between and joint investments by criminal justice, mental health, substance abuse, and veterans service agencies;</content></clause> <clause class="fontsize10" id="ycfe47bd8-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">“(ii) </num><content>promote effective strategies to identify and reduce the risk of harm to qualified veterans and public safety; and</content></clause> <clause class="fontsize10" id="ycfe47bd9-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="iii">“(iii) </num><content>propose interventions with empirical support to improve outcomes for qualified veterans.”</content></clause> </subparagraph> </paragraph> </subsection> </quotedContent>.</content></paragraph> </section> <section id="d239274e5301" identifier="/us/pl/114/198/tV/s503" style="-uslm-lc:I658143"><num class="fontsize12" value="503">SEC. 503. </num><heading>INFANT PLAN OF SAFE CARE.</heading><subsection class="firstIndent0 fontsize10" id="ycfe5181a-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tV/s503/a" role="instruction" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="a">(a) </num><heading class="fontsize10"><inline class="smallCaps">Best Practices for Development of Plans of Safe Care</inline>.—</heading><chapeau>Section 103(b) of the Child Abuse Prevention and Treatment Act (<ref href="/us/usc/t42/s5104/b">42 U.S.C. 5104(b)</ref>) <amendingAction type="amend">is amended</amendingAction>—</chapeau><paragraph class="fontsize10" id="ycfe5181b-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tV/s503/a/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><content>by <amendingAction type="redesignate">redesignating</amendingAction> paragraphs (5) through (8) as paragraphs (6) through (9), respectively; and</content></paragraph> <paragraph class="fontsize10" id="ycfe5181c-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tV/s503/a/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><content>by <amendingAction type="insert">inserting</amendingAction> after paragraph (4) the following:<quotedContent><paragraph class="indentUp0 fontsize10" id="ycfe5181d-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="5">“(5) </num><content>maintain and disseminate information about the requirements of section 106(b)(2)(B)(iii) and best practices relating to the development of plans of safe care as described in such section for infants born and identified as being affected by substance abuse or withdrawal symptoms, or a Fetal Alcohol Spectrum Disorder;”</content></paragraph> </quotedContent>.</content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ycfe5181e-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tV/s503/b" role="instruction" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="b">(b) </num><heading class="fontsize10"><inline class="smallCaps">State Plans</inline>.—</heading><chapeau>Section 106(b)(2)(B) of the Child Abuse Prevention and Treatment Act (<ref href="/us/usc/t42/s5106a/b/2/B">42 U.S.C. 5106a(b)(2)(B)</ref>) <amendingAction type="amend">is amended</amendingAction>—<page identifier="/us/stat/130/730">130 STAT. 730</page></chapeau><paragraph class="fontsize10" id="ycfe5181f-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tV/s503/b/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><content>in clause (ii), by <amendingAction type="delete">striking</amendingAction> “<quotedText>illegal substance abuse</quotedText>” and <amendingAction type="insert">inserting</amendingAction> “<quotedText>substance abuse</quotedText>”; and</content></paragraph> <paragraph class="fontsize10" id="ycfe51820-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tV/s503/b/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><chapeau>in clause (iii)—</chapeau><subparagraph class="fontsize10" id="ycfe51821-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tV/s503/b/2/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>by <amendingAction type="delete">striking</amendingAction> “<quotedText>illegal substance abuse</quotedText>” and <amendingAction type="insert">inserting</amendingAction> “<quotedText>substance abuse</quotedText>”; and</content></subparagraph> <subparagraph class="fontsize10" id="ycfe51822-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tV/s503/b/2/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>by <amendingAction type="insert">inserting</amendingAction> before the semicolon at the end the following: <quotedContent>“to ensure the safety and well-being of such infant following release from the care of health care providers, including through—<subclause class="fontsize10" id="ycfe53f33-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="I">“(I) </num><content>addressing the health and substance use disorder treatment needs of the infant and affected family or caregiver; and</content></subclause> <subclause class="fontsize10" id="ycfe53f34-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="II">“(II) </num><content>the development and implementation by the State of monitoring systems regarding the implementation of such plans to determine whether and in what manner local entities are providing, in accordance with State requirements, referrals to and delivery of appropriate services for the infant and affected family or caregiver”</content></subclause> </quotedContent>.</content></subparagraph> </paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ycfe53f35-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tV/s503/c" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="c">(c) </num><heading class="fontsize10"><inline class="smallCaps">Data Reports</inline>.—</heading><paragraph class="fontsize10" id="ycfe53f36-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tV/s503/c/1" role="instruction" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><content>Section 106(d) of the Child Abuse Prevention and Treatment Act (<ref href="/us/usc/t42/s5106a/d">42 U.S.C. 5106a(d)</ref>) <amendingAction type="amend">is amended</amendingAction> by <amendingAction type="add">adding</amendingAction> at the end of the following:<quotedContent><paragraph class="indentUp0 fontsize10" id="ycfe53f37-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="17">“(17) </num><chapeau>The number of infants—</chapeau><subparagraph class="fontsize10" id="ycfe53f38-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">“(A) </num><content>identified under subsection (b)(2)(B)(ii);</content></subparagraph> <subparagraph class="fontsize10" id="ycfe53f39-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">“(B) </num><content>for whom a plan of safe care was developed under subsection (b)(2)(B)(iii); and</content></subparagraph> <subparagraph class="fontsize10" id="ycfe53f3a-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">“(C) </num><content>for whom a referral was made for appropriate services, including services for the affected family or caregiver, under subsection (b)(2)(B)(iii).”</content></subparagraph> </paragraph> </quotedContent>.</content></paragraph> <paragraph class="fontsize10" id="ycfe53f3b-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tV/s503/c/2" role="instruction" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfe53f3c-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Effective date.</p><p class="leftAlign firstIndent0 fontsize8" id="xcfe53f3d-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180"><ref href="/us/usc/t42/s5106a">42 USC 5106a note</ref>.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">Redesignation</inline>.—</heading><content>Effective on May 29, 2017, section 106(d) of the Child Abuse Prevention and Treatment Act (<ref href="/us/usc/t42/s5106a/d">42 U.S.C. 5106a(d)</ref>) <amendingAction type="amend">is amended</amendingAction> by <amendingAction type="redesignate">redesignating</amendingAction> paragraph (17) (as added by paragraph (1)) as paragraph (18).</content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ycfe53f3e-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tV/s503/d" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="d">(d) </num><heading class="fontsize10"><inline class="smallCaps">Monitoring and Oversight</inline>.—</heading><paragraph class="fontsize10" id="ycfe53f3f-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tV/s503/d/1" role="instruction" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><heading class="fontsize10"><inline class="smallCaps">Amendment</inline>.—</heading><content>Title I of the Child Abuse Prevention and Treatment Act (<ref href="/us/usc/t42/s5101/etseq">42 U.S.C. 5101 et seq.</ref>) <amendingAction type="amend">is amended</amendingAction> by <amendingAction type="add">adding</amendingAction> at the end the following:<quotedContent><section class="centered fontsize12" id="ycfe56650-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658143"><num class="fontsize12" value="114">“SEC. 114. </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfe56651-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180"><ref href="/us/usc/t42/s5108">42 USC 5108</ref>.</p></sidenote><heading class="fontsize12">MONITORING AND OVERSIGHT.</heading><chapeau class=" fontsize10" style="-uslm-lc:I658120">  “The Secretary shall conduct monitoring to ensure that each State that receives a grant under section 106 is in compliance with the requirements of section 106(b), which—</chapeau><paragraph class="indentUp0 fontsize10" id="ycfe56652-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">“(1) </num><chapeau>shall—</chapeau><subparagraph class="fontsize10" id="ycfe56653-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">“(A) </num><content>be in addition to the review of the State plan upon its submission under section 106(b)(1)(A); and</content></subparagraph> <subparagraph class="fontsize10" id="ycfe56654-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">“(B) </num><content>include monitoring of State policies and procedures required under clauses (ii) and (iii) of section 106(b)(2)(B); and</content></subparagraph> </paragraph> <paragraph class="indentUp0 fontsize10" id="ycfe56655-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">“(2) </num><chapeau>may include—</chapeau><subparagraph class="fontsize10" id="ycfe56656-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">“(A) </num><content>a comparison of activities carried out by the State to comply with the requirements of section 106(b) with the State plan most recently approved under section 432 of the Social Security Act;</content></subparagraph> <subparagraph class="fontsize10" id="ycfe56657-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">“(B) </num><content>a review of information available on the website of the State relating to its compliance with the requirements of section 106(b);<page identifier="/us/stat/130/731">130 STAT. 731</page></content></subparagraph> <subparagraph class="fontsize10" id="ycfe58d68-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">“(C) </num><content>site visits, as may be necessary to carry out such monitoring; and</content></subparagraph> <subparagraph class="fontsize10" id="ycfe58d69-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="D">“(D) </num><content>a review of information available in the State’s Annual Progress and Services Report most recently submitted under <ref href="/us/cfr/t45/s1357.16">section 1357.16 of title 45, Code of Federal Regulations</ref> (or successor regulations).”</content></subparagraph> </paragraph> </section> </quotedContent>.</content></paragraph> <paragraph class="fontsize10" id="ycfe58d6a-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tV/s503/d/2" role="instruction" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><heading class="fontsize10"><inline class="smallCaps">Table of contents</inline>.—</heading><content>The table of contents in section 1(b) of the Child Abuse Prevention and Treatment Act (<ref href="/us/usc/t42/s5101">42 U.S.C. 5101 note</ref>) <amendingAction type="amend">is amended</amendingAction> by <amendingAction type="insert">inserting</amendingAction> after the item relating to section 113, the following:<?GPOvSpace 04?> <quotedContent><toc> <referenceItem role="section" style="-uslm-lc:I658242"> <designator>“Sec. 114. </designator> <label>Monitoring and oversight.”.<?GPOvSpace 04?></label> </referenceItem></toc> </quotedContent></content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ycfe58d6b-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tV/s503/e" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="e">(e) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfe58d6c-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180"><ref href="/us/usc/t42/s5106a">42 USC 5106a note</ref>.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">Rule of Construction</inline>.—</heading><content>Nothing in this section, or the amendments made by this section, shall be construed to authorize the Secretary of Health and Human Services or any other officer of the Federal Government to add new requirements to section 106(b) of the Child Abuse Prevention and Treatment Act (<ref href="/us/usc/t42/s5106a/b">42 U.S.C. 5106a(b)</ref>), as amended by this section.</content></subsection> </section> <section id="d239274e5630" identifier="/us/pl/114/198/tV/s504" style="-uslm-lc:I658143"><num class="fontsize12" value="504">SEC. 504. </num><heading>GAO REPORT ON NEONATAL ABSTINENCE SYNDROME (NAS).</heading><subsection class="firstIndent0 fontsize10" id="ycfe5db8d-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tV/s504/a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="a">(a) </num><heading class="fontsize10"><inline class="smallCaps">In General</inline>.—</heading><content>Not later than 1 year after the date of the enactment of this Act, the Comptroller General of the United States shall submit to the Committee on Energy and Commerce of the House of Representatives and the Committee on Finance and the Committee on Health, Education, Labor, and Pensions of the Senate a report on neonatal abstinence syndrome (in this section referred to as “NAS”) in the United States.</content></subsection> <subsection class="firstIndent0 fontsize10" id="ycfe5db8e-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tV/s504/b" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="b">(b) </num><heading class="fontsize10"><inline class="smallCaps">Information To Be Included in Report</inline>.—</heading><chapeau>Such report shall include information on the following:</chapeau><paragraph class="fontsize10" id="ycfe5db8f-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tV/s504/b/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><content>The prevalence of NAS in the United States, including the proportion of children born in the United States with NAS who are eligible for medical assistance under State Medicaid programs under title XIX of the Social Security Act (<ref href="/us/usc/t42/s1396/etseq">42 U.S.C. 1396 et seq.</ref>) at birth, and the costs associated with coverage under such programs for treatment of infants with NAS.</content></paragraph> <paragraph class="fontsize10" id="ycfe5db90-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tV/s504/b/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><content>The services for which coverage is available under State Medicaid programs for treatment of infants with NAS.</content></paragraph> <paragraph class="fontsize10" id="ycfe5db91-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tV/s504/b/3" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">(3) </num><content>The settings (including inpatient, outpatient, hospital-based, and other settings) for the treatment of infants with NAS and the reimbursement methodologies and costs associated with such treatment in such settings.</content></paragraph> <paragraph class="fontsize10" id="ycfe5db92-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tV/s504/b/4" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="4">(4) </num><content>The prevalence of utilization of various care settings under State Medicaid programs for treatment of infants with NAS and any Federal barriers to treating such infants under such programs, particularly in non-hospital-based settings.</content></paragraph> <paragraph class="fontsize10" id="ycfe5db93-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tV/s504/b/5" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="5">(5) </num><content>What is known about best practices for treating infants with NAS.</content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ycfe5db94-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tV/s504/c" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="c">(c) </num><heading class="fontsize10"><inline class="smallCaps">Recommendations</inline>.—</heading><content>Such report also shall include such recommendations as the Comptroller General determines appropriate for improvements that will ensure access to treatment for infants with NAS under State Medicaid programs.<page identifier="/us/stat/130/732">130 STAT. 732</page></content></subsection> </section> <num value="VI">TITLE VI—</num><heading>INCENTIVIZING STATE COMPREHENSIVE INITIATIVES TO ADDRESS PRESCRIPTION OPIOID ABUSE</heading> <section id="d239274e5701" identifier="/us/pl/114/198/tVI/s601" role="instruction" style="-uslm-lc:I658143"><num class="fontsize12" value="601">SEC. 601. </num><heading>STATE DEMONSTRATION GRANTS FOR COMPREHENSIVE OPIOID ABUSE RESPONSE.</heading><content class="firstIndent0 fontsize10" id="xcfe650c5-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658120">  Part D of title V of the Public Health Service Act (<ref href="/us/usc/t42/s290dd/etseq">42 U.S.C. 290dd et seq.</ref>), as amended by section 302, is further amended by <amendingAction type="add">adding</amendingAction> at the end the following:<quotedContent><section class="centered fontsize12" id="ycfe73b26-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658143"><num class="fontsize12" value="548">“SEC. 548. </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfe73b27-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180"><ref href="/us/usc/t42/s290ee–3">42 USC 290ee–3</ref>.</p></sidenote><heading class="fontsize12">STATE DEMONSTRATION GRANTS FOR COMPREHENSIVE OPIOID ABUSE RESPONSE.</heading><subsection class="firstIndent0 fontsize10" id="ycfe73b28-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="a">“(a) </num><heading class="fontsize10"><inline class="smallCaps">Definitions</inline>.—</heading><chapeau>In this section:</chapeau><paragraph class="fontsize10" id="ycfe73b29-e85f-11f0-a1e4-69761a48a15a" role="definitions" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">“(1) </num><heading class="fontsize10"><inline class="smallCaps">Dispenser</inline>.—</heading><content>The term ‘<term>dispenser</term>’ has the meaning given the term in section 102 of the Controlled Substances Act (<ref href="/us/usc/t21/s802">21 U.S.C. 802</ref>).</content></paragraph> <paragraph class="fontsize10" id="ycfe73b2a-e85f-11f0-a1e4-69761a48a15a" role="definitions" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">“(2) </num><heading class="fontsize10"><inline class="smallCaps">Prescriber</inline>.—</heading><content>The term ‘<term>prescriber</term>’ means a dispenser who prescribes a controlled substance, or the agent of such a dispenser.</content></paragraph> <paragraph class="fontsize10" id="ycfe73b2b-e85f-11f0-a1e4-69761a48a15a" role="definitions" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">“(3) </num><heading class="fontsize10"><inline class="smallCaps">Prescriber of a schedule ii, iii, or iv controlled substance</inline>.—</heading><chapeau>The term ‘<term>prescriber of a schedule II, III, or IV controlled substance</term>’ does not include a prescriber of a schedule II, III, or IV controlled substance that dispenses the substance—</chapeau><subparagraph class="fontsize10" id="ycfe73b2c-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">“(A) </num><content>for use on the premises on which the substance is dispensed;</content></subparagraph> <subparagraph class="fontsize10" id="ycfe73b2d-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">“(B) </num><content>in a hospital emergency room, when the substance is in short supply;</content></subparagraph> <subparagraph class="fontsize10" id="ycfe73b2e-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">“(C) </num><content>for a certified opioid treatment program; or</content></subparagraph> <subparagraph class="fontsize10" id="ycfe73b2f-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="D">“(D) </num><content>in other situations as the Secretary may reasonably determine.</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ycfe73b30-e85f-11f0-a1e4-69761a48a15a" role="definitions" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="4">“(4) </num><heading class="fontsize10"><inline class="smallCaps">Schedule ii, iii, or iv controlled substance</inline>.—</heading><content>The term ‘<term>schedule II, III, or IV controlled substance</term>’ means a controlled substance that is listed on schedule II, schedule III, or schedule IV of section 202(c) of the Controlled Substances Act.</content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ycfe73b31-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="b">“(b) </num><heading class="fontsize10"><inline class="smallCaps">Grants for Comprehensive Opioid Abuse Response</inline>.—</heading><paragraph class="fontsize10" id="ycfe73b32-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">“(1) </num><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><content>The Secretary shall award grants to States, and combinations of States, to implement an integrated opioid abuse response initiative.</content></paragraph> <paragraph class="fontsize10" id="ycfe73b33-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">“(2) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfe73b34-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Response plan.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">Purposes</inline>.—</heading><chapeau>A State receiving a grant under this section shall establish a comprehensive response plan to opioid abuse, which may include—</chapeau><subparagraph class="fontsize10" id="ycfe73b35-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">“(A) </num><content>education efforts around opioid use, treatment, and addiction recovery, including education of residents, medical students, and physicians and other prescribers of schedule II, III, or IV controlled substances on relevant prescribing guidelines, the prescription drug monitoring program of the State described in subparagraph (B), and overdose prevention methods;</content></subparagraph> <subparagraph class="fontsize10" id="ycfe73b36-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">“(B) </num><chapeau>establishing, maintaining, or improving a comprehensive prescription drug monitoring program to track dispensing of schedule II, III, or IV controlled substances, which may—<page identifier="/us/stat/130/733">130 STAT. 733</page></chapeau><clause class="fontsize10" id="ycfe73b37-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">“(i) </num><content>provide for data sharing with other States; and</content></clause> <clause class="fontsize10" id="ycfe73b38-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">“(ii) </num><content>allow all individuals authorized by the State to write prescriptions for schedule II, III, or IV controlled substances to access the prescription drug monitoring program of the State;</content></clause> </subparagraph> <subparagraph class="fontsize10" id="ycfe73b39-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">“(C) </num><chapeau>developing, implementing, or expanding prescription drug and opioid addiction treatment programs by—</chapeau><clause class="fontsize10" id="ycfe73b3a-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">“(i) </num><content>expanding the availability of treatment for prescription drug and opioid addiction, including medication-assisted treatment and behavioral health therapy, as appropriate;</content></clause> <clause class="fontsize10" id="ycfe73b3b-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">“(ii) </num><content>developing, implementing, or expanding screening for individuals in treatment for prescription drug and opioid addiction for hepatitis C and HIV, and treating or referring those individuals if clinically appropriate; or</content></clause> <clause class="fontsize10" id="ycfe73b3c-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="iii">“(iii) </num><content>developing, implementing, or expanding recovery support services and programs at high schools or institutions of higher education;</content></clause> </subparagraph> <subparagraph class="fontsize10" id="ycfe73b3d-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="D">“(D) </num><content>developing, implementing, and expanding efforts to prevent overdose death from opioid abuse or addiction to prescription medications and opioids; and</content></subparagraph> <subparagraph class="fontsize10" id="ycfe73b3e-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="E">“(E) </num><content>advancing the education and awareness of the public, providers, patients, consumers, and other appropriate entities regarding the dangers of opioid abuse, safe disposal of prescription medications, and detection of early warning signs of opioid use disorders.</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ycfe73b3f-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">“(3) </num><heading class="fontsize10"><inline class="smallCaps">Application</inline>.—</heading><content>A State seeking a grant under this section shall submit to the Secretary an application in such form, and containing such information, as the Secretary may reasonably require.</content></paragraph> <paragraph class="fontsize10" id="ycfe73b40-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="4">“(4) </num><heading class="fontsize10"><inline class="smallCaps">Use of funds</inline>.—</heading><content>A State that receives a grant under this section shall use the grant for the cost, including the cost for technical assistance, training, and administration expenses, of carrying out an integrated opioid abuse response initiative as outlined by the State’s comprehensive response plan to opioid abuse established under paragraph (2).</content></paragraph> <paragraph class="fontsize10" id="ycfe73b41-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="5">“(5) </num><heading class="fontsize10"><inline class="smallCaps">Priority considerations</inline>.—</heading><chapeau>In awarding grants under this section, the Secretary shall, as appropriate, give priority to a State that—</chapeau><subparagraph class="fontsize10" id="ycfe73b42-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">“(A)</num><clause class="inline" id="ycfe73b43-e85f-11f0-a1e4-69761a48a15a"><num value="i">(i) </num><content>provides civil liability protection for first responders, health professionals, and family members who have received appropriate training in administering a drug or device approved or cleared under the Federal Food, Drug, and Cosmetic Act for emergency treatment of known or suspected opioid overdose; and</content></clause> <clause class="indentUp0 fontsize10" id="ycfe73b44-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">“(ii) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfe73b45-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Certification.</p></sidenote><chapeau>submits to the Secretary a certification by the attorney general of the State that the attorney general has—</chapeau><subclause class="fontsize10" id="ycfe73b46-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="I">“(I) </num><chapeau>reviewed any applicable civil liability protection law to determine the applicability of the law with respect to first responders, health care professionals, family members, and other individuals who—</chapeau><item class="fontsize10" id="ycfe73b47-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="aa">“(aa) </num><content>have received appropriate training in administering a drug or device approved or cleared under the Federal Food, Drug, and Cosmetic Act <page identifier="/us/stat/130/734">130 STAT. 734</page> for emergency treatment of known or suspected opioid overdose; and</content></item> <item class="fontsize10" id="ycfe73b48-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="bb">“(bb) </num><content>may administer a drug or device approved or cleared under the Federal Food, Drug, and Cosmetic Act for emergency treatment of known or suspected opioid overdose; and</content></item> </subclause> <subclause class="fontsize10" id="ycfe73b49-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="II">“(II) </num><content>concluded that the law described in subclause (I) provides adequate civil liability protection applicable to such persons;</content></subclause> </clause> </subparagraph> <subparagraph class="fontsize10" id="ycfe73b4a-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">“(B) </num><content>has a process for enrollment in services and benefits necessary by criminal justice agencies to initiate or continue treatment in the community, under which an individual who is incarcerated may, while incarcerated, enroll in services and benefits that are necessary for the individual to continue treatment upon release from incarceration;</content></subparagraph> <subparagraph class="fontsize10" id="ycfe73b4b-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">“(C) </num><content>ensures the capability of data sharing with other States, where applicable, such as by making data available to a prescription monitoring hub;</content></subparagraph> <subparagraph class="fontsize10" id="ycfe73b4c-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="D">“(D) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfe73b4d-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Records.</p></sidenote><content>ensures that data recorded in the prescription drug monitoring program database of the State are regularly updated, to the extent possible;</content></subparagraph> <subparagraph class="fontsize10" id="ycfe73b4e-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="E">“(E) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfe73b4f-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Notification.</p></sidenote><content>ensures that the prescription drug monitoring program of the State notifies prescribers and dispensers of schedule II, III, or IV controlled substances when overuse or misuse of such controlled substances by patients is suspected; and</content></subparagraph> <subparagraph class="fontsize10" id="ycfe73b50-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="F">“(F) </num><content>has in effect one or more statutes or implements policies that maximize use of prescription drug monitoring programs by individuals authorized by the State to prescribe schedule II, III, or IV controlled substances.</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ycfe73b51-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="6">“(6) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfe73b52-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Reports.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">Evaluation</inline>.—</heading><content>In conducting an evaluation of the program under this section pursuant to section 701 of the Comprehensive Addiction and Recovery Act of 2016, with respect to a State, the Secretary shall report on State legislation or policies related to maximizing the use of prescription drug monitoring programs and the incidence of opioid use disorders and overdose deaths in such State.</content></paragraph> <paragraph class="fontsize10" id="ycfe73b53-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="7">“(7) </num><heading class="fontsize10"><inline class="smallCaps">States with local prescription drug monitoring programs</inline>.—</heading><subparagraph class="fontsize10" id="ycfe73b54-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">“(A) </num><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><content>In the case of a State that does not have a prescription drug monitoring program, a county or other unit of local government within the State that has a prescription drug monitoring program shall be treated as a State for purposes of this section, including for purposes of eligibility for grants under paragraph (1).</content></subparagraph> <subparagraph class="fontsize10" id="ycfe73b55-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">“(B) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfe73b56-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Records.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">Plan for interoperability</inline>.—</heading><content>In submitting an application to the Secretary under paragraph (3), a county or other unit of local government shall submit a plan outlining the methods such county or unit of local government shall use to ensure the capability of data sharing with other counties and units of local government within the state and with other States, as applicable.</content></subparagraph> </paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ycfe73b57-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="c">“(c) </num><heading class="fontsize10"><inline class="smallCaps">Authorization of Funding</inline>.—</heading><content>For the purpose of carrying out this section, there are authorized to be appropriated $5,000,000 for each of fiscal years 2017 through 2021.”</content></subsection> </section> </quotedContent>.<page identifier="/us/stat/130/735">130 STAT. 735</page></content></section> <num value="VII">TITLE VII—</num><heading>MISCELLANEOUS</heading> <section id="d239274e6039" identifier="/us/pl/114/198/tVII/s701" style="-uslm-lc:I658143"><num class="fontsize12" value="701">SEC. 701. </num><heading>GRANT ACCOUNTABILITY AND EVALUATIONS.</heading><subsection class="firstIndent0 fontsize10" id="ycfe95e38-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s701/a" role="instruction" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="a">(a) </num><heading class="fontsize10"><inline class="smallCaps">Department of Justice Grant Accountability</inline>.—</heading><content>Part LL of title I of the Omnibus Crime Control and Safe Streets Act of 1968 (<ref href="/us/usc/t42/s3711/etseq">42 U.S.C. 3711 et seq.</ref>), as added by section 201, <amendingAction type="amend">is amended</amendingAction> by <amendingAction type="add">adding</amendingAction> at the end the following:<quotedContent><section class="indentUp2 firstIndent-2" id="ycfea2189-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658144"><num class="bold" value="3026">“SEC. 3026. </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfea218a-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180"><ref href="/us/usc/t42/s3797ff–5">42 USC 3797ff–5</ref>.</p></sidenote><heading class="bold">GRANT ACCOUNTABILITY.</heading><subsection class="indentDown2 firstIndent0 fontsize10" id="ycfea218b-e85f-11f0-a1e4-69761a48a15a" role="definitions" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="a">“(a) </num><heading class="fontsize10"><inline class="smallCaps">Definition of Applicable Committees</inline>.—</heading><chapeau>In this section, the term ‘<term>applicable committees</term>’ means—</chapeau><paragraph class="fontsize10" id="ycfea218c-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">“(1) </num><content>the Committee on the Judiciary of the Senate; and</content></paragraph> <paragraph class="fontsize10" id="ycfea218d-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">“(2) </num><content>the Committee on the Judiciary of the House of Representatives.</content></paragraph> </subsection> <subsection class="indentDown2 firstIndent0 fontsize10" id="ycfea218e-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="b">“(b) </num><heading class="fontsize10"><inline class="smallCaps">Accountability</inline>.—</heading><chapeau>All grants awarded by the Attorney General under this part shall be subject to the following accountability provisions:</chapeau><paragraph class="fontsize10" id="ycfea218f-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">“(1) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfea2190-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Time periods.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">Audit requirement</inline>.—</heading><subparagraph class="fontsize10" id="ycfea2191-e85f-11f0-a1e4-69761a48a15a" role="definitions" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">“(A) </num><heading class="fontsize10"><inline class="smallCaps">Definition</inline>.—</heading><content>In this paragraph, the term ‘<term>unresolved audit finding</term>’ means a finding in the final audit report of the Inspector General of the Department of Justice that the audited grantee has utilized grant funds for an unauthorized expenditure or otherwise unallowable cost that is not closed or resolved within 12 months after the date on which the final audit report is issued.</content></subparagraph> <subparagraph class="fontsize10" id="ycfea2192-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">“(B) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfea2193-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Effective date.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">Audit</inline>.—</heading><content>Beginning in the first fiscal year beginning after the date of enactment of this section, and in each fiscal year thereafter, the Inspector General of the Department of Justice shall conduct audits of recipients of grants awarded by the Attorney General under this part to prevent waste, fraud, and abuse of funds by grantees. The Inspector General shall determine the appropriate number of grantees to be audited each year.</content></subparagraph> <subparagraph class="fontsize10" id="ycfea2194-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">“(C) </num><heading class="fontsize10"><inline class="smallCaps">Mandatory exclusion</inline>.—</heading><content>A recipient of grant funds under this part that is found to have an unresolved audit finding shall not be eligible to receive grant funds under this part during the first 2 fiscal years beginning after the end of the 12-month period described in subparagraph (A).</content></subparagraph> <subparagraph class="fontsize10" id="ycfea2195-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="D">“(D) </num><heading class="fontsize10"><inline class="smallCaps">Priority</inline>.—</heading><content>In awarding grants under this part, the Attorney General shall give priority to eligible applicants that did not have an unresolved audit finding during the 3 fiscal years before submitting an application for a grant under this part.</content></subparagraph> <subparagraph class="fontsize10" id="ycfea2196-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="E">“(E) </num><heading class="fontsize10"><inline class="smallCaps">Reimbursement</inline>.—</heading><chapeau>If an entity is awarded grant funds under this part during the 2-fiscal-year period during which the entity is barred from receiving grants under subparagraph (C), the Attorney General shall—</chapeau><clause class="fontsize10" id="ycfea2197-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">“(i) </num><content>deposit an amount equal to the amount of the grant funds that were improperly awarded to the grantee into the General Fund of the Treasury; and</content></clause> <clause class="fontsize10" id="ycfea47a8-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">“(ii) </num><content>seek to recoup the costs of the repayment to the fund from the grant recipient that was erroneously awarded grant funds.</content></clause> </subparagraph> </paragraph> <paragraph class="fontsize10" id="ycfea47a9-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">“(2) </num><heading class="fontsize10"><inline class="smallCaps">Nonprofit organization requirements</inline>.—</heading><page identifier="/us/stat/130/736">130 STAT. 736</page> <subparagraph class="fontsize10" id="ycfea47aa-e85f-11f0-a1e4-69761a48a15a" role="definitions" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">“(A) </num><heading class="fontsize10"><inline class="smallCaps">Definition</inline>.—</heading><content>For purposes of this paragraph and the grant programs under this part, the term ‘<term>nonprofit organization</term>’ means an organization that is described in section 501(c)(3) of the Internal Revenue Code of 1986 and is exempt from taxation under section 501(a) of such Code.</content></subparagraph> <subparagraph class="fontsize10" id="ycfea47ab-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">“(B) </num><heading class="fontsize10"><inline class="smallCaps">Prohibition</inline>.—</heading><chapeau>A nonprofit organization that holds money in offshore accounts for the purpose of avoiding paying the tax described in section 511(a) of the Internal Revenue Code of 1986 may not—</chapeau><clause class="fontsize10" id="ycfea47ac-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">“(i) </num><content>be party to a contract entered into under section 3021(b); or</content></clause> <clause class="fontsize10" id="ycfea47ad-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">“(ii) </num><content>receive a subaward under section 3021(b).</content></clause> </subparagraph> <subparagraph class="fontsize10" id="ycfea47ae-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">“(C) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfea47af-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Contracts.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">Disclosure</inline>.—</heading><content>Each nonprofit organization that receives a subaward or is party to a contract entered into under section 3021(b) and uses the procedures prescribed in regulations to create a rebuttable presumption of reasonableness for the compensation of its officers, directors, trustees, and key employees, shall disclose, in the application for such contract or subaward, the process for determining such compensation, including the independent persons involved in reviewing and approving such compensation, the comparability data used, and contemporaneous substantiation of the deliberation and decision.<sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfea47b0-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Public information.</p></sidenote> Upon request, the Attorney General shall make the information disclosed under this subparagraph available for public inspection.</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ycfea47b1-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">“(3) </num><heading class="fontsize10"><inline class="smallCaps">Conference expenditures</inline>.—</heading><subparagraph class="fontsize10" id="ycfea47b2-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">“(A) </num><heading class="fontsize10"><inline class="smallCaps">Limitation</inline>.—</heading><content>No amounts made available to the Attorney General under this part may be used by the Attorney General, or by any State, unit of local government, or entity awarded a grant, subaward, or contract under this part, to host or support any expenditure for conferences that uses more than $20,000 in funds made available by the Attorney General, unless the head of the relevant agency, bureau, or program office provides prior written authorization that the funds may be expended to host or support the conference.</content></subparagraph> <subparagraph class="fontsize10" id="ycfea47b3-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">“(B) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfea47b4-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Cost estimate.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">Written authorization</inline>.—</heading><content>Written authorization under subparagraph (A) shall include a written estimate of all costs associated with the conference, including the cost of all food, beverages, audio-visual equipment, honoraria for speakers, and entertainment.</content></subparagraph> <subparagraph class="fontsize10" id="ycfea47b5-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">“(C) </num><heading class="fontsize10"><inline class="smallCaps">Report</inline>.—</heading><content>The Deputy Attorney General shall submit to the applicable committees an annual report on all conference expenditures approved by the Attorney General under this paragraph.</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ycfea47b6-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="4">“(4) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfea47b7-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Effective date.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">Annual certification</inline>.—</heading><chapeau>Beginning in the first fiscal year beginning after the date of enactment of this section, the Attorney General shall submit to the applicable committees an annual certification—</chapeau><subparagraph class="fontsize10" id="ycfea47b8-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">“(A) </num><chapeau>indicating whether—</chapeau><clause class="fontsize10" id="ycfea47b9-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">“(i) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfea47ba-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Audits.</p></sidenote><content>all audits issued by the Inspector General of the Department of Justice under paragraph (1) have been completed and reviewed by the appropriate Assistant Attorney General or Director;<page identifier="/us/stat/130/737">130 STAT. 737</page></content></clause> <clause class="fontsize10" id="ycfea47bb-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">“(ii) </num><content>all mandatory exclusions required under paragraph (1)(C) have been issued; and</content></clause> <clause class="fontsize10" id="ycfea47bc-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="iii">“(iii) </num><content>all reimbursements required under paragraph (1)(E) have been made; and</content></clause> </subparagraph> <subparagraph class="fontsize10" id="ycfea47bd-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">“(B) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfea47be-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">List.</p></sidenote><content>that includes a list of any grant recipients excluded under paragraph (1) from the previous year.</content></subparagraph> </paragraph> </subsection> <subsection class="indentDown2 firstIndent0 fontsize10" id="ycfea47bf-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="c">“(c) </num><heading class="fontsize10"><inline class="smallCaps">Preventing Duplicative Grants</inline>.—</heading><paragraph class="fontsize10" id="ycfea47c0-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">“(1) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfea47c1-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Determination.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><content>Before the Attorney General awards a grant to an applicant under this part, the Attorney General shall compare potential grant awards with other grants awarded under this part by the Attorney General to determine if duplicate grant awards are awarded for the same purpose.</content></paragraph> <paragraph class="fontsize10" id="ycfea47c2-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">“(2) </num><heading class="fontsize10"><inline class="smallCaps">Report</inline>.—</heading><chapeau>If the Attorney General awards duplicate grants under this part to the same applicant for the same purpose, the Attorney General shall submit to the applicable committees a report that includes—</chapeau><subparagraph class="fontsize10" id="ycfea47c3-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">“(A) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfea47c4-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">List.</p></sidenote><content>a list of all duplicate grants awarded under this part, including the total dollar amount of any duplicate grants awarded; and</content></subparagraph> <subparagraph class="fontsize10" id="ycfea47c5-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">“(B) </num><content>the reason the Attorney General awarded the duplicate grants.”</content></subparagraph> </paragraph> </subsection> </section> </quotedContent>.</content></subsection> <subsection class="firstIndent0 fontsize10" id="ycfea47c6-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s701/b" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="b">(b) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfea47c7-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Deadlines.</p><p class="leftAlign firstIndent0 fontsize8" id="xcfea47c8-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180"><ref href="/us/usc/t42/s3797ff–6">42 USC 3797ff–6</ref>.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">Evaluation of Performance of Department of Justice Programs</inline>.—</heading><paragraph class="fontsize10" id="ycfea47c9-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s701/b/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><heading class="fontsize10"><inline class="smallCaps">Evaluation of justice department comprehensive opioid abuse grant program</inline>.—</heading><content>Not later than 5 years after the date of enactment of this Act, the Attorney General shall complete an evaluation of the effectiveness of the Comprehensive Opioid Abuse Grant Program under part LL of title I of the Omnibus Crime Control and Safe Streets Act of 1968, as added by section 201, administered by the Department of Justice based upon the information reported under paragraph (4).</content></paragraph> <paragraph class="fontsize10" id="ycfea47ca-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s701/b/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfea47cb-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Assessment.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">Interim evaluation</inline>.—</heading><content>Not later than 3 years after the date of enactment of this Act, the Attorney General shall complete an interim evaluation assessing the nature and extent of the incidence of opioid abuse and illegal opioid distribution in the United States.</content></paragraph> <paragraph class="fontsize10" id="ycfea47cc-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s701/b/3" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">(3) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfea47cd-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Determination.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">Metrics and outcomes for evaluation</inline>.—</heading><content>Not later than 180 days after the date of enactment of this Act, the Attorney General shall identify outcomes that are to be achieved by activities funded by the Comprehensive Opioid Abuse Grant Program and the metrics by which the achievement of such outcomes shall be determined.</content></paragraph> <paragraph class="fontsize10" id="ycfea47ce-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s701/b/4" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="4">(4) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfea47cf-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Reports.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">Metrics data collection</inline>.—</heading><content>The Attorney General shall require grantees under the Comprehensive Opioid Abuse Grant Program (and those receiving subawards under section 3021(b) of part LL of title I of the Omnibus Crime Control and Safe Streets Act of 1968, as added by section 201) to collect and annually report to the Department of Justice data based upon the metrics identified under paragraph (3).</content></paragraph> <paragraph class="fontsize10" id="ycfea47d0-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s701/b/5" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="5">(5) </num><heading class="fontsize10"><inline class="smallCaps">Publication of data and findings</inline>.—</heading><subparagraph class="fontsize10" id="ycfea47d1-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s701/b/5/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><heading class="fontsize10"><inline class="smallCaps">Publication of outcomes and metrics</inline>.—</heading><content>The Attorney General shall, not later than 30 days after completion of the requirement under paragraph (3), publish the outcomes and metrics identified under that paragraph.</content></subparagraph> <subparagraph class="fontsize10" id="ycfea47d2-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s701/b/5/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfea47d3-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Reports.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">Publication of evaluation</inline>.—</heading><content>In the case of the interim evaluation under paragraph (2), and the final <page identifier="/us/stat/130/738">130 STAT. 738</page> evaluation under paragraph (1), the entity conducting the evaluation shall, not later than 90 days after such an evaluation is completed, publish the results of such evaluation and issue a report on such evaluation to the Committee on the Judiciary of the House of Representatives and the Committee on the Judiciary of the Senate. Such report shall also be published along with the data used to make such evaluation.</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ycfea47d4-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s701/b/6" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="6">(6) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfea47d5-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Contracts.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">Independent evaluation</inline>.—</heading><chapeau>For purposes of paragraphs (1), (2), and (3), the Attorney General shall—</chapeau><subparagraph class="fontsize10" id="ycfea47d6-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s701/b/6/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>enter into an arrangement with the National Academy of Sciences; or</content></subparagraph> <subparagraph class="fontsize10" id="ycfea47d7-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s701/b/6/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>enter into a contract or cooperative agreement with an entity that is not an agency of the Federal Government, and is qualified to conduct and evaluate research pertaining to opioid use and abuse, and draw conclusions about overall opioid use and abuse on the basis of that research.</content></subparagraph> </paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ycfea47d8-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s701/c" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="c">(c) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfea47d9-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">42 USC</p><p class="leftAlign firstIndent0 fontsize8" id="xcfea47da-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">290aa–15.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">Department of Health and Human Services Grant Accountability</inline>.—</heading><paragraph class="fontsize10" id="ycfea47db-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s701/c/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><heading class="fontsize10"><inline class="smallCaps">Definitions</inline>.—</heading><chapeau>In this subsection:</chapeau><subparagraph class="fontsize10" id="ycfea47dc-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s701/c/1/A" role="definitions" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><heading class="fontsize10"><inline class="smallCaps">Applicable committees</inline>.—</heading><chapeau>The term “<term>applicable committees</term>” means—</chapeau><clause class="fontsize10" id="ycfea47dd-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s701/c/1/A/i" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">(i) </num><content>the Committee on Health, Education, Labor and Pensions of the Senate; and</content></clause> <clause class="fontsize10" id="ycfea47de-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s701/c/1/A/ii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">(ii) </num><content>the Committee on Energy and Commerce of the House of Representatives.</content></clause> </subparagraph> <subparagraph class="fontsize10" id="ycfea47df-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s701/c/1/B" role="definitions" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><heading class="fontsize10"><inline class="smallCaps">Covered grant</inline>.—</heading><content>The term “<term>covered grant</term>” means a grant awarded by the Secretary under a program established under this Act (or an amendment made by this Act, other than sections 703 through 707), including any grant administered by the Administrator of the Substance Abuse and Mental Health Services Administration under section 103.</content></subparagraph> <subparagraph class="fontsize10" id="ycfea47e0-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s701/c/1/C" role="definitions" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">(C) </num><heading class="fontsize10"><inline class="smallCaps">Grantee</inline>.—</heading><content>The term “<term>grantee</term>” means the recipient of a covered grant.</content></subparagraph> <subparagraph class="fontsize10" id="ycfea47e1-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s701/c/1/D" role="definitions" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="D">(D) </num><heading class="fontsize10"><inline class="smallCaps">Secretary</inline>.—</heading><content>The term “<term>Secretary</term>” means the Secretary of Health and Human Services.</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ycfea47e2-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s701/c/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><heading class="fontsize10"><inline class="smallCaps">Accountability measures</inline>.—</heading><chapeau>Each covered grant shall be subject to the following accountability requirements:</chapeau><subparagraph class="fontsize10" id="ycfea47e3-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s701/c/2/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><heading class="fontsize10"><inline class="smallCaps">Effectiveness report</inline>.—</heading><content>The Secretary shall require grantees to report on the effectiveness of the activities carried out with amounts made available to carry out the program under which the covered grant is awarded, including the number of persons served by such grant, if applicable, the number of persons seeking services who could not be served by such grant, and such other information as the Secretary may prescribe.</content></subparagraph> <subparagraph class="fontsize10" id="ycfea47e4-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s701/c/2/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><heading class="fontsize10"><inline class="smallCaps">Report on prevention of fraud, waste, and abuse</inline>.—</heading><clause class="fontsize10" id="ycfea47e5-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s701/c/2/B/i" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">(i) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfea47e6-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Coordination.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><content>Not later than 1 year after the date of the enactment of this Act, the Secretary, in coordination with the Inspector General of the Department of Health and Human Services, shall submit to the applicable committees a report on the policies and procedures the Department has in place to prevent waste, fraud, and abuse in the administration of covered grants.<page identifier="/us/stat/130/739">130 STAT. 739</page></content></clause> <clause class="fontsize10" id="ycfea47e7-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s701/c/2/B/ii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">(ii) </num><heading class="fontsize10"><inline class="smallCaps">Contents</inline>.—</heading><chapeau>The policies and procedures referred to in clause (i) shall include policies and procedures that are designed to—</chapeau><subclause class="fontsize10" id="ycfea47e8-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s701/c/2/B/ii/I" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="I">(I) </num><content>prevent grantees from utilizing funds awarded through a covered grant for unauthorized expenditures or otherwise unallowable costs; and</content></subclause> <subclause class="fontsize10" id="ycfea47e9-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s701/c/2/B/ii/II" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="II">(II) </num><content>ensure grantees will not receive unwarranted duplicate grants for the same purpose.</content></subclause> </clause> </subparagraph> <subparagraph class="fontsize10" id="ycfea47ea-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s701/c/2/C" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">(C) </num><heading class="fontsize10"><inline class="smallCaps">Conference expenditures</inline>.—</heading><clause class="fontsize10" id="ycfea47eb-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s701/c/2/C/i" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">(i) </num><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><content>No amounts made available to the Secretary under this Act (or in a provision of law amended by this Act, other than sections 703 through 707) may be used by the Secretary, or by any individual or entity awarded discretionary funds through a cooperative agreement under a program established under this Act (or in a provision of law amended by this Act), to host or support any expenditure for conferences that uses more than $20,000 in funds made available by the Secretary, unless the head of the relevant operating division or program office provides prior written authorization that the funds may be expended to host or support the conference. Such written<sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfea47ec-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Cost estimate.</p></sidenote> authorization shall include a written estimate of all costs associated with the conference, including the cost of all food, beverages, audio-visual equipment, honoraria for speakers, and entertainment.</content></clause> <clause class="fontsize10" id="ycfea47ed-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s701/c/2/C/ii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">(ii) </num><heading class="fontsize10"><inline class="smallCaps">Report</inline>.—</heading><content>The Secretary (or the Secretary’s designee) shall submit to the applicable committees an annual report on all conference expenditures approved by the Secretary under this subparagraph.</content></clause> </subparagraph> </paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ycfea47ee-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s701/d" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="d">(d) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfea47ef-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Deadlines.</p><p class="leftAlign firstIndent0 fontsize8" id="xcfea47f0-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">42 USC</p><p class="leftAlign firstIndent0 fontsize8" id="xcfea47f1-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">290aa–16.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">Evaluation of Performance of Department of Health and Human Services Programs</inline>.—</heading><paragraph class="fontsize10" id="ycfea47f2-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s701/d/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><heading class="fontsize10"><inline class="smallCaps">Evaluations</inline>.—</heading><subparagraph class="fontsize10" id="ycfea47f3-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s701/d/1/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><content>Not later than 5 years after the date of enactment of this Act, except as otherwise provided in this section, the Secretary of Health and Human Services (in this subsection referred to as the “Secretary”) shall complete an evaluation of any program administered by the Secretary included in this Act (or an amendment made by this Act, excluding sections 703 through 707), including any grant administered by the Administrator of the Substance Abuse and Mental Health Services Administration under section 103, that provides grants for the primary purpose of providing assistance in addressing problems pertaining to opioid abuse based upon the outcomes and metrics identified under paragraph (2).</content></subparagraph> <subparagraph class="fontsize10" id="ycfea47f4-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s701/d/1/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><heading class="fontsize10"><inline class="smallCaps">Publication</inline>.—</heading><content>With respect to each evaluation completed under subparagraph (A), the Secretary shall, not later than 90 days after the date on which such evaluation is completed, publish the results of such evaluation and issue a report on such evaluation to the appropriate committees. Such report shall also be published along with the data used to make such evaluation.</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ycfea47f5-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s701/d/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><heading class="fontsize10"><inline class="smallCaps">Metrics and outcomes</inline>.—</heading><subparagraph class="fontsize10" id="ycfea47f6-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s701/d/2/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><chapeau>Not later than 180 days after the date of enactment of this Act, the Secretary shall identify—<page identifier="/us/stat/130/740">130 STAT. 740</page></chapeau><clause class="fontsize10" id="ycfea47f7-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s701/d/2/A/i" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">(i) </num><content>outcomes that are to be achieved by activities funded by the programs described in paragraph (1)(A); and</content></clause> <clause class="fontsize10" id="ycfea6f08-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s701/d/2/A/ii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">(ii) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfea6f09-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Determination.</p></sidenote><content>the metrics by which the achievement of such outcomes shall be determined.</content></clause> </subparagraph> <subparagraph class="fontsize10" id="ycfea6f0a-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s701/d/2/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><heading class="fontsize10"><inline class="smallCaps">Publication</inline>.—</heading><content>The Secretary shall, not later than 30 days after completion of the requirement under subparagraph (A), publish the outcomes and metrics identified under such subparagraph.</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ycfea6f0b-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s701/d/3" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">(3) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfea6f0c-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Reports.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">Metrics data collection</inline>.—</heading><content>The Secretary shall require grantees under the programs described in paragraph (1)(A) to collect, and annually report to the Secretary, data based upon the metrics identified under paragraph (2)(A).</content></paragraph> <paragraph class="fontsize10" id="ycfea6f0d-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s701/d/4" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="4">(4) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfea6f0e-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Contracts.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">Independent evaluation</inline>.—</heading><chapeau>For purposes of paragraph (1), the Secretary shall—</chapeau><subparagraph class="fontsize10" id="ycfea6f0f-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s701/d/4/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>enter into an arrangement with the National Academy of Sciences; or</content></subparagraph> <subparagraph class="fontsize10" id="ycfea6f10-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s701/d/4/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><chapeau>enter into a contract or cooperative agreement with an entity that—</chapeau><clause class="fontsize10" id="ycfea6f11-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s701/d/4/B/i" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">(i) </num><content>is not an agency of the Federal Government; and</content></clause> <clause class="fontsize10" id="ycfea6f12-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s701/d/4/B/ii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">(ii) </num><content>is qualified to conduct and evaluate research pertaining to opioid use and abuse and draw conclusions about overall opioid use and abuse on the basis of that research.</content></clause> </subparagraph> </paragraph> <paragraph class="fontsize10" id="ycfea6f13-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s701/d/5" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="5">(5) </num><heading class="fontsize10"><inline class="smallCaps">Exception</inline>.—</heading><content>If a program described in paragraph (1)(A) is subject to an evaluation similar to the evaluation required under such paragraph pursuant to another provision of Federal law, the Secretary may opt not to conduct an evaluation under such paragraph with respect to such program.</content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ycfea6f14-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s701/e" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="e">(e) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfea6f15-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">42 USC</p><p class="leftAlign firstIndent0 fontsize8" id="xcfea6f16-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">290aa–15 note.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">Additional Report</inline>.—</heading><content>In the case of a report submitted under subsection (c) to the applicable committees, if such report pertains to a grant under section 103, that report shall also be submitted, in the same manner and at the same time, to the Committee on Oversight and Government Reform of the House of Representatives and to the Committee on the Judiciary of the Senate.</content></subsection> <subsection class="firstIndent0 fontsize10" id="ycfea6f17-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s701/f" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="f">(f) </num><heading class="fontsize10"><inline class="smallCaps">No Additional Funds Authorized</inline>.—</heading><content>No additional funds are authorized to be appropriated to carry out this section.</content></subsection> </section> <section id="d239274e6792" identifier="/us/pl/114/198/tVII/s702" style="-uslm-lc:I658143"><num class="fontsize12" value="702">SEC. 702. </num><heading>PARTIAL FILLS OF SCHEDULE II CONTROLLED SUBSTANCES.</heading><subsection class="firstIndent0 fontsize10" id="ycfea9628-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s702/a" role="instruction" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="a">(a) </num><heading class="fontsize10"><inline class="smallCaps">In General</inline>.—</heading><content>Section 309 of the Controlled Substances Act (<ref href="/us/usc/t21/s829">21 U.S.C. 829</ref>) <amendingAction type="amend">is amended</amendingAction> by <amendingAction type="add">adding</amendingAction> at the end the following:<quotedContent><subsection class="firstIndent0 fontsize10" id="ycfeae449-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="f">“(f) </num><heading class="fontsize10"><inline class="smallCaps">Partial Fills of Schedule II Controlled Substances</inline>.—</heading><paragraph class="fontsize10" id="ycfeae44a-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">“(1) </num><heading class="fontsize10"><inline class="smallCaps">Partial fills</inline>.—</heading><chapeau>A prescription for a controlled substance in schedule II may be partially filled if—</chapeau><subparagraph class="fontsize10" id="ycfeae44b-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">“(A) </num><content>it is not prohibited by State law;</content></subparagraph> <subparagraph class="fontsize10" id="ycfeae44c-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">“(B) </num><content>the prescription is written and filled in accordance with this title, regulations prescribed by the Attorney General, and State law;</content></subparagraph> <subparagraph class="fontsize10" id="ycfeae44d-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">“(C) </num><content>the partial fill is requested by the patient or the practitioner that wrote the prescription; and</content></subparagraph> <subparagraph class="fontsize10" id="ycfeae44e-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="D">“(D) </num><content>the total quantity dispensed in all partial fillings does not exceed the total quantity prescribed.</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ycfeae44f-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">“(2) </num><heading class="fontsize10"><inline class="smallCaps">Remaining portions</inline>.—</heading><page identifier="/us/stat/130/741">130 STAT. 741</page> <subparagraph class="fontsize10" id="ycfeae450-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">“(A) </num><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><chapeau>Except as provided in subparagraph (B), remaining portions of a partially filled prescription for a controlled substance in schedule II—</chapeau><clause class="fontsize10" id="ycfeae451-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">“(i) </num><content>may be filled; and</content></clause> <clause class="fontsize10" id="ycfeae452-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">“(ii) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfeae453-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Deadline.</p></sidenote><content>shall be filled not later than 30 days after the date on which the prescription is written.</content></clause> </subparagraph> <subparagraph class="fontsize10" id="ycfeae454-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">“(B) </num><heading class="fontsize10"><inline class="smallCaps">Emergency situations</inline>.—</heading><chapeau>In emergency situations, as described in subsection (a), the remaining portions of a partially filled prescription for a controlled substance in schedule II—</chapeau><clause class="fontsize10" id="ycfeae455-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">“(i) </num><content>may be filled; and</content></clause> <clause class="fontsize10" id="ycfeae456-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">“(ii) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfeae457-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Deadline.</p></sidenote><content>shall be filled not later than 72 hours after the prescription is issued.</content></clause> </subparagraph> </paragraph> <paragraph class="fontsize10" id="ycfeae458-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">“(3) </num><heading class="fontsize10"><inline class="smallCaps">Currently lawful partial fills</inline>.—</heading><content>Notwithstanding paragraph (1) or (2), in any circumstance in which, as of the day before the date of enactment of this subsection, a prescription for a controlled substance in schedule II may be lawfully partially filled, the Attorney General may allow such a prescription to be partially filled.”</content></paragraph> </subsection> </quotedContent>.</content></subsection> <subsection class="firstIndent0 fontsize10" id="ycfeae459-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s702/b" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="b">(b) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfeae45a-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180"><ref href="/us/usc/t21/s829">21 USC 829 note</ref>.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">Rule of Construction</inline>.—</heading><content>Nothing in this section shall be construed to affect the authority of the Attorney General to allow a prescription for a controlled substance in schedule III, IV, or V of section 202(c) of the Controlled Substances Act (<ref href="/us/usc/t21/s812/c">21 U.S.C. 812(c)</ref>) to be partially filled.</content></subsection> </section> <section id="d239274e6937" identifier="/us/pl/114/198/tVII/s703" style="-uslm-lc:I658143"><num class="fontsize12" value="703">SEC. 703. </num><heading>GOOD SAMARITAN ASSESSMENT.</heading><subsection class="firstIndent0 fontsize10" id="ycfeb598b-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s703/a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="a">(a) </num><heading class="fontsize10"><inline class="smallCaps">Finding</inline>.—</heading><content>The Congress finds that the executive branch, including the Office of National Drug Control Policy, has a policy focus on preventing and addressing prescription drug misuse and heroin use, and has worked with States and municipalities to enact Good Samaritan laws that would protect caregivers, law enforcement personnel, and first responders who administer opioid overdose reversal drugs or devices.</content></subsection> <subsection class="firstIndent0 fontsize10" id="ycfeb598c-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s703/b" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="b">(b) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfeb598d-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Reports.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">GAO Study on Good Samaritan Laws Pertaining to Treatment of Opioid Overdoses</inline>.—</heading><chapeau>The Comptroller General of the United States shall submit to the Committee on the Judiciary of the House of Representatives, the Committee on Oversight and Government Reform of the House of Representatives, the Committee on the Judiciary of the Senate, and the Committee on Homeland Security and Governmental Affairs of the Senate a report on—</chapeau><paragraph class="fontsize10" id="ycfeb598e-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s703/b/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><content>the extent to which the Director of National Drug Control Policy has reviewed Good Samaritan laws, and any findings from such a review, including findings related to the potential effects of such laws, if available;</content></paragraph> <paragraph class="fontsize10" id="ycfeb598f-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s703/b/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><content>efforts by the Director to encourage the enactment of Good Samaritan laws; and</content></paragraph> <paragraph class="fontsize10" id="ycfeb5990-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s703/b/3" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">(3) </num><content>a compilation of Good Samaritan laws in effect in the States, the territories, and the District of Columbia.</content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ycfeb5991-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s703/c" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="c">(c) </num><heading class="fontsize10"><inline class="smallCaps">Definitions</inline>.—</heading><chapeau>In this section—</chapeau><paragraph class="fontsize10" id="ycfeb5992-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s703/c/1" role="definitions" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><content>the term “<term>Good Samaritan law</term>” means a law of a State or unit of local government that exempts from criminal or civil liability any individual who administers an opioid overdose reversal drug or device, or who contacts emergency services providers in response to an overdose; and</content></paragraph> <paragraph class="fontsize10" id="ycfeb5993-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s703/c/2" role="definitions" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><content>the term “<term>opioid</term>” means any drug, including heroin, having an addiction-forming or addiction-sustaining liability <page identifier="/us/stat/130/742">130 STAT. 742</page> similar to morphine or being capable of conversion into a drug having such addiction-forming or addiction-sustaining liability.</content></paragraph> </subsection> </section> <section id="d239274e7001" identifier="/us/pl/114/198/tVII/s704" style="-uslm-lc:I658143"><num class="fontsize12" value="704">SEC. 704. </num><heading>PROGRAMS TO PREVENT PRESCRIPTION DRUG ABUSE UNDER MEDICARE PARTS C AND D.</heading><subsection class="firstIndent0 fontsize10" id="ycfedf1a4-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s704/a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="a">(a) </num><heading class="fontsize10"><inline class="smallCaps">Drug Management Program for At-Risk Beneficiaries</inline>.—</heading><paragraph class="fontsize10" id="ycfedf1a5-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s704/a/1" role="instruction" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><content>Section 1860D–4(c) of the Social Security Act (<ref href="/us/usc/t42/s1395w–10/c">42 U.S.C. 1395w–10(c)</ref>) <amendingAction type="amend">is amended</amendingAction> by <amendingAction type="add">adding</amendingAction> at the end the following:<quotedContent><paragraph class="indentUp0 fontsize10" id="ycfef7846-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="5">“(5) </num><heading class="fontsize10"><inline class="smallCaps">Drug management program for at-risk beneficiaries</inline>.—</heading><subparagraph class="fontsize10" id="ycfef7847-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">“(A) </num><heading class="fontsize10"><inline class="smallCaps">Authority to establish</inline>.—</heading><content>A PDP sponsor may establish a drug management program for at-risk beneficiaries under which, subject to subparagraph (B), the PDP sponsor may, in the case of an at-risk beneficiary for prescription drug abuse who is an enrollee in a prescription drug plan of such PDP sponsor, limit such beneficiary’s access to coverage for frequently abused drugs under such plan to frequently abused drugs that are prescribed for such beneficiary by one or more prescribers selected under subparagraph (D), and dispensed for such beneficiary by one or more pharmacies selected under such subparagraph.</content></subparagraph> <subparagraph class="fontsize10" id="ycfef7848-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">“(B) </num><heading class="fontsize10"><inline class="smallCaps">Requirement for notices</inline>.—</heading><clause class="fontsize10" id="ycfef7849-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">“(i) </num><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><chapeau>A PDP sponsor may not limit the access of an at-risk beneficiary for prescription drug abuse to coverage for frequently abused drugs under a prescription drug plan until such sponsor—</chapeau><subclause class="fontsize10" id="ycfef784a-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="I">“(I) </num><content>provides to the beneficiary an initial notice described in clause (ii) and a second notice described in clause (iii); and</content></subclause> <subclause class="fontsize10" id="ycfef784b-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="II">“(II) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfef784c-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Verification.</p></sidenote><content>verifies with the providers of the beneficiary that the beneficiary is an at-risk beneficiary for prescription drug abuse.</content></subclause> </clause> <clause class="fontsize10" id="ycfef784d-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">“(ii) </num><heading class="fontsize10"><inline class="smallCaps">Initial notice</inline>.—</heading><chapeau>An initial notice described in this clause is a notice that provides to the beneficiary—</chapeau><subclause class="fontsize10" id="ycfef784e-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="I">“(I) </num><content>notice that the PDP sponsor has identified the beneficiary as potentially being an at-risk beneficiary for prescription drug abuse;</content></subclause> <subclause class="fontsize10" id="ycfef784f-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="II">“(II) </num><content>information describing all State and Federal public health resources that are designed to address prescription drug abuse to which the beneficiary has access, including mental health services and other counseling services;</content></subclause> <subclause class="fontsize10" id="ycfef7850-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="III">“(III) </num><content>notice of, and information about, the right of the beneficiary to appeal such identification under subsection (h) and the option of an automatic escalation to external review;</content></subclause> <subclause class="fontsize10" id="ycfef7851-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="IV">“(IV) </num><content>a request for the beneficiary to submit to the PDP sponsor preferences for which prescribers and pharmacies the beneficiary would prefer the PDP sponsor to select under subparagraph (D) in the case that the beneficiary is identified as an at-risk beneficiary for prescription drug abuse as described in clause (iii)(I);<page identifier="/us/stat/130/743">130 STAT. 743</page></content></subclause> <subclause class="fontsize10" id="ycfef7852-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="V">“(V) </num><content>an explanation of the meaning and consequences of the identification of the beneficiary as potentially being an at-risk beneficiary for prescription drug abuse, including an explanation of the drug management program established by the PDP sponsor pursuant to subparagraph (A);</content></subclause> <subclause class="fontsize10" id="ycfef7853-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="VI">“(VI) </num><content>clear instructions that explain how the beneficiary can contact the PDP sponsor in order to submit to the PDP sponsor the preferences described in subclause (IV) and any other communications relating to the drug management program for at-risk beneficiaries established by the PDP sponsor; and</content></subclause> <subclause class="fontsize10" id="ycfef7854-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="VII">“(VII) </num><content>contact information for other organizations that can provide the beneficiary with assistance regarding such drug management program (similar to the information provided by the Secretary in other standardized notices provided to part D eligible individuals enrolled in prescription drug plans under this part).</content></subclause> </clause> <clause class="fontsize10" id="ycfef7855-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="iii">“(iii) </num><heading class="fontsize10"><inline class="smallCaps">Second notice</inline>.—</heading><chapeau>A second notice described in this clause is a notice that provides to the beneficiary notice—</chapeau><subclause class="fontsize10" id="ycfef7856-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="I">“(I) </num><content>that the PDP sponsor has identified the beneficiary as an at-risk beneficiary for prescription drug abuse;</content></subclause> <subclause class="fontsize10" id="ycfef7857-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="II">“(II) </num><content>that such beneficiary is subject to the requirements of the drug management program for at-risk beneficiaries established by such PDP sponsor for such plan;</content></subclause> <subclause class="fontsize10" id="ycfef7858-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="III">“(III) </num><content>of the prescriber (or prescribers) and pharmacy (or pharmacies) selected for such individual under subparagraph (D);</content></subclause> <subclause class="fontsize10" id="ycfef7859-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="IV">“(IV) </num><content>of, and information about, the beneficiary’s right to appeal such identification under subsection (h) and the option of an automatic escalation to external review;</content></subclause> <subclause class="fontsize10" id="ycfef785a-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="V">“(V) </num><content>that the beneficiary can, in the case that the beneficiary has not previously submitted to the PDP sponsor preferences for which prescribers and pharmacies the beneficiary would prefer the PDP sponsor select under subparagraph (D), submit such preferences to the PDP sponsor; and</content></subclause> <subclause class="fontsize10" id="ycfef785b-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="VI">“(VI) </num><content>that includes clear instructions that explain how the beneficiary can contact the PDP sponsor.</content></subclause> </clause> <clause class="fontsize10" id="ycfef785c-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="iv">“(iv) </num><heading class="fontsize10"><inline class="smallCaps">Timing of notices</inline>.—</heading><subclause class="fontsize10" id="ycfef785d-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="I">“(I) </num><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><content>Subject to subclause (II), a second notice described in clause (iii) shall be provided to the beneficiary on a date that is not less than 30 days after an initial notice described in clause (ii) is provided to the beneficiary.</content></subclause> <subclause class="fontsize10" id="ycfef785e-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="II">“(II) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfef785f-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Determination.</p><p class="leftAlign firstIndent0 fontsize8" id="xcfef7860-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Regulations.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">Exception</inline>.—</heading><content>In the case that the PDP sponsor, in conjunction with the Secretary, determines that concerns identified through rulemaking by the Secretary regarding the health or safety of the beneficiary or regarding significant drug <page identifier="/us/stat/130/744">130 STAT. 744</page> diversion activities require the PDP sponsor to provide a second notice described in clause (iii) to the beneficiary on a date that is earlier than the date described in subclause (I), the PDP sponsor may provide such second notice on such earlier date.</content></subclause> </clause> </subparagraph> <subparagraph class="fontsize10" id="ycfef7861-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">“(C) </num><heading class="fontsize10"><inline class="smallCaps">At-risk beneficiary for prescription drug abuse</inline>.—</heading><clause class="fontsize10" id="ycfef7862-e85f-11f0-a1e4-69761a48a15a" role="definitions" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">“(i) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfef7863-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Definition.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><chapeau>For purposes of this paragraph, the term ‘<term>at-risk beneficiary for prescription drug abuse</term>’ means a part D eligible individual who is not an exempted individual described in clause (ii) and—</chapeau><subclause class="fontsize10" id="ycfef7864-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="I">“(I) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfef7865-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Guidelines.</p><p class="leftAlign firstIndent0 fontsize8" id="xcfef7866-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Consultation.</p></sidenote><content>who is identified as such an at-risk beneficiary through the use of clinical guidelines that indicate misuse or abuse of prescription drugs described in subparagraph (G) and that are developed by the Secretary in consultation with PDP sponsors and other stakeholders, including individuals entitled to benefits under part A or enrolled under part B, advocacy groups representing such individuals, physicians, pharmacists, and other clinicians, retail pharmacies, plan sponsors, entities delegated by plan sponsors, and biopharmaceutical manufacturers; or</content></subclause> <subclause class="fontsize10" id="ycfef7867-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="II">“(II) </num><content>with respect to whom the PDP sponsor of a prescription drug plan, upon enrolling such individual in such plan, received notice from the Secretary that such individual was identified under this paragraph to be an at-risk beneficiary for prescription drug abuse under the prescription drug plan in which such individual was most recently previously enrolled and such identification has not been terminated under subparagraph (F).</content></subclause> </clause> <clause class="fontsize10" id="ycfef7868-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">“(ii) </num><heading class="fontsize10"><inline class="smallCaps">Exempted individual described</inline>.—</heading><chapeau>An exempted individual described in this clause is an individual who—</chapeau><subclause class="fontsize10" id="ycfef7869-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="I">“(I) </num><content>receives hospice care under this title;</content></subclause> <subclause class="fontsize10" id="ycfef786a-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="II">“(II) </num><content>is a resident of a long-term care facility, of a facility described in section 1905(d), or of another facility for which frequently abused drugs are dispensed for residents through a contract with a single pharmacy; or</content></subclause> <subclause class="fontsize10" id="ycfef786b-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="III">“(III) </num><content>the Secretary elects to treat as an exempted individual for purposes of clause (i).</content></subclause> </clause> <clause class="fontsize10" id="ycfef786c-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="iii">“(iii) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfef786d-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Guidelines.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">Program size</inline>.—</heading><content>The Secretary shall establish policies, including the guidelines developed under clause (i)(I) and the exemptions under clause (ii)(III), to ensure that the population of enrollees in a drug management program for at-risk beneficiaries operated by a prescription drug plan can be effectively managed by such plans.</content></clause> <clause class="fontsize10" id="ycfef786e-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="iv">“(iv) </num><heading class="fontsize10"><inline class="smallCaps">Clinical contact</inline>.—</heading><content>With respect to each at-risk beneficiary for prescription drug abuse enrolled in a prescription drug plan offered by a PDP sponsor, the PDP sponsor shall contact the beneficiary’s providers who have prescribed frequently abused drugs <page identifier="/us/stat/130/745">130 STAT. 745</page> regarding whether prescribed medications are appropriate for such beneficiary’s medical conditions.</content></clause> </subparagraph> <subparagraph class="fontsize10" id="ycfef786f-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="D">“(D) </num><heading class="fontsize10"><inline class="smallCaps">Selection of prescribers and pharmacies</inline>.—</heading><clause class="fontsize10" id="ycfef7870-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">“(i) </num><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><chapeau>With respect to each at-risk beneficiary for prescription drug abuse enrolled in a prescription drug plan offered by such sponsor, a PDP sponsor shall, based on the preferences submitted to the PDP sponsor by the beneficiary pursuant to clauses (ii)(IV) and (iii)(V) of subparagraph (B) (except as otherwise provided in this subparagraph) select—</chapeau><subclause class="fontsize10" id="ycfef9f81-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="I">“(I) </num><content>one, or, if the PDP sponsor reasonably determines it necessary to provide the beneficiary with reasonable access under clause (ii), more than one, individual who is authorized to prescribe frequently abused drugs (referred to in this paragraph as a ‘prescriber’) who may write prescriptions for such drugs for such beneficiary; and</content></subclause> <subclause class="fontsize10" id="ycfef9f82-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="II">“(II) </num><content>one, or, if the PDP sponsor reasonably determines it necessary to provide the beneficiary with reasonable access under clause (ii), more than one, pharmacy that may dispense such drugs to such beneficiary.</content></subclause> <continuation class="firstIndent1 fontsize10" id="xcfef9f83-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126">For purposes of subclause (II), in the case of a pharmacy that has multiple locations that share real-time electronic data, all such locations of the pharmacy shall collectively be treated as one pharmacy.</continuation></clause> <clause class="fontsize10" id="ycfef9f84-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">“(ii) </num><heading class="fontsize10"><inline class="smallCaps">Reasonable access</inline>.—</heading><chapeau>In making the selections under this subparagraph—</chapeau><subclause class="fontsize10" id="ycfef9f85-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="I">“(I) </num><content>a PDP sponsor shall ensure that the beneficiary continues to have reasonable access to frequently abused drugs (as defined in subparagraph (G)), taking into account geographic location, beneficiary preference, impact on costsharing, and reasonable travel time; and</content></subclause> <subclause class="fontsize10" id="ycfef9f86-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="II">“(II) </num><content>a PDP sponsor shall ensure such access (including access to prescribers and pharmacies with respect to frequently abused drugs) in the case of individuals with multiple residences, in the case of natural disasters and similar situations, and in the case of the provision of emergency services.</content></subclause> </clause> <clause class="fontsize10" id="ycfef9f87-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="iii">“(iii) </num><heading class="fontsize10"><inline class="smallCaps">Beneficiary preferences</inline>.—</heading><chapeau>If an at-risk beneficiary for prescription drug abuse submits preferences for which in-network prescribers and pharmacies the beneficiary would prefer the PDP sponsor select in response to a notice under subparagraph (B), the PDP sponsor shall—</chapeau><subclause class="fontsize10" id="ycfef9f88-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="I">“(I) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfef9f89-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Review.</p></sidenote><content>review such preferences;</content></subclause> <subclause class="fontsize10" id="ycfef9f8a-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="II">“(II) </num><content>select or change the selection of prescribers and pharmacies for the beneficiary based on such preferences; and</content></subclause> <subclause class="fontsize10" id="ycfef9f8b-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="III">“(III) </num><content>inform the beneficiary of such selection or change of selection.</content></subclause> </clause> <clause class="fontsize10" id="ycfef9f8c-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="iv">“(iv) </num><heading class="fontsize10"><inline class="smallCaps">Exception regarding beneficiary preferences</inline>.—</heading><chapeau>In the case<sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfef9f8d-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Determination.</p></sidenote> that the PDP sponsor determines that a change to the selection of prescriber or pharmacy under clause (iii)(II) by the PDP sponsor <page identifier="/us/stat/130/746">130 STAT. 746</page> is contributing or would contribute to prescription drug abuse or drug diversion by the beneficiary, the PDP sponsor may change the selection of prescriber or pharmacy for the beneficiary without regard to the preferences of the beneficiary described in clause (iii). If the PDP sponsor changes the selection pursuant to the preceding sentence, the PDP sponsor shall provide the beneficiary with—</chapeau><subclause class="fontsize10" id="ycfef9f8e-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="I">“(I) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfef9f8f-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Time period.</p><p class="leftAlign firstIndent0 fontsize8" id="xcfef9f90-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Notice.</p></sidenote><content>at least 30 days written notice of the change of selection; and</content></subclause> <subclause class="fontsize10" id="ycfef9f91-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="II">“(II) </num><content>a rationale for the change.</content></subclause> </clause> <clause class="fontsize10" id="ycfef9f92-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="v">“(v) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfef9f93-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Notification.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">Confirmation</inline>.—</heading><content>Before selecting a prescriber or pharmacy under this subparagraph, a PDP sponsor must notify the prescriber and pharmacy that the beneficiary involved has been identified for inclusion in the drug management program for at-risk beneficiaries and that the prescriber and pharmacy has been selected as the beneficiary’s designated prescriber and pharmacy.</content></clause> </subparagraph> <subparagraph class="fontsize10" id="ycfef9f94-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="E">“(E) </num><heading class="fontsize10"><inline class="smallCaps">Terminations and appeals</inline>.—</heading><content>The identification of an individual as an at-risk beneficiary for prescription drug abuse under this paragraph, a coverage determination made under a drug management program for at-risk beneficiaries, the selection of prescriber or pharmacy under subparagraph (D), and information to be shared under subparagraph (I), with respect to such individual, shall be subject to reconsideration and appeal under subsection (h) and the option of an automatic escalation to external review to the extent provided by the Secretary.</content></subparagraph> <subparagraph class="fontsize10" id="ycfef9f95-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="F">“(F) </num><heading class="fontsize10"><inline class="smallCaps">Termination of identification</inline>.—</heading><clause class="fontsize10" id="ycfef9f96-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">“(i) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfef9f97-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Standards.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><chapeau>The Secretary shall develop standards for the termination of identification of an individual as an at-risk beneficiary for prescription drug abuse under this paragraph. Under such standards such identification shall terminate as of the earlier of—</chapeau><subclause class="fontsize10" id="ycfef9f98-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="I">“(I) </num><content>the date the individual demonstrates that the individual is no longer likely, in the absence of the restrictions under this paragraph, to be an at-risk beneficiary for prescription drug abuse described in subparagraph (C)(i); and</content></subclause> <subclause class="fontsize10" id="ycfef9f99-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="II">“(II) </num><content>the end of such maximum period of identification as the Secretary may specify.</content></subclause> </clause> <clause class="fontsize10" id="ycfef9f9a-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">“(ii) </num><heading class="fontsize10"><inline class="smallCaps">Rule of construction</inline>.—</heading><content>Nothing in clause (i) shall be construed as preventing a plan from identifying an individual as an at-risk beneficiary for prescription drug abuse under subparagraph (C)(i) after such termination on the basis of additional information on drug use occurring after the date of notice of such termination.</content></clause> </subparagraph> <subparagraph class="fontsize10" id="ycfef9f9b-e85f-11f0-a1e4-69761a48a15a" role="definitions" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="G">“(G) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfef9f9c-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Definition.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">Frequently abused drug</inline>.—</heading><content>For purposes of this subsection, the term ‘<term>frequently abused drug</term>’ means a drug that is a controlled substance that the Secretary determines to be frequently abused or diverted.</content></subparagraph> <subparagraph class="fontsize10" id="ycfef9f9d-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="H">“(H) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfef9f9e-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Regulations.</p><p class="leftAlign firstIndent0 fontsize8" id="xcfef9f9f-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Procedures.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">Data disclosure</inline>.—</heading><clause class="fontsize10" id="ycfef9fa0-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">“(i) </num><heading class="fontsize10"><inline class="smallCaps">Data on decision to impose limitation</inline>.—</heading><content>In the case of an at-risk beneficiary for prescription <page identifier="/us/stat/130/747">130 STAT. 747</page> drug abuse (or an individual who is a potentially at-risk beneficiary for prescription drug abuse) whose access to coverage for frequently abused drugs under a prescription drug plan has been limited by a PDP sponsor under this paragraph, the Secretary shall establish rules and procedures to require the PDP sponsor to disclose data, including any necessary individually identifiable health information, in a form and manner specified by the Secretary, about the decision to impose such limitations and the limitations imposed by the sponsor under this part.</content></clause> <clause class="fontsize10" id="ycfef9fa1-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">“(ii) </num><heading class="fontsize10"><inline class="smallCaps">Data to reduce fraud, abuse, and waste</inline>.—</heading><content>The Secretary shall establish rules and procedures to require PDP sponsors operating a drug management program for at-risk beneficiaries under this paragraph to provide the Secretary with such data as the Secretary determines appropriate for purposes of identifying patterns of prescription drug utilization for plan enrollees that are outside normal patterns and that may indicate fraudulent, medically unnecessary, or unsafe use.</content></clause> </subparagraph> <subparagraph class="fontsize10" id="ycfef9fa2-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="I">“(I) </num><heading class="fontsize10"><inline class="smallCaps">Sharing of information for subsequent plan enrollments</inline>.—</heading><content>The Secretary<sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfef9fa3-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Procedures.</p></sidenote> shall establish procedures under which PDP sponsors who offer prescription drug plans shall share information with respect to individuals who are at-risk beneficiaries for prescription drug abuse (or individuals who are potentially at-risk beneficiaries for prescription drug abuse) and enrolled in a prescription drug plan and who subsequently disenroll from such plan and enroll in another prescription drug plan offered by another PDP sponsor.</content></subparagraph> <subparagraph class="fontsize10" id="ycfef9fa4-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="J">“(J) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfef9fa5-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Clarification.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">Privacy issues</inline>.—</heading><content>Prior to the implementation of the rules and procedures under this paragraph, the Secretary shall clarify privacy requirements, including requirements under the regulations promulgated pursuant to section 264(c) of the Health Insurance Portability and Accountability Act of 1996 (<ref href="/us/usc/t42/s1320d–2">42 U.S.C. 1320d–2 note</ref>), related to the sharing of data under subparagraphs (H) and (I) by PDP sponsors. Such clarification shall provide that the sharing of such data shall be considered to be protected health information in accordance with the requirements of the regulations promulgated pursuant to such section 264(c).</content></subparagraph> <subparagraph class="fontsize10" id="ycfef9fa6-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="K">“(K) </num><heading class="fontsize10"><inline class="smallCaps">Education</inline>.—</heading><chapeau>The Secretary shall provide education to enrollees in prescription drug plans of PDP sponsors and providers regarding the drug management program for at-risk beneficiaries described in this paragraph, including education—</chapeau><clause class="fontsize10" id="ycfef9fa7-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">“(i) </num><content>provided by Medicare administrative contractors through the improper payment outreach and education program described in section 1874A(h); and</content></clause> <clause class="fontsize10" id="ycfef9fa8-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">“(ii) </num><content>through current education efforts (such as State health insurance assistance programs described in subsection (a)(1)(A) of section 119 of the Medicare Improvements for Patients and Providers Act of 2008 (<ref href="/us/usc/t42/s1395b–3">42 U.S.C. 1395b–3 note</ref>)) and materials directed toward such enrollees.<page identifier="/us/stat/130/748">130 STAT. 748</page></content></clause> </subparagraph> <subparagraph class="fontsize10" id="ycfef9fa9-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="L">“(L) </num><heading class="fontsize10"><inline class="smallCaps">Application under ma–pd plans</inline>.—</heading><content>Pursuant to section 1860D–21(c)(1), the provisions of this paragraph apply under part D to MA organizations offering MA–PD plans to MA eligible individuals in the same manner as such provisions apply under this part to a PDP sponsor offering a prescription drug plan to a part D eligible individual.</content></subparagraph> <subparagraph class="fontsize10" id="ycfef9faa-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="M">“(M) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfef9fab-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Audits.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">CMS compliance review</inline>.—</heading><content>The Secretary shall ensure that existing plan sponsor compliance reviews and audit processes include the drug management programs for at-risk beneficiaries under this paragraph, including appeals processes under such programs.”</content></subparagraph> </paragraph> </quotedContent>.</content></paragraph> <paragraph class="fontsize10" id="ycfef9fac-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s704/a/2" role="instruction" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><heading class="fontsize10"><inline class="smallCaps">Information for consumers</inline>.—</heading><content>Section 1860D–4(a)(1)(B) of the Social Security Act (<ref href="/us/usc/t42/s1395w–104/a/1/B">42 U.S.C. 1395w–104(a)(1)(B)</ref>) <amendingAction type="amend">is amended</amendingAction> by <amendingAction type="add">adding</amendingAction> at the end the following:<quotedContent><subsection class="indentUp2 fontsize10" id="ycfef9fad-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="v">“(v) </num><content>The drug management program for at-risk beneficiaries under subsection (c)(5).”</content></subsection> </quotedContent>.</content></paragraph> <paragraph class="fontsize10" id="ycfef9fae-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s704/a/3" role="instruction" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">(3) </num><heading class="fontsize10"><inline class="smallCaps">Dual eligibles</inline>.—</heading><content>Section 1860D–1(b)(3)(D) of the Social Security Act (<ref href="/us/usc/t42/s1395w–101/b/3/D">42 U.S.C. 1395w–101(b)(3)(D)</ref>) <amendingAction type="amend">is amended</amendingAction> by <amendingAction type="insert">inserting</amendingAction> “<quotedText>, subject to such limits as the Secretary may establish for individuals identified pursuant to section 1860D–4(c)(5)</quotedText>” after “<quotedText>the Secretary</quotedText>”.</content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ycfef9faf-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s704/b" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="b">(b) </num><heading class="fontsize10"><inline class="smallCaps">Utilization Management Programs</inline>.—</heading><chapeau>Section 1860D–4(c) of the Social Security Act (<ref href="/us/usc/t42/s1395w–104/c">42 U.S.C. 1395w–104(c)</ref>), as amended by subsection (a)(1), is further amended—</chapeau><paragraph class="fontsize10" id="ycfef9fb0-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s704/b/1" role="instruction" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><content>in paragraph (1), by <amendingAction type="insert">inserting</amendingAction> after subparagraph (D) the following new subparagraph:<quotedContent><subparagraph class="fontsize10" id="ycfefc6c1-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="E">“(E) </num><content>A utilization management tool to prevent drug abuse (as described in paragraph (6)(A)).”</content></subparagraph> </quotedContent>; and</content></paragraph> <paragraph class="fontsize10" id="ycfefc6c2-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s704/b/2" role="instruction" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><content>by <amendingAction type="add">adding</amendingAction> at the end the following new paragraph:<quotedContent><paragraph class="indentUp0 fontsize10" id="ycfefedd3-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="6">“(6) </num><heading class="fontsize10"><inline class="smallCaps">Utilization management tool to prevent drug abuse</inline>.—</heading><subparagraph class="fontsize10" id="ycfefedd4-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">“(A) </num><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><chapeau>A tool described in this paragraph is any of the following:</chapeau><clause class="fontsize10" id="ycfefedd5-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">“(i) </num><content>A utilization tool designed to prevent the abuse of frequently abused drugs by individuals and to prevent the diversion of such drugs at pharmacies.</content></clause> <clause class="fontsize10" id="ycfefedd6-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">“(ii) </num><chapeau>Retrospective utilization review to identify—</chapeau><subclause class="fontsize10" id="ycfefedd7-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="I">“(I) </num><content>individuals that receive frequently abused drugs at a frequency or in amounts that are not clinically appropriate; and</content></subclause> <subclause class="fontsize10" id="ycfefedd8-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="II">“(II) </num><content>providers of services or suppliers that may facilitate the abuse or diversion of frequently abused drugs by beneficiaries.</content></subclause> </clause> <clause class="fontsize10" id="ycfefedd9-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="iii">“(iii) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfefedda-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Consultation.</p><p class="leftAlign firstIndent0 fontsize8" id="xcfefeddb-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Verification.</p></sidenote><content>Consultation with the contractor described in subparagraph (B) to verify if an individual enrolling in a prescription drug plan offered by a PDP sponsor has been previously identified by another PDP sponsor as an individual described in clause (ii)(I).</content></clause> </subparagraph> <subparagraph class="fontsize10" id="ycfefeddc-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">“(B) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfefeddd-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Contracts.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">Reporting</inline>.—</heading><chapeau>A PDP sponsor offering a prescription drug plan (and an MA organization offering an MA–PD plan) in a State shall submit to the Secretary and the Medicare drug integrity contractor with which the Secretary has entered into a contract under section 1893 with respect to such State a report, on a monthly basis, containing information on—</chapeau><page identifier="/us/stat/130/749">130 STAT. 749</page> <clause class="fontsize10" id="ycfefedde-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">“(i) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcff014ef-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Time period.</p></sidenote><content>any provider of services or supplier described in subparagraph (A)(ii)(II) that is identified by such plan sponsor (or organization) during the 30-day period before such report is submitted; and</content></clause> <clause class="fontsize10" id="ycff014f0-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">“(ii) </num><content>the name and prescription records of individuals described in paragraph (5)(C).</content></clause> </subparagraph> <subparagraph class="fontsize10" id="ycff014f1-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">“(C) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcff014f2-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Audits.</p><p class="leftAlign firstIndent0 fontsize8" id="xcff014f3-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Deadline.</p><p class="leftAlign firstIndent0 fontsize8" id="xcff014f4-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Certification.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">CMS compliance review</inline>.—</heading><content>The Secretary shall ensure that plan sponsor compliance reviews and program audits biennially include a certification that utilization management tools under this paragraph are in compliance with the requirements for such tools.”</content></subparagraph> </paragraph> </quotedContent>.</content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ycff014f5-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s704/c" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="c">(c) </num><heading class="fontsize10"><inline class="smallCaps">Expanding Activities of Medicare Drug Integrity Contractors (MEDICs)</inline>.—</heading><paragraph class="fontsize10" id="ycff014f6-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s704/c/1" role="instruction" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><content>Section 1893 of the Social Security Act (<ref href="/us/usc/t42/s1395ddd">42 U.S.C. 1395ddd</ref>) <amendingAction type="amend">is amended</amendingAction> by <amendingAction type="add">adding</amendingAction> at the end the following new subsection:<quotedContent><subsection class="indentDown1 firstIndent0 fontsize10" id="ycff03c07-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="j">“(j) </num><heading class="fontsize10"><inline class="smallCaps">Expanding Activities of Medicare Drug Integrity Contractors (MEDICs)</inline>.—</heading><paragraph class="fontsize10" id="ycff03c08-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">“(1) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcff03c09-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Records.</p><p class="leftAlign firstIndent0 fontsize8" id="xcff03c0a-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Determination.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">Access to information</inline>.—</heading><content>Under contracts entered into under this section with Medicare drug integrity contractors (including any successor entity to a Medicare drug integrity contractor), the Secretary shall authorize such contractors to directly accept prescription and necessary medical records from entities such as pharmacies, prescription drug plans, MA–PD plans, and physicians with respect to an individual in order for such contractors to provide information relevant to the determination of whether such individual is an at-risk beneficiary for prescription drug abuse, as defined in section 1860D–4(c)(5)(C).</content></paragraph> <paragraph class="fontsize10" id="ycff03c0b-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">“(2) </num><heading class="fontsize10"><inline class="smallCaps">Requirement for acknowledgment of referrals</inline>.—</heading><chapeau>If a PDP sponsor or MA organization refers information to a contractor described in paragraph (1) in order for such contractor to assist in the determination described in such paragraph, the contractor shall—</chapeau><subparagraph class="fontsize10" id="ycff03c0c-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">“(A) </num><content>acknowledge to the sponsor or organization receipt of the referral; and</content></subparagraph> <subparagraph class="fontsize10" id="ycff03c0d-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">“(B) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcff03c0e-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Determination.</p><p class="leftAlign firstIndent0 fontsize8" id="xcff03c0f-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Deadline.</p></sidenote><content>in the case that any PDP sponsor or MA organization contacts the contractor requesting to know the determination by the contractor of whether or not an individual has been determined to be an individual described in such paragraph, shall inform such sponsor or organization of such determination on a date that is not later than 15 days after the date on which the sponsor or organization contacts the contractor.</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ycff03c10-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">“(3) </num><heading class="fontsize10"><inline class="smallCaps">Making data available to other entities</inline>.—</heading><subparagraph class="fontsize10" id="ycff03c11-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">“(A) </num><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><content>For purposes of carrying out this subsection, subject to subparagraph (B), the Secretary shall authorize MEDICs to respond to requests for information from PDP sponsors and MA organizations, State prescription drug monitoring programs, and other entities delegated by such sponsors or organizations using available programs and systems in the effort to prevent fraud, waste, and abuse.</content></subparagraph> <subparagraph class="fontsize10" id="ycff03c12-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">“(B) </num><heading class="fontsize10"><inline class="smallCaps">HIPAA compliant information only</inline>.—</heading><content>Information may only be disclosed by a MEDIC under subparagraph (A) if the disclosure of such information is permitted under the Federal regulations (concerning the privacy of <page identifier="/us/stat/130/750">130 STAT. 750</page> individually identifiable health information) promulgated under section 264(c) of the Health Insurance Portability and Accountability Act of 1996 (<ref href="/us/usc/t42/s1320d–2">42 U.S.C. 1320d–2 note</ref>).”</content></subparagraph> </paragraph> </subsection> </quotedContent>.</content></paragraph> <paragraph class="fontsize10" id="ycff03c13-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s704/c/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><heading class="fontsize10"><inline class="smallCaps">OIG study and report on effectiveness of medics</inline>.—</heading><subparagraph class="fontsize10" id="ycff03c14-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s704/c/2/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><heading class="fontsize10"><inline class="smallCaps">Study</inline>.—</heading><content>The Inspector General of the Department of Health and Human Services shall conduct a study on the effectiveness of Medicare drug integrity contractors with which the Secretary of Health and Human Services has entered into a contract under section 1893 of the Social Security Act (<ref href="/us/usc/t42/s1395ddd">42 U.S.C. 1395ddd</ref>) in identifying, combating, and preventing fraud under the Medicare program, including under the authority provided under section 1893(j) of the Social Security Act, added by paragraph (1).</content></subparagraph> <subparagraph class="fontsize10" id="ycff03c15-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s704/c/2/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><heading class="fontsize10"><inline class="smallCaps">Report</inline>.—</heading><content>Not later than 24 months after the date of the enactment of this Act, the Inspector General shall submit to Congress a report on the study conducted under subparagraph (A).<sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcff03c16-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Recommenda-</p><p class="leftAlign firstIndent0 fontsize8" id="xcff03c17-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">tions.</p></sidenote> Such report shall include such recommendations for improvements in the effectiveness of such contractors as the Inspector General determines appropriate.</content></subparagraph> </paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ycff03c18-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s704/d" role="instruction" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="d">(d) </num><heading class="fontsize10"><inline class="smallCaps">Treatment of Certain Complaints for Purposes of Quality or Performance Assessment</inline>.—</heading><content>Section 1860D–42 of the Social Security Act (<ref href="/us/usc/t42/s1395w–152">42 U.S.C. 1395w–152</ref>) <amendingAction type="amend">is amended</amendingAction> by <amendingAction type="add">adding</amendingAction> at the end the following new subsection:<quotedContent><subsection class="firstIndent0 fontsize10" id="ycff03c19-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="d">“(d) </num><heading class="fontsize10"><inline class="smallCaps">Treatment of Certain Complaints for Purposes of Quality or Performance Assessment</inline>.—</heading><content>In conducting a quality or performance assessment of a PDP sponsor, the Secretary shall develop or utilize existing screening methods for reviewing and considering complaints that are received from enrollees in a prescription drug plan offered by such PDP sponsor and that are complaints regarding the lack of access by the individual to prescription drugs due to a drug management program for at-risk beneficiaries.”</content></subsection> </quotedContent>.</content></subsection> <subsection class="firstIndent0 fontsize10" id="ycff03c1a-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s704/e" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="e">(e) </num><heading class="fontsize10"><inline class="smallCaps">Sense of Congress Regarding Use of Technology Tools To Combat Fraud</inline>.—</heading><content>It is the sense of Congress that MA organizations and PDP sponsors should consider using e-prescribing and other health information technology tools to support combating fraud under MA–PD plans and prescription drug plans under parts C and D of the Medicare program.</content></subsection> <subsection class="firstIndent0 fontsize10" id="ycff0622b-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s704/f" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="f">(f) </num><heading class="fontsize10"><inline class="smallCaps">Reports</inline>.—</heading><paragraph class="fontsize10" id="ycff0622c-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s704/f/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><heading class="fontsize10"><inline class="smallCaps">Report by secretary on appeals process</inline>.—</heading><subparagraph class="fontsize10" id="ycff0622d-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s704/f/1/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><content>Not later than 12 months after the date of the enactment of this Act, the Secretary of Health and Human Services shall submit to the appropriate committees of jurisdiction of Congress a report on ways to improve upon the appeals process for Medicare beneficiaries with respect to prescription drug coverage under part D of title XVIII of the Social Security Act.<sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcff0622e-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Analysis.</p></sidenote> Such report shall include an analysis comparing appeals processes under parts C and D of such title XVIII.</content></subparagraph> <subparagraph class="fontsize10" id="ycff0622f-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s704/f/1/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><heading class="fontsize10"><inline class="smallCaps">Feedback</inline>.—</heading><content>In development of the report described in subparagraph (A), the Secretary of Health and Human Services shall solicit feedback on the current appeals process from stakeholders, such as beneficiaries, consumer advocates, plan sponsors, pharmacy benefit managers, <page identifier="/us/stat/130/751">130 STAT. 751</page> pharmacists, providers, independent review entity evaluators, and pharmaceutical manufacturers.</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ycff06230-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s704/f/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><heading class="fontsize10"><inline class="smallCaps">GAO study and report</inline>.—</heading><subparagraph class="fontsize10" id="ycff06231-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s704/f/2/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><heading class="fontsize10"><inline class="smallCaps">Study</inline>.—</heading><chapeau>The Comptroller General of the United States shall conduct a study on the implementation of the amendments made by this section, including the effectiveness of the at-risk beneficiaries for prescription drug abuse drug management programs authorized by section 1860D–4(c)(5) of the Social Security Act (<ref href="/us/usc/t42/s1395w–10/c/5">42 U.S.C. 1395w–10(c)(5)</ref>), as added by subsection (a)(1).<sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcff06232-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Analysis.</p></sidenote> Such study shall include an analysis of—</chapeau><clause class="fontsize10" id="ycff06233-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s704/f/2/A/i" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">(i) </num><content>the impediments, if any, that impair the ability of individuals described in subparagraph (C) of such section 1860D–4(c)(5) to access clinically appropriate levels of prescription drugs;</content></clause> <clause class="fontsize10" id="ycff06234-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s704/f/2/A/ii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">(ii) </num><content>the effectiveness of the reasonable access protections under subparagraph (D)(ii) of such section 1860D–4(c)(5), including the impact on beneficiary access and health;</content></clause> <clause class="fontsize10" id="ycff06235-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s704/f/2/A/iii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="iii">(iii) </num><chapeau>the types of—</chapeau><subclause class="fontsize10" id="ycff06236-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s704/f/2/A/iii/I" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="I">(I) </num><content>individuals who, in the implementation of such section, are determined to be individuals described in such subparagraph (C); and</content></subclause> <subclause class="fontsize10" id="ycff06237-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s704/f/2/A/iii/II" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="II">(II) </num><content>prescribers and pharmacies that are selected under subparagraph (D) of such section; and</content></subclause> </clause> <clause class="fontsize10" id="ycff06238-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s704/f/2/A/iv" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="iv">(iv) </num><content>other areas determined appropriate by the Comptroller General.</content></clause> </subparagraph> <subparagraph class="fontsize10" id="ycff06239-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s704/f/2/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcff0623a-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Recommenda-</p><p class="leftAlign firstIndent0 fontsize8" id="xcff0623b-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">tions.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">Report</inline>.—</heading><content>Not later than July 1, 2019, the Comptroller General of the United States shall submit to the appropriate committees of jurisdiction of Congress a report on the study conducted under subparagraph (A), together with recommendations for such legislation and administrative action as the Comptroller General determines to be appropriate.</content></subparagraph> </paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ycff0623c-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s704/g" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="g">(g) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcff0623d-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">42 USC</p><p class="leftAlign firstIndent0 fontsize8" id="xcff0623e-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">1395w–101 note.</p><p class="leftAlign firstIndent0 fontsize8" id="xcff0623f-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Applicability.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">Effective Date; Rulemaking</inline>.—</heading><paragraph class="fontsize10" id="ycff06240-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s704/g/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><content>The amendments made by this section shall apply to prescription drug plans (and MA–PD plans) for plan years beginning on or after January 1, 2019.</content></paragraph> <paragraph class="fontsize10" id="ycff06241-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s704/g/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><heading class="fontsize10"><inline class="smallCaps">Stakeholder meetings prior to effective date</inline>.—</heading><subparagraph class="fontsize10" id="ycff06242-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s704/g/2/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcff06243-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Deadline.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><content>Not later than January 1, 2017, the Secretary of Health and Human Services shall convene stakeholders, including individuals entitled to benefits under part A of title XVIII of the Social Security Act or enrolled under part B of such title, advocacy groups representing such individuals, physicians, pharmacists, and other clinicians, retail pharmacies, plan sponsors, entities delegated by plan sponsors, and biopharmaceutical manufacturers for input regarding the topics described in subparagraph (B). The input described in the preceding sentence shall be provided to the Secretary in sufficient time in order for the Secretary to take such input into account in promulgating the regulations pursuant to paragraph (3).</content></subparagraph> <subparagraph class="fontsize10" id="ycff06244-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s704/g/2/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><heading class="fontsize10"><inline class="smallCaps">Topics described</inline>.—</heading><chapeau>The topics described in this subparagraph are the topics of—<page identifier="/us/stat/130/752">130 STAT. 752</page></chapeau><clause class="fontsize10" id="ycff06245-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s704/g/2/B/i" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">(i) </num><content>the anticipated impact of drug management programs for at-risk beneficiaries under paragraph (5) of section 1860D–4(c) of the Social Security Act (<ref href="/us/usc/t42/s1395w–104/c">42 U.S.C. 1395w–104(c)</ref>) on cost-sharing and ensuring accessibility to prescription drugs for enrollees in prescription drug plans of PDP sponsors, and enrollees in MA–PD plans, who are at-risk beneficiaries for prescription drug abuse (as defined in subparagraph (C) of such paragraph);</content></clause> <clause class="fontsize10" id="ycff06246-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s704/g/2/B/ii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">(ii) </num><content>the use of an expedited appeals process under which such an enrollee may appeal an identification of such enrollee as an at-risk beneficiary for prescription drug abuse under such paragraph (similar to the processes established under the Medicare Advantage program under part C of title XVIII of the Social Security Act that allow an automatic escalation to external review of claims submitted under such part);</content></clause> <clause class="fontsize10" id="ycff06247-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s704/g/2/B/iii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="iii">(iii) </num><content>the types of enrollees that should be treated as exempted individuals, as described in subparagraph (C)(ii) of such paragraph;</content></clause> <clause class="fontsize10" id="ycff06248-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s704/g/2/B/iv" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="iv">(iv) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcff06249-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Determination.</p></sidenote><content>the manner in which terms and definitions in such paragraph should be applied, such as the use of clinical appropriateness in determining whether an enrollee is an at-risk beneficiary for prescription drug abuse as defined in subparagraph (C) of such paragraph;</content></clause> <clause class="fontsize10" id="ycff0624a-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s704/g/2/B/v" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="v">(v) </num><content>the information to be included in the notices described in subparagraph (B) of such paragraph and the standardization of such notices;</content></clause> <clause class="fontsize10" id="ycff0624b-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s704/g/2/B/vi" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="vi">(vi) </num><content>with respect to a PDP sponsor (or Medicare Advantage organization) that establishes a drug management program for at-risk beneficiaries under such paragraph, the responsibilities of such PDP sponsor (or organization) with respect to the implementation of such program;</content></clause> <clause class="fontsize10" id="ycff0624c-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s704/g/2/B/vii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="vii">(vii) </num><content>notices for plan enrollees at the point of sale that would explain why an at-risk beneficiary has been prohibited from receiving a prescription at a location outside of the designated pharmacy;</content></clause> <clause class="fontsize10" id="ycff0624d-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s704/g/2/B/viii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="viii">(viii) </num><content>evidence-based prescribing guidelines for opiates; and</content></clause> <clause class="fontsize10" id="ycff0624e-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s704/g/2/B/ix" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ix">(ix) </num><content>the sharing of claims data under parts A and B of title XVIII of the Social Security Act with PDP sponsors.</content></clause> </subparagraph> </paragraph> <paragraph class="fontsize10" id="ycff0624f-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s704/g/3" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">(3) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcff06250-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Deadline.</p><p class="leftAlign firstIndent0 fontsize8" id="xcff06251-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Notice.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">Rulemaking</inline>.—</heading><content>Not later than one year after the date of the enactment of this Act, the Secretary of Health and Human Services shall, taking into account the input gathered pursuant to paragraph (2)(A) and after providing notice and an opportunity to comment, promulgate regulations to carry out the provisions of, and amendments made by this section.</content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ycff06252-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s704/h" role="instruction" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="h">(h) </num><heading class="fontsize10"><inline class="smallCaps">Deposit of Savings Into Medicare Improvement Fund</inline>.—</heading><content>Section 1898(b)(1) of the Social Security Act (<ref href="/us/usc/t42/s1395iii/b/1">42 U.S.C. 1395iii(b)(1)</ref>) <amendingAction type="amend">is amended</amendingAction> by <amendingAction type="delete">striking</amendingAction> “<quotedText>during and after fiscal year 2020, $0</quotedText>” and <amendingAction type="insert">inserting</amendingAction> “<quotedText>during and after fiscal year 2021, $140,000,000</quotedText>”.<page identifier="/us/stat/130/753">130 STAT. 753</page></content></subsection> </section> <section id="d239274e8202" identifier="/us/pl/114/198/tVII/s705" style="-uslm-lc:I658143"><num class="fontsize12" value="705">SEC. 705. </num><heading>EXCLUDING ABUSE-DETERRENT FORMULATIONS OF PRESCRIPTION DRUGS FROM THE MEDICAID ADDITIONAL REBATE REQUIREMENT FOR NEW FORMULATIONS OF PRESCRIPTION DRUGS.</heading><subsection class="firstIndent0 fontsize10" id="ycff08963-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s705/a" role="instruction" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="a">(a) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcff08964-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Determination.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">In General</inline>.—</heading><content>The last sentence of section 1927(c)(2)(C) of the Social Security Act (<ref href="/us/usc/t42/s1396r–8/c/2/C">42 U.S.C. 1396r–8(c)(2)(C)</ref>) <amendingAction type="amend">is amended</amendingAction> by <amendingAction type="insert">inserting</amendingAction> before the period at the end the following: “<quotedText>, but does not include an abuse-deterrent formulation of the drug (as determined by the Secretary), regardless of whether such abuse-deterrent formulation is an extended release formulation</quotedText>”.</content></subsection> <subsection class="firstIndent0 fontsize10" id="ycff08965-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s705/b" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="b">(b) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcff08966-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Applicability.</p><p class="leftAlign firstIndent0 fontsize8" id="xcff08967-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180"><ref href="/us/usc/t42/s1396r–8">42 USC 1396r–8 note</ref>.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">Effective Date</inline>.—</heading><content>The amendment made by subsection (a) shall apply to drugs that are paid for by a State in calendar quarters beginning on or after the date of the enactment of this Act.</content></subsection> </section> <section id="d239274e8245" identifier="/us/pl/114/198/tVII/s706" style="-uslm-lc:I658143"><num class="fontsize12" value="706">SEC. 706. </num><heading>LIMITING DISCLOSURE OF PREDICTIVE MODELING AND OTHER ANALYTICS TECHNOLOGIES TO IDENTIFY AND PREVENT WASTE, FRAUD, AND ABUSE.</heading><subsection class="firstIndent0 fontsize10" id="ycff0fe98-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s706/a" role="instruction" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="a">(a) </num><heading class="fontsize10"><inline class="smallCaps">In General</inline>.—</heading><content>Title XI of the Social Security Act <amendingAction type="amend">is amended</amendingAction> by <amendingAction type="insert">inserting</amendingAction> after section 1128J (<ref href="/us/usc/t42/s1320a–7k">42 U.S.C. 1320a–7k</ref>) the following new section:<quotedContent><section class="centered fontsize12" id="ycff14cb9-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658145"><num class="fontsize12" value="1128K">“SEC. 1128K. </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcff14cba-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">42 USC</p><p class="leftAlign firstIndent0 fontsize8" id="xcff14cbb-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">1320a–7n.</p></sidenote><heading class="fontsize12">DISCLOSURE OF PREDICTIVE MODELING AND OTHER ANALYTICS TECHNOLOGIES TO IDENTIFY AND PREVENT WASTE, FRAUD, AND ABUSE.</heading><subsection class="firstIndent0 fontsize10" id="ycff14cbc-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="a">“(a) </num><heading class="fontsize10"><inline class="smallCaps">Reference to Predictive Modeling Technologies Requirements</inline>.—</heading><content>For provisions relating to the use of predictive modeling and other analytics technologies to identify and prevent waste, fraud, and abuse with respect to the Medicare program under title XVIII, the Medicaid program under title XIX, and the Children’s Health Insurance Program under title XXI, see section 4241 of the Small Business Jobs Act of 2010 (<ref href="/us/usc/t42/s1320a–7m">42 U.S.C. 1320a–7m</ref>).</content></subsection> <subsection class="firstIndent0 fontsize10" id="ycff14cbd-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="b">“(b) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcff14cbe-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Applicability.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">Limiting Disclosure of Predictive Modeling Technologies</inline>.—</heading><chapeau>In implementing such provisions under such section 4241 with respect to covered algorithms (as defined in subsection (c)), the following shall apply:</chapeau><paragraph class="fontsize10" id="ycff14cbf-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">“(1) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcff14cc0-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Contracts.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">Nonapplication of foia</inline>.—</heading><content>The covered algorithms used or developed for purposes of such section 4241 (including by the Secretary or a State (or an entity operating under a contract with a State)) shall be exempt from disclosure under <ref href="/us/usc/t5/s552/b/3">section 552(b)(3) of title 5, United States Code</ref>.</content></paragraph> <paragraph class="fontsize10" id="ycff14cc1-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">“(2) </num><heading class="fontsize10"><inline class="smallCaps">Limitation with respect to use and disclosure of information by state agencies</inline>.—</heading><subparagraph class="fontsize10" id="ycff14cc2-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">“(A) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcff14cc3-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Contracts.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><content>A State agency may not use or disclose covered algorithms used or developed for purposes of such section 4241 except for purposes of administering the State plan (or a waiver of the plan) under the Medicaid program under title XIX or the State child health plan (or a waiver of the plan) under the Children’s Health Insurance Program under title XXI, including by enabling an entity operating under a contract with a State to assist the State to identify or prevent waste, fraud, and abuse with respect to such programs.</content></subparagraph> <subparagraph class="fontsize10" id="ycff14cc4-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">“(B) </num><heading class="fontsize10"><inline class="smallCaps">Information security</inline>.—</heading><content>A State agency shall have in effect data security and control policies that the Secretary finds adequate to ensure the security of covered <page identifier="/us/stat/130/754">130 STAT. 754</page> algorithms used or developed for purposes of such section 4241 and to ensure that access to such information is restricted to authorized persons for purposes of authorized uses and disclosures described in subparagraph (A).</content></subparagraph> <subparagraph class="fontsize10" id="ycff14cc5-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">“(C) </num><heading class="fontsize10"><inline class="smallCaps">Procedural requirements</inline>.—</heading><content>State agencies to which information is disclosed pursuant to such section 4241 shall adhere to uniform procedures established by the Secretary.</content></subparagraph> </paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ycff14cc6-e85f-11f0-a1e4-69761a48a15a" role="definitions" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="c">“(c) </num><heading class="fontsize10"><inline class="smallCaps">Covered Algorithm Defined</inline>.—</heading><chapeau>In this section, the term ‘<term>covered algorithm</term>’—</chapeau><paragraph class="fontsize10" id="ycff14cc7-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">“(1) </num><content>means a predictive modeling or other analytics technology, as used for purposes of section 4241(a) of the Small Business Jobs Act of 2010 (<ref href="/us/usc/t42/s1320a–7m/a">42 U.S.C. 1320a–7m(a)</ref>) to identify and prevent waste, fraud, and abuse with respect to the Medicare program under title XVIII, the Medicaid program under title XIX, and the Children’s Health Insurance Program under title XXI; and</content></paragraph> <paragraph class="fontsize10" id="ycff14cc8-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">“(2) </num><content>includes the mathematical expressions utilized in the application of such technology and the means by which such technology is developed.”</content></paragraph> </subsection> </section> </quotedContent>.</content></subsection> <subsection class="firstIndent0 fontsize10" id="ycff14cc9-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s706/b" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="b">(b) </num><heading class="fontsize10"><inline class="smallCaps">Conforming Amendments</inline>.—</heading><paragraph class="fontsize10" id="ycff14cca-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s706/b/1" role="instruction" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><heading class="fontsize10"><inline class="smallCaps">Medicaid state plan requirement</inline>.—</heading><chapeau>Section 1902(a) of the Social Security Act (<ref href="/us/usc/t42/s1396a/a">42 U.S.C. 1396a(a)</ref>) <amendingAction type="amend">is amended</amendingAction>—</chapeau><subparagraph class="fontsize10" id="ycff14ccb-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s706/b/1/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>in paragraph (80), by <amendingAction type="delete">striking</amendingAction> “<quotedText>and</quotedText>” at the end;</content></subparagraph> <subparagraph class="fontsize10" id="ycff14ccc-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s706/b/1/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>in paragraph (81), by <amendingAction type="delete">striking</amendingAction> the period at the end and <amendingAction type="insert">inserting</amendingAction> “<quotedText>; and</quotedText>”; and</content></subparagraph> <subparagraph class="fontsize10" id="ycff14ccd-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s706/b/1/C" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">(C) </num><content>by <amendingAction type="insert">inserting</amendingAction> after paragraph (81) the following new paragraph:<quotedContent><paragraph class="indentDown1 fontsize10" id="ycff14cce-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="82">“(82) </num><content>provide that the State agency responsible for administering the State plan under this title provides assurances to the Secretary that the State agency is in compliance with subparagraphs (A), (B), and (C) of section 1128K(b)(2).”</content></paragraph> </quotedContent>.</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ycff14ccf-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s706/b/2" role="instruction" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><heading class="fontsize10"><inline class="smallCaps">State child health plan requirement</inline>.—</heading><chapeau>Section 2102(a)(7) of the Social Security Act (<ref href="/us/usc/t42/s1397bb/a/7">42 U.S.C. 1397bb(a)(7)</ref>) <amendingAction type="amend">is amended</amendingAction>—</chapeau><subparagraph class="fontsize10" id="ycff14cd0-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s706/b/2/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>in subparagraph (A), by <amendingAction type="delete">striking</amendingAction> “<quotedText>, and</quotedText>” at the end and <amendingAction type="insert">inserting</amendingAction> a semicolon;</content></subparagraph> <subparagraph class="fontsize10" id="ycff14cd1-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s706/b/2/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>in subparagraph (B), by <amendingAction type="delete">striking</amendingAction> the period at the end and <amendingAction type="insert">inserting</amendingAction> “<quotedText>; and</quotedText>”; and</content></subparagraph> <subparagraph class="fontsize10" id="ycff14cd2-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tVII/s706/b/2/C" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">(C) </num><content>by <amendingAction type="add">adding</amendingAction> at the end the following new subparagraph:<quotedContent><subparagraph class="indentUp0 fontsize10" id="ycff173e3-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">“(C) </num><content>to ensure that the State agency involved is in compliance with subparagraphs (A), (B), and (C) of section 1128K(b)(2).”</content></subparagraph> </quotedContent>.</content></subparagraph> </paragraph> </subsection> </section> <section id="d239274e8505" identifier="/us/pl/114/198/tVII/s707" role="instruction" style="-uslm-lc:I658143"><num class="fontsize12" value="707">SEC. 707. </num><heading>MEDICAID IMPROVEMENT FUND.</heading><content class="firstIndent0 fontsize10" id="xcff173e4-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658120">  Section 1941(b)(1) of the Social Security Act (<ref href="/us/usc/t42/s1396w–1/b/1">42 U.S.C. 1396w–1(b)(1)</ref>) <amendingAction type="amend">is amended</amendingAction> to read as follows:<quotedContent><paragraph class="fontsize10" id="ycff173e5-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">“(1) </num><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><content>There shall be available to the Fund, for expenditures from the Fund for fiscal year 2021 and thereafter, $5,000,000.”</content></paragraph> </quotedContent>.</content></section> <section id="d239274e8530" identifier="/us/pl/114/198/tVII/s708" style="-uslm-lc:I658143"><num class="fontsize12" value="708">SEC. 708. </num><heading>SENSE OF THE CONGRESS REGARDING TREATMENT OF SUBSTANCE ABUSE EPIDEMICS.</heading><content style="-uslm-lc:I658120">  It is the sense of the Congress that decades of experience and research have demonstrated that a fiscally responsible approach to addressing the opioid abuse epidemic and other substance abuse <page identifier="/us/stat/130/755">130 STAT. 755</page> epidemics requires treating such epidemics as a public health emergency emphasizing prevention, treatment, and recovery.</content></section> <num value="VIII">TITLE VIII—</num><heading>KINGPIN DESIGNATION IMPROVEMENT</heading> <section id="d239274e8546" identifier="/us/pl/114/198/tVIII/s801" role="instruction" style="-uslm-lc:I658143"><num class="fontsize12" value="801">SEC. 801. </num><heading>PROTECTION OF CLASSIFIED INFORMATION IN FEDERAL COURT CHALLENGES RELATING TO DESIGNATIONS UNDER THE NARCOTICS KINGPIN DESIGNATION ACT.</heading><content class="firstIndent0 fontsize10" id="xcff19af6-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658120">  Section 804 of the Foreign Narcotics Kingpin Designation Act (<ref href="/us/usc/t21/s1903">21 U.S.C. 1903</ref>) <amendingAction type="amend">is amended</amendingAction> by <amendingAction type="add">adding</amendingAction> at the end the following:<quotedContent><clause class="indentUp0 firstIndent0 fontsize10" id="ycff19af7-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">“(i) </num><heading class="fontsize10"><inline class="smallCaps">Protection of Classified Information in Federal Court Challenges Relating to Designations</inline>.—</heading><content>In any<sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcff19af8-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Review.</p><p class="leftAlign firstIndent0 fontsize8" id="xcff19af9-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Determination.</p></sidenote> judicial review of a determination made under this section, if the determination was based on classified information (as defined in section 1(a) of the Classified Information Procedures Act) such information may be submitted to the reviewing court ex parte and in camera. This subsection does not confer or imply any right to judicial review.”</content></clause> </quotedContent>.</content></section> <num value="IX">TITLE IX—</num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcff19afa-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Jason Simcakoski Memorial and Promise Act.</p><p class="leftAlign firstIndent0 fontsize8" id="xcff19afb-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180"><ref href="/us/usc/t38/s1701">38 USC 1701 note</ref>.</p></sidenote><heading>DEPARTMENT OF VETERANS AFFAIRS</heading> <section id="d239274e8595" identifier="/us/pl/114/198/tIX/s901" style="-uslm-lc:I658143"><num class="fontsize12" value="901">SEC. 901. </num><heading>SHORT TITLE.</heading><content style="-uslm-lc:I658120">  This title may be cited as the “<shortTitle role="title">Jason Simcakoski Memorial and Promise Act</shortTitle>”.</content></section> <section id="d239274e8605" identifier="/us/pl/114/198/tIX/s902" style="-uslm-lc:I658143"><num class="fontsize12" value="902">SEC. 902. </num><heading>DEFINITIONS.</heading><chapeau class="indentUp0 firstIndent0 fontsize10" id="xcff1e91c-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658120">  In this title:</chapeau><paragraph class="fontsize10" id="ycff1e91d-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/s902/1" role="definitions" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><content>The term “<term>controlled substance</term>” has the meaning given that term in section 102 of the Controlled Substances Act (<ref href="/us/usc/t21/s802">21 U.S.C. 802</ref>).</content></paragraph> <paragraph class="fontsize10" id="ycff1e91e-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/s902/2" role="definitions" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><content>The term “<term>State</term>” means each of the several States, territories, and possessions of the United States, the District of Columbia, and the Commonwealth of Puerto Rico.</content></paragraph> <paragraph class="fontsize10" id="ycff1e91f-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/s902/3" role="definitions" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">(3) </num><content>The term “<term>complementary and integrative health</term>” has the meaning given that term, or any successor term, by the National Institutes of Health.</content></paragraph> <paragraph class="fontsize10" id="ycff1e920-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/s902/4" role="definitions" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="4">(4) </num><content>The term “<term>opioid receptor antagonist</term>” means a drug or device approved or cleared under the Federal Food, Drug, and Cosmetic Act (<ref href="/us/usc/t21/s301/etseq">21 U.S.C. 301 et seq.</ref>) for emergency treatment of known or suspected opioid overdose.</content></paragraph> </section> <subtitle id="d239274e8640" identifier="/us/pl/114/198/tIX/stA" style="-uslm-lc:I658178"><num value="A">Subtitle A—</num><heading>Opioid Therapy and Pain Management</heading> <section id="d239274e8645" identifier="/us/pl/114/198/tIX/stA/s911" style="-uslm-lc:I658143"><num class="fontsize12" value="911">SEC. 911. </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcff1e921-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180"><ref href="/us/usc/t38/s1701">38 USC 1701 note</ref>.</p></sidenote><heading>IMPROVEMENT OF OPIOID SAFETY MEASURES BY DEPARTMENT OF VETERANS AFFAIRS.</heading><subsection class="firstIndent0 fontsize10" id="ycff40c02-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s911/a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="a">(a) </num><heading class="fontsize10"><inline class="smallCaps">Expansion of Opioid Safety Initiative</inline>.—</heading><paragraph class="fontsize10" id="ycff40c03-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s911/a/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcff40c04-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Deadline.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">Inclusion of all medical facilities</inline>.—</heading><content>Not later than 180 days after the date of the enactment of this Act, the Secretary of Veterans Affairs shall expand the Opioid Safety <page identifier="/us/stat/130/756">130 STAT. 756</page> Initiative of the Department of Veterans Affairs to include all medical facilities of the Department.</content></paragraph> <paragraph class="fontsize10" id="ycff40c05-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s911/a/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><heading class="fontsize10"><inline class="smallCaps">Guidance</inline>.—</heading><content>The Secretary shall establish guidance that each health care provider of the Department of Veterans Affairs, before initiating opioid therapy to treat a patient as part of the comprehensive assessment conducted by the health care provider, use the Opioid Therapy Risk Report tool of the Department of Veterans Affairs (or any subsequent tool), which shall include information from the prescription drug monitoring program of each participating State as applicable, that includes the most recent information to date relating to the patient that accessed such program to assess the risk for adverse outcomes of opioid therapy for the patient, including the concurrent use of controlled substances such as benzodiazepines, as part of the comprehensive assessment conducted by the health care provider.</content></paragraph> <paragraph class="fontsize10" id="ycff40c06-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s911/a/3" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">(3) </num><heading class="fontsize10"><inline class="smallCaps">Enhanced standards</inline>.—</heading><chapeau>The Secretary shall establish enhanced standards with respect to the use of routine and random urine drug tests for all patients before and during opioid therapy to help prevent substance abuse, dependence, and diversion, including—</chapeau><subparagraph class="fontsize10" id="ycff40c07-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s911/a/3/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>that such tests occur not less frequently than once each year or as otherwise determined according to treatment protocols; and</content></subparagraph> <subparagraph class="fontsize10" id="ycff40c08-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s911/a/3/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>that health care providers appropriately order, interpret and respond to the results from such tests to tailor pain therapy, safeguards, and risk management strategies to each patient.</content></subparagraph> </paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ycff40c09-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s911/b" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="b">(b) </num><heading class="fontsize10"><inline class="smallCaps">Pain Management Education and Training</inline>.—</heading><paragraph class="fontsize10" id="ycff40c0a-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s911/b/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><content>In carrying out the Opioid Safety Initiative of the Department, the Secretary shall require all employees of the Department responsible for prescribing opioids to receive education and training described in paragraph (2).</content></paragraph> <paragraph class="fontsize10" id="ycff40c0b-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s911/b/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><heading class="fontsize10"><inline class="smallCaps">Education and training</inline>.—</heading><chapeau>Education and training described in this paragraph is education and training on pain management and safe opioid prescribing practices for purposes of safely and effectively managing patients with chronic pain, including education and training on the following:</chapeau><subparagraph class="fontsize10" id="ycff40c0c-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s911/b/2/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>The implementation of and full compliance with the VA/DOD Clinical Practice Guideline for Management of Opioid Therapy for Chronic Pain, including any update to such guideline.</content></subparagraph> <subparagraph class="fontsize10" id="ycff40c0d-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s911/b/2/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>The use of evidence-based pain management therapies and complementary and integrative health services, including cognitive-behavioral therapy, non-opioid alternatives, and non-drug methods and procedures to managing pain and related health conditions including, to the extent practicable, medical devices approved or cleared by the Food and Drug Administration for the treatment of patients with chronic pain and related health conditions.</content></subparagraph> <subparagraph class="fontsize10" id="ycff40c0e-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s911/b/2/C" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">(C) </num><content>Screening and identification of patients with substance use disorder, including drug-seeking behavior, before prescribing opioids, assessment of risk potential for patients developing an addiction, and referral of patients to appropriate addiction treatment professionals if addiction is identified or strongly suspected.<page identifier="/us/stat/130/757">130 STAT. 757</page></content></subparagraph> <subparagraph class="fontsize10" id="ycff40c0f-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s911/b/2/D" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="D">(D) </num><content>Communication with patients on the potential harm associated with the use of opioids and other controlled substances, including the need to safely store and dispose of supplies relating to the use of opioids and other controlled substances.</content></subparagraph> <subparagraph class="fontsize10" id="ycff40c10-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s911/b/2/E" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="E">(E) </num><content>Such other education and training as the Secretary considers appropriate to ensure that veterans receive safe and high-quality pain management care from the Department.</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ycff40c11-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s911/b/3" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">(3) </num><heading class="fontsize10"><inline class="smallCaps">Use of existing program</inline>.—</heading><content>In providing education and training described in paragraph (2), the Secretary shall use the Interdisciplinary Chronic Pain Management Training Team Program of the Department (or successor program).</content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ycff40c12-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s911/c" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="c">(c) </num><heading class="fontsize10"><inline class="smallCaps">Pain Management Teams</inline>.—</heading><paragraph class="fontsize10" id="ycff40c13-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s911/c/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><content>In carrying out the Opioid Safety Initiative of the Department, the director of each medical facility of the Department shall identify and designate a pain management team of health care professionals, which may include board certified pain medicine specialists, responsible for coordinating and overseeing pain management therapy at such facility for patients experiencing acute and chronic pain that is non-cancer related.</content></paragraph> <paragraph class="fontsize10" id="ycff40c14-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s911/c/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><heading class="fontsize10"><inline class="smallCaps">Establishment of protocols</inline>.—</heading><subparagraph class="fontsize10" id="ycff40c15-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s911/c/2/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcff40c16-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Consultation.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><content>In consultation with the Directors of each Veterans Integrated Service Network, the Secretary shall establish standard protocols for the designation of pain management teams at each medical facility within the Department.</content></subparagraph> <subparagraph class="fontsize10" id="ycff40c17-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s911/c/2/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><heading class="fontsize10"><inline class="smallCaps">Consultation on prescription of opioids</inline>.—</heading><chapeau>Each protocol established under subparagraph (A) shall ensure that any health care provider without expertise in prescribing analgesics or who has not completed the education and training under subsection (b), including a mental health care provider, does not prescribe opioids to a patient unless that health care provider—</chapeau><clause class="fontsize10" id="ycff40c18-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s911/c/2/B/i" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">(i) </num><content>consults with a health care provider with pain management expertise or who is on the pain management team of the medical facility; and</content></clause> <clause class="fontsize10" id="ycff40c19-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s911/c/2/B/ii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">(ii) </num><content>refers the patient to the pain management team for any subsequent prescriptions and related therapy.</content></clause> </subparagraph> </paragraph> <paragraph class="fontsize10" id="ycff40c1a-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s911/c/3" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">(3) </num><heading class="fontsize10"><inline class="smallCaps">Report</inline>.—</heading><subparagraph class="fontsize10" id="ycff40c1b-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s911/c/3/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><content>Not later than one year after the date of enactment of this Act, the director of each medical facility of the Department shall submit to the Under Secretary for Health and the director of the Veterans Integrated Service Network in which the medical facility is located a report identifying the health care professionals that have been designated as members of the pain management team at the medical facility pursuant to paragraph (1).</content></subparagraph> <subparagraph class="fontsize10" id="ycff40c1c-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s911/c/3/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><heading class="fontsize10"><inline class="smallCaps">Elements</inline>.—</heading><chapeau>Each report submitted under subparagraph (A) with respect to a medical facility of the Department shall include—</chapeau><clause class="fontsize10" id="ycff40c1d-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s911/c/3/B/i" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">(i) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcff40c1e-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Certification.</p></sidenote><content>a certification as to whether all members of the pain management team at the medical facility have <page identifier="/us/stat/130/758">130 STAT. 758</page> completed the education and training required under subsection (b);</content></clause> <clause class="fontsize10" id="ycff40c1f-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s911/c/3/B/ii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">(ii) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcff40c20-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Plan.</p></sidenote><content>a plan for the management and referral of patients to such pain management team if health care providers without expertise in prescribing analgesics prescribe opioid medications to treat acute and chronic pain that is non-cancer related; and</content></clause> <clause class="fontsize10" id="ycff40c21-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s911/c/3/B/iii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="iii">(iii) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcff40c22-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Certification.</p></sidenote><chapeau>a certification as to whether the medical facility—</chapeau><subclause class="fontsize10" id="ycff40c23-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s911/c/3/B/iii/I" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="I">(I) </num><content>fully complies with the stepped-care model, or successor models, of pain management and other pain management policies of the Department; or</content></subclause> <subclause class="fontsize10" id="ycff40c24-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s911/c/3/B/iii/II" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="II">(II) </num><content>does not fully comply with such stepped-care model, or successor models, of pain management and other pain management policies but is carrying out a corrective plan of action to ensure such full compliance.</content></subclause> </clause> </subparagraph> </paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ycff40c25-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s911/d" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="d">(d) </num><heading class="fontsize10"><inline class="smallCaps">Tracking and Monitoring of Opioid Use</inline>.—</heading><paragraph class="fontsize10" id="ycff40c26-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s911/d/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><heading class="fontsize10"><inline class="smallCaps">Prescription drug monitoring programs of states</inline>.—</heading><chapeau>In carrying out the Opioid Safety Initiative and the Opioid Therapy Risk Report tool of the Department, the Secretary shall—</chapeau><subparagraph class="fontsize10" id="ycff40c27-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s911/d/1/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>ensure access by health care providers of the Department to information on controlled substances, including opioids and benzodiazepines, prescribed to veterans who receive care outside the Department through the prescription drug monitoring program of each State with such a program, including by seeking to enter into memoranda of understanding with States to allow shared access of such information between States and the Department;</content></subparagraph> <subparagraph class="fontsize10" id="ycff40c28-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s911/d/1/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>include such information in the Opioid Therapy Risk Report tool; and</content></subparagraph> <subparagraph class="fontsize10" id="ycff40c29-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s911/d/1/C" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">(C) </num><content>require health care providers of the Department to submit to the prescription drug monitoring program of each State with such a program information on prescriptions of controlled substances received by veterans in that State under the laws administered by the Secretary.</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ycff40c2a-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s911/d/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><heading class="fontsize10"><inline class="smallCaps">Report on tracking of data on opioid use</inline>.—</heading><chapeau>Not later than 18 months after the date of the enactment of this Act, the Secretary shall submit to the Committee on Veterans’ Affairs of the Senate and the Committee on Veterans’ Affairs of the House of Representatives a report on the feasibility and advisability of improving the Opioid Therapy Risk Report tool of the Department to allow for more advanced real-time tracking of and access to data on—</chapeau><subparagraph class="fontsize10" id="ycff40c2b-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s911/d/2/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>the key clinical indicators with respect to the totality of opioid use by veterans;</content></subparagraph> <subparagraph class="fontsize10" id="ycff40c2c-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s911/d/2/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>concurrent prescribing by health care providers of the Department of opioids in different health care settings, including data on concurrent prescribing of opioids to treat mental health disorders other than opioid use disorder; and</content></subparagraph> <subparagraph class="fontsize10" id="ycff40c2d-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s911/d/2/C" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">(C) </num><content>mail-order prescriptions of opioids prescribed to veterans under the laws administered by the Secretary.</content></subparagraph> </paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ycff40c2e-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s911/e" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="e">(e) </num><heading class="fontsize10"><inline class="smallCaps">Availability of Opioid Receptor Antagonists</inline>.—</heading><page identifier="/us/stat/130/759">130 STAT. 759</page> <paragraph class="fontsize10" id="ycff40c2f-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s911/e/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><heading class="fontsize10"><inline class="smallCaps">Increased availability and use</inline>.—</heading><subparagraph class="fontsize10" id="ycff43340-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s911/e/1/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><content>The Secretary shall maximize the availability of opioid receptor antagonists, including naloxone, to veterans.</content></subparagraph> <subparagraph class="fontsize10" id="ycff43341-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s911/e/1/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcff43342-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Deadline.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">Availability, training, and distributing</inline>.—</heading><chapeau>In carrying out subparagraph (A), not later than 90 days after the date of the enactment of this Act, the Secretary shall—</chapeau><clause class="fontsize10" id="ycff43343-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s911/e/1/B/i" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">(i) </num><content>equip each pharmacy of the Department with opioid receptor antagonists to be dispensed to outpatients as needed; and</content></clause> <clause class="fontsize10" id="ycff43344-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s911/e/1/B/ii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">(ii) </num><content>expand the Overdose Education and Naloxone Distribution program of the Department to ensure that all veterans in receipt of health care under laws administered by the Secretary who are at risk of opioid overdose may access such opioid receptor antagonists and training on the proper administration of such opioid receptor antagonists.</content></clause> </subparagraph> <subparagraph class="fontsize10" id="ycff43345-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s911/e/1/C" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">(C) </num><heading class="fontsize10"><inline class="smallCaps">Veterans who are at risk</inline>.—</heading><chapeau>For purposes of subparagraph (B), veterans who are at risk of opioid overdose include—</chapeau><clause class="fontsize10" id="ycff43346-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s911/e/1/C/i" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">(i) </num><content>veterans receiving long-term opioid therapy;</content></clause> <clause class="fontsize10" id="ycff43347-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s911/e/1/C/ii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">(ii) </num><content>veterans receiving opioid therapy who have a history of substance use disorder or prior instances of overdose; and</content></clause> <clause class="fontsize10" id="ycff43348-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s911/e/1/C/iii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="iii">(iii) </num><content>veterans who are at risk as determined by a health care provider who is treating the veteran.</content></clause> </subparagraph> </paragraph> <paragraph class="fontsize10" id="ycff43349-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s911/e/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcff4334a-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Assessment.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">Report</inline>.—</heading><content>Not later than 120 days after the date of the enactment of this Act, the Secretary shall submit to the Committee on Veterans’ Affairs of the Senate and the Committee on Veterans’ Affairs of the House of Representatives a report on carrying out paragraph (1), including an assessment of any remaining steps to be carried out by the Secretary to carry out such paragraph.</content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ycff4334b-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s911/f" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="f">(f) </num><heading class="fontsize10"><inline class="smallCaps">Inclusion of Certain Information and Capabilities in Opioid Therapy Risk Report Tool of the Department</inline>.—</heading><paragraph class="fontsize10" id="ycff4334c-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s911/f/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><heading class="fontsize10"><inline class="smallCaps">Information</inline>.—</heading><chapeau>The Secretary shall include in the Opioid Therapy Risk Report tool of the Department—</chapeau><subparagraph class="fontsize10" id="ycff4334d-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s911/f/1/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>information on the most recent time the tool was accessed by a health care provider of the Department with respect to each veteran; and</content></subparagraph> <subparagraph class="fontsize10" id="ycff4334e-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s911/f/1/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>information on the results of the most recent urine drug test for each veteran.</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ycff4334f-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s911/f/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcff43350-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Determination.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">Capabilities</inline>.—</heading><content>The Secretary shall include in the Opioid Therapy Risk Report tool the ability of the health care providers of the Department to determine whether a health care provider of the Department prescribed opioids to a veteran without checking the information in the tool with respect to the veteran.</content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ycff43351-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s911/g" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="g">(g) </num><heading class="fontsize10"><inline class="smallCaps">Notifications of Risk in Computerized Health Record</inline>.—</heading><chapeau>The Secretary shall modify the computerized patient record system of the Department to ensure that any health care provider that accesses the record of a veteran, regardless of the reason the veteran seeks care from the health care provider, will be immediately notified whether the veteran—</chapeau><paragraph class="fontsize10" id="ycff43352-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s911/g/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><content>is receiving opioid therapy and has a history of substance use disorder or prior instances of overdose;<page identifier="/us/stat/130/760">130 STAT. 760</page></content></paragraph> <paragraph class="fontsize10" id="ycff43353-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s911/g/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><content>has a history of opioid abuse; or</content></paragraph> <paragraph class="fontsize10" id="ycff43354-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s911/g/3" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">(3) </num><content>is at risk of developing an opioid use disorder, as determined by a health care provider who is treating the veteran.</content></paragraph> </subsection> </section> <section id="d239274e9100" identifier="/us/pl/114/198/tIX/stA/s912" style="-uslm-lc:I658143"><num class="fontsize12" value="912">SEC. 912. </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcff43355-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180"><ref href="/us/usc/t38/s1701">38 USC 1701 note</ref>.</p></sidenote><heading>STRENGTHENING OF JOINT WORKING GROUP ON PAIN MANAGEMENT OF THE DEPARTMENT OF VETERANS AFFAIRS AND THE DEPARTMENT OF DEFENSE.</heading><subsection class="firstIndent0 fontsize10" id="ycff56bd6-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s912/a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="a">(a) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcff56bd7-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Deadline.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">In General</inline>.—</heading><chapeau>Not later than 90 days after the date of enactment of this Act, the Secretary of Veterans Affairs and the Secretary of Defense shall ensure that the Pain Management Working Group of the Health Executive Committee of the Department of Veterans Affairs–Department of Defense Joint Executive Committee (Pain Management Working Group) established under <ref href="/us/usc/t38/s320">section 320 of title 38, United States Code</ref>, includes a focus on the following:</chapeau><paragraph class="fontsize10" id="ycff56bd8-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s912/a/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><content>The opioid prescribing practices of health care providers of each Department.</content></paragraph> <paragraph class="fontsize10" id="ycff56bd9-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s912/a/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><content>The ability of each Department to manage acute and chronic pain among individuals receiving health care from the Department, including training health care providers with respect to pain management.</content></paragraph> <paragraph class="fontsize10" id="ycff56bda-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s912/a/3" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">(3) </num><content>The use by each Department of complementary and integrative health in treating such individuals.</content></paragraph> <paragraph class="fontsize10" id="ycff56bdb-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s912/a/4" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="4">(4) </num><content>The concurrent use and practice by health care providers of each Department of opioids and prescription drugs to treat mental health disorders, including benzodiazepines.</content></paragraph> <paragraph class="fontsize10" id="ycff56bdc-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s912/a/5" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="5">(5) </num><content>The use of care transition plans by health care providers of each Department to address case management issues for patients receiving opioid therapy who transition between inpatient and outpatient care.</content></paragraph> <paragraph class="fontsize10" id="ycff56bdd-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s912/a/6" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="6">(6) </num><content>The coordination in coverage of and consistent access to medications prescribed for patients transitioning from receiving health care from the Department of Defense to receiving health care from the Department of Veterans Affairs.</content></paragraph> <paragraph class="fontsize10" id="ycff56bde-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s912/a/7" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="7">(7) </num><content>The ability of each Department to properly screen, identify, refer, and treat patients with substance use disorders who are seeking treatment for acute and chronic pain management conditions.</content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ycff56bdf-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s912/b" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="b">(b) </num><heading class="fontsize10"><inline class="smallCaps">Coordination and Consultation</inline>.—</heading><chapeau>The Secretary of Veterans Affairs and the Secretary of Defense shall ensure that the working group described in subsection (a)—</chapeau><paragraph class="fontsize10" id="ycff56be0-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s912/b/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><content>coordinates the activities of the working group with other relevant working groups established under <ref href="/us/usc/t38/s320">section 320 of title 38, United States Code</ref>;</content></paragraph> <paragraph class="fontsize10" id="ycff56be1-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s912/b/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><content>consults with other relevant Federal agencies, including the Centers for Disease Control and Prevention, with respect to the activities of the working group; and</content></paragraph> <paragraph class="fontsize10" id="ycff56be2-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s912/b/3" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">(3) </num><content>consults with the Department of Veterans Affairs and the Department of Defense with respect to the VA/DOD Clinical Practice Guideline for Management of Opioid Therapy for Chronic Pain, or any successor guideline, and reviews and provides comments before any update to the guideline is released.</content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ycff56be3-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s912/c" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="c">(c) </num><heading class="fontsize10"><inline class="smallCaps">Clinical Practice Guidelines</inline>.—</heading><paragraph class="fontsize10" id="ycff56be4-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s912/c/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcff56be5-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Deadline.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><content>Not later than 180 days after the date of the enactment of this Act, the Secretary of Veterans Affairs and the Secretary of Defense shall issue an update to the <page identifier="/us/stat/130/761">130 STAT. 761</page> VA/DOD Clinical Practice Guideline for Management of Opioid Therapy for Chronic Pain.</content></paragraph> <paragraph class="fontsize10" id="ycff56be6-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s912/c/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><heading class="fontsize10"><inline class="smallCaps">Matters included</inline>.—</heading><chapeau>In conducting the update under paragraph (1), the Pain Management Working Group, in coordination with the Clinical Practice Guideline VA/DoD Management of Opioid Therapy for Chronic Pain Working Group, shall work to ensure that the Clinical Practical Guideline includes the following:</chapeau><subparagraph class="fontsize10" id="ycff56be7-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s912/c/2/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><chapeau>Enhanced guidance with respect to—</chapeau><clause class="fontsize10" id="ycff56be8-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s912/c/2/A/i" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">(i) </num><content>the co-administration of an opioid and other drugs, including benzodiazepines, that may result in life-limiting drug interactions;</content></clause> <clause class="fontsize10" id="ycff56be9-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s912/c/2/A/ii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">(ii) </num><content>the treatment of patients with current acute psychiatric instability or substance use disorder or patients at risk of suicide; and</content></clause> <clause class="fontsize10" id="ycff56bea-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s912/c/2/A/iii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="iii">(iii) </num><content>the use of opioid therapy to treat mental health disorders other than opioid use disorder.</content></clause> </subparagraph> <subparagraph class="fontsize10" id="ycff56beb-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s912/c/2/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>Enhanced guidance with respect to the treatment of patients with behaviors or comorbidities, such as post-traumatic stress disorder or other psychiatric disorders, or a history of substance abuse or addiction, that requires a consultation or co-management of opioid therapy with one or more specialists in pain management, mental health, or addictions.</content></subparagraph> <subparagraph class="fontsize10" id="ycff56bec-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s912/c/2/C" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">(C) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcff56bed-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Assessments.</p></sidenote><chapeau>Enhanced guidance with respect to health care providers—</chapeau><clause class="fontsize10" id="ycff56bee-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s912/c/2/C/i" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">(i) </num><content>conducting an effective assessment for patients beginning or continuing opioid therapy, including understanding and setting realistic goals with respect to achieving and maintaining an expected level of pain relief, improved function, or a clinically appropriate combination of both; and</content></clause> <clause class="fontsize10" id="ycff56bef-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s912/c/2/C/ii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">(ii) </num><content>effectively assessing whether opioid therapy is achieving or maintaining the established treatment goals of the patient or whether the patient and health care provider should discuss adjusting, augmenting, or discontinuing the opioid therapy.</content></clause> </subparagraph> <subparagraph class="fontsize10" id="ycff56bf0-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s912/c/2/D" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="D">(D) </num><chapeau>Guidelines to inform the methodologies used by health care providers of the Department of Veterans Affairs and the Department of Defense to safely taper opioid therapy when adjusting or discontinuing the use of opioid therapy, including—</chapeau><clause class="fontsize10" id="ycff56bf1-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s912/c/2/D/i" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">(i) </num><content>prescription of the lowest effective dose based on patient need;</content></clause> <clause class="fontsize10" id="ycff56bf2-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s912/c/2/D/ii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">(ii) </num><content>use of opioids only for a limited time; and</content></clause> <clause class="fontsize10" id="ycff56bf3-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s912/c/2/D/iii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="iii">(iii) </num><content>augmentation of opioid therapy with other pain management therapies and modalities.</content></clause> </subparagraph> <subparagraph class="fontsize10" id="ycff56bf4-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s912/c/2/E" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="E">(E) </num><content>Guidelines with respect to appropriate case management for patients receiving opioid therapy who transition between inpatient and outpatient health care settings, which may include the use of care transition plans.</content></subparagraph> <subparagraph class="fontsize10" id="ycff56bf5-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s912/c/2/F" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="F">(F) </num><content>Guidelines with respect to appropriate case management for patients receiving opioid therapy who transition from receiving care during active duty to post-military health care networks.</content></subparagraph> <subparagraph class="fontsize10" id="ycff56bf6-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s912/c/2/G" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="G">(G) </num><content>Guidelines with respect to providing options, before initiating opioid therapy, for pain management therapies <page identifier="/us/stat/130/762">130 STAT. 762</page> without the use of opioids and options to augment opioid therapy with other clinical and complementary and integrative health services to minimize opioid dependence.</content></subparagraph> <subparagraph class="fontsize10" id="ycff56bf7-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s912/c/2/H" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="H">(H) </num><content>Guidelines with respect to the provision of evidence-based non-opioid treatments within the Department of Veterans Affairs and the Department of Defense, including medical devices and other therapies approved or cleared by the Food and Drug Administration for the treatment of chronic pain as an alternative to or to augment opioid therapy.</content></subparagraph> <subparagraph class="fontsize10" id="ycff56bf8-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s912/c/2/I" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="I">(I) </num><content>Guidelines developed by the Centers for Disease Control and Prevention for safely prescribing opioids for the treatment of chronic, non-cancer related pain in outpatient settings.</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ycff56bf9-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s912/c/3" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">(3) </num><heading class="fontsize10"><inline class="smallCaps">Rule of construction</inline>.—</heading><content>Nothing in this subsection shall be construed to prevent the Secretary of Veterans Affairs and the Secretary of Defense from considering all relevant evidence, as appropriate, in updating the VA/DOD Clinical Practice Guideline for Management of Opioid Therapy for Chronic Pain, as required under paragraph (1), or from ensuring that the final clinical practice guideline updated under such paragraph remains applicable to the patient populations of the Department of Veterans Affairs and the Department of Defense.</content></paragraph> </subsection> </section> <section id="d239274e9325" identifier="/us/pl/114/198/tIX/stA/s913" style="-uslm-lc:I658143"><num class="fontsize12" value="913">SEC. 913. </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcff5930a-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180"><ref href="/us/usc/t38/s1701">38 USC 1701 note</ref>.</p></sidenote><heading>REVIEW, INVESTIGATION, AND REPORT ON USE OF OPIOIDS IN TREATMENT BY DEPARTMENT OF VETERANS AFFAIRS.</heading><subsection class="firstIndent0 fontsize10" id="ycff740bb-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s913/a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="a">(a) </num><heading class="fontsize10"><inline class="smallCaps">Comptroller General Report</inline>.—</heading><paragraph class="fontsize10" id="ycff740bc-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s913/a/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><content>Not later than two years after the date of the enactment of this Act, the Comptroller General of the United States shall submit to the Committee on Veterans’ Affairs of the Senate and the Committee on Veterans’ Affairs of the House of Representatives a report on the Opioid Safety Initiative of the Department of Veterans Affairs and the opioid prescribing practices of health care providers of the Department.</content></paragraph> <paragraph class="fontsize10" id="ycff740bd-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s913/a/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcff740be-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Assessments.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">Elements</inline>.—</heading><chapeau>The report submitted under paragraph (1) shall include the following:</chapeau><subparagraph class="fontsize10" id="ycff740bf-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s913/a/2/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><chapeau>An assessment of the implementation and monitoring by the Veterans Health Administration of the Opioid Safety Initiative of the Department, including examining, as appropriate, the following:</chapeau><clause class="fontsize10" id="ycff740c0-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s913/a/2/A/i" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">(i) </num><chapeau>How the Department monitors the key clinical outcomes of such safety initiative (for example, the percentage of unique veterans visiting each medical center of the Department that are prescribed an opioid or an opioid and benzodiazepine concurrently) and how the Department uses that information—</chapeau><subclause class="fontsize10" id="ycff740c1-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s913/a/2/A/i/I" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="I">(I) </num><content>to improve prescribing practices; and</content></subclause> <subclause class="fontsize10" id="ycff740c2-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s913/a/2/A/i/II" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="II">(II) </num><content>to identify high prescribing or otherwise inappropriate prescribing practices by health care providers.</content></subclause> </clause> <clause class="fontsize10" id="ycff740c3-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s913/a/2/A/ii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">(ii) </num><content>How the Department monitors the use of the Opioid Therapy Risk Report tool of the Department (as developed through such safety initiative) and compliance with such tool by medical facilities and health care providers of the Department, including <page identifier="/us/stat/130/763">130 STAT. 763</page> any findings by the Department of prescription rates or prescription practices by medical facilities or health care providers that are inappropriate.</content></clause> <clause class="fontsize10" id="ycff740c4-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s913/a/2/A/iii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="iii">(iii) </num><content>The implementation of academic detailing programs within the Veterans Integrated Service Networks of the Department and how such programs are being used to improve opioid prescribing practices.</content></clause> <clause class="fontsize10" id="ycff740c5-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s913/a/2/A/iv" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="iv">(iv) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcff740c6-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Recommenda-</p><p class="leftAlign firstIndent0 fontsize8" id="xcff740c7-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">tions.</p></sidenote><content>Recommendations on such improvements to the Opioid Safety Initiative of the Department as the Comptroller General considers appropriate.</content></clause> </subparagraph> <subparagraph class="fontsize10" id="ycff740c8-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s913/a/2/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><chapeau>Information made available under the Opioid Therapy Risk Report tool with respect to—</chapeau><clause class="fontsize10" id="ycff740c9-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s913/a/2/B/i" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">(i) </num><content>deaths resulting from sentinel events involving veterans prescribed opioids by a health care provider;</content></clause> <clause class="fontsize10" id="ycff740ca-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s913/a/2/B/ii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">(ii) </num><content>overall prescription rates and, if applicable, indications used by health care providers for prescribing chronic opioid therapy to treat non-cancer, non-palliative, and non-hospice care patients;</content></clause> <clause class="fontsize10" id="ycff740cb-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s913/a/2/B/iii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="iii">(iii) </num><content>the prescription rates and indications used by health care providers for prescribing benzodiazepines and opioids concomitantly;</content></clause> <clause class="fontsize10" id="ycff740cc-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s913/a/2/B/iv" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="iv">(iv) </num><content>the practice by health care providers of prescribing opioids to treat patients without any pain, including to treat patients with mental health disorders other than opioid use disorder; and</content></clause> <clause class="fontsize10" id="ycff740cd-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s913/a/2/B/v" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="v">(v) </num><content>the effectiveness of opioid therapy for patients receiving such therapy, including the effectiveness of long-term opioid therapy.</content></clause> </subparagraph> <subparagraph class="fontsize10" id="ycff740ce-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s913/a/2/C" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">(C) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcff740cf-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Evaluation.</p><p class="leftAlign firstIndent0 fontsize8" id="xcff740d0-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Procedures.</p></sidenote><content>An evaluation of processes of the Department in place to oversee opioid use among veterans, including procedures to identify and remedy potential over-prescribing of opioids by health care providers of the Department.</content></subparagraph> <subparagraph class="fontsize10" id="ycff740d1-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s913/a/2/D" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="D">(D) </num><content>An assessment of the implementation by the Secretary of Veterans Affairs of the VA/DOD Clinical Practice Guideline for Management of Opioid Therapy for Chronic Pain, including any figures or approaches used by the Department to assess compliance with such guidelines by medical centers of the Department and identify any medical centers of the Department operating action plans to improve compliance with such guidelines.</content></subparagraph> <subparagraph class="fontsize10" id="ycff740d2-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s913/a/2/E" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="E">(E) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcff740d3-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Review.</p></sidenote><content>An assessment of the data that the Department has developed to review the opioid prescribing practices of health care providers of the Department, as required by this subtitle, including a review of how the Department identifies the practices of individual health care providers that warrant further review based on prescribing levels, health conditions for which the health care provider is prescribing opioids or opioids and benzodiazepines concurrently, or other practices of the health care provider.</content></subparagraph> </paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ycff740d4-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s913/b" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="b">(b) </num><heading class="fontsize10"><inline class="smallCaps">Semi-annual Progress Report on Implementation of Comptroller General Recommendations</inline>.—</heading><content>Not later<sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcff740d5-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Determination.</p></sidenote> than 180 days after the date of the submittal of the report required under subsection (a), and not less frequently than annually thereafter until the Comptroller General of the United States determines that all recommended actions are closed, the Secretary of Veterans Affairs shall submit to the Committee on Veterans’ Affairs of the Senate and the Committee on Veterans’ Affairs of the House of <page identifier="/us/stat/130/764">130 STAT. 764</page> Representatives a progress report detailing the actions by the Secretary to address any outstanding findings and recommendations by the Comptroller General of the United States under subsection (a) with respect to the Veterans Health Administration.</content></subsection> <subsection class="firstIndent0 fontsize10" id="ycff740d6-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s913/c" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="c">(c) </num><heading class="fontsize10"><inline class="smallCaps">Annual Report on Opioid Therapy and Prescription Rates</inline>.—</heading><chapeau>Not later than one year after the date of the enactment of this Act, and not less frequently than annually for the following five years, the Secretary shall submit to the Committee on Veterans’ Affairs of the Senate and the Committee on Veterans’ Affairs of the House of Representatives a report on opioid therapy and prescription rates for the one-year period preceding the date of the submission of the report. Each such report shall include each of the following:</chapeau><paragraph class="fontsize10" id="ycff740d7-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s913/c/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><content>The number of patients and the percentage of the patient population of the Department who were prescribed benzodiazepines and opioids concurrently by a health care provider of the Department.</content></paragraph> <paragraph class="fontsize10" id="ycff740d8-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s913/c/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><content>The number of patients and the percentage of the patient population of the Department without any pain who were prescribed opioids by a health care provider of the Department, including those who were prescribed benzodiazepines and opioids concurrently.</content></paragraph> <paragraph class="fontsize10" id="ycff740d9-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s913/c/3" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">(3) </num><content>The number of non-cancer, non-palliative, and non-hospice care patients and the percentage of such patients who were treated with opioids by a health care provider of the Department on an inpatient-basis and who also received prescription opioids by mail from the Department while being treated on an inpatient-basis.</content></paragraph> <paragraph class="fontsize10" id="ycff740da-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s913/c/4" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="4">(4) </num><content>The number of non-cancer, non-palliative, and non-hospice care patients and the percentage of such patients who were prescribed opioids concurrently by a health care provider of the Department and a health care provider that is not a health care provider of the Department.</content></paragraph> <paragraph class="fontsize10" id="ycff740db-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s913/c/5" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="5">(5) </num><chapeau>With respect to each medical facility of the Department, the collected and reviewed information on opioids prescribed by health care providers at the facility to treat non-cancer, non-palliative, and non-hospice care patients, including—</chapeau><subparagraph class="fontsize10" id="ycff740dc-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s913/c/5/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>the prescription rate at which each health care provider at the facility prescribed benzodiazepines and opioids concurrently to such patients and the aggregate of such prescription rate for all health care providers at the facility;</content></subparagraph> <subparagraph class="fontsize10" id="ycff740dd-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s913/c/5/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>the prescription rate at which each health care provider at the facility prescribed benzodiazepines or opioids to such patients to treat conditions for which benzodiazepines or opioids are not approved treatment and the aggregate of such prescription rate for all health care providers at the facility;</content></subparagraph> <subparagraph class="fontsize10" id="ycff740de-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s913/c/5/C" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">(C) </num><content>the prescription rate at which each health care provider at the facility prescribed or dispensed mail-order prescriptions of opioids to such patients while such patients were being treated with opioids on an inpatient-basis and the aggregate of such prescription rate for all health care providers at the facility; and</content></subparagraph> <subparagraph class="fontsize10" id="ycff740df-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s913/c/5/D" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="D">(D) </num><content>the prescription rate at which each health care provider at the facility prescribed opioids to such patients who were also concurrently prescribed opioids by a health <page identifier="/us/stat/130/765">130 STAT. 765</page> care provider that is not a health care provider of the Department and the aggregate of such prescription rates for all health care providers at the facility.</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ycff740e0-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s913/c/6" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="6">(6) </num><content>With respect to each medical facility of the Department, the number of times a pharmacist at the facility overrode a critical drug interaction warning with respect to an interaction between opioids and another medication before dispensing such medication to a veteran.</content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ycff740e1-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s913/d" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="d">(d) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcff740e2-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Determination.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">Investigation of Prescription Rates</inline>.—</heading><chapeau>If the Secretary determines that a prescription rate with respect to a health care provider or medical facility of the Department conflicts with or is otherwise inconsistent with the standards of appropriate and safe care, the Secretary shall—</chapeau><paragraph class="fontsize10" id="ycff740e3-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s913/d/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcff740e4-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Notification.</p></sidenote><content>immediately notify the Committee on Veterans’ Affairs of the Senate and the Committee on Veterans’ Affairs of the House of Representatives of such determination, including information relating to such determination, prescription rate, and health care provider or medical facility, as the case may be; and</content></paragraph> <paragraph class="fontsize10" id="ycff740e5-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s913/d/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><content>through the Office of the Medical Inspector of the Veterans Health Administration, conduct a full investigation of the health care provider or medical facility, as the case may be.</content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ycff740e6-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s913/e" role="definitions" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="e">(e) </num><heading class="fontsize10"><inline class="smallCaps">Prescription Rate Defined</inline>.—</heading><chapeau>In this section, the term “<term>prescription rate</term>” means, with respect to a health care provider or medical facility of the Department, each of the following:</chapeau><paragraph class="fontsize10" id="ycff740e7-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s913/e/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><content>The number of patients treated with opioids by the health care provider or at the medical facility, as the case may be, divided by the total number of pharmacy users of that health care provider or medical facility.</content></paragraph> <paragraph class="fontsize10" id="ycff740e8-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s913/e/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><content>The average number of morphine equivalents per day prescribed by the health care provider or at the medical facility, as the case may be, to patients being treated with opioids.</content></paragraph> <paragraph class="fontsize10" id="ycff740e9-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s913/e/3" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">(3) </num><content>Of the patients being treated with opioids by the health care provider or at the medical facility, as the case may be, the average number of prescriptions of opioids per patient.</content></paragraph> </subsection> </section> <section id="d239274e9593" identifier="/us/pl/114/198/tIX/stA/s914" role="instruction" style="-uslm-lc:I658143"><num class="fontsize12" value="914">SEC. 914. </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcff740ea-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180"><ref href="/us/usc/t38/s1701">38 USC 1701 note</ref>.</p></sidenote><heading>MANDATORY DISCLOSURE OF CERTAIN VETERAN INFORMATION TO STATE CONTROLLED SUBSTANCE MONITORING PROGRAMS.</heading><content style="-uslm-lc:I658120">  <ref href="/us/usc/t38/s5701/l">Section 5701(l) of title 38, United States Code</ref>, <amendingAction type="amend">is amended</amendingAction> by <amendingAction type="delete">striking</amendingAction> “<quotedText>may</quotedText>” and <amendingAction type="insert">inserting</amendingAction> “<quotedText>shall</quotedText>”.</content></section> <section id="d239274e9618" identifier="/us/pl/114/198/tIX/stA/s915" style="-uslm-lc:I658143"><num class="fontsize12" value="915">SEC. 915. </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcff767fb-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180"><ref href="/us/usc/t38/s1701">38 USC 1701 note</ref>.</p></sidenote><heading>ELIMINATION OF COPAYMENT REQUIREMENT FOR VETERANS RECEIVING OPIOID ANTAGONISTS OR EDUCATION ON USE OF OPIOID ANTAGONISTS.</heading><subsection class="firstIndent0 fontsize10" id="ycff78f0c-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s915/a" role="instruction" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="a">(a) </num><heading class="fontsize10"><inline class="smallCaps">Copayment for Opioid Antagonists</inline>.—</heading><content><ref href="/us/usc/t38/s1722A/a">Section 1722A(a) of title 38, United States Code</ref>, <amendingAction type="amend">is amended</amendingAction> by <amendingAction type="add">adding</amendingAction> at the end the following new paragraph:<quotedContent><paragraph class="indentUp0 firstIndent0 fontsize10" id="ycff78f0d-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="4">“(4) </num><content>Paragraph (1) does not apply to opioid antagonists furnished under this chapter to a veteran who is at high risk for overdose of a specific medication or substance in order to reverse the effect of such an overdose.”</content></paragraph> </quotedContent>.</content></subsection> <subsection class="firstIndent0 fontsize10" id="ycff78f0e-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s915/b" role="instruction" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="b">(b) </num><heading class="fontsize10"><inline class="smallCaps">Copayment for Education on Use of Opioid Antagonists</inline>.—</heading><chapeau>Section 1710(g)(3) of such title <amendingAction type="amend">is amended</amendingAction>—</chapeau><paragraph class="fontsize10" id="ycff78f0f-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s915/b/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><content>by <amendingAction type="delete">striking</amendingAction> “<quotedText>with respect to home health services</quotedText>” and <amendingAction type="insert">inserting</amendingAction> “<quotedText>with respect to the following:</quotedText>”<quotedContent><subparagraph class="indentUp0 fontsize10" id="ycff78f10-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">“(A) </num><content>Home health services”</content></subparagraph> </quotedContent>; and<page identifier="/us/stat/130/766">130 STAT. 766</page></content></paragraph> <paragraph class="fontsize10" id="ycff78f11-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stA/s915/b/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><content>by <amendingAction type="add">adding</amendingAction> at the end the following subparagraph:<quotedContent><subparagraph class="indentUp0 fontsize10" id="ycff78f12-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">“(B) </num><content>Education on the use of opioid antagonists to reverse the effects of overdoses of specific medications or substances.”</content></subparagraph> </quotedContent>.</content></paragraph> </subsection> </section> </subtitle> <subtitle id="d239274e9704" identifier="/us/pl/114/198/tIX/stB" style="-uslm-lc:I658178"><num value="B">Subtitle B—</num><heading>Patient Advocacy</heading> <section id="d239274e9709" identifier="/us/pl/114/198/tIX/stB/s921" style="-uslm-lc:I658143"><num class="fontsize12" value="921">SEC. 921. </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcff78f13-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180"><ref href="/us/usc/t38/s1701">38 USC 1701 note</ref>.</p></sidenote><heading>COMMUNITY MEETINGS ON IMPROVING CARE FURNISHED BY DEPARTMENT OF VETERANS AFFAIRS.</heading><subsection class="firstIndent0 fontsize10" id="ycff7dc34-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stB/s921/a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="a">(a) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcff7dc35-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Deadline.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">Community Meetings</inline>.—</heading><paragraph class="fontsize10" id="ycff7dc36-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stB/s921/a/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><heading class="fontsize10"><inline class="smallCaps">Medical centers</inline>.—</heading><content>Not later than 90 days after the date of the enactment of this Act, and not less frequently than once every 90 days thereafter, the Secretary shall ensure that each medical facility of the Department of Veterans Affairs hosts a community meeting open to the public on improving health care furnished by the Secretary.</content></paragraph> <paragraph class="fontsize10" id="ycff7dc37-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stB/s921/a/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><heading class="fontsize10"><inline class="smallCaps">Community-based outpatient clinics</inline>.—</heading><content>Not later than one year after the date of the enactment of this Act, and not less frequently than annually thereafter, the Secretary shall ensure that each community-based outpatient clinic of the Department hosts a community meeting open to the public on improving health care furnished by the Secretary.</content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ycff7dc38-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stB/s921/b" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="b">(b) </num><heading class="fontsize10"><inline class="smallCaps">Attendance by Director of Veterans Integrated Service Network or Designee</inline>.—</heading><paragraph class="fontsize10" id="ycff7dc39-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stB/s921/b/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><content>Each community meeting hosted by a medical facility or community-based outpatient clinic under subsection (a) shall be attended by the Director of the Veterans Integrated Service Network in which the medical facility or community-based outpatient clinic, as the case may be, is located. Subject to paragraph (2), the Director may delegate such attendance only to an employee who works in the Office of the Director.</content></paragraph> <paragraph class="fontsize10" id="ycff7dc3a-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stB/s921/b/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><heading class="fontsize10"><inline class="smallCaps">Attendance by director</inline>.—</heading><content>Each Director of a Veterans Integrated Service Network shall personally attend not less than one community meeting under subsection (a) hosted by each medical facility located in the Veterans Integrated Service Network each year.</content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ycff7dc3b-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stB/s921/c" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="c">(c) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcff7dc3c-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Deadline.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">Notice</inline>.—</heading><content>The Secretary shall notify the Committee on Veterans’ Affairs of the Senate, the Committee on Veterans’ Affairs of the House of Representatives, and each Member of Congress (as defined in section 902) who represents the area in which the medical facility is located of a community meeting under subsection (a) by not later than 10 days before such community meeting occurs.</content></subsection> </section> <section id="d239274e9786" identifier="/us/pl/114/198/tIX/stB/s922" style="-uslm-lc:I658143"><num class="fontsize12" value="922">SEC. 922. </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcff8034d-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Deadline.</p><p class="leftAlign firstIndent0 fontsize8" id="xcff8034e-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180"><ref href="/us/usc/t38/s1701">38 USC 1701 note</ref>.</p></sidenote><heading>IMPROVEMENT OF AWARENESS OF PATIENT ADVOCACY PROGRAM AND PATIENT BILL OF RIGHTS OF DEPARTMENT OF VETERANS AFFAIRS.</heading><chapeau class="indentUp0 firstIndent0 fontsize10" id="xcff82a5f-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658120">  Not later than 90 days after the date of the enactment of this Act, the Secretary of Veterans Affairs shall, in as many prominent locations as the Secretary determines appropriate to be seen by the largest percentage of patients and family members of patients at each medical facility of the Department of Veterans Affairs—</chapeau><paragraph class="fontsize10" id="ycff82a60-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stB/s922/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><content>display the purposes of the Patient Advocacy Program of the Department and the contact information for the patient advocate at such medical facility; and</content></paragraph> <paragraph class="fontsize10" id="ycff82a61-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stB/s922/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><chapeau>display the rights and responsibilities of—<page identifier="/us/stat/130/767">130 STAT. 767</page></chapeau><subparagraph class="fontsize10" id="ycff82a62-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stB/s922/2/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>patients and family members of patients at such medical facility; and</content></subparagraph> <subparagraph class="fontsize10" id="ycff82a63-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stB/s922/2/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>with respect to community living centers and other residential facilities of the Department, residents and family members of residents at such medical facility.</content></subparagraph> </paragraph> </section> <section id="d239274e9823" identifier="/us/pl/114/198/tIX/stB/s923" style="-uslm-lc:I658143"><num class="fontsize12" value="923">SEC. 923. </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcff82a64-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180"><ref href="/us/usc/t38/s1701">38 USC 1701 note</ref>.</p></sidenote><heading>COMPTROLLER GENERAL REPORT ON PATIENT ADVOCACY PROGRAM OF DEPARTMENT OF VETERANS AFFAIRS.</heading><subsection class="firstIndent0 fontsize10" id="ycff89f95-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stB/s923/a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="a">(a) </num><heading class="fontsize10"><inline class="smallCaps">In General</inline>.—</heading><content>Not later than two years after the date of the enactment of this Act, the Comptroller General of the United States shall submit to the Committee on Veterans’ Affairs of the Senate and the Committee on Veterans’ Affairs of the House of Representatives a report on the Patient Advocacy Program of the Department of Veterans Affairs (in this section referred to as the “Program”).</content></subsection> <subsection class="firstIndent0 fontsize10" id="ycff89f96-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stB/s923/b" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="b">(b) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcff89f97-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Assessments.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">Elements</inline>.—</heading><chapeau>The report required by subsection (a) shall include the following:</chapeau><paragraph class="fontsize10" id="ycff89f98-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stB/s923/b/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><chapeau>A description of the Program, including—</chapeau><subparagraph class="fontsize10" id="ycff89f99-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stB/s923/b/1/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>the purpose of the Program;</content></subparagraph> <subparagraph class="fontsize10" id="ycff89f9a-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stB/s923/b/1/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>the activities carried out under the Program; and</content></subparagraph> <subparagraph class="fontsize10" id="ycff89f9b-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stB/s923/b/1/C" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">(C) </num><content>the sufficiency of the Program in achieving the purpose of the Program.</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ycff89f9c-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stB/s923/b/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><content>An assessment of the sufficiency of staffing of employees of the Department responsible for carrying out the Program.</content></paragraph> <paragraph class="fontsize10" id="ycff89f9d-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stB/s923/b/3" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">(3) </num><content>An assessment of the sufficiency of the training of such employees.</content></paragraph> <paragraph class="fontsize10" id="ycff89f9e-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stB/s923/b/4" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="4">(4) </num><chapeau>An assessment of—</chapeau><subparagraph class="fontsize10" id="ycff89f9f-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stB/s923/b/4/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>the awareness of the Program among veterans and family members of veterans; and</content></subparagraph> <subparagraph class="fontsize10" id="ycff89fa0-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stB/s923/b/4/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>the use of the Program by veterans and family members of veterans.</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ycff89fa1-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stB/s923/b/5" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="5">(5) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcff89fa2-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Recommenda-</p><p class="leftAlign firstIndent0 fontsize8" id="xcff89fa3-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">tions.</p></sidenote><content>Such recommendations and proposals for improving or modifying the Program as the Comptroller General considers appropriate.</content></paragraph> <paragraph class="fontsize10" id="ycff89fa4-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stB/s923/b/6" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="6">(6) </num><content>Such other information with respect to the Program as the Comptroller General considers appropriate.</content></paragraph> </subsection> </section> <section id="d239274e9915" identifier="/us/pl/114/198/tIX/stB/s924" style="-uslm-lc:I658143"><num class="fontsize12" value="924">SEC. 924. </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcff89fa5-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180"><ref href="/us/usc/t38/s1701">38 USC 1701 note</ref>.</p></sidenote><heading>ESTABLISHMENT OF OFFICE OF PATIENT ADVOCACY OF THE DEPARTMENT OF VETERANS AFFAIRS.</heading><subsection class="firstIndent0 fontsize10" id="ycff8edc6-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stB/s924/a" role="instruction" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="a">(a) </num><heading class="fontsize10"><inline class="smallCaps">In General</inline>.—</heading><content><ref href="/us/usc/t38/ch73/schI">Subchapter I of chapter 73 of title 38, United States Code</ref>, <amendingAction type="amend">is amended</amendingAction> by <amendingAction type="add">adding</amendingAction> at the end the following new section:<quotedContent><section class="centered fontsize12" id="ycff98a07-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658165"><num class="fontsize12" value="7309A">“§ 7309A.</num><heading class="fontsize12"><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcff98a08-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180"><ref href="/us/usc/t38/s7309A">38 USC 7309A</ref>.</p></sidenote> Office of Patient Advocacy</heading><subsection class="firstIndent0 fontsize10" id="ycff98a09-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="a">“(a) </num><heading class="fontsize10"><inline class="smallCaps">Establishment</inline>.—</heading><content>There is established in the Department within the Office of the Under Secretary for Health an office to be known as the ‘Office of Patient Advocacy’ (in this section referred to as the ‘Office’).</content></subsection> <subsection class="firstIndent0 fontsize10" id="ycff98a0a-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="b">“(b) </num><heading class="fontsize10"><inline class="smallCaps">Head</inline>.—</heading><paragraph class="inline" id="ycff98a0b-e85f-11f0-a1e4-69761a48a15a"><num value="1">(1) </num><content>The Director of the Office of Patient Advocacy shall be the head of the Office.</content></paragraph> <paragraph class="indentUp0 firstIndent0 fontsize10" id="ycff98a0c-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">“(2) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcff98a0d-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Appointment.</p></sidenote><content>The Director of the Office of Patient Advocacy shall be appointed by the Under Secretary for Health from among individuals qualified to perform the duties of the position and shall report directly to the Under Secretary for Health.</content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ycff98a0e-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="c">“(c) </num><heading class="fontsize10"><inline class="smallCaps">Function</inline>.—</heading><paragraph class="inline" id="ycff98a0f-e85f-11f0-a1e4-69761a48a15a"><num value="1">(1) </num><content>The function of the Office is to carry out the Patient Advocacy Program of the Department.<page identifier="/us/stat/130/768">130 STAT. 768</page></content></paragraph> <paragraph class="indentUp0 firstIndent0 fontsize10" id="ycff98a10-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">“(2) </num><chapeau>In carrying out the Patient Advocacy Program of the Department, the Director shall ensure that patient advocates of the Department—</chapeau><subparagraph class="fontsize10" id="ycff98a11-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">“(A) </num><content>advocate on behalf of veterans with respect to health care received and sought by veterans under the laws administered by the Secretary;</content></subparagraph> <subparagraph class="fontsize10" id="ycff98a12-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">“(B) </num><content>carry out the responsibilities specified in subsection (d); and</content></subparagraph> <subparagraph class="fontsize10" id="ycff98a13-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">“(C) </num><content>receive training in patient advocacy.</content></subparagraph> </paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ycff98a14-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="d">“(d) </num><heading class="fontsize10"><inline class="smallCaps">Patient Advocacy Responsibilities</inline>.—</heading><chapeau>The responsibilities of each patient advocate at a medical facility of the Department are the following:</chapeau><paragraph class="fontsize10" id="ycff98a15-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">“(1) </num><content>To resolve complaints by veterans with respect to health care furnished under the laws administered by the Secretary that cannot be resolved at the point of service or at a higher level easily accessible to the veteran.</content></paragraph> <paragraph class="fontsize10" id="ycff98a16-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">“(2) </num><content>To present at various meetings and to various committees the issues experienced by veterans in receiving such health care at such medical facility.</content></paragraph> <paragraph class="fontsize10" id="ycff98a17-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">“(3) </num><content>To express to veterans their rights and responsibilities as patients in receiving such health care.</content></paragraph> <paragraph class="fontsize10" id="ycff98a18-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="4">“(4) </num><content>To manage the Patient Advocate Tracking System of the Department at such medical facility.</content></paragraph> <paragraph class="fontsize10" id="ycff98a19-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="5">“(5) </num><content>To compile data at such medical facility of complaints made by veterans with respect to the receipt of such health care at such medical facility and the satisfaction of veterans with such health care at such medical facility to determine whether there are trends in such data.</content></paragraph> <paragraph class="fontsize10" id="ycff98a1a-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="6">“(6) </num><content>To ensure that a process is in place for the distribution of the data compiled under paragraph (5) to appropriate leaders, committees, services, and staff of the Department.</content></paragraph> <paragraph class="fontsize10" id="ycff98a1b-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="7">“(7) </num><content>To identify, not less frequently than quarterly, opportunities for improvements in the furnishing of such health care to veterans at such medical facility based on complaints by veterans.</content></paragraph> <paragraph class="fontsize10" id="ycff98a1c-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="8">“(8) </num><content>To ensure that any significant complaint by a veteran with respect to such health care is brought to the attention of appropriate staff of the Department to trigger an assessment of whether there needs to be a further analysis of the problem at the facility-wide level.</content></paragraph> <paragraph class="fontsize10" id="ycff98a1d-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="9">“(9) </num><content>To support any patient advocacy programs carried out by the Department.</content></paragraph> <paragraph class="fontsize10" id="ycff98a1e-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="10">“(10) </num><content>To ensure that all appeals and final decisions with respect to the receipt of such health care are entered into the Patient Advocate Tracking System of the Department.</content></paragraph> <paragraph class="fontsize10" id="ycff98a1f-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="11">“(11) </num><content>To understand all laws, directives, and other rules with respect to the rights and responsibilities of veterans in receiving such health care, including the appeals processes available to veterans.</content></paragraph> <paragraph class="fontsize10" id="ycff98a20-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="12">“(12) </num><content>To ensure that veterans receiving mental health care, or the surrogate decision-makers for such veterans, are aware of the rights of veterans to seek representation from systems established under section 103 of the Protection and Advocacy for Mentally Ill Individuals Act of 1986 (<ref href="/us/usc/t42/s10803">42 U.S.C. 10803</ref>) to protect and advocate the rights of individuals with mental illness and to investigate incidents of abuse and neglect of such individuals.<page identifier="/us/stat/130/769">130 STAT. 769</page></content></paragraph> <paragraph class="fontsize10" id="ycff98a21-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="13">“(13) </num><content>To fulfill requirements established by the Secretary with respect to the inspection of controlled substances.</content></paragraph> <paragraph class="fontsize10" id="ycff98a22-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="14">“(14) </num><content>To document potentially threatening behavior and report such behavior to appropriate authorities.</content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ycff98a23-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="e">“(e) </num><heading class="fontsize10"><inline class="smallCaps">Training</inline>.—</heading><content>In providing training to patient advocates under subsection (c)(2)(C), the Director shall ensure that such training is consistent throughout the Department.</content></subsection> <subsection class="firstIndent0 fontsize10" id="ycff98a24-e85f-11f0-a1e4-69761a48a15a" role="definitions" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="f">“(f) </num><heading class="fontsize10"><inline class="smallCaps">Controlled Substance Defined</inline>.—</heading><content>In this section, the term ‘<term>controlled substance</term>’ has the meaning given that term in section 102 of the Controlled Substances Act (<ref href="/us/usc/t21/s802">21 U.S.C. 802</ref>).”</content></subsection> </section> </quotedContent>.</content></subsection> <subsection class="firstIndent0 fontsize10" id="ycff98a25-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stB/s924/b" role="instruction" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="b">(b) </num><heading class="fontsize10"><inline class="smallCaps">Clerical Amendment</inline>.—</heading><content>The table of sections at the beginning of chapter 73 of such title<sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcff98a26-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">38 USC</p><p class="leftAlign firstIndent0 fontsize8" id="xcff98a27-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">prec. 7301.<?GPOvSpace 04?></p></sidenote> <amendingAction type="amend">is amended</amendingAction> by <amendingAction type="insert">inserting</amendingAction> after the item relating to section 7309 the following new item:<quotedContent><toc> <referenceItem role="section" style="-uslm-lc:I658242"> <designator>“7309A. </designator> <label>Office of Patient Advocacy.”.<?GPOvSpace 04?></label> </referenceItem></toc> </quotedContent></content></subsection> <subsection class="firstIndent0 fontsize10" id="ycff98a28-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stB/s924/c" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="c">(c) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcff98a29-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180"><ref href="/us/usc/t38/s7309A">38 USC 7309A note</ref>.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">Date Fully Operational</inline>.—</heading><content>The Secretary of Veterans Affairs shall ensure that the Office of Patient Advocacy established under <ref href="/us/usc/t38/s7309A">section 7309A of title 38, United States Code</ref>, as added by subsection (a), is fully operational not later than the date that is one year after the date of the enactment of this Act.</content></subsection> </section> </subtitle> <subtitle id="d239274e10186" identifier="/us/pl/114/198/tIX/stC" style="-uslm-lc:I658178"><num value="C">Subtitle C—</num><heading>Complementary and Integrative Health</heading> <section id="d239274e10191" identifier="/us/pl/114/198/tIX/stC/s931" style="-uslm-lc:I658143"><num class="fontsize12" value="931">SEC. 931. </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcff98a2a-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180"><ref href="/us/usc/t38/s1701">38 USC 1701 note</ref>.</p></sidenote><heading>EXPANSION OF RESEARCH AND EDUCATION ON AND DELIVERY OF COMPLEMENTARY AND INTEGRATIVE HEALTH TO VETERANS.</heading><subsection class="firstIndent0 fontsize10" id="ycffc494b-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s931/a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="a">(a) </num><heading class="fontsize10"><inline class="smallCaps">Establishment</inline>.—</heading><content>There is established a commission to be known as the “Creating Options for Veterans’ Expedited Recovery” or the “COVER Commission” (in this section referred to as the “Commission”). The<sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcffc494c-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Examination.</p></sidenote> Commission shall examine the evidence-based therapy treatment model used by the Secretary of Veterans Affairs for treating mental health conditions of veterans and the potential benefits of incorporating complementary and integrative health treatments available in non-Department facilities (as defined in <ref href="/us/usc/t38/s1701">section 1701 of title 38, United States Code</ref>).</content></subsection> <subsection class="firstIndent0 fontsize10" id="ycffc494d-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s931/b" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="b">(b) </num><heading class="fontsize10"><inline class="smallCaps">Duties</inline>.—</heading><chapeau>The Commission shall perform the following duties:</chapeau><paragraph class="fontsize10" id="ycffc494e-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s931/b/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><content>Examine the efficacy of the evidence-based therapy model used by the Secretary for treating mental health illnesses of veterans and identify areas to improve wellness-based outcomes.</content></paragraph> <paragraph class="fontsize10" id="ycffc494f-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s931/b/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><chapeau>Conduct a patient-centered survey within each of the Veterans Integrated Service Networks to examine—</chapeau><subparagraph class="fontsize10" id="ycffc4950-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s931/b/2/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>the experience of veterans with the Department of Veterans Affairs when seeking medical assistance for mental health issues through the health care system of the Department;</content></subparagraph> <subparagraph class="fontsize10" id="ycffc4951-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s931/b/2/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>the experience of veterans with non-Department facilities and health professionals for treating mental health issues;</content></subparagraph> <subparagraph class="fontsize10" id="ycffc4952-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s931/b/2/C" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">(C) </num><content>the preference of veterans regarding available treatment for mental health issues and which methods the veterans believe to be most effective;<page identifier="/us/stat/130/770">130 STAT. 770</page></content></subparagraph> <subparagraph class="fontsize10" id="ycffc4953-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s931/b/2/D" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="D">(D) </num><content>the experience, if any, of veterans with respect to the complementary and integrative health treatment therapies described in paragraph (3);</content></subparagraph> <subparagraph class="fontsize10" id="ycffc4954-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s931/b/2/E" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="E">(E) </num><content>the prevalence of prescribing prescription medication among veterans seeking treatment through the health care system of the Department as remedies for addressing mental health issues; and</content></subparagraph> <subparagraph class="fontsize10" id="ycffc4955-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s931/b/2/F" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="F">(F) </num><content>the outreach efforts of the Secretary regarding the availability of benefits and treatments for veterans for addressing mental health issues, including by identifying ways to reduce barriers to gaps in such benefits and treatments.</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ycffc4956-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s931/b/3" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">(3) </num><chapeau>Examine available research on complementary and integrative health treatment therapies for mental health issues and identify what benefits could be made with the inclusion of such treatments for veterans, including with respect to—</chapeau><subparagraph class="fontsize10" id="ycffc4957-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s931/b/3/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>music therapy;</content></subparagraph> <subparagraph class="fontsize10" id="ycffc4958-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s931/b/3/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>equine therapy;</content></subparagraph> <subparagraph class="fontsize10" id="ycffc4959-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s931/b/3/C" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">(C) </num><content>training and caring for service dogs;</content></subparagraph> <subparagraph class="fontsize10" id="ycffc495a-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s931/b/3/D" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="D">(D) </num><content>yoga therapy;</content></subparagraph> <subparagraph class="fontsize10" id="ycffc495b-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s931/b/3/E" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="E">(E) </num><content>acupuncture therapy;</content></subparagraph> <subparagraph class="fontsize10" id="ycffc495c-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s931/b/3/F" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="F">(F) </num><content>meditation therapy;</content></subparagraph> <subparagraph class="fontsize10" id="ycffc495d-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s931/b/3/G" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="G">(G) </num><content>outdoor sports therapy;</content></subparagraph> <subparagraph class="fontsize10" id="ycffc495e-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s931/b/3/H" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="H">(H) </num><content>hyperbaric oxygen therapy;</content></subparagraph> <subparagraph class="fontsize10" id="ycffc495f-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s931/b/3/I" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="I">(I) </num><content>accelerated resolution therapy;</content></subparagraph> <subparagraph class="fontsize10" id="ycffc4960-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s931/b/3/J" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="J">(J) </num><content>art therapy;</content></subparagraph> <subparagraph class="fontsize10" id="ycffc4961-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s931/b/3/K" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="K">(K) </num><content>magnetic resonance therapy; and</content></subparagraph> <subparagraph class="fontsize10" id="ycffc4962-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s931/b/3/L" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="L">(L) </num><content>other therapies the Commission determines appropriate.</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ycffc4963-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s931/b/4" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="4">(4) </num><content>Study the sufficiency of the resources of the Department to ensure the delivery of quality health care for mental health issues among veterans seeking treatment within the Department.</content></paragraph> <paragraph class="fontsize10" id="ycffc4964-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s931/b/5" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="5">(5) </num><chapeau>Study the current treatments and resources available within the Department and assess—</chapeau><subparagraph class="fontsize10" id="ycffc4965-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s931/b/5/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>the effectiveness of such treatments and resources in decreasing the number of suicides per day by veterans;</content></subparagraph> <subparagraph class="fontsize10" id="ycffc4966-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s931/b/5/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>the number of veterans who have been diagnosed with mental health issues;</content></subparagraph> <subparagraph class="fontsize10" id="ycffc4967-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s931/b/5/C" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">(C) </num><content>the percentage of veterans using the resources of the Department who have been diagnosed with mental health issues;</content></subparagraph> <subparagraph class="fontsize10" id="ycffc4968-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s931/b/5/D" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="D">(D) </num><content>the percentage of veterans who have completed counseling sessions offered by the Department; and</content></subparagraph> <subparagraph class="fontsize10" id="ycffc4969-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s931/b/5/E" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="E">(E) </num><content>the efforts of the Department to expand complementary and integrative health treatments viable to the recovery of veterans with mental health issues as determined by the Secretary to improve the effectiveness of treatments offered by the Department.</content></subparagraph> </paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ycffc496a-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s931/c" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="c">(c) </num><heading class="fontsize10"><inline class="smallCaps">Membership</inline>.—</heading><paragraph class="fontsize10" id="ycffc496b-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s931/c/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><chapeau>The Commission shall be composed of 10 members, appointed as follows:</chapeau><subparagraph class="fontsize10" id="ycffc496c-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s931/c/1/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>Two members appointed by the Speaker of the House of Representatives, at least one of whom shall be a veteran.<page identifier="/us/stat/130/771">130 STAT. 771</page></content></subparagraph> <subparagraph class="fontsize10" id="ycffc496d-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s931/c/1/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>Two members appointed by the minority leader of the House of Representatives, at least one of whom shall be a veteran.</content></subparagraph> <subparagraph class="fontsize10" id="ycffc496e-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s931/c/1/C" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">(C) </num><content>Two members appointed by the majority leader of the Senate, at least one of whom shall be a veteran.</content></subparagraph> <subparagraph class="fontsize10" id="ycffc496f-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s931/c/1/D" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="D">(D) </num><content>Two members appointed by the minority leader of the Senate, at least one of whom shall be a veteran.</content></subparagraph> <subparagraph class="fontsize10" id="ycffc4970-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s931/c/1/E" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="E">(E) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcffc4971-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">President.</p></sidenote><content>Two members appointed by the President, at least one of whom shall be a veteran.</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ycffc4972-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s931/c/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><heading class="fontsize10"><inline class="smallCaps">Qualifications</inline>.—</heading><chapeau>Members of the Commission shall be individuals who—</chapeau><subparagraph class="fontsize10" id="ycffc4973-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s931/c/2/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>are of recognized standing and distinction within the medical community with a background in treating mental health;</content></subparagraph> <subparagraph class="fontsize10" id="ycffc4974-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s931/c/2/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>have experience working with the military and veteran population; and</content></subparagraph> <subparagraph class="fontsize10" id="ycffc4975-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s931/c/2/C" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">(C) </num><content>do not have a financial interest in any of the complementary and integrative health treatments reviewed by the Commission.</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ycffc4976-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s931/c/3" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">(3) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcffc4977-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">President.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">Chairman</inline>.—</heading><content>The President shall designate a member of the Commission to be the Chairman.</content></paragraph> <paragraph class="fontsize10" id="ycffc4978-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s931/c/4" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="4">(4) </num><heading class="fontsize10"><inline class="smallCaps">Period of appointment</inline>.—</heading><content>Members of the Commission shall be appointed for the life of the Commission.</content></paragraph> <paragraph class="fontsize10" id="ycffc4979-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s931/c/5" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="5">(5) </num><heading class="fontsize10"><inline class="smallCaps">Vacancy</inline>.—</heading><content>A vacancy in the Commission shall be filled in the manner in which the original appointment was made.</content></paragraph> <paragraph class="fontsize10" id="ycffc497a-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s931/c/6" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="6">(6) </num><heading class="fontsize10"><inline class="smallCaps">Appointment deadline</inline>.—</heading><content>The appointment of members of the Commission in this section shall be made not later than 90 days after the date of the enactment of this Act.</content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ycffc497b-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s931/d" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="d">(d) </num><heading class="fontsize10"><inline class="smallCaps">Powers of Commission</inline>.—</heading><paragraph class="fontsize10" id="ycffc497c-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s931/d/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><heading class="fontsize10"><inline class="smallCaps">Meetings</inline>.—</heading><subparagraph class="fontsize10" id="ycffc497d-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s931/d/1/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcffc497e-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Deadline.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">Initial meeting</inline>.—</heading><content>The Commission shall hold its first meeting not later than 30 days after a majority of members are appointed to the Commission.</content></subparagraph> <subparagraph class="fontsize10" id="ycffc497f-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s931/d/1/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcffc4980-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Determination.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">Meeting</inline>.—</heading><content>The Commission shall regularly meet at the call of the Chairman. Such meetings may be carried out through the use of telephonic or other appropriate telecommunication technology if the Commission determines that such technology will allow the members to communicate simultaneously.</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ycffc4981-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s931/d/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><heading class="fontsize10"><inline class="smallCaps">Hearings</inline>.—</heading><content>The Commission may hold such hearings, sit and act at such times and places, take such testimony, and receive evidence as the Commission considers advisable to carry out the responsibilities of the Commission.</content></paragraph> <paragraph class="fontsize10" id="ycffc4982-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s931/d/3" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">(3) </num><heading class="fontsize10"><inline class="smallCaps">Information from federal agencies</inline>.—</heading><content>The Commission may secure directly from any department or agency of the Federal Government such information as the Commission considers necessary to carry out the duties of the Commission.</content></paragraph> <paragraph class="fontsize10" id="ycffc4983-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s931/d/4" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="4">(4) </num><heading class="fontsize10"><inline class="smallCaps">Information from nongovernmental organizations</inline>.—</heading><content>In carrying out its duties, the Commission may seek guidance through consultation with foundations, veteran service organizations, nonprofit groups, faith-based organizations, private and public institutions of higher education, and other organizations as the Commission determines appropriate.</content></paragraph> <paragraph class="fontsize10" id="ycffc4984-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s931/d/5" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="5">(5) </num><heading class="fontsize10"><inline class="smallCaps">Commission records</inline>.—</heading><content>The Commission shall keep an accurate and complete record of the actions and meetings of the Commission.<sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcffc4985-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Public information.</p></sidenote> Such record shall be made available for public <page identifier="/us/stat/130/772">130 STAT. 772</page> inspection and the Comptroller General of the United States may audit and examine such record.</content></paragraph> <paragraph class="fontsize10" id="ycffc4986-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s931/d/6" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="6">(6) </num><heading class="fontsize10"><inline class="smallCaps">Personnel records</inline>.—</heading><content>The Commission shall keep an accurate and complete record of the actions and meetings of the Commission.<sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcffc4987-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Public information.</p></sidenote> Such record shall be made available for public inspection and the Comptroller General of the United States may audit and examine such records.</content></paragraph> <paragraph class="fontsize10" id="ycffc4988-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s931/d/7" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="7">(7) </num><heading class="fontsize10"><inline class="smallCaps">Compensation of members; travel expenses</inline>.—</heading><content>Each member shall serve without pay but shall receive travel expenses to perform the duties of the Commission, including per diem in lieu of substances, at rates authorized under <ref href="/us/usc/t5/ch57/schI">subchapter I of chapter 57 of title 5, United States Code</ref>.</content></paragraph> <paragraph class="fontsize10" id="ycffc4989-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s931/d/8" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="8">(8) </num><heading class="fontsize10"><inline class="smallCaps">Staff</inline>.—</heading><content>The Chairman, in accordance with rules agreed upon the Commission, may appoint and fix the compensation of a staff director and such other personnel as may be necessary to enable the Commission to carry out its functions, without regard to the provisions of <ref href="/us/usc/t5">title 5, United States Code</ref>, governing appointments in the competitive service, without regard to the provision of chapter 51 and subchapter III of chapter 53 of such title relating to classification and General Schedule pay rates, except that no rate of pay fixed under this paragraph may exceed the equivalent of that payable for a position at level IV of the Executive Schedule under <ref href="/us/usc/t5/s5315">section 5315 of title 5, United States Code</ref>.</content></paragraph> <paragraph class="fontsize10" id="ycffc498a-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s931/d/9" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="9">(9) </num><heading class="fontsize10"><inline class="smallCaps">Personnel as federal employees</inline>.—</heading><subparagraph class="fontsize10" id="ycffc498b-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s931/d/9/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><content>The executive director and any personnel of the Commission are employees under <ref href="/us/usc/t5/s2105">section 2105 of title 5, United States Code</ref>, for purpose of chapters 63, 81, 83, 84, 85, 87, 89, and 90 of such title.</content></subparagraph> <subparagraph class="fontsize10" id="ycffc498c-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s931/d/9/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><heading class="fontsize10"><inline class="smallCaps">Members of the commission</inline>.—</heading><content>Subparagraph (A) shall not be construed to apply to members of the Commission.</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ycffc498d-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s931/d/10" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="10">(10) </num><heading class="fontsize10"><inline class="smallCaps">Contracting</inline>.—</heading><content>The Commission may, to such extent and in such amounts as are provided in appropriations Acts, enter into contracts to enable the Commission to discharge the duties of the Commission under this Act.</content></paragraph> <paragraph class="fontsize10" id="ycffc498e-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s931/d/11" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="11">(11) </num><heading class="fontsize10"><inline class="smallCaps">Expert and consultant service</inline>.—</heading><content>The Commission may procure the services of experts and consultants in accordance with <ref href="/us/usc/t5/s3109">section 3109 of title 5, United States Code</ref>, at rates not to exceed the daily rate paid to a person occupying a position at level IV of the Executive Schedule under <ref href="/us/usc/t5/s5315">section 5315 of title 5, United States Code</ref>.</content></paragraph> <paragraph class="fontsize10" id="ycffc498f-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s931/d/12" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="12">(12) </num><heading class="fontsize10"><inline class="smallCaps">Postal service</inline>.—</heading><content>The Commission may use the United States mails in the same manner and under the same conditions as departments and agencies of the United States.</content></paragraph> <paragraph class="fontsize10" id="ycffc4990-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s931/d/13" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="13">(13) </num><heading class="fontsize10"><inline class="smallCaps">Physical facilities and equipment</inline>.—</heading><content>Upon the request of the Commission, the Administrator of General Services shall provide to the Commission, on a reimbursable basis, the administrative support services necessary for the Commission to carry out its responsibilities under this Act. These administrative services may include human resource management, budget, leasing accounting, and payroll services.</content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ycffc4991-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s931/e" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="e">(e) </num><heading class="fontsize10"><inline class="smallCaps">Report</inline>.—</heading><paragraph class="fontsize10" id="ycffc4992-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s931/e/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><heading class="fontsize10"><inline class="smallCaps">Interim reports</inline>.—</heading><subparagraph class="fontsize10" id="ycffc4993-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s931/e/1/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcffc4994-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Time period.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><content>Not later than 60 days after the date on which the Commission first meets, and each 30-day period thereafter ending on the date on which the <page identifier="/us/stat/130/773">130 STAT. 773</page> Commission submits the final report under paragraph (2), the Commission shall submit to the Committees on Veterans’ Affairs of the House of Representatives and the Senate and the President a report detailing the level of cooperation the Secretary of Veterans Affairs (and the heads of other departments or agencies of the Federal Government) has provided to the Commission.</content></subparagraph> <subparagraph class="fontsize10" id="ycffc4995-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s931/e/1/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><heading class="fontsize10"><inline class="smallCaps">Other reports</inline>.—</heading><content>In carrying out its duties, at times that the Commission determines appropriate, the Commission shall submit to the Committees on Veterans’ Affairs of the House of Representatives and the Senate and any other appropriate entities an interim report with respect to the findings identified by the Commission.</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ycffc4996-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s931/e/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><heading class="fontsize10"><inline class="smallCaps">Final report</inline>.—</heading><chapeau>Not later than 18 months after the first meeting of the Commission, the Commission shall submit to the Committee on Veterans’ Affairs of the House of Representatives and the Senate, the President, and the Secretary of Veterans Affairs a final report on the findings of the Commission. Such report shall include the following:</chapeau><subparagraph class="fontsize10" id="ycffc4997-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s931/e/2/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcffc4998-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Recommenda-</p><p class="leftAlign firstIndent0 fontsize8" id="xcffc4999-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">tions.</p></sidenote><content>Recommendations to implement in a feasible, timely, and cost-efficient manner the solutions and remedies identified within the findings of the Commission pursuant to subsection (b).</content></subparagraph> <subparagraph class="fontsize10" id="ycffc70aa-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s931/e/2/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcffc70ab-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Analysis.</p></sidenote><content>An analysis of the evidence-based therapy model used by the Secretary of Veterans Affairs for treating veterans with mental health care issues, and an examination of the prevalence and efficacy of prescription drugs as a means for treatment.</content></subparagraph> <subparagraph class="fontsize10" id="ycffc70ac-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s931/e/2/C" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">(C) </num><content>The findings of the patient-centered survey conducted within each of the Veterans Integrated Service Networks pursuant to subsection (b)(2).</content></subparagraph> <subparagraph class="fontsize10" id="ycffc70ad-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s931/e/2/D" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="D">(D) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcffc70ae-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Examination.</p></sidenote><content>An examination of complementary and integrative health treatments described in subsection (b)(3) and the potential benefits of incorporating such treatments in the therapy models used by the Secretary for treating veterans with mental health issues.</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ycffc70af-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s931/e/3" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">(3) </num><heading class="fontsize10"><inline class="smallCaps">Plan</inline>.—</heading><chapeau>Not later than 90 days after the date on which the Commission submits the final report under paragraph (2), the Secretary of Veterans Affairs shall submit to the Committees on Veterans’ Affairs of the House of Representatives and the Senate a report on the following:</chapeau><subparagraph class="fontsize10" id="ycffc70b0-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s931/e/3/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>An action plan for implementing the recommendations established by the Commission on such solutions and remedies for improving wellness-based outcomes for veterans with mental health care issues.</content></subparagraph> <subparagraph class="fontsize10" id="ycffc70b1-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s931/e/3/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcffc70b2-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Timeframe.</p></sidenote><content>A feasible timeframe on when the complementary and integrative health treatments described in subsection (b)(3) can be implemented Department-wide.</content></subparagraph> <subparagraph class="fontsize10" id="ycffc70b3-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s931/e/3/C" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">(C) </num><content>With respect to each recommendation established by the Commission, including any complementary and integrative health treatment, that the Secretary determines is not appropriate or feasible to implement, a justification for such determination and an alternative solution to improve the efficacy of the therapy models used by the Secretary for treating veterans with mental health issues.<page identifier="/us/stat/130/774">130 STAT. 774</page></content></subparagraph> </paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ycffc70b4-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s931/f" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="f">(f) </num><heading class="fontsize10"><inline class="smallCaps">Termination of Commission</inline>.—</heading><content>The Commission shall terminate 30 days after the Commission submits the final report under subsection (e)(2).</content></subsection> </section> <section id="d239274e10810" identifier="/us/pl/114/198/tIX/stC/s932" style="-uslm-lc:I658143"><num class="fontsize12" value="932">SEC. 932. </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcffc70b5-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180"><ref href="/us/usc/t38/s1701">38 USC 1701 note</ref>.</p></sidenote><heading>EXPANSION OF RESEARCH AND EDUCATION ON AND DELIVERY OF COMPLEMENTARY AND INTEGRATIVE HEALTH TO VETERANS.</heading><subsection class="firstIndent0 fontsize10" id="ycffd3406-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s932/a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="a">(a) </num><heading class="fontsize10"><inline class="smallCaps">Development of Plan To Expand Research, Education, and Delivery</inline>.—</heading><content>Not later<sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcffd3407-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Deadline.</p></sidenote> than 180 days after the date of the enactment of this Act, the Secretary of Veterans Affairs shall develop a plan to expand materially and substantially the scope of the effectiveness of research and education on, and delivery and integration of, complementary and integrative health services into the health care services provided to veterans.</content></subsection> <subsection class="firstIndent0 fontsize10" id="ycffd3408-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s932/b" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="b">(b) </num><heading class="fontsize10"><inline class="smallCaps">Elements</inline>.—</heading><chapeau>The plan required by subsection (a) shall provide for the following:</chapeau><paragraph class="fontsize10" id="ycffd3409-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s932/b/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><chapeau>Research on the following:</chapeau><subparagraph class="fontsize10" id="ycffd340a-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s932/b/1/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>The effectiveness of various complementary and integrative health services, including the effectiveness of such services integrated with clinical services.</content></subparagraph> <subparagraph class="fontsize10" id="ycffd340b-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s932/b/1/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>Approaches to integrating complementary and integrative health services into other health care services provided by the Department of Veterans Affairs.</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ycffd340c-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s932/b/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><chapeau>Education and training for health care professionals of the Department on the following:</chapeau><subparagraph class="fontsize10" id="ycffd340d-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s932/b/2/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>Complementary and integrative health services selected by the Secretary for purposes of the plan.</content></subparagraph> <subparagraph class="fontsize10" id="ycffd340e-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s932/b/2/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>Appropriate uses of such services.</content></subparagraph> <subparagraph class="fontsize10" id="ycffd340f-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s932/b/2/C" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">(C) </num><content>Integration of such services into the delivery of health care to veterans.</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ycffd3410-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s932/b/3" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">(3) </num><content>Research, education, and clinical activities on complementary and integrative health at centers of innovation at medical centers of the Department.</content></paragraph> <paragraph class="fontsize10" id="ycffd3411-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s932/b/4" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="4">(4) </num><content>Identification or development of metrics and outcome measures to evaluate the effectiveness of the provision and integration of complementary and integrative health services into the delivery of health care to veterans.</content></paragraph> <paragraph class="fontsize10" id="ycffd3412-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s932/b/5" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="5">(5) </num><content>Integration and delivery of complementary and integrative health services with other health care services provided by the Department.</content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ycffd3413-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s932/c" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="c">(c) </num><heading class="fontsize10"><inline class="smallCaps">Consultation</inline>.—</heading><paragraph class="fontsize10" id="ycffd3414-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s932/c/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><chapeau>In carrying out subsection (a), the Secretary shall consult with the following:</chapeau><subparagraph class="fontsize10" id="ycffd3415-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s932/c/1/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>The Director of the National Center for Complementary and Integrative Health of the National Institutes of Health.</content></subparagraph> <subparagraph class="fontsize10" id="ycffd3416-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s932/c/1/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>The Commissioner of Food and Drugs.</content></subparagraph> <subparagraph class="fontsize10" id="ycffd3417-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s932/c/1/C" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">(C) </num><content>Institutions of higher education, private research institutes, and individual researchers with extensive experience in complementary and integrative health and the integration of complementary and integrative health practices into the delivery of health care.</content></subparagraph> <subparagraph class="fontsize10" id="ycffd3418-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s932/c/1/D" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="D">(D) </num><content>Nationally recognized providers of complementary and integrative health.</content></subparagraph> <subparagraph class="fontsize10" id="ycffd3419-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s932/c/1/E" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="E">(E) </num><content>Such other officials, entities, and individuals with expertise on complementary and integrative health as the Secretary considers appropriate.<page identifier="/us/stat/130/775">130 STAT. 775</page></content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ycffd341a-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s932/c/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><heading class="fontsize10"><inline class="smallCaps">Scope of consultation</inline>.—</heading><chapeau>The Secretary shall undertake consultation under paragraph (1) in carrying out subsection (a) with respect to the following:</chapeau><subparagraph class="fontsize10" id="ycffd341b-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s932/c/2/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>To develop the plan.</content></subparagraph> <subparagraph class="fontsize10" id="ycffd341c-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s932/c/2/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>To identify specific complementary and integrative health practices that, on the basis of research findings or promising clinical interventions, are appropriate to include as services to veterans.</content></subparagraph> <subparagraph class="fontsize10" id="ycffd341d-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s932/c/2/C" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">(C) </num><content>To identify barriers to the effective provision and integration of complementary and integrative health services into the delivery of health care to veterans, and to identify mechanisms for overcoming such barriers.</content></subparagraph> </paragraph> </subsection> </section> <section id="d239274e10964" identifier="/us/pl/114/198/tIX/stC/s933" style="-uslm-lc:I658143"><num class="fontsize12" value="933">SEC. 933. </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcffd341e-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180"><ref href="/us/usc/t38/s1701">38 USC 1701 note</ref>.</p></sidenote><heading>PILOT PROGRAM ON INTEGRATION OF COMPLEMENTARY AND INTEGRATIVE HEALTH AND RELATED ISSUES FOR VETERANS AND FAMILY MEMBERS OF VETERANS.</heading><subsection class="firstIndent0 fontsize10" id="ycffe93af-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s933/a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="a">(a) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcffe93b0-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Assessments.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">Pilot Program</inline>.—</heading><paragraph class="fontsize10" id="ycffe93b1-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s933/a/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcffe93b2-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Deadline.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><content>Not later than 180 days after the date on which the Secretary of Veterans Affairs receives the final report under section 931(e)(2), the Secretary shall commence a pilot program to assess the feasibility and advisability of using complementary and integrative health and wellness-based programs (as defined by the Secretary) to complement the provision of pain management and related health care services, including mental health care services, to veterans.</content></paragraph> <paragraph class="fontsize10" id="ycffe93b3-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s933/a/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><heading class="fontsize10"><inline class="smallCaps">Matters addressed</inline>.—</heading><chapeau>In carrying out the pilot program, the Secretary shall assess the following:</chapeau><subparagraph class="fontsize10" id="ycffe93b4-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s933/a/2/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>Means of improving coordination between Federal, State, local, and community providers of health care in the provision of pain management and related health care services to veterans.</content></subparagraph> <subparagraph class="fontsize10" id="ycffe93b5-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s933/a/2/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>Means of enhancing outreach, and coordination of outreach, by and among providers of health care referred to in subparagraph (A) on the pain management and related health care services available to veterans.</content></subparagraph> <subparagraph class="fontsize10" id="ycffe93b6-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s933/a/2/C" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">(C) </num><content>Means of using complementary and integrative health and wellness-based programs of providers of health care referred to in subparagraph (A) as complements to the provision by the Department of Veterans Affairs of pain management and related health care services to veterans.</content></subparagraph> <subparagraph class="fontsize10" id="ycffe93b7-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s933/a/2/D" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="D">(D) </num><chapeau>Whether complementary and integrative health and wellness-based programs described in subparagraph (C)—</chapeau><clause class="fontsize10" id="ycffe93b8-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s933/a/2/D/i" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">(i) </num><content>are effective in enhancing the quality of life and well-being of veterans;</content></clause> <clause class="fontsize10" id="ycffe93b9-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s933/a/2/D/ii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">(ii) </num><content>are effective in increasing the adherence of veterans to the primary pain management and related health care services provided such veterans by the Department;</content></clause> <clause class="fontsize10" id="ycffe93ba-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s933/a/2/D/iii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="iii">(iii) </num><content>have an effect on the sense of well-being of veterans who receive primary pain management and related health care services from the Department; and</content></clause> <clause class="fontsize10" id="ycffe93bb-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s933/a/2/D/iv" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="iv">(iv) </num><content>are effective in encouraging veterans receiving health care from the Department to adopt a more healthy lifestyle.<page identifier="/us/stat/130/776">130 STAT. 776</page></content></clause> </subparagraph> </paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ycffe93bc-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s933/b" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="b">(b) </num><heading class="fontsize10"><inline class="smallCaps">Duration</inline>.—</heading><content>The Secretary shall carry out the pilot program under subsection (a)(1) for a period of three years.</content></subsection> <subsection class="firstIndent0 fontsize10" id="ycffe93bd-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s933/c" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="c">(c) </num><heading class="fontsize10"><inline class="smallCaps">Locations</inline>.—</heading><paragraph class="fontsize10" id="ycffe93be-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s933/c/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><heading class="fontsize10"><inline class="smallCaps">Facilities</inline>.—</heading><content>The Secretary shall carry out the pilot program under subsection (a)(1) at facilities of the Department providing pain management and related health care services, including mental health care services, to veterans. In selecting such facilities to carry out the pilot program, the Secretary shall select not fewer than 15 geographically diverse medical centers of the Department, of which not fewer than two shall be polytrauma rehabilitation centers of the Department.</content></paragraph> <paragraph class="fontsize10" id="ycffe93bf-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s933/c/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><heading class="fontsize10"><inline class="smallCaps">Medical centers with prescription rates of opioids that conflict with care standards</inline>.—</heading><content>In selecting the medical centers under paragraph (1), the Secretary shall give priority to medical centers of the Department at which there is a prescription rate of opioids that conflicts with or is otherwise inconsistent with the standards of appropriate and safe care.</content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ycffe93c0-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s933/d" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="d">(d) </num><heading class="fontsize10"><inline class="smallCaps">Provision of Services</inline>.—</heading><content>Under the pilot program under subsection (a)(1), the Secretary shall provide covered services to covered veterans by integrating complementary and integrative health services with other services provided by the Department at the medical centers selected under subsection (c).</content></subsection> <subsection class="firstIndent0 fontsize10" id="ycffe93c1-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s933/e" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="e">(e) </num><heading class="fontsize10"><inline class="smallCaps">Covered Veterans</inline>.—</heading><chapeau>For purposes of the pilot program under subsection (a)(1), a covered veteran is any veteran who—</chapeau><paragraph class="fontsize10" id="ycffe93c2-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s933/e/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><content>has a mental health condition diagnosed by a clinician of the Department;</content></paragraph> <paragraph class="fontsize10" id="ycffe93c3-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s933/e/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><content>experiences chronic pain;</content></paragraph> <paragraph class="fontsize10" id="ycffe93c4-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s933/e/3" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">(3) </num><content>has a chronic condition being treated by a clinician of the Department; or</content></paragraph> <paragraph class="fontsize10" id="ycffe93c5-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s933/e/4" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="4">(4) </num><content>is not described in paragraph (1), (2), or (3) and requests to participate in the pilot program or is referred by a clinician of the Department who is treating the veteran.</content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ycffe93c6-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s933/f" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="f">(f) </num><heading class="fontsize10"><inline class="smallCaps">Covered Services</inline>.—</heading><paragraph class="fontsize10" id="ycffe93c7-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s933/f/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><content>For purposes of the pilot program, covered services are services consisting of complementary and integrative health services as selected by the Secretary.</content></paragraph> <paragraph class="fontsize10" id="ycffe93c8-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s933/f/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><heading class="fontsize10"><inline class="smallCaps">Administration of services</inline>.—</heading><chapeau>Covered services shall be administered under the pilot program as follows:</chapeau><subparagraph class="fontsize10" id="ycffe93c9-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s933/f/2/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>Covered services shall be administered by professionals or other instructors with appropriate training and expertise in complementary and integrative health services who are employees of the Department or with whom the Department enters into an agreement to provide such services.</content></subparagraph> <subparagraph class="fontsize10" id="ycffe93ca-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s933/f/2/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>Covered services shall be included as part of the Patient Aligned Care Teams initiative of the Office of Patient Care Services, Primary Care Program Office, in coordination with the Office of Patient Centered Care and Cultural Transformation.</content></subparagraph> <subparagraph class="fontsize10" id="ycffe93cb-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s933/f/2/C" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">(C) </num><chapeau>Covered services shall be made available to—</chapeau><clause class="fontsize10" id="ycffe93cc-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s933/f/2/C/i" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">(i) </num><content>covered veterans who have received conventional treatments from the Department for the conditions for which the covered veteran seeks complementary and integrative health services under the pilot program; and<page identifier="/us/stat/130/777">130 STAT. 777</page></content></clause> <clause class="fontsize10" id="ycffe93cd-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s933/f/2/C/ii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">(ii) </num><content>covered veterans who have not received conventional treatments from the Department for such conditions.</content></clause> </subparagraph> </paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ycffe93ce-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s933/g" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="g">(g) </num><heading class="fontsize10"><inline class="smallCaps">Reports</inline>.—</heading><paragraph class="fontsize10" id="ycffe93cf-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s933/g/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><content>Not later than 30 months after the date on which the Secretary commences the pilot program under subsection (a)(1), the Secretary shall submit to the Committee on Veterans’ Affairs of the Senate and the Committee on Veterans’ Affairs of the House of Representatives a report on the pilot program.</content></paragraph> <paragraph class="fontsize10" id="ycffe93d0-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s933/g/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><heading class="fontsize10"><inline class="smallCaps">Elements</inline>.—</heading><chapeau>The report under paragraph (1) shall include the following:</chapeau><subparagraph class="fontsize10" id="ycffe93d1-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s933/g/2/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><chapeau>The findings and conclusions of the Secretary with respect to the pilot program under subsection (a)(1), including with respect to—</chapeau><clause class="fontsize10" id="ycffe93d2-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s933/g/2/A/i" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">(i) </num><content>the use and efficacy of the complementary and integrative health services established under the pilot program;</content></clause> <clause class="fontsize10" id="ycffe93d3-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s933/g/2/A/ii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">(ii) </num><content>the outreach conducted by the Secretary to inform veterans and community organizations about the pilot program; and</content></clause> <clause class="fontsize10" id="ycffe93d4-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s933/g/2/A/iii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="iii">(iii) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcffe93d5-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Assessment.</p></sidenote><content>an assessment of the benefit of the pilot program to covered veterans in mental health diagnoses, pain management, and treatment of chronic illness.</content></clause> </subparagraph> <subparagraph class="fontsize10" id="ycffebae6-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s933/g/2/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>Identification of any unresolved barriers that impede the ability of the Secretary to incorporate complementary and integrative health services with other health care services provided by the Department.</content></subparagraph> <subparagraph class="fontsize10" id="ycffebae7-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stC/s933/g/2/C" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">(C) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcffebae8-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Recommenda-</p><p class="leftAlign firstIndent0 fontsize8" id="xcffebae9-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">tions.</p></sidenote><content>Such recommendations for the continuation or expansion of the pilot program as the Secretary considers appropriate.</content></subparagraph> </paragraph> </subsection> </section> </subtitle> <subtitle id="d239274e11242" identifier="/us/pl/114/198/tIX/stD" style="-uslm-lc:I658178"><num value="D">Subtitle D—</num><heading>Fitness of Health Care Providers</heading> <section id="d239274e11247" identifier="/us/pl/114/198/tIX/stD/s941" style="-uslm-lc:I658143"><num class="fontsize12" value="941">SEC. 941. </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcffebaea-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180"><ref href="/us/usc/t38/s1701">38 USC 1701 note</ref>.</p></sidenote><heading>ADDITIONAL REQUIREMENTS FOR HIRING OF HEALTH CARE PROVIDERS BY DEPARTMENT OF VETERANS AFFAIRS.</heading><chapeau class="indentUp0 firstIndent0 fontsize10" id="xcffebaeb-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658120">  As part of the hiring process for each health care provider considered for a position at the Department of Veterans Affairs after the date of the enactment of the Act, the Secretary of Veterans Affairs shall require from the medical board of each State in which the health care provider has or had a medical license—</chapeau><paragraph class="fontsize10" id="ycffee1fc-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stD/s941/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcffee1fd-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Time period.</p></sidenote><content>information on any violation of the requirements of the medical license of the health care provider during the 20-year period preceding the consideration of the health care provider by the Department; and</content></paragraph> <paragraph class="fontsize10" id="ycffee1fe-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stD/s941/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><content>information on whether the health care provider has entered into any settlement agreement for a disciplinary charge relating to the practice of medicine by the health care provider.</content></paragraph> </section> <section id="d239274e11272" identifier="/us/pl/114/198/tIX/stD/s942" style="-uslm-lc:I658143"><num class="fontsize12" value="942">SEC. 942. </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcffee1ff-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180"><ref href="/us/usc/t38/s1701">38 USC 1701 note</ref>.</p></sidenote><heading>PROVISION OF INFORMATION ON HEALTH CARE PROVIDERS OF DEPARTMENT OF VETERANS AFFAIRS TO STATE MEDICAL BOARDS.</heading><content style="-uslm-lc:I658120">  Notwithstanding <ref href="/us/usc/t5/s552a">section 552a of title 5, United States Code</ref>, with respect to each health care provider of the Department of Veterans Affairs who has violated a requirement of the medical <page identifier="/us/stat/130/778">130 STAT. 778</page> license of the health care provider, the Secretary of Veterans Affairs shall provide to the medical board of each State in which the health care provider is licensed detailed information with respect to such violation, regardless of whether such board has formally requested such information.</content></section> <section id="d239274e11290" identifier="/us/pl/114/198/tIX/stD/s943" style="-uslm-lc:I658143"><num class="fontsize12" value="943">SEC. 943. </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcffee200-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180"><ref href="/us/usc/t38/s1701">38 USC 1701 note</ref>.</p></sidenote><heading>REPORT ON COMPLIANCE BY DEPARTMENT OF VETERANS AFFAIRS WITH REVIEWS OF HEALTH CARE PROVIDERS LEAVING THE DEPARTMENT OR TRANSFERRING TO OTHER FACILITIES.</heading><chapeau class="indentUp0 firstIndent0 fontsize10" id="xcfff0911-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658120">  Not later than 180 days after the date of the enactment of this Act, the Secretary of Veterans Affairs shall submit to the Committee on Veterans’ Affairs of the Senate and the Committee on Veterans’ Affairs of the House of Representatives a report on the compliance by the Department of Veterans Affairs with the policy of the Department—</chapeau><paragraph class="fontsize10" id="ycfff0912-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stD/s943/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfff0913-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180">Review.</p></sidenote><content>to conduct a review of each health care provider of the Department who transfers to another medical facility of the Department, resigns, retires, or is terminated to determine whether there are any concerns, complaints, or allegations of violations relating to the medical practice of the health care provider; and</content></paragraph> <paragraph class="fontsize10" id="ycfff0914-e85f-11f0-a1e4-69761a48a15a" identifier="/us/pl/114/198/tIX/stD/s943/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><content>to take appropriate action with respect to any such concern, complaint, or allegation.</content></paragraph> </section> </subtitle> <subtitle id="d239274e11316" identifier="/us/pl/114/198/tIX/stE" style="-uslm-lc:I658178"><num value="E">Subtitle E—</num><heading>Other Matters</heading> <section id="d239274e11321" identifier="/us/pl/114/198/tIX/stE/s951" role="instruction" style="-uslm-lc:I658143"><num class="fontsize12" value="951">SEC. 951. </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xcfff0915-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658180"><ref href="/us/usc/t38/s1701">38 USC 1701 note</ref>.</p></sidenote><heading>MODIFICATION TO LIMITATION ON AWARDS AND BONUSES.</heading><content class="firstIndent0 fontsize10" id="xcfff0916-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658120">  Section 705 of the Veterans Access, Choice, and Accountability Act of 2014 (<ref href="/us/pl/113/146">Public Law 113–146</ref>; <ref href="/us/usc/t38/s703">38 U.S.C. 703 note</ref>) <amendingAction type="amend">is amended</amendingAction> to read as follows:<quotedContent><section class="centered fontsize12" id="ycfff3027-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658143"><num class="fontsize12" value="705">“SEC. 705. </num><heading class="fontsize12">LIMITATION ON AWARDS AND BONUSES PAID TO EMPLOYEES OF DEPARTMENT OF VETERANS AFFAIRS.</heading><subsection class="firstIndent0 fontsize10" id="ycfff3028-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="a">“(a) </num><heading class="fontsize10"><inline class="smallCaps">Limitation</inline>.—</heading><chapeau>The Secretary of Veterans Affairs shall ensure that the aggregate amount of awards and bonuses paid by the Secretary in a fiscal year under chapter 45 or 53 of <ref href="/us/usc/t5">title 5, United States Code</ref>, or any other awards or bonuses authorized under such title or <ref href="/us/usc/t38">title 38, United States Code</ref>, does not exceed the following amounts:</chapeau><paragraph class="fontsize10" id="ycfff3029-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">“(1) </num><content>With respect to each of fiscal years 2017 through 2018, $230,000,000.</content></paragraph> <paragraph class="fontsize10" id="ycfff302a-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">“(2) </num><content>With respect to each of fiscal years 2019 through 2021, $225,000,000.</content></paragraph> <paragraph class="fontsize10" id="ycfff302b-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">“(3) </num><content>With respect to each of fiscal years 2022 through 2024, $360,000,000.</content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ycfff302c-e85f-11f0-a1e4-69761a48a15a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="b">“(b) </num><heading class="fontsize10"><inline class="smallCaps">Sense of Congress</inline>.—</heading><content>It is the sense of Congress that the limitation under subsection (a) should not disproportionately impact lower-wage employees and that the Department of Veterans <page identifier="/us/stat/130/779">130 STAT. 779</page> Affairs is encouraged to use bonuses to incentivize high-performing employees in areas in which retention is challenging.”</content></subsection> </section> </quotedContent>.</content></section> </subtitle> Approved July 22, 2016.
LEGISLATIVE HISTORY—┐S. 524 (H.R. 1725) (H.R. 1818) (H.R. 3680) (H.R. 3691) (H.R. 4063) (H.R. 4586) (H.R. 4599) (H.R. 4641)
(H.R. 4843) (H.R. 4892) (H.R. 4969) (H.R. 4976)
(H.R. 4978) (H.R. 4981) (H.R. 4982) (H.R. 4985)
(H.R. 5046) (H.R. 5048) (H.R. 5052): HOUSE REPORTS: ┐Nos. 114–669 (Comm. of Conference), 114–245 (Comm. on Energy and Commerce) accompanying H.R. 1725, 114–552 (Comm. on Energy and Commerce) accompanying H.R. 1818, 114–553 (Comm. on Energy and Commerce) accompanying
H.R. 3680, 114–554 (Comm. on Energy and Commerce) accompanying H.R. 3691, 114–646 (Comm. on Veterans’ Affairs) accompanying H.R. 4063, 114–555 (Comm. on Energy and Commerce) accompanying H.R. 4586, 114–556 (Comm. on Energy and Commerce) accompanying H.R. 4599, 114–536 (Comm. on Energy and Commerce) accompanying H.R. 4641, 114–548 (Comm. on Education and the Workforce) accompanying H.R. 4843, 114–558 (Comm. on Energy and Commerce) accompanying H.R. 4969, 114–557 (Comm. on Energy and the Workforce) accompanying H.R. 4976, 114–559 (Comm. on Energy and Commerce) accompanying H.R. 4978, 114–561 (Comm. on Energy and Commerce) accompanying H.R. 4981, 114–560 (Comm. on Energy and Commerce) accompanying H.R. 4982, 114–547, Pt. 1 (Comm. on the Judiciary) accompanying
H.R. 4985, 114–539 (Comm. on the Judiciary) accompanying H.R. 5046, 114–540 (Comm. on the Judiciary) accompanying H.R. 5048, and 114–541, Pt. 1 (Comm. on the Judiciary) accompanying H.R. 5052. CONGRESSIONAL RECORD, Vol. 162 (2016):

Mar. 2, 3, 7–10, considered and passed Senate.

May 13, considered and passed House, amended.

July 8, House agreed to conference report.

July 11–13, Senate considered and agreed to conference report.

 DAILY COMPILATION OF PRESIDENTIAL DOCUMENTS (2016):

July 22, Presidential statement.

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