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<bill bill-stage="Reported-in-House" bill-type="olc" dms-id="HD869D0BE10CC468E8B4765D0FE06905B" public-private="public">
	<metadata xmlns:dc="http://purl.org/dc/elements/1.1/">
<dublinCore>
<dc:title>114 HR 4641 RH: To provide for the establishment of an inter-agency task force to review, modify, and update best practices for pain management and prescribing pain medication, and for other purposes.</dc:title>
<dc:publisher>U.S. House of Representatives</dc:publisher>
<dc:date>2016-02-26</dc:date>
<dc:format>text/xml</dc:format>
<dc:language>EN</dc:language>
<dc:rights>Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.</dc:rights>
</dublinCore>
</metadata>
<form>
		<distribution-code display="yes">IB</distribution-code>
		<calendar display="yes">Union Calendar No. 412</calendar>
		<congress display="yes">114th CONGRESS</congress>
		<session display="yes">2d Session</session>
		<legis-num>H. R. 4641</legis-num>
		<associated-doc display="yes" role="report">[Report No. 114–536]</associated-doc>
		<current-chamber display="yes">IN THE HOUSE OF REPRESENTATIVES</current-chamber>
		<action>
			<action-date date="20160226">February 26, 2016</action-date>
			<action-desc><sponsor name-id="B001284">Mrs. Brooks of Indiana</sponsor> (for herself and <cosponsor name-id="K000379">Mr. Kennedy</cosponsor>) introduced the following bill; which was referred to the <committee-name added-display-style="italic" committee-id="HIF00" deleted-display-style="strikethrough">Committee on Energy and Commerce</committee-name></action-desc>
		</action>
		<action><action-date>May 3, 2016</action-date><action-desc>Additional sponsor: <cosponsor name-id="O000168">Mr. Olson</cosponsor></action-desc></action><action>
			<action-date>May 3, 2016</action-date>
			<action-desc>Reported with an amendment, committed to the Committee of the Whole House on the State of the
			 Union, and ordered to be printed</action-desc>
			<action-instruction>Strike out all after the enacting clause and insert the part printed in italic</action-instruction>
			<action-instruction>For text of introduced bill, see copy of bill as introduced on February 26, 2016</action-instruction>
		</action>
		<action display="yes">
			<action-desc display="yes"><pagebreak></pagebreak></action-desc>
		</action>
		<legis-type>A BILL</legis-type>
		<official-title display="yes">To provide for the establishment of an inter-agency task force to review, modify, and update best
			 practices for pain management and prescribing pain medication, and for
			 other purposes.<pagebreak></pagebreak></official-title>
	</form>
	<legis-body changed="added" committee-id="HIF00" display-enacting-clause="yes-display-enacting-clause" id="H3FC75FE96BD044F2ACA2E479A48FD356" reported-display-style="italic" style="OLC">
		<section id="H25C2B449EC2A42FC898DDB2F341E6777" section-type="section-one"><enum>1.</enum><header>Development of best practices for the use of prescription opioids</header>
 <subsection id="H99879248217245EB815228EB4FB66F5C"><enum>(a)</enum><header>Definitions</header><text>In this section—</text> <paragraph id="HC53D89B1CDB04EF1BEDE6711D6A5FA96"><enum>(1)</enum><text>the term <term>Secretary</term> means the Secretary of Health and Human Services; and</text>
 </paragraph><paragraph id="HFC666B0825A7434F8E133ADFB2931DFC"><enum>(2)</enum><text>the term <term>task force</term> means the Pain Management Best Practices Inter-Agency Task Force convened under subsection (b).</text> </paragraph></subsection><subsection id="H5FD9FD9F525B41F49050DE8438341178"><enum>(b)</enum><header>Inter-Agency Task Force</header><text>Not later than December 14, 2018, the Secretary, in cooperation with the Secretary of Veterans Affairs, the Secretary of Defense, and the Administrator of the Drug Enforcement Administration, shall convene a Pain Management Best Practices Inter-Agency Task Force to review, modify, and update, as appropriate, best practices for pain management (including chronic and acute pain) and prescribing pain medication.</text>
 </subsection><subsection id="H6FF25F9AEA7E41309994461C28609DEC"><enum>(c)</enum><header>Membership</header><text>The task force shall be comprised of—</text> <paragraph id="H83D31B3E603B417982059AF43EED7B1E"><enum>(1)</enum><text>representatives of—</text>
 <subparagraph id="H9D3F1518A6534E77B86DE85DDE095AC9"><enum>(A)</enum><text>the Department of Health and Human Services;</text> </subparagraph><subparagraph id="H529C2B6E3B3B4C2CAAEA9693DBE33F90"><enum>(B)</enum><text>the Department of Veterans Affairs;</text>
 </subparagraph><subparagraph id="H22AE6AC3275B4382BDF70B4DF88013AC"><enum>(C)</enum><text>the Food and Drug Administration;</text> </subparagraph><subparagraph id="HC71986D9EBAF43599B97365A574FD0B7"><enum>(D)</enum><text>the Department of Defense;</text>
 </subparagraph><subparagraph id="HEECC89C7CFD4400A817A9F801F04A36A"><enum>(E)</enum><text>the Drug Enforcement Administration;</text> </subparagraph><subparagraph id="HA6DA963F1B614B34AC4B417EAA20E980"><enum>(F)</enum><text>the Centers for Disease Control and Prevention;</text>
 </subparagraph><subparagraph id="HE7AE18352AEC4258A0F47D0B6FE36CD1"><enum>(G)</enum><text display-inline="yes-display-inline">the Health Resources and Services Administration;</text> </subparagraph><subparagraph display-inline="no-display-inline" id="HCBD44C3B93A549638C390471FD0A31ED"><enum>(H)</enum><text display-inline="yes-display-inline">the Indian Health Service;</text>
 </subparagraph><subparagraph id="HD896D50B3BD542498B5930459B0A60EB"><enum>(I)</enum><text>the National Academy of Medicine;</text> </subparagraph><subparagraph id="HFB9C0F82D3734E6994C34912C5F3E06D"><enum>(J)</enum><text>the National Institutes of Health;</text>
 </subparagraph><subparagraph id="HFB480A64D09C48C8A4716437BCD2A379"><enum>(K)</enum><text>the Office of National Drug Control Policy; and</text> </subparagraph><subparagraph id="HA29A764A3EF040A4926277C6585C62F3"><enum>(L)</enum><text display-inline="yes-display-inline">the Substance Abuse and Mental Health Services Administration;</text>
 </subparagraph></paragraph><paragraph id="HEAE0009CD88A4D9BB09698884B543CEB"><enum>(2)</enum><text display-inline="yes-display-inline">State medical boards;</text> </paragraph><paragraph id="HE72B81C1C77D4279AC42FD1AC5E7A917"><enum>(3)</enum><text>physicians, dentists, and nonphysician prescribers;</text>
 </paragraph><paragraph id="H9E3BDD51A4AB4233A80B88A9FC0BFB4C"><enum>(4)</enum><text display-inline="yes-display-inline">hospitals;</text> </paragraph><paragraph id="HC60AB3965E484A958E8D53D8F1C7C571"><enum>(5)</enum><text>pharmacists and pharmacies;</text>
 </paragraph><paragraph id="H5F3472DC640044679BE9CD05D7289DDB"><enum>(6)</enum><text>experts in the fields of pain research and addiction research;</text> </paragraph><paragraph id="H14BF7589D3774723A98B073C7182A5FC"><enum>(7)</enum><text>representatives of—</text>
 <subparagraph id="H0B9688133D1943B18C54FAFDCE2E483C"><enum>(A)</enum><text>pain management professional organizations;</text> </subparagraph><subparagraph id="HC83C87CF61604046A35100E41E3076C4"><enum>(B)</enum><text>the mental health treatment community;</text>
 </subparagraph><subparagraph id="HC99E9F356CC44E6890B2891BA0377D00"><enum>(C)</enum><text>the addiction treatment and recovery community;</text> </subparagraph><subparagraph id="HC93286543B734B82A21D88AECA344FAA"><enum>(D)</enum><text>pain advocacy groups; and</text>
 </subparagraph><subparagraph id="H6997E1D6580543BBBF96302751F3A68C"><enum>(E)</enum><text>groups with expertise on overdose reversal;</text> </subparagraph></paragraph><paragraph id="H15137F7301634B5A93D981241BE60BAE"><enum>(8)</enum><text display-inline="yes-display-inline">a person in recovery from addiction to medication for chronic pain;</text>
 </paragraph><paragraph id="HB9AF78EC2CF343DE894960D358C05D65"><enum>(9)</enum><text>a person with chronic pain; and</text> </paragraph><paragraph id="H9092431A587C4482B2E031E2738C1BBC"><enum>(10)</enum><text>other stakeholders, as the Secretary determines appropriate.</text>
 </paragraph></subsection><subsection id="H6388DEDBD75941D2905B8C457029CF2C"><enum>(d)</enum><header>Duties</header><text>The task force shall—</text> <paragraph id="H4F9691171F844EC1959A2656FAC5108F"><enum>(1)</enum><text>not later than 180 days after the date on which the task force is convened under subsection (b), review, modify, and update, as appropriate, best practices for pain management (including chronic and acute pain) and prescribing pain medication, taking into consideration—</text>
 <subparagraph id="H20FFB69A77D743EBB6F9B0BC9901F056"><enum>(A)</enum><text>existing pain management research;</text> </subparagraph><subparagraph id="HB9CBF363777842AE86959528ACC5016E"><enum>(B)</enum><text display-inline="yes-display-inline">recommendations from relevant conferences and existing relevant evidence-based guidelines;</text>
 </subparagraph><subparagraph id="H07C33786E60545578C91A21C90F1921D"><enum>(C)</enum><text display-inline="yes-display-inline">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;</text>
 </subparagraph><subparagraph id="H30AC0025E79241C382D4026CCAB71231"><enum>(D)</enum><text>the management of high-risk populations, other than populations who suffer pain, who—</text> <clause id="H41BD1DD57A3F4A3983A2EF3F771658E0"><enum>(i)</enum><text>may use or be prescribed benzodiazepines, alcohol, and diverted opioids; or</text>
 </clause><clause id="H828AABA96B90498AA7EF8DBBDA007464"><enum>(ii)</enum><text>receive opioids in the course of medical care; and</text> </clause></subparagraph><subparagraph id="H627D8945134E445CAD10220B91C9FA32"><enum>(E)</enum><text>the 2016 Guideline for Prescribing Opioids for Chronic Pain issued by the Centers for Disease Control and Prevention;</text>
 </subparagraph></paragraph><paragraph id="H4F8985E029BE4A3EB14B16609CCE453B"><enum>(2)</enum><text>solicit and take into consideration public comment on the practices developed under paragraph (1), amending such best practices if appropriate; and</text>
 </paragraph><paragraph id="HC0FE390CD9D74BC79F096FC8CB3217E8"><enum>(3)</enum><text display-inline="yes-display-inline">develop a strategy for disseminating information about the best practices developed under paragraphs (1) and (2) to prescribers, pharmacists, State medical boards, educational institutions that educate prescribers and pharmacists, and other parties, as the Secretary determines appropriate.</text>
 </paragraph></subsection><subsection id="HC7CCC89867294B2581BA79FD654C2028"><enum>(e)</enum><header>Limitation</header><text>The task force shall not have rulemaking authority.</text> </subsection><subsection id="H81DC040B5E2349C793F8CD8318E495D4"><enum>(f)</enum><header>Report</header><text>Not later than 270 days after the date on which the task force is convened under subsection (b), the task force shall submit to Congress a report that includes—</text>
 <paragraph id="H4865B11EC7FF4163959D3D7337703BD9"><enum>(1)</enum><text>the strategy for disseminating best practices for pain management (including chronic and acute pain) and prescribing pain medication, as developed under subsection (d);</text>
 </paragraph><paragraph id="H85787D82C9E349038AC1C37FD356A8CA"><enum>(2)</enum><text>the results of a feasibility study on linking the best practices described in paragraph (1) to receiving and renewing registrations under section 303(f) of the Controlled Substances Act (<external-xref legal-doc="usc" parsable-cite="usc/21/823">21 U.S.C. 823(f)</external-xref>); and</text>
 </paragraph><paragraph id="H3CDAF5B418134E99B5770D14CF618637"><enum>(3)</enum><text>recommendations for effectively applying the best practices described in paragraph (1) to improve prescribing practices at medical facilities, including medical facilities of the Veterans Health Administration and Indian Health Service.</text>
				</paragraph></subsection></section></legis-body>
	<endorsement display="yes">
		<action-date>May 3, 2016</action-date>
		<action-desc>Reported with an amendment, committed to the Committee of the Whole House on the State of the
			 Union, and ordered to be printed</action-desc></endorsement>
</bill>


