[Congressional Bills 114th Congress]
[From the U.S. Government Publishing Office]
[S. 524 Engrossed Amendment House (EAH)]

<DOC>
                In the House of Representatives, U. S.,

                                                          May 13, 2016.
    Resolved, That the bill from the Senate (S. 524) entitled ``An Act 
to authorize the Attorney General to award grants to address the 
national epidemics of prescription opioid abuse and heroin use.'', do 
pass with the following

                              AMENDMENTS:

            Strike out all after the enacting clause and insert:

SECTION 1. TABLE OF CONTENTS.

    The table of contents for this Act is as follows:

Sec. 1. Table of Contents.

    TITLE I--PAIN MANAGEMENT BEST PRACTICES INTER-AGENCY TASK FORCE

Sec. 101. Development of best practices for the use of prescription 
                            opioids.

           TITLE II--COMPREHENSIVE OPIOID ABUSE REDUCTION ACT

Sec. 201. Short title.
Sec. 202. Comprehensive Opioid Abuse Grant Program.
Sec. 203. Audit and accountability of grantees.
Sec. 204. Veterans treatment courts.
Sec. 205. Emergency Federal law enforcement assistance.
Sec. 206. Inclusion of services for pregnant women under family-based 
                            substance abuse grants.
Sec. 207. GAO study and report on Department of Justice programs and 
                            research relative to substance use and 
                            substance use disorders among adolescents 
                            and young adults.

                TITLE III--JASON SIMCAKOSKI PROMISE ACT

Sec. 301. Short title.
Sec. 302. Improvement of opioid safety measures by Department of 
                            Veterans Affairs.
Sec. 303. Strengthening of joint working group on pain management of 
                            the Department of Veterans Affairs and the 
                            Department of Defense.
Sec. 304. Review, investigation, and report on use of opioids in 
                            treatment by Department of Veterans 
                            Affairs.
Sec. 305. Mandatory disclosure of certain veteran information to State 
                            controlled substance monitoring programs.
Sec. 306. Modification to limitation on awards and bonuses.

             TITLE IV--KINGPIN DESIGNATION IMPROVEMENT ACT

Sec. 401. Short title.
Sec. 402. Protection of classified information in Federal court 
                            challenges relating to designations under 
                            the Narcotics Kingpin Designation Act.

                 TITLE V--GOOD SAMARITAN ASSESSMENT ACT

Sec. 501. Short title.
Sec. 502. Finding.
Sec. 503. GAO Study on Good Samaritan laws pertaining to treatment of 
                            opioid overdoses.
Sec. 504. Definitions.

                           TITLE VI--OPEN ACT

Sec. 601. Short title.
Sec. 602. Evaluation of performance of Department of Justice program.
Sec. 603. Evaluation of performance of Department of Health and Human 
                            Services program.
Sec. 604. Definition.
Sec. 605. No additional funds authorized.
Sec. 606. Matters regarding certain Federal law enforcement assistance.

          TITLE VII--INFANT PLAN OF SAFE CARE IMPROVEMENT ACT

Sec. 701. Short title.
Sec. 702. Best practices for development of plans of safe care.
Sec. 703. State plans.
Sec. 704. Data reports.
Sec. 705. Monitoring and oversight.
Sec. 706. Rule of construction.

                   TITLE VIII--NAS HEALTHY BABIES ACT

Sec. 801. Short title.
Sec. 802. GAO report on neonatal abstinence syndrome (NAS).
Sec. 803. Excluding abuse-deterrent formulations of prescription drugs 
                            from the Medicaid additional rebate 
                            requirement for new formulations of 
                            prescription drugs.
Sec. 804. Limiting disclosure of predictive modeling and other 
                            analytics technologies to identify and 
                            prevent waste, fraud, and abuse.
Sec. 805. Medicaid Improvement Fund.

            TITLE IX--CO-PRESCRIBING TO REDUCE OVERDOSES ACT

Sec. 901. Short title.
Sec. 902. Opioid overdose reversal drugs prescribing grant program.
Sec. 903. Providing information to prescribers in certain Federal 
                            health care and medical facilities on best 
                            practices for prescribing opioid overdose 
                            reversal drugs.
Sec. 904. Authorization of appropriations.
Sec. 905. Cut-Go Compliance.

   TITLE X--IMPROVING TREATMENT FOR PREGNANT AND POSTPARTUM WOMEN ACT

Sec. 1001. Short title.
Sec. 1002. Reauthorization of residential treatment programs for 
                            pregnant and postpartum women.
Sec. 1003. Pilot program grants for State substance abuse agencies.
Sec. 1004. Cut-Go Compliance.

       TITLE XI--VETERAN EMERGENCY MEDICAL TECHNICIAN SUPPORT ACT

Sec. 1101. Short title.
Sec. 1102. Assisting veterans with military emergency medical training 
                            to meet requirements for becoming civilian 
                            emergency medical technicians.

                   TITLE XII--JOHN THOMAS DECKER ACT

Sec. 1201. Short title.
Sec. 1202. Information materials and resources to prevent addiction 
                            related to youth sports injuries.

                         TITLE XIII--LALI'S LAW

Sec. 1301. Short title.
Sec. 1302. Opioid overdose reversal medication access and education 
                            grant programs.
Sec. 1303. Cut-Go Compliance.

               TITLE XIV--REDUCING UNUSED MEDICATIONS ACT

Sec. 1401. Short title.
Sec. 1402. Partial fills of schedule II controlled substances.

               TITLE XV--OPIOID REVIEW MODERNIZATION ACT

Sec. 1501. Short title.
Sec. 1502. FDA opioid action plan.
Sec. 1503. Prescriber education.
Sec. 1504. Guidance on evaluating the abuse deterrence of generic solid 
                            oral opioid drug products.

        TITLE XVI--EXAMINING OPIOID TREATMENT INFRASTRUCTURE ACT

Sec. 1601. Short title.
Sec. 1602. Study on treatment infrastructure.

 TITLE XVII--OPIOID USE DISORDER TREATMENT EXPANSION AND MODERNIZATION 
                                  ACT

Sec. 1701. Short title.
Sec. 1702. Finding.
Sec. 1703. Opioid use disorder treatment modernization.
Sec. 1704. Sense of Congress.
Sec. 1705. Partial fills of schedule II controlled substances.

 TITLE XVIII--NATIONAL ALL SCHEDULES PRESCRIPTION ELECTRONIC REPORTING 
                          REAUTHORIZATION ACT

Sec. 1801. Short title.
Sec. 1802. Amendment to purpose.
Sec. 1803. Amendments to controlled substance monitoring program.

    TITLE I--PAIN MANAGEMENT BEST PRACTICES INTER-AGENCY TASK FORCE

SEC. 101. DEVELOPMENT OF BEST PRACTICES FOR THE USE OF PRESCRIPTION 
              OPIOIDS.

    (a) Definitions.--In this section--
            (1) the term ``Secretary'' means the Secretary of Health 
        and Human Services; and
            (2) the term ``task force'' means the Pain Management Best 
        Practices Inter-Agency Task Force convened under subsection 
        (b).
    (b) Inter-Agency Task Force.--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.
    (c) Membership.--The task force shall be comprised of--
            (1) representatives of--
                    (A) the Department of Health and Human Services;
                    (B) the Department of Veterans Affairs;
                    (C) the Food and Drug Administration;
                    (D) the Department of Defense;
                    (E) the Drug Enforcement Administration;
                    (F) the Centers for Disease Control and Prevention;
                    (G) the Health Resources and Services 
                Administration;
                    (H) the Indian Health Service;
                    (I) the National Academy of Medicine;
                    (J) the National Institutes of Health;
                    (K) the Office of National Drug Control Policy;
                    (L) the Substance Abuse and Mental Health Services 
                Administration; and
                    (M) the Office of Women's Health;
            (2) State medical boards;
            (3) subject to subsection (e), physicians, dentists, and 
        nonphysician prescribers;
            (4) hospitals;
            (5) subject to subsection (e), pharmacists and pharmacies;
            (6) first responders;
            (7) experts in the fields of pain research and addiction 
        research;
            (8) experts in the fields of adolescent and young adult 
        addiction research;
            (9) representatives of--
                    (A) pain management professional organizations;
                    (B) the mental health treatment community;
                    (C) the addiction treatment and recovery community;
                    (D) pain advocacy groups;
                    (E) veteran service organizations; and
                    (F) groups with expertise on overdose reversal;
            (10) a person in recovery from addiction to medication for 
        chronic pain;
            (11) a person in recovery from addiction to medication for 
        chronic pain, whose addiction began in adolescence or young 
        adulthood;
            (12) a person with chronic pain;
            (13) an expert on active duty military, armed forces 
        personnel, and veteran health and prescription opioid 
        addiction;
            (14) an expert in the field of minority health; and
            (15) other stakeholders, as the Secretary determines 
        appropriate.
    (d) Condition on Participation on Task Force.--An individual 
representing a profession or entity described in paragraph (3) or (5) 
of subsection (c) may not serve as a member of the task force unless 
such individual--
            (1) is currently licensed in a State in which such 
        individual is practicing (as defined by such State) such 
        profession (or, in the case of an individual representing an 
        entity, a State in which the entity is engaged in business); 
        and
            (2) is currently practicing (as defined by such State) such 
        profession (or, in the case of an individual representing an 
        entity, the entity is in operation).
    (e) Duties.--The task force shall--
            (1) 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--
                    (A) existing pain management research;
                    (B) research on trends in areas and communities in 
                which the prescription opioid abuse rate and fatality 
                rate exceed the national average prescription opioid 
                abuse rate and fatality rate;
                    (C) recommendations from relevant conferences and 
                existing relevant evidence-based guidelines;
                    (D) 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, medical device alternatives to 
                opioids to reduce opioid monotherapy in appropriate 
                cases and the coordination of information collected 
                from State prescription drug monitoring programs for 
                the purpose of preventing the diversion of pain 
                medication;
                    (E) ongoing efforts at the Federal, State, and 
                local levels to examine the potential benefits of 
                electronic prescribing of opioids, including any public 
                comments collected in the course of those efforts;
                    (F) the management of high-risk populations, other 
                than populations who suffer pain, who--
                            (i) may use or be prescribed 
                        benzodiazepines, alcohol, and diverted opioids; 
                        or
                            (ii) receive opioids in the course of 
                        medical care;
                    (G) the distinct needs of adolescents and young 
                adults with respect to pain management, pain 
                medication, substance use disorder, and medication-
                assisted treatment;
                    (H) the 2016 Guideline for Prescribing Opioids for 
                Chronic Pain issued by the Centers for Disease Control 
                and Prevention;
                    (I) the practice of co-prescribing naloxone for 
                both pain patients receiving chronic opioid therapy and 
                patients being treated for opioid use disorders;
                    (J) research that has been, or is being, conducted 
                or supported by the Federal Government on prevention 
                of, treatment for, and recovery from substance use by 
                and substance use disorders among adolescents and young 
                adults 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;
                    (K) Federal non-research 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--
                            (i) preventing substance use by and 
                        substance use disorders among adolescents and 
                        young adults;
                            (ii) treating such adolescents and young 
                        adults in a way that accounts for any unique 
                        circumstances faced by adolescents and young 
                        adults; and
                            (iii) supporting long-term recovery among 
                        adolescents and young adults; and
                    (L) gaps that have been identified by Federal 
                officials and experts in Federal efforts 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 Federal efforts, and the reasons for 
                such gaps;
            (2) solicit and take into consideration public comment on 
        the practices developed under paragraph (1), amending such best 
        practices if appropriate;
            (3) 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;
            (4) review, modify, and update best practices for pain 
        management and prescribing pain medication, specifically as it 
        pertains to physician education and consumer education; and
            (5) examine and identify--
                    (A) the extent of the need for the development of 
                new pharmacological, nonpharmacological, and medical 
                device alternatives to opioids;
                    (B) the current status of research efforts to 
                develop such alternatives; and
                    (C) the pharmacological, nonpharmacological, and 
                medical device alternatives to opioids that are 
                currently available that could be better utilized.
    (f) Consideration of Study Results.--In reviewing, modifying, and 
updating, best practices for pain management and prescribing pain 
medication, the task force shall take into consideration existing 
private sector, State, and local government efforts related to pain 
management and prescribing pain medication.
    (g) Limitation.--The task force shall not have rulemaking 
authority.
    (h) Report.--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--
            (1) the strategy for disseminating best practices for pain 
        management (including chronic and acute pain) and prescribing 
        pain medication, as developed under subsection (e);
            (2) 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 (21 U.S.C. 823(f));
            (3) 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;
            (4) the modified and updated best practices described in 
        subsection (e)(4); and
            (5) the results of the examination and identification 
        conducted pursuant to subsection (e)(4), and recommendations 
        regarding--
                    (A) the development of new pharmacological, 
                nonpharmacological, and medical device alternatives to 
                opioids; and
                    (B) the improved utilization of pharmacological, 
                nonpharmacological, and medical device alternatives to 
                opioids that are currently available.

           TITLE II--COMPREHENSIVE OPIOID ABUSE REDUCTION ACT

SEC. 201. SHORT TITLE.

    This title may be cited as the ``Comprehensive Opioid Abuse 
Reduction Act of 2016''.

SEC. 202. COMPREHENSIVE OPIOID ABUSE GRANT PROGRAM.

    (a) In General.--Title I of the Omnibus Crime Control and Safe 
Streets Act of 1968 (42 U.S.C. 3711 et seq.) is amended by adding at 
the end the following:

          ``PART LL--COMPREHENSIVE OPIOID ABUSE GRANT PROGRAM

``SEC. 3021. DESCRIPTION.

    ``(a) Grants Authorized.--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:
            ``(1) Developing, implementing, or expanding a treatment 
        alternative to incarceration program, which may include--
                    ``(A) pre-booking or post-booking components, which 
                may include the activities described in part DD or HH 
                of this title;
                    ``(B) training for criminal justice agency 
                personnel on substance use disorders and co-occurring 
                mental illness and substance use disorders;
                    ``(C) a mental health court, including the 
                activities described in part V of this title;
                    ``(D) a drug court, including the activities 
                described in part EE of this title;
                    ``(E) a veterans treatment court program, including 
                the activities described in subsection (i) of section 
                2991 of this title;
                    ``(F) a focus on parents whose incarceration could 
                result in their children entering the child welfare 
                system; and
                    ``(G) a community-based substance use diversion 
                program sponsored by a law enforcement agency.
            ``(2) In the case of a State, facilitating or enhancing 
        planning and collaboration between State criminal justice 
        agencies and State substance abuse systems in order to more 
        efficiently and effectively carry out programs described in 
        paragraph (1) that address problems related to opioid abuse.
            ``(3) Providing training and resources for first responders 
        on carrying and administering an opioid overdose reversal drug 
        or device approved by the Food and Drug Administration, and 
        purchasing such a drug or device for first responders who have 
        received such training to carry and administer.
            ``(4) Investigative purposes to locate or investigate 
        illicit activities related to the unlawful distribution of 
        opioids.
            ``(5) Developing, implementing, or expanding a medication-
        assisted treatment program used or operated by a criminal 
        justice agency, which may include training criminal justice 
        agency personnel on medication-assisted treatment, and carrying 
        out the activities described in part S of this title.
            ``(6) 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 other States.
            ``(7) Developing, implementing, or expanding a program to 
        prevent and address opioid abuse by juveniles.
            ``(8) Developing, implementing, or expanding an integrated 
        and comprehensive opioid abuse response program, including 
        prevention and recovery programs.
            ``(9) 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 individuals, particularly adolescents, 
        from gaining access to opioid medications that are lawfully 
        prescribed for other individuals.
            ``(10) Developing, implementing, or expanding a program to 
        prevent and address opioid abuse by veterans.
            ``(11) Developing, implementing, or expanding a 
        prescription drug take-back program.
    ``(b) Contracts and Subawards.--A State, unit of local government, 
or Indian tribe may, in using a grant under this subpart 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--
            ``(1) local or regional organizations that are private and 
        nonprofit, including faith-based organizations;
            ``(2) units of local government; or
            ``(3) tribal organizations.
    ``(c) Program Assessment Component; Waiver.--
            ``(1) Program assessment component.--Each program funded 
        under this subpart shall contain a program assessment 
        component, developed pursuant to guidelines established by the 
        Attorney General, in coordination with the National Institute 
        of Justice.
            ``(2) Waiver.--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.
    ``(d) Administrative Costs.--Not more than 10 percent of a grant 
made under this subpart may be used for costs incurred to administer 
such grant.
    ``(e) Period.--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.

``SEC. 3022. APPLICATIONS.

    ``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. Such application shall include the 
following:
            ``(1) A certification that Federal funds made available 
        under this subpart 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).
            ``(2) 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.
            ``(3) 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--
                    ``(A) the programs to be funded by the grant meet 
                all the requirements of this part;
                    ``(B) all the information contained in the 
                application is correct;
                    ``(C) there has been appropriate coordination with 
                affected agencies; and
                    ``(D) the applicant will comply with all provisions 
                of this part and all other applicable Federal laws.
            ``(4) An assurance that the applicant will work with the 
        Drug Enforcement Administration to develop an integrated and 
        comprehensive strategy to address opioid abuse.

``SEC. 3023. REVIEW OF APPLICATIONS.

    ``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 opportunity for correction and 
reconsideration.

``SEC. 3024. EQUITABLE DISTRIBUTION OF FUNDS.

    ``In awarding grants under this part, the Attorney General shall 
ensure equitable distribution of funds based on the following:
            ``(1) The geographic distribution of grants under this 
        part, taking into consideration the needs of underserved 
        populations, including rural and tribal communities.
            ``(2) The needs of communities to address the problems 
        related to opioid abuse, taking into consideration the 
        prevalence of opioid abuse and overdose-related death in a 
        community.

``SEC. 3025. DEFINITIONS.

    ``In this part:
            ``(1) The term `first responder' 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 professional 
        duties, responds to fire, medical, hazardous material, or other 
        similar emergencies.
            ``(2) The term `medication-assisted treatment' means the 
        use of medications approved by the Food and Drug Administration 
        for the treatment of opioid abuse.
            ``(3) The term `opioid' 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.
            ``(4) The term `schedule II, III, or IV controlled 
        substance' means a controlled substance that is listed on 
        schedule II, schedule III, or schedule IV of section 202(c) of 
        the Controlled Substances Act (21 U.S.C. 812(c)).
            ``(5) The terms `drug' and `device' have the meanings given 
        those terms in section 201 of the Federal Food, Drug, and 
        Cosmetic Act (21 U.S.C. 321).
            ``(6) The term `criminal justice agency' means a State, 
        local, or tribal--
                    ``(A) court;
                    ``(B) prison;
                    ``(C) jail;
                    ``(D) law enforcement agency; or
                    ``(E) other agency that performs the administration 
                of criminal justice, including prosecution, pretrial 
                services, and community supervision.
            ``(7) The term `tribal organization' has the meaning given 
        that term in section 4 of the Indian Self-Determination and 
        Education Assistance Act (25 U.S.C. 450b).''.
    (b) Authorization of Appropriations.--Section 1001(a) of the 
Omnibus Crime Control and Safe Streets Act of 1968 (42 U.S.C. 3793(a)) 
is amended by inserting after paragraph (26) the following:
            ``(27) There are authorized to be appropriated to carry out 
        part LL $103,000,000 for each of fiscal years 2017 through 
        2021.''.

SEC. 203. AUDIT AND ACCOUNTABILITY OF GRANTEES.

    (a) Definitions.--In this section--
            (1) the term ``covered grant program'' means a grant 
        program operated by the Department of Justice;
            (2) the term ``covered grantee'' means a recipient of a 
        grant from a covered grant program;
            (3) the term ``nonprofit'', when used with respect to an 
        organization, 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; and
            (4) the term ``unresolved audit finding'' means an audit 
        report finding in a final audit report of the Inspector General 
        of the Department of Justice that a covered grantee has used 
        grant funds awarded to that grantee under a covered grant 
        program for an unauthorized expenditure or otherwise 
        unallowable cost that is not closed or resolved during a 12-
        month period prior to the date on which the final audit report 
        is issued.
    (b) Audit Requirement.--Beginning in fiscal year 2016, and annually 
thereafter, the Inspector General of the Department of Justice shall 
conduct audits of covered grantees to prevent waste, fraud, and abuse 
of funds awarded under covered grant programs. The Inspector General 
shall determine the appropriate number of covered grantees to be 
audited each year.
    (c) Mandatory Exclusion.--A grantee that is found to have an 
unresolved audit finding under an audit conducted under subsection (b) 
may not receive grant funds under a covered grant program in the fiscal 
year following the fiscal year to which the finding relates.
    (d) Reimbursement.--If a covered grantee is awarded funds under the 
covered grant program from which it received a grant award during the 
1-fiscal-year period during which the covered grantee is ineligible for 
an allocation of grant funds under subsection (c), the Attorney General 
shall--
            (1) deposit into the General Fund of the Treasury an amount 
        that is equal to the amount of the grant funds that were 
        improperly awarded to the covered grantee; and
            (2) seek to recoup the costs of the repayment to the Fund 
        from the covered grantee that was improperly awarded the grant 
        funds.
    (e) Priority of Grant Awards.--The Attorney General, in awarding 
grants under a covered grant program shall give priority to eligible 
entities that during the 2-year period preceding the application for a 
grant have not been found to have an unresolved audit finding.
    (f) Nonprofit Requirements.--
            (1) Prohibition.--A nonprofit organization that holds money 
        in offshore accounts for the purpose of avoiding the tax 
        described in section 511(a) of the Internal Revenue Code of 
        1986, shall not be eligible to receive, directly or indirectly, 
        any funds from a covered grant program.
            (2) Disclosure.--Each nonprofit organization that is a 
        covered grantee shall disclose in its application for such a 
        grant, as a condition of receipt of such a grant, the 
        compensation of its officers, directors, and trustees. Such 
        disclosure shall include a description of the criteria relied 
        on to determine such compensation.

SEC. 204. VETERANS TREATMENT COURTS.

    Section 2991 of the Omnibus Crime Control and Safe Streets Act of 
1968 (42 U.S.C. 3797aa) is amended--
            (1) by redesignating subsection (i) as subsection (j); and
            (2) by inserting after subsection (h) the following:
    ``(i) Assisting Veterans.--
            ``(1) Definitions.--In this subsection:
                    ``(A) Peer to peer services or programs.--The term 
                `peer to peer services or programs' 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.
                    ``(B) Qualified veteran.--The term `qualified 
                veteran' means a preliminarily qualified offender who--
                            ``(i) served on active duty in any branch 
                        of the Armed Forces, including the National 
                        Guard or Reserves; and
                            ``(ii) was discharged or released from such 
                        service under conditions other than 
                        dishonorable.
                    ``(C) Veterans treatment court program.--The term 
                `veterans treatment court program' means a court 
                program involving collaboration among criminal justice, 
                veterans, and mental health and substance abuse 
                agencies that provides qualified veterans with--
                            ``(i) intensive judicial supervision and 
                        case management, which may include random and 
                        frequent drug testing where appropriate;
                            ``(ii) a full continuum of treatment 
                        services, including mental health services, 
                        substance abuse services, medical services, and 
                        services to address trauma;
                            ``(iii) alternatives to incarceration; or
                            ``(iv) other appropriate services, 
                        including housing, transportation, mentoring, 
                        employment, job training, education, or 
                        assistance in applying for and obtaining 
                        available benefits.
            ``(2) Veterans assistance program.--
                    ``(A) In general.--The Attorney General, in 
                consultation with the Secretary of Veterans Affairs, 
                may award grants under this subsection to applicants to 
                establish or expand--
                            ``(i) veterans treatment court programs;
                            ``(ii) peer to peer services or programs 
                        for qualified veterans;
                            ``(iii) practices that identify and provide 
                        treatment, rehabilitation, legal, transitional, 
                        and other appropriate services to qualified 
                        veterans who have been incarcerated; or
                            ``(iv) 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.
                    ``(B) Priority.--In awarding grants under this 
                subsection, the Attorney General shall give priority to 
                applications that--
                            ``(i) demonstrate collaboration between and 
                        joint investments by criminal justice, mental 
                        health, substance abuse, and veterans service 
                        agencies;
                            ``(ii) promote effective strategies to 
                        identify and reduce the risk of harm to 
                        qualified veterans and public safety; and
                            ``(iii) propose interventions with 
                        empirical support to improve outcomes for 
                        qualified veterans.''.

SEC. 205. EMERGENCY FEDERAL LAW ENFORCEMENT ASSISTANCE.

    Section 609Y(a) of the Justice Assistance Act of 1984 (42 U.S.C. 
10513(a)) is amended by striking ``September 30, 1984'' and inserting 
``September 30, 2021''.

SEC. 206. INCLUSION OF SERVICES FOR PREGNANT WOMEN UNDER FAMILY-BASED 
              SUBSTANCE ABUSE GRANTS.

    Part DD of title I of the Omnibus Crime Control and Safe Streets 
Act (42 U.S.C. 3797s et seq.) is amended--
            (1) in section 2921(2), by inserting before the period at 
        the end ``or pregnant women''; and
            (2) in section 2927--
                    (A) in paragraph (1)(A), by inserting ``pregnant 
                or'' before ``a parent''; and
                    (B) in paragraph (3), by inserting ``or pregnant 
                women'' after ``incarcerated parents''.

SEC. 207. GAO STUDY AND REPORT ON DEPARTMENT OF JUSTICE PROGRAMS AND 
              RESEARCH RELATIVE TO SUBSTANCE USE AND SUBSTANCE USE 
              DISORDERS AMONG ADOLESCENTS AND YOUNG ADULTS.

    (a) Study.--The Comptroller General of the United States shall 
conduct a study on how the Department of Justice, through grant 
programs, is addressing prevention of, treatment for, and 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:
            (1) The research that has been, and is being, conducted or 
        supported pursuant to grant programs operated by the Department 
        of Justice on prevention of, treatment for, and recovery from 
        substance use by and substance use disorders among adolescents 
        and young adults, including an assessment of--
                    (A) 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
                    (B) areas of such research in which greater 
                investment or focus is necessary relative to other 
                areas of such research.
            (2) Department of Justice non-research 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.
            (3) Gaps that have been identified by officials of the 
        Department of Justice or experts in the efforts supported by 
        grant programs operated by the Department of Justice 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.
    (b) Report.--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 subsection (a), including--
            (1) a summary of the findings of the study; and
            (2) 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.

                TITLE III--JASON SIMCAKOSKI PROMISE ACT

SEC. 301. SHORT TITLE.

    This title may be cited as the ``Promoting Responsible Opioid 
Management and Incorporating Scientific Expertise Act'' or the ``Jason 
Simcakoski PROMISE Act''.

SEC. 302. IMPROVEMENT OF OPIOID SAFETY MEASURES BY DEPARTMENT OF 
              VETERANS AFFAIRS.

    (a) Expansion of Opioid Safety Initiative.--
            (1) Inclusion of all medical facilities.--Not later than 
        180 days after the date of the enactment of this Act, the 
        Secretary of Veterans Affairs shall expand the Opioid Safety 
        Initiative of the Department of Veterans Affairs to include all 
        medical facilities of the Department.
            (2) Guidance.--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.
            (3) Enhanced standards.--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--
                    (A) that such tests occur not less frequently than 
                once each year; and
                    (B) 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.
    (b) Pain Management Education and Training.--
            (1) In general.--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).
            (2) Education and training.--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:
                    (A) 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.
                    (B) The use of evidence-based pain management 
                therapies, including cognitive-behavioral therapy, non-
                opioid alternatives, and non-drug methods and 
                procedures to managing pain and related health 
                conditions including medical devices approved or 
                cleared by the Food and Drug Administration for the 
                treatment of patients with chronic pain and 
                complementary alternative medicines.
                    (C) 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.
                    (D) 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.
                    (E) 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.
            (3) Use of existing program.--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 success program).
    (c) Pain Management Teams.--
            (1) In general.--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.
            (2) Establishment of protocols.--
                    (A) In general.--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.
                    (B) Consultation on prescription of opioids.--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--
                            (i) consults with a health care provider 
                        with pain management expertise or who is on the 
                        pain management team of the medical facility; 
                        and
                            (ii) refers the patient to the pain 
                        management team for any subsequent 
                        prescriptions and related therapy.
            (3) Report.--
                    (A) In general.--Not later than 1 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).
                    (B) Elements.--Each report submitted under 
                subparagraph (A) with respect to a medical facility of 
                the Department shall include--
                            (i) a certification as to whether all 
                        members of the pain management team at the 
                        medical facility have completed the education 
                        and training required under subsection (b);
                            (ii) 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
                            (iii) a certification as to whether the 
                        medical facility--
                                    (I) fully complies with the 
                                stepped-care model of pain management 
                                and other pain management policies 
                                contained in Directive 2009-053 of the 
                                Veterans Health Administration, or 
                                successor directive; or
                                    (II) does not fully comply with 
                                such stepped-care model of pain 
                                management and other pain management 
                                policies but is carrying out a 
                                corrective plan of action to ensure 
                                such full compliance.
    (d) Tracking and Monitoring of Opioid Use.--
            (1) Prescription drug monitoring programs of states.--In 
        carrying out the Opioid Safety Initiative and the Opioid 
        Therapy Risk Report tool of the Department, the Secretary 
        shall--
                    (A) 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;
                    (B) include such information in the Opioid Therapy 
                Risk Report; and
                    (C) require health care providers of the Department 
                to submit to the prescription drug monitoring program 
                of each State information on prescriptions of 
                controlled substances received by veterans in that 
                State under the laws administered by the Secretary.
            (2) Report on tracking of data on opioid use.--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--
                    (A) the key clinical indicators with respect to the 
                totality of opioid use by veterans;
                    (B) 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
                    (C) mail-order prescriptions of opioid prescribed 
                to veterans under the laws administered by the 
                Secretary.
    (e) Availability of Opioid Receptor Antagonists.--
            (1) Increased availability and use.--
                    (A) In general.--The Secretary shall maximize the 
                availability of opioid receptor antagonists approved by 
                the Food and Drug Administration, including naloxone, 
                to veterans.
                    (B) Availability, training, and distributing.--In 
                carrying out subparagraph (A), not later than 90 days 
                after the date of the enactment of this Act, the 
                Secretary shall--
                            (i) equip each pharmacy of the Department 
                        with opioid receptor antagonists approved by 
                        the Food and Drug Administration to be 
                        dispensed to outpatients as needed; and
                            (ii) 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.
                    (C) Veterans who are at risk.--For purposes of 
                subparagraph (B), veterans who are at risk of opioid 
                overdose include--
                            (i) veterans receiving long-term opioid 
                        therapy;
                            (ii) veterans receiving opioid therapy who 
                        have a history of substance use disorder or 
                        prior instances of overdose; and
                            (iii) veterans who are at risk as 
                        determined by a health care provider who is 
                        treating the veteran.
            (2) Report.--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.
    (f) Inclusion of Certain Information and Capabilities in Opioid 
Therapy Risk Report Tool of the Department.--
            (1) Information.--The Secretary shall include in the Opioid 
        Therapy Risk Report tool of the Department--
                    (A) information on the most recent time the tool 
                was accessed by a health care provider of the 
                Department with respect to each veteran; and
                    (B) information on the results of the most recent 
                urine drug test for each veteran.
            (2) Capabilities.--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.
    (g) Notifications of Risk in Computerized Health Record.--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--
            (1) is receiving opioid therapy and has a history of 
        substance use disorder or prior instances of overdose;
            (2) has a history of opioid abuse; or
            (3) is at risk of becoming an opioid abuser as determined 
        by a health care provider who is treating the veteran.
    (h) Definitions.--In this section:
            (1) The term ``controlled substance'' has the meaning given 
        that term in section 102 of the Controlled Substances Act (21 
        U.S.C. 802).
            (2) The term ``State'' means each of the several States, 
        territories, and possessions of the United States, the District 
        of Columbia, and the Commonwealth of Puerto Rico.

SEC. 303. STRENGTHENING OF JOINT WORKING GROUP ON PAIN MANAGEMENT OF 
              THE DEPARTMENT OF VETERANS AFFAIRS AND THE DEPARTMENT OF 
              DEFENSE.

    (a) In General.--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 section 320 of title 38, United States 
Code, includes a focus on the following:
            (1) The opioid prescribing practices of health care 
        providers of each Department.
            (2) 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.
            (3) The use by each Department of complementary and 
        integrative health and complementary alternative medicines in 
        treating such individuals.
            (4) The concurrent use by health care providers of each 
        Department of opioids and prescription drugs to treat mental 
        health disorders, including benzodiazepines.
            (5) The practice by health care providers of each 
        Department of prescribing opioids to treat mental health 
        disorders.
            (6) 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.
            (7) The ability of each Department to identify and treat 
        substance use disorders among individuals receiving health care 
        from that Department.
    (b) Coordination and Consultation.--The Secretary of Veterans 
Affairs and the Secretary of Defense shall ensure that the working 
group described in subsection (a)--
            (1) coordinates the activities of the working group with 
        other relevant working groups established under section 320 of 
        title 38, United States Code;
            (2) consults with other relevant Federal agencies with 
        respect to the activities of the working group; and
            (3) consults with the Department of Veterans Affairs and 
        the Department of Defense with respect to, reviews, and 
        comments on the VA/DOD Clinical Practice Guideline for 
        Management of Opioid Therapy for Chronic Pain, or any successor 
        guideline, before any update to the guideline is released.
    (c) Clinical Practice Guidelines.--
            (1) In general.--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 VA/
        DOD Clinical Practice Guideline for Management of Opioid 
        Therapy for Chronic Pain.
            (2) Matters included.--In conducting the update under 
        subsection (a), the Pain Management Working Group, in 
        coordination with the Clinical Practice Guideline VA/DOD 
        Management of Opioid Therapy for Chronic Pain Working Group, 
        shall examine whether the Clinical Practical Guideline should 
        include the following:
                    (A) Enhanced guidance with respect to--
                            (i) the coadministration of an opioid and 
                        other drugs, including benzodiazepines, that 
                        may result in life-limiting drug interactions;
                            (ii) the treatment of patients with current 
                        acute psychiatric instability or substance use 
                        disorder or patients at risk of suicide; and
                            (iii) the use of opioid therapy to treat 
                        mental health disorders other than opioid use 
                        disorder.
                    (B) 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 comanagement 
                of opioid therapy with one or more specialists in pain 
                management, mental health, or addictions.
                    (C) Enhanced guidance with respect to health care 
                providers--
                            (i) 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
                            (ii) 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.
                    (D) Guidelines to govern the methodologies used by 
                health care providers of the Department of Veterans 
                Affairs and the Department of Defense to taper opioid 
                therapy when adjusting or discontinuing the use of 
                opioid therapy.
                    (E) 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.
                    (F) 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.
                    (G) Guidelines with respect to providing options, 
                before initiating opioid therapy, for pain management 
                therapies without the use of opioids and options to 
                augment opioid therapy with other clinical and 
                complementary and integrative health services to 
                minimize opioid dependence.
                    (H) 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.

SEC. 304. REVIEW, INVESTIGATION, AND REPORT ON USE OF OPIOIDS IN 
              TREATMENT BY DEPARTMENT OF VETERANS AFFAIRS.

    (a) Comptroller General Report.--
            (1) In general.--Not later than 2 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.
            (2) Elements.--The report submitted under paragraph (1) 
        shall include the following:
                    (A) Recommendations on such improvements to the 
                Opioid Safety Initiative of the Department as the 
                Comptroller General considers appropriate.
                    (B) Information with respect to--
                            (i) deaths resulting from sentinel events 
                        involving veterans prescribed opioids by a 
                        health care provider of the Department;
                            (ii) overall prescription rates and 
                        prescriptions indications of opioids to treat 
                        non-cancer, non-palliative, and non-hospice 
                        care patients;
                            (iii) the prescription rates and 
                        prescriptions indications of benzodiazepines 
                        and opioids concomitantly by health care 
                        providers of the Department;
                            (iv) the practice by health care providers 
                        of the Department of prescribing opioids to 
                        treat patients without any pain, including to 
                        treat patients with mental health disorders 
                        other than opioid use disorder; and
                            (v) the effectiveness of opioid therapy for 
                        patients receiving such therapy, including the 
                        effectiveness of long-term opioid therapy.
                    (C) 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.
                    (D) An assessment of the implementation by the 
                Secretary of the VA/DOD Clinical Practice Guideline for 
                Management of Opioid Therapy for Chronic Pain.
    (b) Quarterly Progress Report on Implementation of Comptroller 
General Recommendations.--Not later than 2 years after the date of the 
enactment of this Act, and not later than 30 days after the end of each 
quarter thereafter, 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 progress report 
detailing the actions by the Secretary during the period covered by the 
report 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.
    (c) Annual Review of Prescription Rates.--Not later than 1 year 
after the date of the enactment of this Act, and not less frequently 
than annually for the following 5 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, with 
respect to each medical facility of the Department of Veterans Affairs, 
to collect and review information on opioids prescribed by health care 
providers at the facility to treat non-cancer, non-palliative, and non-
hospice care patients that contains, for the 1-year period preceding 
the submission of the report, the following:
            (1) 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.
            (2) 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.
            (3) 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.
            (4) 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 health 
        care provider of the Department.
            (5) With respect to each medical facility of the 
        Department, information on opioids prescribed by health care 
        providers at the facility to treat non-cancer, non-palliative, 
        and non-hospice care patients, including information on--
                    (A) the prescription rate at which each health care 
                provider at the facility prescribed benzodiazepines and 
                opioids concurrently to such patients and the aggregate 
                such prescription rate for all health care providers at 
                the facility;
                    (B) 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 such prescription rate for all health 
                care providers at the facility;
                    (C) 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
                    (D) 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 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.
            (6) 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.
    (d) Investigation of Prescription Rates.--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--
            (1) 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
            (2) 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.
    (e) Prescription Rate Defined.--In this section, the term 
``prescription rate'' means, with respect to a health care provider or 
medical facility of the Department, each of the following:
            (1) 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.
            (2) 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.
            (3) 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.

SEC. 305. MANDATORY DISCLOSURE OF CERTAIN VETERAN INFORMATION TO STATE 
              CONTROLLED SUBSTANCE MONITORING PROGRAMS.

    Section 5701(l) of title 38, United States Code, is amended by 
striking ``may'' and inserting ``shall''.

SEC. 306. MODIFICATION TO LIMITATION ON AWARDS AND BONUSES.

    Section 705 of the Veterans Access, Choice, and Accountability Act 
of 2014 (Public Law 113-146; 38 U.S.C. 703 note) is amended to read as 
follows:

``SEC. 705. LIMITATION ON AWARDS AND BONUSES PAID TO EMPLOYEES OF 
              DEPARTMENT OF VETERANS AFFAIRS.

    ``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 title 5, United States Code, or any other 
awards or bonuses authorized under such title or title 38, United 
States Code, does not exceed the following amounts:
            ``(1) With respect to each of fiscal years 2017 through 
        2021, $230,000,000.
            ``(2) With respect to each of fiscal years 2022 through 
        2024, $360,000,000.''.

             TITLE IV--KINGPIN DESIGNATION IMPROVEMENT ACT

SEC. 401. SHORT TITLE.

    This title may be cited as the ``Kingpin Designation Improvement 
Act of 2016''.

SEC. 402. PROTECTION OF CLASSIFIED INFORMATION IN FEDERAL COURT 
              CHALLENGES RELATING TO DESIGNATIONS UNDER THE NARCOTICS 
              KINGPIN DESIGNATION ACT.

    Section 804 of the Foreign Narcotics Kingpin Designation Act (21 
U.S.C. 1903) is amended by adding at the end the following:
    ``(i) Protection of Classified Information in Federal Court 
Challenges Relating to Designations.--In any 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.''.

                 TITLE V--GOOD SAMARITAN ASSESSMENT ACT

SEC. 501. SHORT TITLE.

    This title may be cited as the ``Good Samaritan Assessment Act of 
2016''.

SEC. 502. FINDING.

    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.

SEC. 503. GAO STUDY ON GOOD SAMARITAN LAWS PERTAINING TO TREATMENT OF 
              OPIOID OVERDOSES.

    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--
            (1) 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;
            (2) efforts by the Director to encourage the enactment of 
        Good Samaritan laws; and
            (3) a compilation of Good Samaritan laws in effect in the 
        States, the territories, and the District of Columbia.

SEC. 504. DEFINITIONS.

    In this title--
            (1) the term ``Good Samaritan law'' 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
            (2) the term ``opioid'' 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.

                           TITLE VI--OPEN ACT

SEC. 601. SHORT TITLE.

    This title may be cited as the ``Opioid Program Evaluation Act'' or 
the ``OPEN Act''.

SEC. 602. EVALUATION OF PERFORMANCE OF DEPARTMENT OF JUSTICE PROGRAM.

    (a) Evaluation of Justice Department Comprehensive Opioid Abuse 
Grant Program.--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 the Omnibus Crime Control and Safe Streets Act of 1968 
administered by the Department of Justice based upon the information 
reported under subsection (d) of this section.
    (b) Interim Evaluation.--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.
    (c) Metrics and Outcomes for Evaluation.--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 Grant Abuse Program and the metrics by which the 
achievement of such outcomes shall be determined.
    (d) Metrics Data Collection.--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 the Omnibus 
Crime Control and Safe Streets Act of 1968) to collect and annually 
report to the Department of Justice data based upon the metrics 
identified under subsection (c).
    (e) Publication of Data and Findings.--
            (1) Publication of outcomes and metrics.--The Attorney 
        General shall, not later than 30 days after completion of the 
        requirement under subsection (c), publish the outcomes and 
        metrics identified under that subsection.
            (2) Publication of evaluation.--In the case of the interim 
        evaluation under subsection (b), and the final evaluation under 
        subsection (a), the National Academy of Sciences 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.
    (f) Arrangement With the National Academy of Sciences.--For 
purposes of subsections (a), (b), and (c), the Attorney General shall 
enter into an arrangement with the National Academy of Sciences.

SEC. 603. EVALUATION OF PERFORMANCE OF DEPARTMENT OF HEALTH AND HUMAN 
              SERVICES PROGRAM.

    (a) Evaluation of Department of Health and Human Services 
Programs.--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 shall complete an evaluation of any program 
administered by the Secretary that provides grants for the primary 
purpose of providing assistance in addressing problems pertaining to 
opioid abuse based upon the information reported under subsection (d) 
of this section.
    (b) Interim Evaluation.--Not later than 3 years after the date of 
enactment of this Act, the Secretary shall complete an interim 
evaluation assessing the nature and extent of the incidence of opioid 
abuse and illegal opioid distribution in the United States.
    (c) Metrics and Outcomes for Evaluation.--Not later than 180 days 
after the date of enactment of this Act, the Secretary shall identify 
outcomes that are to be achieved by activities funded by the programs 
described in subsection (a) and the metrics by which the achievement of 
such outcomes shall be determined.
    (d) Metrics Data Collection.--The Secretary shall require grantees 
under the programs described in subsection (a) to collect and annually 
report to the Department of Health and Human Services data based upon 
the metrics identified under subsection (c).
    (e) Publication of Data and Findings.--
            (1) Publication of outcomes and metrics.--The Secretary 
        shall, not later than 30 days after completion of the 
        requirement under subsection (c), publish the outcomes and 
        metrics identified under that subsection.
            (2) Publication of evaluation.--In the case of the interim 
        evaluation under subsection (b), and each final evaluation 
        under subsection (a), the National Academy of Sciences 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 Energy and Commerce of the 
        House of Representatives and the Committee on Health, 
        Education, Labor, and Pensions of the Senate. Such report shall 
        also be published along with the data used to make such 
        evaluation.
    (f) Arrangement With the National Academy of Sciences.--For 
purposes of subsections (a), (b), and (c), the Secretary shall--
            (1) enter into an arrangement with the National Academy of 
        Sciences; or
            (2) enter into a contract or cooperative agreement with an 
        entity that is not an agency of the Federal Government.
    (g) Exception.--If a program described under subsection (a) is 
subject to an evaluation substantially similar to the evaluation under 
subsection (a) pursuant to another provision of law, the Secretary may 
opt not to conduct an evaluation under subsection (a) of such program.

SEC. 604. DEFINITION.

    In this title, the term ``opioid'' has the meaning given the term 
``opiate'' in section 102 of the Controlled Substances Act (21 U.S.C. 
802).

SEC. 605. NO ADDITIONAL FUNDS AUTHORIZED.

    No additional funds are authorized to be appropriated to carry out 
this Act.

SEC. 606. MATTERS REGARDING CERTAIN FEDERAL LAW ENFORCEMENT ASSISTANCE.

    Section 609Y of the Justice Assistance Act of 1984 (42 U.S.C. 
10513) is amended--
            (1) in subsection (a), by striking ``There is'' and 
        inserting ``Except as provided in subsection (c), there is''; 
        and
            (2) by adding at the end the following:
    ``(c) For fiscal year 2022, there is authorized to be appropriated 
$16,000,000, to provide under this chapter Federal law enforcement 
assistance in the form of funds.''.

          TITLE VII--INFANT PLAN OF SAFE CARE IMPROVEMENT ACT

SEC. 701. SHORT TITLE.

    This title may be cited as the ``Infant Plan of Safe Care 
Improvement Act''.

SEC. 702. BEST PRACTICES FOR DEVELOPMENT OF PLANS OF SAFE CARE.

    Section 103(b) of the Child Abuse Prevention and Treatment Act (42 
U.S.C. 5104(b)) is amended--
            (1) by redesignating paragraphs (5) through (8) as 
        paragraphs (6) through (9), respectively; and
            (2) by inserting after paragraph (4), the following:
            ``(5) 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 illegal substance abuse or withdrawal symptoms, or 
        a Fetal Alcohol Spectrum Disorder;''.

SEC. 703. STATE PLANS.

    Section 106(b)(2)(B)(iii) of the Child Abuse Prevention and 
Treatment Act (42 U.S.C. 5106a(b)(2)(B)(iii)) is amended by inserting 
before the semicolon at the end the following: ``to ensure the safety 
and well-being of such infant following release from the care of 
healthcare providers, including through--''
                                    ``(I) addressing the health and 
                                substance use disorder treatment needs 
                                of the infant and affected family or 
                                caregiver; and
                                    ``(II) 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''.

SEC. 704. DATA REPORTS.

    (a) In General.--Section 106(d) of the Child Abuse Prevention and 
Treatment Act (42 U.S.C. 5106a(d)) is amended by adding at the end of 
the following:
            ``(17)(A) The number of infants identified under subsection 
        (b)(2)(B)(ii).
            ``(B) The number of infants for whom a plan of safe care 
        was developed under subsection (b)(2)(B)(iii).
            ``(C) The number of infants for whom a referral was made 
        for appropriate services, including services for the affected 
        family or caregiver, under subsection (b)(2)(B)(iii).''.
    (b) Redesignation.--Effective on May 29, 2017, section 106(d) of 
the Child Abuse Prevention and Treatment Act (42 U.S.C. 5106a(d)) is 
amended by redesignating paragraph (17) (as added by subsection (a)) as 
paragraph (18).

SEC. 705. MONITORING AND OVERSIGHT.

    (a) Amendment.--Title I of the Child Abuse Prevention and Treatment 
Act (42 U.S.C. 5101 et seq.) is further amended by adding at the end 
the following:

``SEC. 114. MONITORING AND OVERSIGHT.

    ``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--
            ``(1) shall--
                    ``(A) be in addition to the review of the State 
                plan upon its submission under section 106(b)(1)(A); 
                and
                    ``(B) include monitoring of State policies and 
                procedures required under clauses (ii) and (iii) of 
                section 106(b)(2)(B); and
            ``(2) may include--
                    ``(A) 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;
                    ``(B) a review of information available on the 
                Website of the State relating to its compliance with 
                the requirements of section 106(b);
                    ``(C) site visits, as may be necessary to carry out 
                such monitoring; and
                    ``(D) a review of information available in the 
                State's Annual Progress and Services Report most 
                recently submitted under section 1357.16 of title 45, 
                Code of Federal Regulations (or successor 
                regulations).''.
    (b) Table of Contents.--The table of contents in section 1(b) of 
the Child Abuse Prevention and Treatment Act (42 U.S.C. 5101 note) is 
amended by inserting after the item relating to section 113, the 
following:

``Sec. 114. Monitoring and oversight.''.

SEC. 706. RULE OF CONSTRUCTION.

    Nothing in this Act, or the amendments made by this Act, 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 (42 
U.S.C. 5106a(b)), as amended by this Act.

                   TITLE VIII--NAS HEALTHY BABIES ACT

SEC. 801. SHORT TITLE.

    This title may be cited as the ``Nurturing And Supporting Healthy 
Babies Act'' or as the ``NAS Healthy Babies Act''.

SEC. 802. GAO REPORT ON NEONATAL ABSTINENCE SYNDROME (NAS).

    (a) In General.--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.
    (b) Information To Be Included in Report.--Such report shall 
include information on the following:
            (1) 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 at birth 
        and the costs associated with NAS through such programs.
            (2) The services for which coverage is available under 
        State Medicaid programs for treatment of infants with NAS.
            (3) 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.
            (4) 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.
            (5) What is known about best practices for treating infants 
        with NAS.
    (c) Recommendations.--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.

SEC. 803. EXCLUDING ABUSE-DETERRENT FORMULATIONS OF PRESCRIPTION DRUGS 
              FROM THE MEDICAID ADDITIONAL REBATE REQUIREMENT FOR NEW 
              FORMULATIONS OF PRESCRIPTION DRUGS.

    (a) In General.--The last sentence of section 1927(c)(2)(C) of the 
Social Security Act (42 U.S.C. 1396r-8(c)(2)(C)) is amended by 
inserting before the period at the end the following: ``, 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''.
    (b) Effective Date.--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.

SEC. 804. LIMITING DISCLOSURE OF PREDICTIVE MODELING AND OTHER 
              ANALYTICS TECHNOLOGIES TO IDENTIFY AND PREVENT WASTE, 
              FRAUD, AND ABUSE.

    (a) In General.--Title XI of the Social Security Act is amended by 
inserting after section 1128J (42 U.S.C. 1320a-7k) the following new 
section:

``SEC. 1128K. DISCLOSURE OF PREDICTIVE MODELING AND OTHER ANALYTICS 
              TECHNOLOGIES TO IDENTIFY AND PREVENT WASTE, FRAUD, AND 
              ABUSE.

    ``(a) Reference to Predictive Modeling Technologies Requirements.--
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 (42 U.S.C. 1320a-7m).
    ``(b) Limiting Disclosure of Predictive Modeling Technologies.--In 
implementing such provisions under such section 4241 with respect to 
covered algorithms (as defined in subsection (c)), the following shall 
apply:
            ``(1) Nonapplication of foia.--The covered algorithms used 
        or developed for purposes of such section (including by the 
        Secretary or a State (or an entity operating under a contract 
        with a State)) shall be exempt from disclosure under section 
        552(b)(3) of title 5, United States Code.
            ``(2) Limitation with respect to use and disclosure of 
        information by state agencies.--
                    ``(A) In general.--A State agency may not use or 
                disclose covered algorithms used or developed for 
                purposes of such section 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.
                    ``(B) Information security.--A State agency shall 
                have in effect data security and control policies that 
                the Secretary finds adequate to ensure the security of 
                covered 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).
                    ``(C) Procedural requirements.--State agencies to 
                which information is disclosed pursuant to such section 
                4241 shall adhere to uniform procedures established by 
                the Secretary.
    ``(c) Covered Algorithm Defined.--In this section, the term 
`covered algorithm'--
            ``(1) means a predictive modeling or other analytics 
        technology, as used for purposes of section 4241(a) of the 
        Small Business Jobs Act of 2010 (42 U.S.C. 1320a-7m(a)) 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
            ``(2) includes the mathematical expressions utilized in the 
        application of such technology and the means by which such 
        technology is developed.''.
    (b) Conforming Amendments.--
            (1) Medicaid state plan requirement.--Section 1902(a) of 
        the Social Security Act (42 U.S.C. 1396a(a)) is amended--
                    (A) in paragraph (80), by striking ``and'' at the 
                end;
                    (B) in paragraph (81), by striking the period at 
                the end and inserting ``; and''; and
                    (C) by inserting after paragraph (81) the following 
                new paragraph:
            ``(82) 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).''.
            (2) State child health plan requirement.--Section 
        2102(a)(7) of the Social Security Act (42 U.S.C. 1397bb(a)(7)) 
        is amended--
                    (A) in subparagraph (A), by striking ``, and'' at 
                the end and inserting a semicolon;
                    (B) in subparagraph (B), by striking the period at 
                the end and inserting ``; and''; and
                    (C) by adding at the end the following new 
                subparagraph:
                    ``(C) to ensure that the State agency involved is 
                in compliance with subparagraphs (A), (B), and (C) of 
                section 1128K(b)(2).''.

SEC. 805. MEDICAID IMPROVEMENT FUND.

    Section 1941(b)(1) of the Social Security Act (42 U.S.C. 1396w-
1(b)(1)) is amended to read as follows:
            ``(1) In general.--There shall be available to the Fund, 
        for expenditures from the Fund for fiscal year 2021 and 
        thereafter, $5,000,000.''.

            TITLE IX--CO-PRESCRIBING TO REDUCE OVERDOSES ACT

SEC. 901. SHORT TITLE.

    This title may be cited as the ``Co-Prescribing to Reduce Overdoses 
Act of 2016''.

SEC. 902. OPIOID OVERDOSE REVERSAL DRUGS PRESCRIBING GRANT PROGRAM.

    (a) Establishment.--
            (1) In general.--Not later than 6 months after the date of 
        the enactment of this Act, the Secretary of Health and Human 
        Services may establish, in accordance with this section, a 5-
        year opioid overdose reversal drugs prescribing grant program 
        (in this Act referred to as the ``grant program'').
            (2) Maximum grant amount.--A grant made under this section 
        may not be for more than $200,000 per grant year.
            (3) Eligible entity.--For purposes of this section, the 
        term ``eligible entity'' means a federally qualified health 
        center (as defined in section 1861(aa) of the Social Security 
        Act (42 U.S.C. 1395x(aa)), an opioid treatment program under 
        part 8 of title 42, Code of Federal Regulations, any 
        practitioner dispensing narcotic drugs pursuant to section 
        303(g) of the Controlled Substances Act (21 U.S.C. 823(g)), or 
        any other entity that the Secretary deems appropriate.
            (4) Prescribing.--For purposes of this section and section 
        3, the term ``prescribing'' means, with respect to an opioid 
        overdose reversal drug, such as naloxone, the practice of 
        prescribing such drug--
                    (A) in conjunction with an opioid prescription for 
                patients at an elevated risk of overdose;
                    (B) in conjunction with an opioid agonist approved 
                under section 505 of the Federal Food, Drug, and 
                Cosmetic Act (21 U.S.C. 355) for the treatment of 
                opioid abuse disorder;
                    (C) to the caregiver or a close relative of 
                patients at an elevated risk of overdose from opioids; 
                or
                    (D) in other circumstances, as identified by the 
                Secretary, 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.
    (b) Application.--To be eligible to receive a grant under this 
section, an eligible entity shall submit to the Secretary of Health and 
Human Services, in such form and manner as specified by the Secretary, 
an application that describes--
            (1) 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;
            (2) the criteria that will be used to identify eligible 
        patients to participate in such program; and
            (3) how such program will work to try to identify State, 
        local, or private funding to continue the program after 
        expiration of the grant.
    (c) Use of Funds.--An eligible entity receiving a grant under this 
section may use 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 (4) and (5):
            (1) To establish a program for prescribing opioid overdose 
        reversal drugs, such as naloxone.
            (2) To train and provide resources for health care 
        providers and pharmacists on the prescribing of opioid overdose 
        reversal drugs, such as naloxone.
            (3) To establish mechanisms and processes for tracking 
        patients participating in the program described in paragraph 
        (1) and the health outcomes of such patients.
            (4) To purchase opioid overdose reversal drugs, such as 
        naloxone, for distribution under the program described in 
        paragraph (1).
            (5) To offset the co-pays and other cost sharing associated 
        with opioid overdose reversal drugs, such as naloxone, to 
        ensure that cost is not a limiting factor for eligible 
        patients.
            (6) To conduct community outreach, in conjunction with 
        community-based organizations, designed to raise awareness of 
        prescribing practices, and the availability of opioid overdose 
        reversal drugs, such as naloxone.
            (7) 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.
    (d) Evaluations by Recipients.--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 of Health and 
Human Services information on appropriate outcome measures specified by 
the Secretary to assess the outcomes of the program funded by the 
grant, including--
            (1) the number of prescribers trained;
            (2) the number of prescribers who have co-prescribed an 
        opioid overdose reversal drug, such as naloxone, to at least 
        one patient;
            (3) the total number of prescriptions written for opioid 
        overdose reversal drugs, such as naloxone;
            (4) the percentage of patients at elevated risk who 
        received a prescription for an opioid overdose reversal drug, 
        such as naloxone;
            (5) the number of patients reporting use of an opioid 
        overdose reversal drug, such as naloxone; and
            (6) any other outcome measures that the Secretary deems 
        appropriate.
    (e) Reports by Secretary.--For each year of the grant program under 
this section, the Secretary of Health and Human Services 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 made under this 
section.

SEC. 903. PROVIDING INFORMATION TO PRESCRIBERS IN CERTAIN FEDERAL 
              HEALTH CARE AND MEDICAL FACILITIES ON BEST PRACTICES FOR 
              PRESCRIBING OPIOID OVERDOSE REVERSAL DRUGS.

    (a) In General.--Not later than 180 days after the date of 
enactment of this Act, the Secretary of Health and Human Services (in 
this section referred to as the ``Secretary'') may, as appropriate, 
provide information to prescribers within federally qualified health 
centers (as defined in paragraph (4) of section 1861(aa) of the Social 
Security Act (42 U.S.C. 1395x(aa))), and the health care facilities of 
the Indian Health Service, on best practices for prescribing opioid 
overdose reversal drugs, such as naloxone, for patients receiving 
chronic opioid therapy, patients being treated for opioid use 
disorders, and other patients that a provider identifies as having an 
elevated risk of overdose from heroin or prescription opioid therapies.
    (b) Not Establishing a Medical Standard of Care.--The information 
on best practices provided under this section shall not be construed as 
constituting or establishing a medical standard of care for prescribing 
opioid overdose reversal drugs, such as naloxone, for patients 
described in subsection (a).
    (c) Elevated Risk of Overdose Defined.--In this section, the term 
``elevated risk of overdose'' has the meaning given such term by the 
Secretary, which--
            (1) may be based on the criteria provided in the Opioid 
        Overdose Toolkit published by the Substance Abuse and Mental 
        Health Services Administration (SAMHSA); and
            (2) may include patients on a first course opioid 
        treatment, patients using extended-release and long-acting 
        opioid analgesics, and patients with a respiratory disease or 
        other co-morbidities.

SEC. 904. AUTHORIZATION OF APPROPRIATIONS.

    There is authorized to be appropriated to carry out this title 
$5,000,000 for the period of fiscal years 2017 through 2021.

SEC. 905. CUT-GO COMPLIANCE.

    Subsection (f) of section 319D of the Public Health Service Act (42 
U.S.C. 247d-4) is amended by inserting before the period at the end the 
following: ``(except such dollar amount shall be reduced by $5,000,000 
for fiscal year 2018)''.

   TITLE X--IMPROVING TREATMENT FOR PREGNANT AND POSTPARTUM WOMEN ACT

SEC. 1001. SHORT TITLE.

    This title may be cited as the ``Improving Treatment for Pregnant 
and Postpartum Women Act of 2016''.

SEC. 1002. REAUTHORIZATION OF RESIDENTIAL TREATMENT PROGRAMS FOR 
              PREGNANT AND POSTPARTUM WOMEN.

    Section 508 of the Public Health Service Act (42 U.S.C. 290bb-1) is 
amended--
            (1) in subsection (p), in the first sentence, by inserting 
        ``(other than subsection (r))'' after ``section''; and
            (2) in subsection (r), by striking ``such sums'' and all 
        that follows through ``2003'' and inserting ``$16,900,000 for 
        each of fiscal years 2017 through 2021''.

SEC. 1003. PILOT PROGRAM GRANTS FOR STATE SUBSTANCE ABUSE AGENCIES.

    (a) In General.--Section 508 of the Public Health Service Act (42 
U.S.C. 290bb-1) is amended--
            (1) by redesignating subsection (r), as amended by section 
        2, as subsection (s); and
            (2) by inserting after subsection (q) the following new 
        subsection:
    ``(r) Pilot Program for State Substance Abuse Agencies.--
            ``(1) In general.--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 to--
                    ``(A) 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;
                    ``(B) 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
                    ``(C) promote a coordinated, effective, and 
                efficient State system managed by State substance abuse 
                agencies by encouraging new approaches and models of 
                service delivery.
            ``(2) Requirements.--In carrying out the pilot program 
        under this subsection, the Director shall--
                    ``(A) require State substance abuse agencies to 
                submit to the Director applications, in such form and 
                manner and containing such information as specified by 
                the Director, to be eligible to receive a grant under 
                the program;
                    ``(B) identify, based on such submitted 
                applications, State substance abuse agencies that are 
                eligible for such grants;
                    ``(C) 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;
                    ``(D) not require that services furnished through 
                such a grant be provided solely to women that reside in 
                facilities;
                    ``(E) not require that grant recipients under the 
                program make available through use of the grant all 
                services described in subsection (d); and
                    ``(F) consider not applying requirements described 
                in paragraphs (1) and (2) of subsection (f) to 
                applicants, depending on the circumstances of the 
                applicant.
            ``(3) Required services.--
                    ``(A) In general.--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--
                            ``(i) shall include requirements described 
                        in subsection (c) and be based on the 
                        recommendations submitted under subparagraph 
                        (B); and
                            ``(ii) may be selected from among the 
                        services described in subsection (d) and 
                        include other services as appropriate.
                    ``(B) Stakeholder input.--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).
            ``(4) Duration.--The pilot program under this subsection 
        shall not exceed 5 years.
            ``(5) Evaluation and report to congress.--The Director of 
        the Center for Behavioral Health Statistics and Quality shall 
        fund an evaluation of the pilot program at the conclusion of 
        the first grant cycle funded by the pilot program. 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 such evaluation. The report shall include at a 
        minimum outcomes information from the pilot program, including 
        any resulting reductions in the use of alcohol and other drugs; 
        engagement in treatment services; retention in the appropriate 
        level and duration of services; 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 other appropriate measures.
            ``(6) State substance abuse agencies defined.--For purposes 
        of this subsection, the term `State substance abuse agency' 
        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.''.
    (b) Funding.--Subsection (s) of section 508 of the Public Health 
Service Act (42 U.S.C. 290bb-1), as amended by section 1002 and 
redesignated by subsection (a), is further amended by adding at the end 
the following new sentence: ``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.''.

SEC. 1004. CUT-GO COMPLIANCE.

    Subsection (f) of section 319D of the Public Health Service Act (42 
U.S.C. 247d-4) is amended by striking ``through 2018'' and inserting 
``through 2016, $133,300,000 for fiscal year 2017, and $138,300,000 for 
fiscal year 2018''.

       TITLE XI--VETERAN EMERGENCY MEDICAL TECHNICIAN SUPPORT ACT

SEC. 1101. SHORT TITLE.

    This title may be cited as the ``Veteran Emergency Medical 
Technician Support Act of 2016''.

SEC. 1102. ASSISTING VETERANS WITH MILITARY EMERGENCY MEDICAL TRAINING 
              TO MEET REQUIREMENTS FOR BECOMING CIVILIAN EMERGENCY 
              MEDICAL TECHNICIANS.

    Part B of title III of the Public Health Service Act (42 U.S.C. 243 
et seq.) is amended by inserting after section 314 the following:

``SEC. 315. ASSISTING VETERANS WITH MILITARY EMERGENCY MEDICAL TRAINING 
              TO MEET REQUIREMENTS FOR BECOMING CIVILIAN EMERGENCY 
              MEDICAL TECHNICIANS.

    ``(a) Program.--The Secretary shall establish a program consisting 
of awarding demonstration grants to States to streamline State 
requirements and procedures in order to assist veterans who completed 
military emergency medical technician training while serving in the 
Armed Forces of the United States to meet certification, licensure, and 
other requirements applicable to becoming an emergency medical 
technician in the State.
    ``(b) Use of Funds.--Amounts received as a demonstration grant 
under this section shall be used to prepare and implement a plan to 
streamline State requirements and procedures as described in subsection 
(a), including by--
            ``(1) determining the extent to which the requirements for 
        the education, training, and skill level of emergency medical 
        technicians in the State are equivalent to requirements for the 
        education, training, and skill level of military emergency 
        medical technicians; and
            ``(2) identifying methods, such as waivers, for military 
        emergency medical technicians to forgo or meet any such 
        equivalent State requirements.
    ``(c) Eligibility.--To be eligible for a grant under this section, 
a State shall demonstrate that the State has a shortage of emergency 
medical technicians.
    ``(d) Report.--The Secretary shall submit to the Congress an annual 
report on the program under this section.
    ``(e) Funding.--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.''.

                   TITLE XII--JOHN THOMAS DECKER ACT

SEC. 1201. SHORT TITLE.

    This title may be cited as the ``John Thomas Decker Act of 2016''.

SEC. 1202. INFORMATION MATERIALS AND RESOURCES TO PREVENT ADDICTION 
              RELATED TO YOUTH SPORTS INJURIES.

    (a) Technical Clarification.--Effective as if included in the 
enactment of the Children's Health Act of 2000 (Public Law 106-310), 
section 3405(a) of such Act (114 Stat. 1221) is amended by striking 
``Part E of title III'' and inserting ``Part E of title III of the 
Public Health Service Act''.
    (b) Amendment.--Title III of the Public Health Service Act is 
amended by inserting after part D of such title (42 U.S.C. 254b et 
seq.) the following new part E:

                     ``PART E--OPIOID USE DISORDER

``SEC. 341. INFORMATION MATERIALS AND RESOURCES TO PREVENT ADDICTION 
              RELATED TO YOUTH SPORTS INJURIES.

    ``(a) Report.--The Secretary shall--
            ``(1) not later than 24 months after the date of the 
        enactment of this section, make publicly available a report 
        determining the extent to which informational materials and 
        resources described in subsection (b) 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; and
            ``(2) for purposes of educating and preventing addiction in 
        teenagers and adolescents who are injured playing youth sports 
        and are subsequently prescribed an opioid, not later than 12 
        months after such report is made publicly available and taking 
        into consideration the findings of such report, develop and, in 
        coordination with youth sports groups, disseminate 
        informational materials and resources described in subsection 
        (b) for teenagers and adolescents who play youth sports, 
        families of such teenagers and adolescents, nurses, youth 
        sports groups, and relevant health care provider groups.
    ``(b) Materials and Resources Described.--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 and 
subsequently potentially lead to addiction, including materials and 
resources focused on the dangers of opioid use and misuse, treatment 
options for such injuries that do not involve the use of opioids, and 
how to seek treatment for addiction.
    ``(c) No Additional Funds.--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.''.

                         TITLE XIII--LALI'S LAW

SEC. 1301. SHORT TITLE.

    This title may be cited as ``Lali's Law''.

SEC. 1302. OPIOID OVERDOSE REVERSAL MEDICATION ACCESS AND EDUCATION 
              GRANT PROGRAMS.

    (a) Technical Clarification.--Effective as if included in the 
enactment of the Children's Health Act of 2000 (Public Law 106-310), 
section 3405(a) of such Act (114 Stat. 1221) is amended by striking 
``Part E of title III'' and inserting ``Part E of title III of the 
Public Health Service Act''.
    (b) Amendment.--Title III of the Public Health Service Act is 
amended by inserting after part D of such title (42 U.S.C. 254b et 
seq.) the following new part E:

                     ``PART E--OPIOID USE DISORDER

``SEC. 341. OPIOID OVERDOSE REVERSAL MEDICATION ACCESS AND EDUCATION 
              GRANT PROGRAMS.

    ``(a) Grants to States.--The Secretary may make grants to States 
for--
            ``(1) developing standing orders for pharmacies regarding 
        opioid overdose reversal medication;
            ``(2) encouraging pharmacies to dispense opioid overdose 
        reversal medication pursuant to a standing order;
            ``(3) implementing best practices for persons authorized to 
        prescribe medication regarding--
                    ``(A) prescribing opioids for the treatment of 
                chronic pain;
                    ``(B) co-prescribing opioid overdose reversal 
                medication with opioids; and
                    ``(C) discussing the purpose and administration of 
                opioid overdose reversal medication with patients;
            ``(4) developing or adapting training materials and methods 
        for persons authorized to prescribe or dispense medication to 
        use in educating the public regarding--
                    ``(A) when and how to administer opioid overdose 
                reversal medication; and
                    ``(B) steps to be taken after administering opioid 
                overdose reversal medication; and
            ``(5) educating the public regarding--
                    ``(A) the public health benefits of opioid overdose 
                reversal medication; and
                    ``(B) the availability of opioid overdose reversal 
                medication without a person-specific prescription.
    ``(b) Certain Requirement.--A grant may be made under this section 
only if the State involved has authorized standing orders regarding 
opioid overdose reversal medication.
    ``(c) Preference in Making Grants.--In making grants under this 
section, the Secretary shall give preference to States that--
            ``(1) have not issued standing orders regarding opioid 
        overdose reversal medication;
            ``(2) authorize standing orders that permit community-based 
        organizations, substance abuse programs, or other nonprofit 
        entities to acquire, dispense, or administer opioid overdose 
        reversal medication;
            ``(3) authorize standing orders that permit police, fire, 
        or emergency medical services agencies to acquire and 
        administer opioid overdose reversal medication;
            ``(4) have a higher per capita rate of opioid overdoses 
        than other applicant States; or
            ``(5) meet any other criteria deemed appropriate by the 
        Secretary.
    ``(d) Grant Terms.--
            ``(1) Number.--A State may not receive more than one grant 
        under this section.
            ``(2) Period.--A grant under this section shall be for a 
        period of 3 years.
            ``(3) Amount.--A grant under this section may not exceed 
        $500,000.
            ``(4) Limitation.--A State may use not more than 20 percent 
        of a grant under this section for educating the public pursuant 
        to subsection (a)(5).
    ``(e) Applications.--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 
require, including detailed proposed expenditures of grant funds.
    ``(f) Reporting.--Not later than 3 months after the Secretary 
disburses the first grant payment to any State under this section and 
every 6 months thereafter for 3 years, such State shall submit a report 
to the Secretary that includes the following:
            ``(1) The name and ZIP Code of each pharmacy in the State 
        that dispenses opioid overdose reversal medication under a 
        standing order.
            ``(2) The total number of opioid overdose reversal 
        medication doses dispensed by each such pharmacy, specifying 
        how many were dispensed with or without a person-specific 
        prescription.
            ``(3) The number of pharmacists in the State who have 
        participated in training pursuant to subsection (a)(4).
    ``(g) Definitions.--In this section:
            ``(1) Opioid overdose reversal medication.--The term 
        `opioid overdose reversal medication' means any drug, including 
        naloxone, that--
                    ``(A) blocks opioids from attaching to, but does 
                not itself activate, opioid receptors; or
                    ``(B) inhibits the effects of opioids on opioid 
                receptors.
            ``(2) Standing order.--The term `standing order' 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.
    ``(h) Authorization of Appropriations.--
            ``(1) In general.--To carry out this section, there is 
        authorized to be appropriated $5,000,000 for the period of 
        fiscal years 2017 through 2019.
            ``(2) Administrative costs.--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.''.

SEC. 1303. CUT-GO COMPLIANCE.

    Subsection (f) of section 319D of the Public Health Service Act (42 
U.S.C. 247d-4) is amended by inserting before the period at the end the 
following: ``(except such dollar amount shall be reduced by $5,000,000 
for fiscal year 2017)''.

               TITLE XIV--REDUCING UNUSED MEDICATIONS ACT

SEC. 1401. SHORT TITLE.

    This title may be cited as the ``Reducing Unused Medications Act of 
2016''.

SEC. 1402. PARTIAL FILLS OF SCHEDULE II CONTROLLED SUBSTANCES.

    (a) In General.--Section 309 of the Controlled Substances Act (21 
U.S.C. 829) is amended by adding at the end the following:
    ``(f) Partial Fills of Schedule II Controlled Substances.--
            ``(1) Partial fills.--
                    ``(A) In general.--A prescription for a controlled 
                substance in schedule II may be partially filled if--
                            ``(i) it is not prohibited by State law;
                            ``(ii) the prescription is written and 
                        filled in accordance with the Controlled 
                        Substances Act (21 U.S.C. 801 et seq.), 
                        regulations prescribed by the Attorney General, 
                        and State law;
                            ``(iii) the partial fill is requested by 
                        the patient or the practitioner that wrote the 
                        prescription; and
                            ``(iv) the total quantity dispensed in all 
                        partial fillings does not exceed the total 
                        quantity prescribed.
                    ``(B) Other circumstances.--A prescription for a 
                controlled substance in schedule II may be partially 
                filled in accordance with section 1306.13 of title 21, 
                Code of Federal Regulations (as in effect on the date 
                of enactment of the Reducing Unused Medications Act).
            ``(2) Remaining portions.--
                    ``(A) In general.--Except as provided in 
                subparagraph (B), remaining portions of a partially 
                filled prescription for a controlled substance in 
                schedule II--
                            ``(i) may be filled; and
                            ``(ii) shall be filled not later than 30 
                        days after the date on which the prescription 
                        is written.
                    ``(B) Emergency situations.--In emergency 
                situations, as described in subsection (a), the 
                remaining portions of a partially filled prescription 
                for a controlled substance in schedule II--
                            ``(i) may be filled; and
                            ``(ii) shall be filled not later than 72 
                        hours after the prescription is issued.''.
    (b) Rule of Construction.--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 (21 U.S.C. 812(c)) to 
be partially filled.

               TITLE XV--OPIOID REVIEW MODERNIZATION ACT

SEC. 1501. SHORT TITLE.

    This title may be cited as the ``Opioid Review Modernization Act of 
2016''.

SEC. 1502. FDA OPIOID ACTION PLAN.

    Chapter V of the Federal Food, Drug, and Cosmetic Act is amended by 
inserting after section 569 of such Act (21 U.S.C. 350bbb-8) the 
following:

``SEC. 569-1. OPIOID ACTION PLAN.

    ``(a) New Drug Application.--
            ``(1) In general.--Subject to paragraph (2), prior to the 
        approval pursuant to an application under section 505(b) of a 
        new drug that is an opioid and does not have abuse-deterrent 
        properties, the Secretary shall refer the application to an 
        advisory committee of the Food and Drug Administration to seek 
        recommendations from such advisory committee.
            ``(2) Public health exemption.--A referral to an advisory 
        committee under paragraph (1) is not required with respect to a 
        new drug if the Secretary--
                    ``(A) finds that such a referral is not in the 
                interest of protecting and promoting public health;
                    ``(B) finds that such a referral is not necessary 
                based on a review of the relevant scientific 
                information; and
                    ``(C) 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.
    ``(b) Pediatric Opioid Labeling.--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.
    ``(c) Sunset.--The requirements of subsections (a) and (b) shall 
cease to be effective on October 1, 2022.''.

SEC. 1503. PRESCRIBER EDUCATION.

    Not later than 1 year after the date of the enactment of this Act, 
the Secretary of Health and Human Services, 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 (21 U.S.C. 355-1), 
including recommendations on--
            (1) which prescribers should participate in such programs; 
        and
            (2) how often participation in such programs is necessary.

SEC. 1504. GUIDANCE ON EVALUATING THE ABUSE DETERRENCE OF GENERIC SOLID 
              ORAL OPIOID DRUG PRODUCTS.

    Not later than 2 years after the end of the period for public 
comment on the draft guidance entitled ``General Principals 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.

        TITLE XVI--EXAMINING OPIOID TREATMENT INFRASTRUCTURE ACT

SEC. 1601. SHORT TITLE.

    This title may be cited as the ``Examining Opioid Treatment 
Infrastructure Act of 2016''.

SEC. 1602. STUDY ON TREATMENT INFRASTRUCTURE.

    Not later than 24 months after the date of enactment of this Act, 
the Comptroller General of the United States shall initiate an 
evaluation, and submit to Congress a report, of the inpatient and 
outpatient treatment capacity, availability, and needs of the United 
States, which shall include, to the extent data are available--
            (1) the capacity of acute residential or inpatient 
        detoxification programs;
            (2) the capacity of inpatient clinical stabilization 
        programs, transitional residential support services, and 
        residential rehabilitation programs;
            (3) the capacity of demographic specific residential or 
        inpatient treatment programs, such as those designed for 
        pregnant women or adolescents;
            (4) geographical differences of the availability of 
        residential and outpatient treatment and recovery options for 
        substance use disorders across the continuum of care;
            (5) the availability of residential and outpatient 
        treatment programs that offer treatment options based on 
        reliable scientific evidence of efficacy for the treatment of 
        substance use disorders, including the use of Food and Drug 
        Administration-approved medicines and evidence-based 
        nonpharmacological therapies;
            (6) the number of patients in residential and specialty 
        outpatient treatment services for substance use disorders;
            (7) an assessment of the need for residential and 
        outpatient treatment for substance use disorders across the 
        continuum of care;
            (8) the availability of residential and outpatient 
        treatment programs to American Indians and Alaska Natives 
        through an Indian health program (as defined by section 4 of 
        the Indian Health Care Improvement Act (25 U.S.C. 1603)); and
            (9) the barriers (including technological barriers) at the 
        Federal, State, and local levels to real-time reporting of de-
        identified information on drug overdoses and ways to overcome 
        such barriers.

 TITLE XVII--OPIOID USE DISORDER TREATMENT EXPANSION AND MODERNIZATION 
                                  ACT

SEC. 1701. SHORT TITLE.

    This title may be cited as the ``Opioid Use Disorder Treatment 
Expansion and Modernization Act''.

SEC. 1702. FINDING.

    The Congress finds that opioid use disorder has become a public 
health epidemic that must be addressed by increasing awareness and 
access to all treatment options for opioid use disorder, overdose 
reversal, and relapse prevention.

SEC. 1703. OPIOID USE DISORDER TREATMENT MODERNIZATION.

    (a) In General.--Section 303(g)(2) of the Controlled Substances Act 
(21 U.S.C. 823(g)(2)) is amended--
            (1) in subparagraph (B), by striking clauses (i), (ii), and 
        (iii) and inserting the following:
            ``(i) The practitioner is a qualifying practitioner (as 
        defined in subparagraph (G)).
            ``(ii) 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--
                    ``(I) all schedule III, IV, and V drugs, as well as 
                unscheduled medications approved by the Food and Drug 
                Administration, for the treatment of opioid use 
                disorder, including such drugs and medications for 
                maintenance, detoxification, overdose reversal, and 
                relapse prevention, as available; and
                    ``(II) appropriate counseling and other appropriate 
                ancillary services.
            ``(iii)(I) 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.
            ``(II) 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.
            ``(III) The Secretary may by regulation change such total 
        number.
            ``(IV) 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.
            ``(iv) If the Secretary by regulation increases the total 
        number of patients which a qualifying practitioner is permitted 
        to treat pursuant to clause (iii)(II), the Secretary shall 
        require such a practitioner to obtain a written agreement from 
        each patient, including the patient's signature, that the 
        patient--
                    ``(I) will receive an initial assessment and 
                treatment plan and periodic assessments and treatment 
                plans thereafter;
                    ``(II) will be subject to medication adherence and 
                substance use monitoring;
                    ``(III) understands available treatment options, 
                including all drugs approved by the Food and Drug 
                Administration for the treatment of opioid use 
                disorder, including their potential risks and benefits; 
                and
                    ``(IV) understands that receiving regular 
                counseling services is critical to recovery.
            ``(v) The practitioner will comply with the reporting 
        requirements of subparagraph (D)(i)(IV).'';
            (2) in subparagraph (D)--
                    (A) in clause (i), by adding at the end the 
                following:
            ``(IV) The practitioner reports to the Secretary, at such 
        times and in such manner as specified by the Secretary, such 
        information and assurances as the Secretary determines 
        necessary to assess whether the practitioner continues to meet 
        the requirements for a waiver under this paragraph.'';
                    (B) in clause (ii), by striking ``Upon receiving a 
                notification under subparagraph (B)'' and inserting 
                ``Upon receiving a determination from the Secretary 
                under clause (iii) finding that a practitioner meets 
                all requirements for a waiver under subparagraph (B)''; 
                and
                    (C) in clause (iii)--
                            (i) by inserting ``and shall forward such 
                        determination to the Attorney General'' before 
                        the period at the end of the first sentence; 
                        and
                            (ii) by striking ``physician'' and 
                        inserting ``practitioner'';
            (3) in subparagraph (G)--
                    (A) by amending clause (ii)(IV) to read as follows:
                    ``(IV) 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 address--
                            ``(aa) opioid maintenance and 
                        detoxification;
                            ``(bb) appropriate clinical use of all 
                        drugs approved by the Food and Drug 
                        Administration for the treatment of opioid use 
                        disorder;
                            ``(cc) initial and periodic patient 
                        assessments (including substance use 
                        monitoring);
                            ``(dd) individualized treatment planning; 
                        overdose reversal; relapse prevention;
                            ``(ee) counseling and recovery support 
                        services;
                            ``(ff) staffing roles and considerations;
                            ``(gg) diversion control; and
                            ``(hh) other best practices, as identified 
                        by the Secretary.''; and
                    (B) by adding at the end the following:
            ``(iii) The term `qualifying practitioner' means--
                    ``(I) a qualifying physician, as defined in clause 
                (ii); or
                    ``(II) during the period beginning on the date of 
                the enactment of the Opioid Use Disorder Treatment 
                Expansion and Modernization Act and ending on the date 
                that is 3 years after such date of enactment, a 
                qualifying other practitioner, as defined in clause 
                (iv).
            ``(iv) The term `qualifying other practitioner' means a 
        nurse practitioner or physician assistant who satisfies each of 
        the following:
                    ``(I) The nurse practitioner or physician assistant 
                is licensed under State law to prescribe schedule III, 
                IV, or V medications for the treatment of pain.
                    ``(II) The nurse practitioner or physician 
                assistant satisfies one or more of the following:
                            ``(aa) Has 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.
                            ``(bb) Has such other training or 
                        experience as the Secretary determines will 
                        demonstrate the ability of the nurse 
                        practitioner or physician assistant to treat 
                        and manage opiate-dependent patients.
                    ``(III) 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.
        The Secretary may review and update the requirements for being 
        a qualifying other practitioner under this clause.''; and
            (4) in subparagraph (H)--
                    (A) in clause (i), by inserting after subclause 
                (II) the following:
            ``(III) Such other elements of the requirements under this 
        paragraph as the Secretary determines necessary for purposes of 
        implementing such requirements.''; and
                    (B) by amending clause (ii) to read as follows:
    ``(ii) Not later than 1 year 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. The Secretary shall update such protocol in 
consultation with experts in opioid use disorder research and 
treatment.''.
    (b) Recommendation of Revocation or Suspension of Registration in 
Case of Substantial Noncompliance.--The Secretary of Health and Human 
Services may recommend to the Attorney General that the registration of 
a practitioner be revoked or suspended if the Secretary determines, 
according to such criteria as the Secretary establishes by regulation, 
that a practitioner who is registered under section 303(g)(2) of the 
Controlled Substances Act (21 U.S.C. 823(g)(2)) is not in substantial 
compliance with the requirements of such section, as amended by this 
Act.
    (c) Opioid Defined.--Section 102(18) of the Controlled Substances 
Act (21 U.S.C. 802(18)) is amended by inserting ``or `opioid''' after 
``The term `opiate'''.
    (d) Reports to Congress.--
            (1) In general.--Not later than 2 years after the date of 
        enactment of this Act and not less than over every 5 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--
                    (A) 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
                    (B) submit a report to the Congress on the findings 
                and conclusions of such review.
            (2) Contents.--Each report under paragraph (1) shall 
        include an assessment of--
                    (A) compliance with the requirements of section 
                303(g)(2) of the Controlled Substances Act (21 U.S.C. 
                823(g)(2)), as amended by this Act;
                    (B) the measures taken by the Secretary of Health 
                and Human Services to ensure such compliance;
                    (C) whether there is further need to increase or 
                decrease the number of patients a waivered practitioner 
                is permitted to treat, as provided for by the amendment 
                made by subsection (a)(1);
                    (D) the extent to which, and proportions with 
                which, the full range of Food and Drug Administration-
                approved treatments for opioid use disorder are used in 
                routine health care settings and specialty substance 
                use disorder treatment settings;
                    (E) access to, and use of, counseling and recovery 
                support services, including the percentage of patients 
                receiving such services;
                    (F) changes in State or local policies and 
                legislation relating to opioid use disorder treatment;
                    (G) the use of prescription drug monitoring 
                programs by practitioners who are permitted to dispense 
                narcotic drugs to individuals pursuant to a waiver 
                under section 303(g)(2) of the Controlled Substances 
                Act (21 U.S.C. 823(g)(2));
                    (H) the findings resulting from inspections by the 
                Drug Enforcement Administration of practitioners 
                described in subparagraph (G); and
                    (I) 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.

SEC. 1704. SENSE OF CONGRESS.

    It is the Sense of Congress that, with respect to the total number 
of patients that a qualifying physician (as defined in subparagraph 
(G)(iii) of section 303(g)(2) of the Controlled Substances Act (21 
U.S.C. 823(g)(2)) can treat at any one time pursuant to such section, 
the Secretary of Health and Human Services should consider raising such 
total number to 250 patients following a third notification to the 
Secretary of the need and intent of the physician to treat up to 250 
patients that is submitted to the Secretary not sooner than 1 year 
after the date on which the physician submitted to the Secretary a 
second notification to treat up to 100 patients.

SEC. 1705. PARTIAL FILLS OF SCHEDULE II CONTROLLED SUBSTANCES.

    (a) In General.--Section 309 of the Controlled Substances Act (21 
U.S.C. 829) is amended by adding at the end the following:
    ``(f) Partial Fills of Schedule II Controlled Substances.--
            ``(1) Partial fills.--
                    ``(A) In general.--A prescription for a controlled 
                substance in schedule II may be partially filled if--
                            ``(i) it is not prohibited by State law;
                            ``(ii) the prescription is written and 
                        filled in accordance with the Controlled 
                        Substances Act (21 U.S.C. 801 et seq.), 
                        regulations prescribed by the Attorney General, 
                        and State law;
                            ``(iii) the partial fill is requested by 
                        the patient or the practitioner that wrote the 
                        prescription; and
                            ``(iv) the total quantity dispensed in all 
                        partial fillings does not exceed the total 
                        quantity prescribed.
                    ``(B) Other circumstances.--A prescription for a 
                controlled substance in schedule II may be partially 
                filled in accordance with section 1306.13 of title 21, 
                Code of Federal Regulations (as in effect on the date 
                of enactment of the Reducing Unused Medications Act of 
                2016).
            ``(2) Remaining portions.--
                    ``(A) In general.--Except as provided in 
                subparagraph (B), remaining portions of a partially 
                filled prescription for a controlled substance in 
                schedule II--
                            ``(i) may be filled; and
                            ``(ii) shall be filled not later than 30 
                        days after the date on which the prescription 
                        is written.
                    ``(B) Emergency situations.--In emergency 
                situations, as described in subsection (a), the 
                remaining portions of a partially filled prescription 
                for a controlled substance in schedule II--
                            ``(i) may be filled; and
                            ``(ii) shall be filled not later than 72 
                        hours after the prescription is issued.''.
    (b) Rule of Construction.--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 (21 U.S.C. 812(c)) to 
be partially filled.

 TITLE XVIII--NATIONAL ALL SCHEDULES PRESCRIPTION ELECTRONIC REPORTING 
                          REAUTHORIZATION ACT

SEC. 1801. SHORT TITLE.

    This title may be cited as the ``National All Schedules 
Prescription Electronic Reporting Reauthorization Act of 2015''.

SEC. 1802. AMENDMENT TO PURPOSE.

    Paragraph (1) of section 2 of the National All Schedules 
Prescription Electronic Reporting Act of 2005 (Public Law 109-60) is 
amended to read as follows:
            ``(1) foster the establishment of State-administered 
        controlled substance monitoring systems in order to ensure 
        that--
                    ``(A) 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
                    ``(B) appropriate law enforcement, regulatory, and 
                State professional licensing authorities have access to 
                prescription history information for the purposes of 
                investigating drug diversion and prescribing and 
                dispensing practices of errant prescribers or 
                pharmacists; and''.

SEC. 1803. AMENDMENTS TO CONTROLLED SUBSTANCE MONITORING PROGRAM.

    Section 399O of the Public Health Service Act (42 U.S.C. 280g-3) is 
amended--
            (1) in subsection (a)--
                    (A) in paragraph (1)--
                            (i) in subparagraph (A), by striking 
                        ``or'';
                            (ii) in subparagraph (B), by striking the 
                        period at the end and inserting ``; or''; and
                            (iii) by adding at the end the following:
                    ``(C) to maintain and operate an existing State-
                controlled substance monitoring program.''; and
                    (B) in paragraph (3), by inserting ``by the 
                Secretary'' after ``Grants awarded'';
            (2) by amending subsection (b) to read as follows:
    ``(b) Minimum Requirements.--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).'';
            (3) in subsection (c)--
                    (A) in paragraph (1)(B)--
                            (i) in the matter preceding clause (i), by 
                        striking ``(a)(1)(B)'' and inserting 
                        ``(a)(1)(B) or (a)(1)(C)'';
                            (ii) in clause (i), by striking ``program 
                        to be improved'' and inserting ``program to be 
                        improved or maintained'';
                            (iii) by redesignating clauses (iii) and 
                        (iv) as clauses (iv) and (v), respectively;
                            (iv) by inserting after clause (ii) the 
                        following:
                            ``(iii) a plan to apply the latest advances 
                        in health information technology 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;'';
                            (v) in clause (iv), as redesignated, by 
                        inserting before the semicolon at the end ``and 
                        at least one health information technology 
                        system such as an electronic health records 
                        system, a health information exchange, or an e-
                        prescribing system''; and
                            (vi) in clause (v), as redesignated, by 
                        striking ``public health'' and inserting 
                        ``public health or public safety'';
                    (B) in paragraph (3)--
                            (i) by striking ``If a State that submits'' 
                        and inserting the following:
                    ``(A) In general.--If a State that submits'';
                            (ii) by striking the period at the end and 
                        inserting ``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 implementation 
                        of such interoperability.''; and
                            (iii) by adding at the end the following:
                    ``(B) Monitoring of efforts.--The Secretary shall 
                monitor State efforts to achieve interoperability, as 
                described in subparagraph (A).''; and
                    (C) in paragraph (5)--
                            (i) by striking ``implement or improve'' 
                        and inserting ``establish, improve, or 
                        maintain''; and
                            (ii) by adding at the end the following: 
                        ``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).'';
            (4) in subsection (d)--
                    (A) in the matter preceding paragraph (1)--
                            (i) by striking ``In implementing or 
                        improving'' and all that follows through 
                        ``(a)(1)(B)'' and inserting ``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)''; 
                        and
                            (ii) by striking ``public health'' and 
                        inserting ``public health or public safety''; 
                        and
                    (B) by adding at the end the following:
            ``(5) The State shall report to the Secretary on--
                    ``(A) as appropriate, interoperability with the 
                controlled substance monitoring programs of Federal 
                departments and agencies;
                    ``(B) as appropriate, interoperability with health 
                information technology systems such as electronic 
                health records systems, health information exchanges, 
                and e-prescribing systems; and
                    ``(C) whether or not the State provides automatic, 
                real-time or daily information about a patient when a 
                practitioner (or the designee of a practitioner, where 
                permitted) requests information about such patient.'';
            (5) in subsections (e), (f)(1), and (g), by striking 
        ``implementing or improving'' each place it appears and 
        inserting ``establishing, improving, or maintaining'';
            (6) in subsection (f)--
                    (A) in paragraph (1)--
                            (i) in subparagraph (B), by striking 
                        ``misuse of a schedule II, III, or IV 
                        substance'' and inserting ``misuse of a 
                        controlled substance included in schedule II, 
                        III, or IV of section 202(c) of the Controlled 
                        Substance Act''; and
                            (ii) in subparagraph (D), by inserting ``a 
                        State substance abuse agency,'' after ``a State 
                        health department,''; and
                    (B) by adding at the end the following:
            ``(3) Evaluation and reporting.--Subject to subsection (g), 
        a State receiving a grant under subsection (a) shall provide 
        the Secretary with aggregate data and other information 
        determined by the Secretary to be necessary to enable the 
        Secretary--
                    ``(A) to evaluate the success of the State's 
                program in achieving its purposes; or
                    ``(B) to prepare and submit the report to Congress 
                required by subsection (l)(2).
            ``(4) Research by other entities.--A department, program, 
        or administration receiving nonidentifiable information under 
        paragraph (1)(D) may make such information available to other 
        entities for research purposes.'';
            (7) by redesignating subsections (h) through (n) as 
        subsections (j) through (p), respectively;
            (8) in subsections (c)(1)(A)(iv) and (d)(4), by striking 
        ``subsection (h)'' each place it appears and inserting 
        ``subsection (j)'';
            (9) by inserting after subsection (g) the following:
    ``(h) Education and Access to the Monitoring System.--A State 
receiving a grant under subsection (a) shall take steps to--
            ``(1) facilitate prescriber and dispenser use of the 
        State's controlled substance monitoring system;
            ``(2) educate prescribers and dispensers on the benefits of 
        the system both to them and society; and
            ``(3) facilitate linkage to the State substance abuse 
        agency and substance abuse disorder services.
    ``(i) Consultation With Attorney General.--In carrying out this 
section, the Secretary shall consult with the Attorney General of the 
United States and other relevant Federal officials to--
            ``(1) ensure maximum coordination of controlled substance 
        monitoring programs and related activities; and
            ``(2) minimize duplicative efforts and funding.'';
            (10) in subsection (l)(2)(A), as redesignated by paragraph 
        (7)--
                    (A) in clause (ii), by inserting ``; established or 
                strengthened initiatives to ensure linkages to 
                substance use disorder services;'' before ``or affected 
                patient access''; and
                    (B) in clause (iii), by inserting ``and between 
                controlled substance monitoring programs and health 
                information technology systems'' before ``, including 
                an assessment'';
            (11) by striking subsection (m) (relating to preference), 
        as redesignated by paragraph (7);
            (12) by redesignating subsections (n) through (p), as 
        redesignated by paragraph (7), as subsections (m) through (o), 
        respectively;
            (13) in subsection (m)(1), as redesignated by paragraph 
        (12), by striking ``establishment, implementation, or 
        improvement'' and inserting ``establishment, improvement, or 
        maintenance'';
            (14) in subsection (n), as redesignated by paragraph (12)--
                    (A) in paragraph (5)--
                            (i) by striking ``means the ability'' and 
                        inserting the following: ``means--
                    ``(A) the ability'';
                            (ii) by striking the period at the end and 
                        inserting ``; or''; and
                            (iii) by adding at the end the following:
                    ``(B) sharing of State controlled substance 
                monitoring program information with a health 
                information technology system such as an electronic 
                health records system, a health information exchange, 
                or an e-prescribing system.'';
                    (B) in paragraph (7), by striking ``pharmacy'' and 
                inserting ``pharmacist''; and
                    (C) in paragraph (8), by striking ``and the 
                District of Columbia'' and inserting ``, the District 
                of Columbia, and any commonwealth or territory of the 
                United States''; and
            (15) by amending subsection (o), as redesignated by 
        paragraph (12), to read as follows:
    ``(o) Authorization of Appropriations.--To carry out this section, 
there is authorized to be appropriated $10,000,000 for each of fiscal 
years from 2016 through 2020.''.

            Amend the title so as to read: ``An Act to authorize the 
        Attorney General and Secretary of Health and Human Services to 
        award grants to address the national epidemics of prescription 
        opioid abuse and heroin use, and 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.''.

            Attest:

                                                                 Clerk.
114th CONGRESS

  2d Session

                                 S. 524

_______________________________________________________________________

                               AMENDMENTS