[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[S. 3393 Introduced in Senate (IS)]
<DOC>
118th CONGRESS
1st Session
S. 3393
To reauthorize the SUPPORT for Patients and Communities Act, and for
other purposes.
_______________________________________________________________________
IN THE SENATE OF THE UNITED STATES
December 4, 2023
Mr. Sanders (for himself and Mr. Cassidy) introduced the following
bill; which was read twice and referred to the Committee on Health,
Education, Labor, and Pensions
_______________________________________________________________________
A BILL
To reauthorize the SUPPORT for Patients and Communities Act, and for
other purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE; TABLE OF CONTENTS.
(a) Short Title.--This Act may be cited as the ``SUPPORT for
Patients and Communities Reauthorization Act''.
(b) Table of Contents.--The table of contents for this Act is as
follows:
Sec. 1. Short title; table of contents.
TITLE I--PREVENTION
Sec. 101. First responder training program.
Sec. 102. Surveillance and education regarding infections associated
with illicit drug use and other risk
factors.
Sec. 103. Preventing overdoses of controlled substances.
Sec. 104. Pilot program for public health laboratories to detect
fentanyl and other synthetic opioids.
Sec. 105. Prenatal and postnatal health.
Sec. 106. Donald J. Cohen National Child Traumatic Stress Initiative.
Sec. 107. Surveillance and data collection for child, youth, and adult
trauma.
Sec. 108. Preventing adverse childhood experiences.
Sec. 109. Clarification of use of funds for products used to prevent
overdose deaths.
Sec. 110. Support for individuals and families impacted by fetal
alcohol spectrum disorder.
Sec. 111. Promoting State choice in PDMP systems.
TITLE II--TREATMENT
Sec. 201. Residential treatment program for pregnant and postpartum
women.
Sec. 202. Loan repayment program for substance use disorder treatment
workforce.
Sec. 203. Regional centers of excellence in substance use disorder
education.
Sec. 204. Mental and behavioral health education and training program.
Sec. 205. Grants to enhance access to substance use disorder treatment.
Sec. 206. Grants to improve trauma support services and mental health
care for children and youth in educational
settings.
Sec. 207. Development and dissemination of model training programs for
substance use disorder patient records.
Sec. 208. Task force on best practices for trauma-informed
identification, referral, and support.
Sec. 209. Program to support coordination and continuation of care for
drug overdose patients.
Sec. 210. Regulations relating to special registration for
telemedicine.
Sec. 211. Mental health parity.
Sec. 212. State guidance related to individuals with serious mental
illness and children with serious emotional
disturbance.
Sec. 213. Improving access to addiction medicine providers.
TITLE III--RECOVERY
Sec. 301. Youth prevention and recovery.
Sec. 302. Comprehensive opioid recovery centers.
Sec. 303. Building communities of recovery.
Sec. 304. Peer support technical assistance center.
Sec. 305. CAREER Act.
Sec. 306. Office of recovery.
TITLE IV--TECHNICAL AMENDMENTS
Sec. 401. Delivery of a controlled substance by a pharmacy to an
administering practitioner.
Sec. 402. Technical correction on controlled substances dispensing.
Sec. 403. Required training for prescribers of controlled substances.
TITLE I--PREVENTION
SEC. 101. FIRST RESPONDER TRAINING PROGRAM.
Section 546 of the Public Health Service Act (42 U.S.C. 290ee-1) is
amended--
(1) in subsection (a), by striking ``tribes and tribal''
and inserting ``Tribes and Tribal'';
(2) in subsections (a), (c), and (d)--
(A) by striking ``approved or cleared'' each place
it appears and inserting ``approved, cleared, or
otherwise legally marketed''; and
(B) by striking ``opioid'' each place it appears;
(3) in subsection (f)--
(A) by striking ``approved or cleared'' each place
it appears and inserting ``approved, cleared, or
otherwise legally marketed'';
(B) in paragraph (1), by striking ``opioid'';
(C) in paragraph (2)--
(i) by striking ``opioid and heroin'' and
inserting ``opioid, heroin, and other drug'';
and
(ii) by striking ``opioid overdose'' and
inserting ``overdose''; and
(D) in paragraph (3), by striking ``opioid and
heroin''; and
(4) in subsection (h), by striking ``$36,000,000 for each
of fiscal years 2019 through 2023'' and inserting ``$56,000,000
for each of fiscal years 2024 through 2028''.
SEC. 102. SURVEILLANCE AND EDUCATION REGARDING INFECTIONS ASSOCIATED
WITH ILLICIT DRUG USE AND OTHER RISK FACTORS.
Section 317N(d) of the Public Health Service Act (42 U.S.C. 247b-
15(d)) is amended by striking ``2019 through 2023'' and inserting
``2024 through 2028''.
SEC. 103. PREVENTING OVERDOSES OF CONTROLLED SUBSTANCES.
Section 392A of the Public Health Service Act (42 U.S.C. 280b-1) is
amended--
(1) in subsection (a)--
(A) in paragraph (2)--
(i) in subparagraph (C), by inserting ``and
associated risks'' before the period at the
end; and
(ii) in subparagraph (D), by striking
``opioids'' and inserting ``substances causing
overdose'';
(B) in paragraph (3)(A)--
(i) by inserting ``identify substances
causing overdose and'' after ``rapidly''; and
(ii) by striking ``abuse, and overdoses''
and inserting ``overdoses, and associated risk
factors'';
(2) in subsection (b)(2)--
(A) in subparagraph (B), by inserting ``, and
associated risk factors,'' after ``such overdoses'';
(B) in subparagraph (C), by striking ``coding'' and
inserting ``monitoring and identifying'';
(C) in subparagraph (E)--
(i) by inserting a comma after ``public
health laboratories''; and
(ii) by inserting ``and other emerging
substances related'' after ``analogues''; and
(D) in subparagraph (F,) by inserting ``and
associated risk factors'' after ``overdoses''; and
(3) in subsection (e) by striking ``$496,000,000 for each
of fiscal years 2019 through 2023'' and inserting
``$505,579,000 for each of fiscal years 2024 through 2028''.
SEC. 104. PILOT PROGRAM FOR PUBLIC HEALTH LABORATORIES TO DETECT
FENTANYL AND OTHER SYNTHETIC OPIOIDS.
Section 7011 of the SUPPORT for Patients and Communities Act (42
U.S.C. 247d-10 note) is amended by striking subsection (d).
SEC. 105. PRENATAL AND POSTNATAL HEALTH.
Section 317L(d) of the Public Health Service Act (42 U.S.C. 2476b-
13(d)) is amended by striking ``2019 through 2023'' and inserting
``2024 through 2028''.
SEC. 106. DONALD J. COHEN NATIONAL CHILD TRAUMATIC STRESS INITIATIVE.
Section 582 of the Public Health Service Act (42 U.S.C. 290hh-1) is
amended--
(1) in the section heading, by striking ``violence related
stress'' and inserting ``traumatic events'';
(2) in subsection (a)--
(A) in the matter preceding paragraph (1), by
striking ``tribes and tribal'' and inserting ``Tribes
and Tribal''; and
(B) in paragraph (2), by inserting ``and
dissemination'' after ``the development'';
(3) in subsection (b), by inserting ``and dissemination''
after ``the development'';
(4) in subsection (d)--
(A) by striking ``The NCTSI'' and inserting the
following:
``(1) Coordinating center.--The NCTSI''; and
(B) by adding at the end the following:
``(2) NCTSI grantees.--In carrying out subsection (a)(2),
NCTSI grantees shall develop trainings and other resources, as
applicable and appropriate, to support implementation of the
evidence-based practices developed and disseminated under such
subsection.'';
(5) in subsection (e)--
(A) by redesignating paragraphs (1) and (2) as
subparagraphs (A) and (B), respectively, and adjusting
the margins accordingly;
(B) in subparagraph (A), as so redesignated, by
inserting ``and implementation'' after ``the
dissemination'';
(C) by striking ``The NCTSI'' and inserting the
following:
``(1) Coordinating center.--''; and
(D) by adding at the end the following:
``(2) NCTSI grantees.--NCTSI grantees shall, as
appropriate, collaborate with other such grantees, the NCTSI
coordinating center, and the Secretary in carrying out
subsections (a)(2) and (d)(2).'';
(6) by amending subsection (h) to read as follows:
``(h) Application and Evaluation.--To be eligible to receive a
grant, contract, or cooperative agreement under subsection (a), a
public or nonprofit private entity or an Indian Tribe or Tribal
organization shall submit to the Secretary an application at such time,
in such manner, and containing such information and assurances as the
Secretary may require, including--
``(1) a plan for the rigorous evaluation of the activities
funded under the grant, contract or agreement, including both
process and outcomes evaluation, and the submission of an
evaluation at the end of the project period; and
``(2) a description of how such entity, Indian Tribe, or
Tribal organization will support efforts led by the Secretary
or the NCTSI coordinating center, as applicable, to evaluate
activities carried out under this section.''; and
(7) in subsection (j), by striking ``, $63,887,000 for each
of fiscal years 2019 through 2023'' and inserting ``$93,887,000
for each of fiscal years 2024 and 2025, $104,000,000 for fiscal
year 2026, $110,000,000 for fiscal year 2027, and $112,661,000
for fiscal year 2028''.
SEC. 107. SURVEILLANCE AND DATA COLLECTION FOR CHILD, YOUTH, AND ADULT
TRAUMA.
Section 7131(e) of the SUPPORT for Patients and Communities Act (42
U.S.C. 242t(e)) is amended by striking ``2019 through 2023'' and
inserting ``2024 through 2028''.
SEC. 108. PREVENTING ADVERSE CHILDHOOD EXPERIENCES.
(a) Grant Program.--
(1) In general.--The Secretary of Health and Human Services
(referred to in this section as the ``Secretary''), acting
through the Director of the Centers for Disease Control and
Prevention, may award grants or cooperative agreements to
States, territories, Indian Tribes and Tribal organizations (as
such terms are defined in section 4 of the Indian Self-
Determination and Education Assistance Act (25 U.S.C. 5304)),
and local governmental entities for purposes of carrying out
public health activities to improve health outcomes by
preventing or reducing adverse childhood experiences.
(2) Use of funds.--Recipients of an award under this
subsection may use such award to--
(A) identify, implement, and evaluate evidence-
based public health activities to prevent or reduce
adverse childhood experiences and improve health
outcomes;
(B) improve data collection and analysis regarding
the prevention and reduction of adverse childhood
experiences, including any such data described in
section 7131 of the SUPPORT for Patients and
Communities Act (42 U.S.C. 242t), to identify--
(i) any geographic areas or populations
within the jurisdiction of the recipient of an
award that have disproportionately high rates
of adverse childhood experiences;
(ii) any types of adverse childhood
experiences of high prevalence within such
jurisdiction; and
(iii) any short-term health outcomes and
long-term health outcomes associated with
adverse childhood experiences, including mental
health and substance use disorders; and
(C) leverage such data and analysis to inform the
identification, implementation, and evaluation of
evidence-based public health activities under
subparagraph (A).
(3) Partnerships.--Recipients of an award under this
subsection may identify opportunities to establish, or
strengthen existing, partnerships with other relevant public
and private entities within such jurisdiction for purposes of
carrying out such award.
(4) Technical assistance.--The Secretary may provide
training and technical assistance to recipients of awards under
this subsection.
(5) Evaluation.--Not later than 2 years after the date of
enactment of this Act, and annually thereafter, the Secretary
shall report to the Committee on Health, Education, Labor, and
Pensions of the Senate and the Committee on Energy and Commerce
of the House of Representatives on the specific activities
supported through awards under this subsection, including the
effectiveness of such activities in preventing or reducing
adverse childhood experiences.
(b) Research.--The Secretary may, as appropriate, conduct research
to evaluate public health activities to address adverse childhood
experiences.
(c) Authorization of Appropriations.--To carry out this section,
there is authorized to be appropriated $7,000,000 for each of fiscal
years 2024 through 2028.
SEC. 109. CLARIFICATION OF USE OF FUNDS FOR PRODUCTS USED TO PREVENT
OVERDOSE DEATHS.
The activities carried out pursuant to section 1003(b)(4)(A) of the
21st Century Cures Act (42 U.S.C. 290ee-3a(b)(4)(A)) may include
facilitating access to products used to prevent overdose deaths by
detecting the presence of one or more substances, to the extent the
purchase and possession of such products is consistent with Federal and
State law.
SEC. 110. SUPPORT FOR INDIVIDUALS AND FAMILIES IMPACTED BY FETAL
ALCOHOL SPECTRUM DISORDER.
(a) In General.--Part O of title III of the Public Health Service
Act (42 U.S.C. 280f et seq.) is amended--
(1) by amending the part heading to read as follows:
``fetal alcohol spectrum disorders prevention and services
program'';
(2) in section 399H (42 U.S.C. 280f)--
(A) in the section heading, by striking
``establishment of fetal alcohol syndrome prevention''
and inserting ``fetal alcohol spectrum disorders
prevention, intervention,'';
(B) by striking ``Fetal Alcohol Syndrome and Fetal
Alcohol Effect'' each place it appears and inserting
``FASD'';
(C) in subsection (a)--
(i) by amending the heading to read as
follows: ``In General'';
(ii) in the matter preceding paragraph
(1)--
(I) by inserting ``or continue
activities to support'' after ``shall
establish'';
(II) by striking ``FASD'' (as
amended by subparagraph (B)) and
inserting ``fetal alcohol spectrum
disorders (referred to in this section
as `FASD')'';
(III) by striking ``prevention,
intervention'' and inserting
``awareness, prevention,
identification, intervention,''; and
(IV) by striking ``that shall'' and
inserting ``, which may'';
(iii) in paragraph (1)--
(I) in subparagraph (A)--
(aa) by striking ``medical
schools'' and inserting
``health professions schools'';
and
(bb) by inserting
``infants,'' after ``provision
of services for''; and
(II) in subparagraph (D), by
striking ``medical and mental'' and
inserting ``agencies providing'';
(iv) in paragraph (2)--
(I) in the matter preceding
subparagraph (A), by striking ``a
prevention and diagnosis program to
support clinical studies,
demonstrations and other research as
appropriate'' and inserting
``supporting and conducting research on
FASD, as appropriate, including'';
(II) in subparagraph (B)--
(aa) by striking
``prevention services and
interventions for pregnant,
alcohol-dependent women'' and
inserting ``culturally and
linguistically informed
evidence-based or practice-
based interventions and
appropriate societal supports
for preventing prenatal alcohol
exposure, which may co-occur
with exposure to other
substances''; and
(bb) by striking ``; and''
and inserting a semicolon;
(v) by striking paragraph (3) and inserting
the following:
``(3) integrating into surveillance practice an evidence-
based standard case definition for FASD and, in collaboration
with other Federal and outside partners, support organizations
of appropriate medical and mental health professionals in their
development and refinement of evidence-based clinical
diagnostic guidelines and criteria for all FASD; and
``(4) building State and Tribal capacity for the
identification, treatment, and support of individuals with FASD
and their families, which may include--
``(A) utilizing and adapting existing Federal,
State, or Tribal programs to include FASD
identification and FASD-informed support;
``(B) developing and expanding screening and
diagnostic capacity for FASD;
``(C) developing, implementing, and evaluating
targeted FASD-informed intervention programs for FASD;
``(D) increasing awareness of FASD;
``(E) providing training with respect to FASD for
professionals across relevant sectors; and
``(F) disseminating information about FASD and
support services to affected individuals and their
families.'';
(D) in subsection (b)--
(i) by striking ``described in section
399I'';
(ii) by striking ``The Secretary'' and
inserting the following:
``(1) In general.--The Secretary''; and
(iii) by adding at the end the following:
``(2) Eligible entities.--To be eligible to receive a
grant, or enter into a cooperative agreement or contract, under
this section, an entity shall--
``(A) be a State, Indian Tribe or Tribal
organization, local government, scientific or academic
institution, or nonprofit organization; and
``(B) prepare and submit to the Secretary an
application at such time, in such manner, and
containing such information as the Secretary may
require, including a description of the activities that
the entity intends to carry out using amounts received
under this section.
``(3) Additional application contents.--The Secretary may
require that an entity using amounts from a grant, cooperative
agreement, or contract under this section for an activity under
subsection (a)(4) include in the application for such amounts
submitted under paragraph (2)(B)--
``(A) a designation of an individual to serve as a
FASD State or Tribal coordinator of such activity; and
``(B) a description of an advisory committee the
entity will establish to provide guidance for the
entity on developing and implementing a statewide or
Tribal strategic plan to prevent FASD and provide for
the identification, treatment, and support of
individuals with FASD and their families.''; and
(E) by striking subsections (c) and (d); and
(F) by adding at the end the following:
``(c) Definition of FASD-Informed.--For purposes of this section,
the term `FASD-informed', with respect to support or an intervention
program, means that such support or intervention program uses
culturally and linguistically informed evidence-based or practice-based
interventions and appropriate societal supports to support an improved
quality of life for an individual with FASD and the family of such
individual.''; and
(3) by striking sections 399I, 399J, and 399K (42 U.S.C.
280f-1, 280f-2, 280f-3) and inserting the following:
``SEC. 399I. FETAL ALCOHOL SPECTRUM DISORDERS CENTERS FOR EXCELLENCE.
``(a) In General.--The Secretary shall, as appropriate, award
grants, cooperative agreements, or contracts to public or nonprofit
entities with demonstrated expertise in the prevention of,
identification of, and intervention services with respect to, fetal
alcohol spectrum disorders (referred to in this section as `FASD') and
other related adverse conditions. Such awards shall be for the purposes
of establishing Fetal Alcohol Spectrum Disorders Centers for Excellence
to build local, Tribal, State, and national capacities to prevent the
occurrence of FASD and other related adverse conditions, and to respond
to the needs of individuals with FASD and their families by carrying
out the programs described in subsection (b).
``(b) Programs.--An entity receiving an award under subsection (a)
may use such award for the following purposes:
``(1) Initiating or expanding diagnostic capacity for FASD
by increasing screening, assessment, identification, and
diagnosis.
``(2) Developing and supporting public awareness and
outreach activities, including the use of a range of media and
public outreach, to raise public awareness of the risks
associated with alcohol consumption during pregnancy, with the
goals of reducing the prevalence of FASD and improving the
developmental, health (including mental health), and
educational outcomes of individuals with FASD and supporting
families caring for individuals with FASD.
``(3) Acting as a clearinghouse for evidence-based
resources on FASD prevention, identification, and culturally
and linguistically informed best practices, including the
maintenance of a national data-based directory on FASD-specific
services in States, Indian Tribes, and local communities, and
disseminating ongoing research and developing resources on FASD
to help inform systems of care for individuals with FASD across
their lifespan.
``(4) Increasing awareness and understanding of
efficacious, evidence-based screening tools and culturally and
linguistically appropriate evidence-based intervention services
and best practices, which may include by conducting national,
regional, State, Tribal, or peer cross-State webinars,
workshops, or conferences for training community leaders,
medical and mental health and substance use disorder
professionals, education and disability professionals,
families, law enforcement personnel, judges, individuals
working in financial assistance programs, social service
personnel, child welfare professionals, and other service
providers.
``(5) Improving capacity for State, Tribal, and local
affiliates dedicated to FASD awareness, prevention, and
identification and family and individual support programs and
services.
``(6) Providing technical assistance to recipients of
grants, cooperative agreements, or contracts under section
399H, as appropriate.
``(7) Carrying out other functions, as appropriate.
``(c) Application.--To be eligible for a grant, contract, or
cooperative agreement under this section, an entity shall submit to the
Secretary an application at such time, in such manner, and containing
such information as the Secretary may require.
``(d) Subcontracting.--A public or private nonprofit entity may
carry out the following activities required under this section through
contracts or cooperative agreements with other public and private
nonprofit entities with demonstrated expertise in FASD:
``(1) Prevention activities.
``(2) Screening and identification.
``(3) Resource development and dissemination, training and
technical assistance, administration, and support of FASD
partner networks.
``(4) Intervention services.
``SEC. 399J. AUTHORIZATION OF APPROPRIATIONS.
``There are authorized to be appropriated to carry out this part
such sums as may be necessary for each of fiscal years 2024 through
2028.''.
(b) Report.--Not later than 4 years after the date of enactment of
this Act, the Secretary of Health and Human Services shall submit to
the Committee on Health, Education, Labor, and Pensions of the Senate
and the Committee on Energy and Commerce of the House of
Representatives a report on the efforts of the Department of Health and
Human Services to advance public awareness on, and facilitate the
identification of best practices related to, fetal alcohol spectrum
disorders identification, prevention, treatment, and support.
(c) Technical Amendment.--Section 519D of the Public Health Service
Act (42 U.S.C. 290bb-25d) is repealed.
SEC. 111. PROMOTING STATE CHOICE IN PDMP SYSTEMS.
Section 399O(h) of the Public Health Service Act (42 U.S.C. 280g-
3(h)) is amended by adding the following:
``(5) Promoting state choice.--Nothing in this section
shall be construed to authorize the Secretary to require States
to use a specific vendor or a specific interoperability
connection other than to align with nationally recognized,
consensus-based open standards, such as in accordance with
sections 3001 and 3004.''.
TITLE II--TREATMENT
SEC. 201. RESIDENTIAL TREATMENT PROGRAM FOR PREGNANT AND POSTPARTUM
WOMEN.
Section 508 of the Public Health Service Act (42 U.S.C. 290bb-1) is
amended--
(1) in subsection (d)(11)(C), by striking ``providing
health services'' and inserting ``providing health care
services'';
(2) in subsection (g)--
(A) by inserting ``a plan describing'' after ``will
provide''; and
(B) by adding at the end the following: ``Such plan
may include a description of how such applicant will
target outreach to women disproportionately impacted by
maternal substance use disorder.''; and
(3) in subsection (s), by striking ``$29,931,000 for each
of fiscal years 2019 through 2023'' and inserting ``$38,
931,000 for each of fiscal years 2024 through 2028''.
SEC. 202. LOAN REPAYMENT PROGRAM FOR SUBSTANCE USE DISORDER TREATMENT
WORKFORCE.
Section 781(j) of the Public Health Service Act (42 U.S.C. 295h(j))
is amended by striking ``$25,000,000 for each of fiscal years 2019
through 2023'' and inserting ``$50,000,000 for each of fiscal years
2024 through 2028''.
SEC. 203. REGIONAL CENTERS OF EXCELLENCE IN SUBSTANCE USE DISORDER
EDUCATION.
Section 551 of the Public Health Service Act (42 U.S.C. 290ee-6) is
amended by striking subsection (f).
SEC. 204. MENTAL AND BEHAVIORAL HEALTH EDUCATION AND TRAINING PROGRAM.
Section 756(f) of the Public Health Service Act (42 U.S.C. 294e-
1(f)) is amended to read as follows:
``(f) Authorization of Appropriations.--To carry out this section,
there is authorized to be appropriated the following:
``(1) $50,000,000 for fiscal year 2024, to be allocated as
follows:
``(A) For grants described in subsection (a)(1),
$15,000,000.
``(B) For grants described in subsection (a)(2),
$15,000,000.
``(C) For grants described in subsection (a)(3),
$10,000,000.
``(D) For grants described in subsection (a)(4),
$10,000,000.
``(2) $55,000,000 for fiscal year 2025, to be allocated as
follows:
``(A) For grants described in subsection (a)(1),
$16,500,000.
``(B) For grants described in subsection (a)(2),
$16,500,000.
``(C) For grants described in subsection (a)(3),
$11,000,000.
``(D) For grants described in subsection (a)(4),
$11,000,000.
``(3) $60,000,000 for fiscal year 2026, to be allocated as
follows:
``(A) For grants described in subsection (a)(1),
$18,000,000.
``(B) For grants described in subsection (a)(2),
$18,000,000.
``(C) For grants described in subsection (a)(3),
$12,000,000.
``(D) For grants described in subsection (a)(4),
$12,000,000.
``(4) $65,000,000 for fiscal year 2027, to be allocated as
follows:
``(A) For grants described in subsection (a)(1),
$19,500,000.
``(B) For grants described in subsection (a)(2),
$19,500,000.
``(C) For grants described in subsection (a)(3),
$13,000,000.
``(D) For grants described in subsection (a)(4),
$13,000,000.
``(5) $75,000,000 for fiscal year 2028, to be allocated as
follows:
``(A) For grants described in subsection (a)(1),
$22,500,000.
``(B) For grants described in subsection (a)(2),
$22,500,000.
``(C) For grants described in subsection (a)(3),
$15,000,000.
``(D) For grants described in subsection (a)(4),
$15,000,000.''.
SEC. 205. GRANTS TO ENHANCE ACCESS TO SUBSTANCE USE DISORDER TREATMENT.
Section 3203 of the SUPPORT for Patients and Communities Act (21
U.S.C. 823 note) is amended--
(1) by striking subsection (b); and
(2) by striking ``In General--The Secretary'' and inserting
the following:
``The Secretary''.
SEC. 206. GRANTS TO IMPROVE TRAUMA SUPPORT SERVICES AND MENTAL HEALTH
CARE FOR CHILDREN AND YOUTH IN EDUCATIONAL SETTINGS.
Section 7134 of the SUPPORT for Patients and Communities Act (42
U.S.C. 280h-7) is amended--
(1) in subsection (a), by striking ``tribal'' and inserting
``Tribal'';
(2) in subsection (c)--
(A) in paragraph (1), by inserting ``early
intervention,'' after ``screening,'';
(B) in paragraph (3)--
(i) in the matter preceding subparagraph
(A), by inserting ``other staff,'' after
``support personnel,''; and
(ii) in subparagraph (A), by striking
``social and emotional learning'' and inserting
``developmentally appropriate practices''; and
(C) in paragraph (5), by inserting ``reduce stigma
associated with mental health care and'' after
``efforts to'';
(3) in subsection (d)--
(A) in paragraph (4)--
(i) in subparagraph (A), by striking ``;
and'' and inserting a semicolon;
(ii) in subparagraph (B)--
(I) by striking ``tribal
organizations as appropriate, other
school personnel'' and inserting
``Tribal organizations as appropriate,
other staff''; and
(II) by striking the period and
inserting ``; and''; and
(iii) by adding at the end the following:
``(C) parents and guardians will be informed of
what trauma support services and mental health care are
available to their students and what services and care
their students receive, in accordance with the parental
consent requirements under subsection (h)(2).''; and
(B) by adding at the end the following:
``(7) A plan for sustaining the program following the end
of the award period.'';
(4) in subsection (f)(1), by inserting ``, which shall
include a description of how the school obtains consent from
the student's parent or guardian for the provision of trauma
support services and mental health care'' after ``this
section'';
(5) in subsection (g), by striking ``tribal'' and inserting
``Tribal'';
(6) in subsection (h)--
(A) in the subsection heading, by inserting ``;
Application of Certain Provisions'' after
``Construction'';
(B) by striking ``tribal'' each place it appears
and inserting ``Tribal'';
(C) by redesignating paragraphs (1) and (2) as
subparagraphs (A) and (B), respectively, and adjusting
the margins accordingly;
(D) by striking ``Nothing in this section'' and
inserting the following:
``(1) In general.--Nothing in this section''; and
(E) by adding at the end the following:
``(2) Application of provisions.--
``(A) Rules.--Section 4001 of the Elementary and
Secondary Education Act of 1965 (not including the
exception under subsection (a)(2)(B)(i) of such
section) shall apply to an entity receiving a grant,
contract, or cooperative agreement under this section
in the same manner as such section 4001 applies to an
entity receiving funding under title IV of such Act.
``(B) Privacy protections.--Any education record of
a student collected or maintained under subsection
(c)(4) shall have the protections required for
education records under section 444 of the General
Education Provisions Act.''.
(7) in subsection (k)--
(A) by redesignating paragraphs (5) through (11) as
paragraphs (6) through (12), respectively; and
(B) by inserting after paragraph (4) the following:
``(5) Other staff.--The term `other staff' has the meaning
given such term in section 8101 of the Elementary and Secondary
Education Act of 1965.''; and
(8) in subsection (l), by striking ``2019 through 2023''
and inserting ``2024 through 2028''.
SEC. 207. DEVELOPMENT AND DISSEMINATION OF MODEL TRAINING PROGRAMS FOR
SUBSTANCE USE DISORDER PATIENT RECORDS.
Section 7053 of the SUPPORT for Patients and Communities Act (42
U.S.C. 290dd-2 note) is amended by striking subsection (e).
SEC. 208. TASK FORCE ON BEST PRACTICES FOR TRAUMA-INFORMED
IDENTIFICATION, REFERRAL, AND SUPPORT.
Section 7132 of the SUPPORT for Patients and Communities Act
(Public Law 115-271; 132 Stat. 4046) is amended--
(1) in subsection (b)(1)--
(A) by redesignating subparagraph (CC) as
subparagraph (DD); and
(B) by inserting after subparagraph (BB) the
following:
``(CC) The Administration for Community Living.'';
(2) in subsection (d)(1), in the matter preceding
subparagraph (A), by inserting ``, developmental disability
service providers'' before ``, individuals who are''; and
(3) in subsection (i), by striking ``2023'' and inserting
``2028''.
SEC. 209. PROGRAM TO SUPPORT COORDINATION AND CONTINUATION OF CARE FOR
DRUG OVERDOSE PATIENTS.
Section 7081 of the SUPPORT for Patients and Communities Act (42
U.S.C. 290dd-4) is amended by striking subsection (f).
SEC. 210. REGULATIONS RELATING TO SPECIAL REGISTRATION FOR
TELEMEDICINE.
Not later than 1 year after the date of enactment of this Act, the
Attorney General, in consultation with the Secretary of Health and
Human Services, shall promulgate the final regulations required under
section 311(h)(2) of the Controlled Substances Act (21 U.S.C.
831(h)(2)).
SEC. 211. MENTAL HEALTH PARITY.
(a) In General.--Not later than January 1, 2025, the Inspector
General of the Department of Labor, in coordination with the Inspector
General of the Department of Health and Human Services, shall report to
the Committee on Health, Education, Labor, and Pensions of the Senate
and the Committee on Energy and Commerce and the Committee on Education
and the Workforce of the House of Representatives on the following:
(1) The non-quantitative treatment limit (referred to in
this section as ``NQTL'') requirements with respect to mental
health and substance use disorder benefits under group health
plans and health insurance issuers under section 2726(a)(8) of
the Public Health Service Act (42 U.S.C. 300gg-26(a)(8)),
section 712(a)(8) of the Employee Retirement Income Security
Act of 1974 (29 U.S.C. 1185a(a)(8)), and section 9812(a)(8) of
the Internal Revenue Code of 1986 (referred to in this section
as the ``NQTL comparative analysis requirements''), and the
requirements for the Secretary of Health and Human Services,
the Secretary of Labor, and the Secretary of the Treasury to
issue regulations, a compliance program guide, and additional
guidance documents and tools providing guidance relating to
mental health parity requirements under section 2726(a) of the
Public Health Service Act (42 U.S.C. 300gg-26(a)), section
712(a) of the Employee Retirement Income Security Act of 1974
(29 U.S.C. 1185a(a)), and section 9812(a) of the Internal
Revenue Code of 1986.
(2) With respect to the NQTL comparative analysis
requirements described in paragraph (1), an analysis of the
actions taken by the Secretary of Labor, the Secretary of the
Treasury, and the Secretary of Health and Human Services to
provide guidance to ensure that group health plans and health
insurance issuers can fully comply with mental health parity
requirements under section 2726 of the Public Health Service
Act (42 U.S.C. 300gg-26), section 712 of the Employee
Retirement Income Security Act of 1974 (29 U.S.C. 1185a), and
section 9812 of the Internal Revenue Code of 1986 and the NQTL
comparative analysis requirements described in paragraph (1),
including an analysis of--
(A) the extent to which the Secretary of Labor, the
Secretary of the Treasury, and the Secretary of Health
and Human Services have fulfilled the requirement under
section 203(b) of division BB of the Consolidated
Appropriations Act, 2021 (Public Law 116-260) to issue
the specific guidance and regulations pertaining to the
requirements for group health plans and health
insurance issuers to demonstrate compliance with the
NQTL comparative analysis requirements; and
(B) whether sufficient guidance and examples from
the Department of Labor and Department of Health and
Human Services, and the Department of the Treasury
exist to guide and assist group health plans and health
insurance issuers in complying with the requirements to
demonstrate compliance with mental health parity NQTL
comparative analysis requirements/under such sections
2726(a)(8), 712(a)(8), and 9812(a)(8).
(3) A review of the enforcement processes of the Department
of Labor and the Department of Health and Human Services to
evaluate the consistency of interpretation of the requirements
under section 2726(a)(8) of the Public Health Service Act (42
U.S.C. 300gg-26(a)(8), section 712(a)(8) of the Employee
Retirement Income Security Act of 1974 (29 U.S.C. 1185a(a)(8)),
and section 9812(a)(8) of the Internal Revenue Code of 1986, in
particular with respect to processes utilized for enforcement,
actions or inactions that constitute noncompliance, and
avoidance among the agencies of duplication of enforcement,
including an evaluation of compliance with section 104 of the
Health Insurance Portability and Accountability Act of 1996
(Public Law 104-191).
(4) A review of the implementation, by the Department of
Labor, Department of Health and Human Services, and Department
of the Treasury, of mental health parity requirements under
section 2726 of the Public Health Service Act (42 U.S.C. 300gg-
26), section 712 of the Employee Retirement Income Security Act
of 1974 (29 U.S.C. 1185a), and section 9812 of the Internal
Revenue Code of 1986, including all such requirements in effect
through the enactment of the Mental Health Parity Act of 1996
(Public Law 104-204), the Paul Wellstone and Pete Domenici
Mental Health Parity and Addiction Equity Act of 2008 (Public
Law 110-460), the 21st Century Cures Act (Public Law 114-255),
and the Consolidated Appropriations Act, 2023 (Public Law 117-
328) (including any amendments made by such Acts), and
including with respect to the timing of all actions, delays of
any actions, reasons for any such delays, mandated requirements
that were met only once but not each time such requirements
were mandated.
(b) Definitions.--In this section, the terms ``group health plan''
and ``health insurance issuer'' have the meanings given such terms in
section 733 of the Employee Retirement Income Security Act of 1974 (29
U.S.C. 1191b).
SEC. 212. STATE GUIDANCE RELATED TO INDIVIDUALS WITH SERIOUS MENTAL
ILLNESS AND CHILDREN WITH SERIOUS EMOTIONAL DISTURBANCE.
(a) Review of Use of Certain Funding.--Not later than 1 year after
the date of enactment of this Act, the Secretary of Health and Human
Services, acting through the Assistant Secretary for Mental Health and
Substance Use, shall conduct a review of the use by States of funds
made available under the Community Mental Health Services Block Grant
program under subpart I of part B of title XIX of the Public Health
Service Act (42 U.S.C. 300x et seq.) for First Episode Psychosis
activities. Such review shall consider the following:
(1) How the States use funds for evidence-based treatments
and services, such as coordinated specialty care, according to
the standard of care for individuals with early serious mental
illness, including the comprehensiveness of such treatments to
include all aspects of the recommended intervention.
(2) How State mental health departments coordinate with
State Medicaid departments in the delivery of the treatments
and services described in paragraph (1).
(3) The percentage of the State funding under the block
grant program that is applied toward early serious mental
illness and funding in excess of, or under, 10 percent of the
amount of the grant, broken down by State.
(4) The percentage of funds expended by States through such
block grant program specifically on First Episode Psychosis, to
the extent such information is available.
(5) How many individuals are served by the expenditures
described in paragraph (3)and (4), on a per-capita basis.
(6) How the funds are used to reach underserved
populations, including rural populations and racial and ethnic
minority populations.
(b) Report and Guidance.--
(1) Report.--Not later than 6 months after the completion
of the review under subsection (a), the Secretary of Health and
Human Services, acting through the Assistant Secretary for
Mental Health and Substance Use, shall submit to the Committee
on Appropriations, the Committee on Health, Education, Labor,
and Pensions, and the Committee on Finance of the Senate and to
the Committee on Appropriations and the Committee on Energy and
Commerce of the House of Representatives a report on the
findings made as a result of the review conducted under
subsection (a). Such report shall include any recommendations
with respect to any changes to the Community Mental Health
Services Block Grant program under subpart I of part B of title
XIX of the Public Health Service Act (42 U.S.C. 300x et seq.),
including the set aside required for First Episode Psychosis,
that would facilitate improved outcomes for the targeted
population involved.
(2) Guidance.--Not later than 1 year after the date on
which the report is submitted under paragraph (1), the
Secretary of Health and Human Services, acting through the
Assistant Secretary for Mental Health and Substance Use, shall
update the guidance provided to States under the Community
Mental Health Services Block Grant program based on the
findings and recommendations of the report.
(c) Additional Guidance.--The Director of the National Institute of
Mental Health shall coordinate with the Assistant Secretary for Mental
Health and Substance Use in providing guidance to State grantees and
provider subgrantees about research advances in the delivery of
services for First Episode Psychosis under the Community Mental Health
Services Block Grant program.
(d) Guidance for States Relating to Health Care Services and
Interventions for Individuals With Serious Mental Illness and Children
With Serious Emotional Disturbance.--Not later than 2 years after the
date of enactment of this Act, the Assistant Secretary for Mental
Health and Substance Use, jointly with the Administrator of the Centers
for Medicare & Medicaid Services and the Director of the National
Institute of Mental Health--
(1) shall provide updated guidance to States concerning the
manner in which Federal funding provided to States through
programs administered by such agencies, including the Community
Mental Health Services Block Grant program under subpart I of
part B of title XIX of the Public Health Service Act (42 U.S.C.
300x et seq.), may be coordinated to provide evidence-based
health care services such as coordinated specialty care to
individuals with serious mental illness and serious emotional
disturbance, and interventions for individuals with early
serious mental illness, including First Episode Psychosis; and
(2) may streamline relevant State reporting requirements if
such streamlining would result in making it easier for States
to coordinate funding under the programs described in paragraph
(1) to improve treatments for individuals with serious mental
illness and serious emotional disturbance.
SEC. 213. IMPROVING ACCESS TO ADDICTION MEDICINE PROVIDERS.
Section 597 of the Public Health Service Act (42 U.S.C. 290ll) is
amended--
(1) in subsection (a)(1), by inserting ``diagnosis,'' after
``related to''; and
(2) in subsection (b), by inserting ``addiction medicine,''
after ``psychiatry,''.
TITLE III--RECOVERY
SEC. 301. YOUTH PREVENTION AND RECOVERY.
Section 7102(c) of the SUPPORT for Patients and Communities Act (42
U.S.C. 290bb-7a(c)) is amended--
(1) in paragraph (2)--
(A) in subparagraph (A)--
(i) in clause (i)--
(I) by inserting ``, or a consortia
of local educational agencies,'' after
``a local educational agency''; and
(II) by striking ``high schools''
and inserting ``secondary schools'';
and
(ii) in clause (vi), by striking ``tribe,
or tribal'' and inserting ``Tribe, or Tribal'';
(B) by amending subparagraph (E) to read as
follows:
``(E) Indian tribe; tribal organization.--The terms
`Indian Tribe' and `Tribal organization' have the
meanings given such terms in section 4 of the Indian
Self-Determination and Education Assistance Act (25
U.S.C. 5304).'';
(C) by redesignating subparagraph (K) as
subparagraph (L); and
(D) by inserting after subparagraph (J) the
following:
``(K) Secondary school.--The term `secondary
school' has the meaning given such term in section 8101
of the Elementary and Secondary Education Act of 1965
(20 U.S.C. 7801).'';
(2) in paragraph (3)(A), in the matter preceding clause
(i)--
(A) by striking ``and abuse''; and
(B) by inserting ``at increased risk for substance
misuse'' after ``specific populations'';
(3) in paragraph (4)--
(A) in the matter preceding subparagraph (A), by
striking ``Indian tribes'' and inserting ``Indian
Tribes'';
(B) in subparagraph (A), by striking ``and abuse'';
and
(C) in subparagraph (B), by striking ``peer
mentoring'' and inserting ``peer-to-peer support'';
(4) in paragraph (5), by striking ``tribal'' and inserting
``Tribal'';
(5) in paragraph (6)(A)--
(A) in clause (iv), by striking ``; and'' and
inserting a semicolon; and
(B) by adding at the end the following:
``(vi) a plan to sustain the activities
carried out under the grant program, after the
grant program has ended; and'';
(6) in paragraph (8), by striking ``2022'' and inserting
``2027''; and
(7) by amending paragraph (9) to read as follows:
``(9) Authorization of appropriations.--To carry out this
subsection, there are authorized to be appropriated $10,000,000
for fiscal year 2024, $12,000,000 for fiscal year 2025,
$14,000,000 for fiscal year 2026, $16,000,000 for fiscal year
2027, and $18,000,000 for fiscal year 2028.''.
SEC. 302. COMPREHENSIVE OPIOID RECOVERY CENTERS.
Section 552 of the Public Health Service Act (42 U.S.C. 290ee-7) is
amended--
(1) in subsection (d)(2)--
(A) in the matter preceding subparagraph (A), by
striking ``and in such manner'' and inserting ``, in
such manner, and containing such information and
assurances''; and
(B) in subparagraph (A), by striking ``is capable
of coordinating with other entities to carry out'' and
inserting ``has the demonstrated capability to carry
out, through referral or contractual arrangements'';
(2) in subsection (h)--
(A) by redesignating paragraphs (1) through (4) as
subparagraphs (A) through (D), respectively, and
adjusting the margins accordingly;
(B) by striking ``With respect to'' and inserting
the following:
``(1) In general.--With respect to''; and
(C) by adding at the end the following:
``(2) Additional reporting for certain eligible entities.--
An entity carrying out activities described in subsection (g)
through referral or contractual arrangements shall include in
the submissions required under paragraph (1) information
related to the status of such referrals or contractual
arrangements, including an assessment of whether such referrals
or contractual arrangements are supporting the ability of such
entity to carry out such activities.''; and
(3) in subsection (j), by striking ``2019 through 2023''
and inserting ``2024 through 2028''.
SEC. 303. BUILDING COMMUNITIES OF RECOVERY.
Section 547(f) of the Public Health Service Act (42 U.S.C. 290ee-
2(f)) is amended by striking ``$5,000,000 for each of fiscal years 2019
through 2023'' and inserting ``$16,000,000 for each of fiscal years
2024 through 2028''.
SEC. 304. PEER SUPPORT TECHNICAL ASSISTANCE CENTER.
Section 547A of the Public Health Service Act (42 U.S.C. 290ee-2a)
is amended--
(1) in subsection (b)(4), by striking ``building; and'' and
inserting the following: ``building, such as--
``(A) professional development of peer support
specialists; and
``(B) making recovery support services available in
nonclinical settings; and'';
(2) by redesignating subsections (d) and (e) as subsections
(e) and (f), respectively;
(3) by inserting after subsection (c) the following:
``(d) Pilot Program.--
``(1) In general.--The Secretary shall carry out a pilot
program to establish one regional technical assistance center
(referred to in this subsection as the `Regional Center') to
assist the Center in carrying out activities described in
subsection (b) within the geographic region of such Regional
Center in a manner that is tailored to the needs of such
region.
``(2) Evaluation.--Not later than 4 years after the date of
enactment of the SUPPORT for Patients and Communities
Reauthorization Act, the Secretary shall evaluate the
activities of the Regional Center and submit to the Committee
on Health, Education, Labor, and Pensions of the Senate and the
Committee on Energy and Commerce of the House of
Representatives a report on the findings of such evaluation,
including--
``(A) a description of the distinct roles and
responsibilities of the Regional Center and the Center;
``(B) available information relating to the
outcomes of the pilot program under this subsection,
such as any impact the Regional Center had on the
operations and efficiency of the Center relating to
requests for technical assistance and support within
the region of such Regional Center;
``(C) a description of any gaps or areas of
duplication relating to the activities of the Regional
Center and the Center within such region; and
``(D) recommendations relating to the modification,
expansion, or termination of the pilot program under
this subsection.
``(3) Termination.--This subsection shall terminate on
September 30, 2028.''; and
(4) in subsection (f), as so redesignated, by striking
``$1,000,000 for each of fiscal years 2019 through 2023'' and
inserting ``$2,000,000 for each of fiscal years 2024 through
2028''.
SEC. 305. CAREER ACT.
(a) In General.--Section 7183 of the SUPPORT for Patients and
Communities Act (42 U.S.C. 290ee-8) is amended--
(1) in the section heading, by inserting ``; treatment,
recovery, and workforce support grants'' after ``career act'';
(2) in subsection (b), by inserting ``each'' before ``for a
period'';
(3) in subsection (c)--
(A) in paragraph (1), by striking ``the rates
described in paragraph (2)'' and inserting ``the
average rates for calendar years 2018 through 2022
described in paragraph (2)''; and
(B) by amending paragraph (2) to read as follows:
``(2) Rates.--The rates described in this paragraph are the
following:
``(A) The highest age-adjusted average rates of
drug overdose deaths for calendar years 2018 through
2022 based on data from the Centers for Disease Control
and Prevention, including, if necessary, provisional
data for calendar year 2022.
``(B) The highest average rates of unemployment for
calendar years 2018 through 2022 based on data provided
by the Bureau of Labor Statistics.
``(C) The lowest average labor force participation
rates for calendar years 2018 through 2022 based on
data provided by the Bureau of Labor Statistics.'';
(4) in subsection (g)--
(A) in each of paragraphs (1) and (3), by
redesignating subparagraphs (A) and (B) as clauses (i)
and (ii), respectively, and adjusting the margins
accordingly;
(B) by redesignating paragraphs (1) through (3) as
subparagraphs (A) through (C), respectively, and
adjusting the margins accordingly;
(C) in the matter preceding subparagraph (A) (as so
redesignated), by striking ``An entity'' and inserting
the following:
``(1) In general.--An entity''; and
(D) by adding at the end the following:
``(2) Transportation services.--An entity receiving a grant
under this section may use not more than 5 percent of the funds
for providing transportation for individuals to participate in
an activity supported by a grant under this section, which
transportation shall be to or from a place of work or a place
where the individual is receiving career and technical
education or job training services or receiving services
directly linked to treatment of or recovery from a substance
use disorder.
``(3) Limitation.--The Secretary may not require an entity
to, or give priority to an entity that plans to, use the funds
of a grant under this section for activities that are not
specified in this subsection.'';
(5) in subsection (i)(2), by inserting ``, which shall
include employment and earnings outcomes described in
subclauses (I) and (III) of section 116(b)(2)(A)(i) of the
Workforce Innovation and Opportunity Act (29 U.S.C.
3141(b)(2)(A)(i)) with respect to the participation of such
individuals with a substance use disorder in programs and
activities funded by the grant under this section'' after
``subsection (g)'';
(6) in subsection (j)--
(A) in paragraph (1), by inserting ``for grants
awarded prior to the date of enactment of the SUPPORT
for Patients and Communities Reauthorization Act''
after ``grant period under this section''; and
(B) in paragraph (2)--
(i) in the matter preceding subparagraph
(A), by striking ``2 years after submitting the
preliminary report required under paragraph
(1)'' and inserting ``September 30, 2028''; and
(ii) in subparagraph (A), by striking
``(g)(3)'' and inserting ``(g)(1)(C)''; and
(7) in subsection (k), by striking ``$5,000,000 for each of
fiscal years 2019 through 2023'' and inserting ``$12,000,000
for each of fiscal years 2024 through 2028''.
(b) Clerical Amendment.--The table of contents in section 1(b) of
the SUPPORT for Patients and Communities Act (Public Law 115-271; 132
Stat. 3894) is amended by striking the item relating to section 7183
and inserting the following:
``Sec. 7183. CAREER Act; treatment, recovery, and workforce support
grants.''.
SEC. 306. OFFICE OF RECOVERY.
Part A of title V of the Public Health Service Act (42 U.S.C. 290aa
et seq.) is amended by inserting after section 501C (42 U.S.C. 290aa-
0b) the following:
``SEC. 501D. OFFICE OF RECOVERY.
``(a) In General.--There is established, within the Substance Abuse
and Mental Health Services Administration, an Office of Recovery
(referred to in this section as the `Office').
``(b) Responsibilities.--The Office shall, taking into account the
perspectives of individuals with demonstrated experience in mental
health or substance use disorder recovery--
``(1) identify new and emerging challenges related to the
provision of recovery support services;
``(2) support technical assistance, data analysis, and
evaluation functions in order to assist States, local
governmental entities, Indian Tribes, and Tribal organizations
in implementing and strengthening recovery support services,
consistent with the needs of such States, local governmental
entities, Indian Tribes, and Tribal organizations; and
``(3) ensure coordination of efforts to identify,
disseminate, and evaluate best practices related to--
``(A) improving the capacity of, and access to,
recovery support services; and
``(B) supporting the training, education,
professional development, and retention of peer support
specialists.
``(c) Report.--Not later than 4 years after the date of enactment
of the SUPPORT for Patients and Communities Reauthorization Act, the
Assistant Secretary for Mental Health and Substance Use shall submit to
the Committee on Health, Education, Labor, and Pensions of the Senate
and the Committee on Energy and Commerce of the House of
Representatives a report on the activities conducted by the Office,
including--
``(1) a description of the specific roles and
responsibilities of the Office;
``(2) a description of the relationship between the Office
and other relevant components or programs of the Substance
Abuse and Mental Health Services Administration;
``(3) the identification of any gaps in the activities of
the Substance Abuse and Mental Health Services Administration
or challenges in coordination between the Office and such
relevant components or programs of such agency; and
``(4) recommendations related to the continued operations
of the Office.
``(d) Sunset.--This section shall cease to have force or effect on
September 30, 2028.''.
TITLE IV--TECHNICAL AMENDMENTS
SEC. 401. DELIVERY OF A CONTROLLED SUBSTANCE BY A PHARMACY TO AN
ADMINISTERING PRACTITIONER.
Section 309A(a) of the Controlled Substances Act (21 U.S.C.
829a(a)) is amended by striking paragraph (2) and inserting the
following:
``(2) the controlled substance is a drug in schedule III,
IV, or V to be administered--
``(A) by injection or implantation for the purpose
of maintenance or detoxification treatment; or
``(B) intranasally, subject to risk evaluation and
mitigation strategy pursuant to section 505-1 of the
Federal Food, Drug, and Cosmetic Act (21 U.S.C. 355-1),
with post-administration monitoring by a health care
professional;''.
SEC. 402. TECHNICAL CORRECTION ON CONTROLLED SUBSTANCES DISPENSING.
Effective as if included in the enactment of Public Law 117-328--
(1) section 1252(a) of division FF of Public Law 117-328
(136 Stat. 5681) is amended, in the matter being inserted into
section 302(e) of the Controlled Substances Act, by striking
``303(g)'' and inserting ``303(h)'';
(2) section 1262 of division FF of Public Law 117-328 (136
Stat. 5681) is amended--
(A) in subsection (a)--
(i) in the matter preceding paragraph (1),
by striking ``303(g)'' and inserting
``303(h)'';
(ii) in the matter being stricken by
subsection (a)(2), by striking ``(g)(1)'' and
inserting ``(h)(1)''; and
(iii) in the matter being inserted by
subsection (a)(2), by striking ``(g)
Practitioners'' and inserting ``(h)
Practitioners''; and
(B) in subsection (b)--
(i) in the matter being stricken by
paragraph (1), by striking ``303(g)(1)'' and
inserting ``303(h)(1)'';
(ii) in the matter being inserted by
paragraph (1), by striking ``303(g)'' and
inserting ``303(h)'';
(iii) in the matter being stricken by
paragraph (2)(A), by striking ``303(g)(2)'' and
inserting ``303(h)(2)'';
(iv) in the matter being stricken by
paragraph (3), by striking ``303(g)(2)(B)'' and
inserting ``303(h)(2)(B)'';
(v) in the matter being stricken by
paragraph (5), by striking ``303(g)'' and
inserting ``303(h)''; and
(vi) in the matter being stricken by
paragraph (6), by striking ``303(g)'' and
inserting ``303(h)''; and
(3) section 1263(b) of division FF of Public Law 117-328
(136 Stat. 5685) is amended--
(A) by striking ``303(g)(2)'' and inserting
``303(h)(2)''; and
(B) by striking ``(21 U.S.C. 823(g)(2))'' and
inserting ``(21 U.S.C. 823(h)(2))''.
SEC. 403. REQUIRED TRAINING FOR PRESCRIBERS OF CONTROLLED SUBSTANCES.
(a) In General.--Section 303 of the Controlled Substances Act (21
U.S.C. 823) is amended--
(1) by redesignating the second subsection designated as
subsection (l) as subsection (m); and
(2) in subsection (m)(1), as so redesignated--
(A) in subparagraph (A)--
(i) In clause (iv)--
(I) In subclause (I)--
(aa) by inserting ``the
American Academy of Family
Physicians, the American
Podiatric Medical Association,
the Academy of General
Dentistry,'' before ``or any
other organization'';
(bb) by striking ``or the
Commission'' and inserting
``the Commission''; and
(cc) by inserting ``, or
the Council on Podiatric
Medical Education'' before the
semicolon at the end; and
(II) in subclause (III), by
inserting ``or the American Academy of
Family Physicians'' after
``Association''; and
(ii) in clause (v), in the matter preceding
subclause (I)--
(I) by striking ``osteopathic
medicine, dental surgery'' and
inserting ``osteopathic medicine,
podiatric medicine, dental surgery'';
and
(II) by striking ``or dental
medicine curriculum'' and inserting
``or dental or podiatric medicine
curriculum''; and
(B) in subparagraph (B)--
(i) in clause (i), by inserting ``the
American Pharmacists Association, the
Accreditation Council on Pharmacy Education,
the American Optometric Association, the
American Psychiatric Nurses Association, the
American Academy of Nursing, the American
Academy of Family Physicians'' before ``, or
any other organization''; and
(ii) in clause (ii)--
(I) by striking ``or accredited
school'' and inserting ``, an
accredited school''; and
(II) by inserting ``, or an
accredited school of pharmacy'' before
``in the United States''.
(b) Effective Date.--The amendment made by subsection (a) shall
take effect as if enacted on December 29, 2022.
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