[Congressional Record Volume 168, Number 158 (Thursday, September 29, 2022)]
[Senate]
[Pages S5613-S5614]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]

  SA 6086. Ms. HASSAN (for herself and Ms. Murkowski) submitted an 
amendment intended to be proposed to amendment SA 5499 submitted by Mr. 
Reed (for himself and Mr. Inhofe) and intended to be proposed to the 
bill H.R. 7900, to authorize appropriations for fiscal year 2023 for 
military activities of the Department of Defense, for military 
construction, and for defense activities of the Department of Energy, 
to prescribe military personnel strengths for such fiscal year, and for 
other purposes; which was ordered to lie on the table; as follows:

        At the end of title X, add the following:

             Subtitle H--Mainstreaming Addiction Treatment

     SEC. 1081. SHORT TITLE.

        This subtitle may be cited as the ``Mainstreaming 
     Addiction Treatment Act of 2022''.

[[Page S5614]]

  


     SEC. 1082. ELIMINATING SEPARATE REGISTRATION REQUIREMENT FOR 
                   DISPENSING NARCOTIC DRUGS IN SCHEDULES III, IV, 
                   AND V FOR MAINTENANCE OR DETOXIFICATION 
                   TREATMENT.

       (a) In General.--Section 303(g) of the Controlled 
     Substances Act (21 U.S.C. 823(g)) is amended--
       (1) by striking paragraph (2);
       (2) by striking ``(g)(1) Except as provided in paragraph 
     (2), practitioners who dispense narcotic drugs to individuals 
     for maintenance treatment or detoxification treatment'' and 
     inserting ``(g) Practitioners who dispense narcotic drugs 
     (other than narcotic drugs in schedule III, IV, or V) to 
     individuals for maintenance treatment or detoxification 
     treatment'';
       (3) by redesignating subparagraphs (A), (B), and (C) as 
     paragraphs (1), (2), and (3), respectively; and
       (4) in paragraph (2), as so redesignated, by redesignating 
     clauses (i) and (ii) as subparagraphs (A) and (B), 
     respectively.
       (b) Technical and Conforming Edits.--
       (1) Section 304 of the Controlled Substances Act (21 U.S.C. 
     824) is amended--
       (A) in subsection (a), by striking ``303(g)(1)'' each place 
     it appears and inserting ``303(g)''; and
       (B) in subsection (d)(1), by striking ``303(g)(1)'' and 
     inserting ``303(g)''.
       (2) 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--
       ``(A) is a narcotic drug in schedule III, IV, or V to be 
     administered for the purpose of maintenance or detoxification 
     treatment; and
       ``(B) is to be administered by injection or 
     implantation;''.
       (3) Section 520E-4(c) of the Public Health Service Act (42 
     U.S.C. 290bb-36d(c)) is amended, in the matter preceding 
     paragraph (1), by striking ``information on any qualified 
     practitioner that is certified to prescribe medication for 
     opioid dependency under section 303(g)(2)(B) of the 
     Controlled Substances Act'' and inserting ``information on 
     any practitioner who prescribes narcotic drugs in schedule 
     III, IV, or V of section 202(c) of the Controlled Substances 
     Act (21 U.S.C. 812(c)) for the purpose of maintenance or 
     detoxification treatment''.
       (4) Section 544(a)(3) of the Public Health Service Act (42 
     U.S.C. 290dd-3(a)(3)) is amended by striking ``any 
     practitioner dispensing narcotic drugs pursuant to section 
     303(g) of the Controlled Substances Act'' and inserting ``any 
     practitioner dispensing narcotic drugs for the purpose of 
     maintenance or detoxification treatment''.
       (5) Section 1833 of the Social Security Act (42 U.S.C. 
     1395l) is amended by striking subsection (bb).
       (6) Section 1834(o) of the Social Security Act (42 U.S.C. 
     1395m(o)) is amended by striking paragraph (3).
       (7) Section 1866F(c)(3) of the Social Security Act (42 
     U.S.C. 1395cc-6(c)(3)) is amended--
       (A) in subparagraph (A), by inserting ``and'' at the end;
       (B) in subparagraph (B), by striking ``; and'' and 
     inserting a period; and
       (C) by striking subparagraph (C).
       (8) Section 1903(aa)(2)(C) of the Social Security Act (42 
     U.S.C. 1396b(aa)(2)(C)) is amended--
       (A) in clause (i), by inserting ``and'' at the end;
       (B) by striking clause (ii); and
       (C) by redesignating clause (iii) as clause (ii).

     SEC. 1083. NATIONAL EDUCATION CAMPAIGN.

       (a) In General.--The Secretary of Health and Human 
     Services, acting through the Assistant Secretary for Mental 
     Health and Substance Use, shall conduct a national campaign 
     to educate practitioners with respect to the elimination of 
     the separate registration requirement under section 303(g) of 
     the Controlled Substances Act (21 U.S.C. 823(g)), as in 
     effect on the day before the date of enactment of this Act, 
     for dispensing narcotic drugs in schedule III, IV, and V for 
     maintenance or detoxification treatment.
       (b) Required Components.--The national education campaign 
     under subsection (a) shall--
       (1) encourage practitioners to integrate substance use 
     treatment into their practices; and
       (2) include education on publicly available educational 
     resources and training modules that can assist practitioners 
     in treating patients with a substance use disorder.

     SEC. 1084. COMMUNITY HEALTH AIDES AND COMMUNITY HEALTH 
                   PRACTITIONERS.

       (a) Practice of Telemedicine.--Section 102 of the 
     Controlled Substances Act (21 U.S.C. 802) is amended--
       (1) in paragraph (54)(A), by striking clause (i) and 
     inserting the following:
       ``(i) while the patient is--
       ``(I) being treated by, and physically located in, a 
     hospital or clinic registered under section 303(f); or
       ``(II) for purposes of section 302(h), being treated by a 
     community health aide or community health practitioner; 
     and'';
       (2) by redesignating paragraph (58) as paragraph (59);
       (3) by redesignating the second paragraph designated as 
     paragraph (57) (relating to the definition of ``serious drug 
     felony'') as paragraph (58);
       (4) by moving paragraphs (57), (58) (as so redesignated), 
     and (59) (as so redesignated) 2 ems to the left; and
       (5) by adding at the end the following:
       ``(60) The terms `community health aide' and `community 
     health practitioner' have the meanings within the meaning of 
     section 119 of the Indian Health Care Improvement Act (25 
     U.S.C. 1616l).''.
       (b) Dispensation of Narcotic Drugs in Schedule III, IV, or 
     V.--Section 302 of the Controlled Substances Act (21 U.S.C. 
     822) is amended by adding at the end the following:
       ``(h) Dispensation of Narcotic Drugs in Schedule III, IV, 
     or V by Certain Practitioners.--
       ``(1) In general.--Notwithstanding subsection (a)(2), a 
     community health aide or community health practitioner may 
     dispense a narcotic drug in schedule III, IV, or V, such as 
     buprenorphine, or a combination of such drugs, to an 
     individual for maintenance treatment or detoxification 
     treatment (or both) without being registered under this title 
     if the drug is prescribed by a practitioner through the 
     practice of telemedicine.
       ``(2) Preemption.--Notwithstanding section 708, a State may 
     not require a community health aide or community health 
     practitioner to be licensed by the State in order to dispense 
     narcotic drugs in accordance with paragraph (1) of this 
     subsection.''.
                                 ______