[Congressional Record (Bound Edition), Volume 162 (2016), Part 2]
[Senate]
[Pages 2791-2797]
[From the U.S. Government Publishing Office, www.gpo.gov]




                           TEXT OF AMENDMENTS

  SA 3428. Mr. CORNYN (for Mr. Toomey) submitted an amendment intended 
to be proposed by Mr. Cornyn to the bill S. 524, to authorize the 
Attorney General to award grants to address the national epidemics of 
prescription opioid abuse and heroin use; which was ordered to lie on 
the table; as follows:

       At the end, add the following:

         TITLE VIII--IMPROVEMENTS TO OPIOID ADDICTION TREATMENT

     SEC. 801. REGISTRATION REQUIREMENTS.

       (a) In General.--Section 303(g)(2)(B) of the Controlled 
     Substances Act (21 U.S.C. 823(g)(2)(B)) is amended--
       (1) by striking clause (ii), and inserting the following:
       ``(ii) With respect to patients to whom the practitioner 
     will provide such drugs or combinations of drugs, the 
     practitioner complies with the following requirements:
       ``(I) The practitioner provides, either directly or through 
     referral, biopsychosocial counseling services for their 
     patients' opioid addiction on a regular basis. The 
     practitioner shall not prescribe medications listed in this 
     subparagraph to any patient who does not receive 
     biopsychosocial counseling services regularly. For the 
     purposes of this subclause, `regularly' means weekly for the 
     first 2 months of the treatment of the patient and monthly 
     for each month thereafter during the treatment, unless 
     otherwise established by the State in which the physician is 
     licensed for the purposes of programs established under 
     paragraph (1). The practitioner shall regularly consult with 
     the practitioner providing the counseling, which shall be 
     provided by a program counselor, qualified by education, 
     training, or experience to assess the psychosocial and 
     sociological background of patients, to contribute to the 
     appropriate treatment plan for the patient and to monitor 
     patient progress.
       ``(II) The practitioner conducts toxicology tests to 
     determine presence of illicit drugs, to ensure patient is 
     taking prescribed medication and to guide clinical decision 
     making including not fewer than 8 random drug abuse tests per 
     year, per patient in maintenance treatment, in accordance 
     with generally accepted clinical practice. For patients in 
     short-term detoxification treatment, the practitioner shall 
     perform not less than 1 initial drug abuse test. For patients 
     receiving long-term detoxification treatment, the 
     practitioner shall perform initial and monthly random tests 
     on each patient.
       ``(III) The practitioner fully participates in and consults 
     the prescription drug monitoring program of the State in 
     which the qualifying practitioner is licensed, pursuant to 
     applicable State guidelines, to ensure patient is not being 
     prescribed opiates elsewhere.
       ``(IV) The practitioner evaluates the patient in the office 
     setting not less frequently than once per month to determine 
     patient's individual needs to address the patient's opioid 
     addiction.
       ``(V) The practitioner uses the American Society of 
     Addiction Medicine Patient Placement Criteria to guide 
     patient assessment, service planning and level of care 
     decisions.
       ``(VI) The practitioner follows the Treatment Improvement 
     Protocols of the Substance Abuse and Mental Health Services 
     Administration for best practice guidelines, which shall be 
     updated, not later than 1 year after the date of enactment of 
     this clause, to fully incorporate all opioid addiction 
     treatment medications approved by the Food and Drug 
     Administration.
       ``(VII) The practitioner has completed--

       ``(aa) not less than 24 hours of training (through 
     classroom situations, seminars at professional society 
     meetings, electronic communications, or similar mediums) with 
     respect to the treatment and management of opiate-dependent 
     patients for substance use disorders 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; and
       ``(bb) not less than 8 hours of continuing medical 
     education training in addiction medicine on an annual basis.

       ``(VIII)(aa) The practitioner--

       ``(AA) educates patients about the full range of opioid 
     addiction treatment medications that are approved by the Food 
     and Drug Administration; and
       ``(BB) based on the medical judgement of the practitioner, 
     patient preference, and clinical assessment using validated, 
     evidenced-based assessment tools, provides all opioid 
     addiction treatment medications approved by the Food and Drug 
     Administration, except schedule II substances, directly or by 
     referral, as permitted and available.

       ``(bb) Nothing in this subclause shall be construed to 
     allow a practitioner registered under this subsection to 
     prescribe or dispense schedule II substances to treat opioid 
     addiction.''; and
       (2) by striking clause (iii) and inserting the following:
       ``(iii) The total number of patients of the practitioner at 
     any one time will not exceed the applicable number. For the 
     purposes of this clause, the applicable number is 45, unless 
     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 150 
     patients. A second notification under this clause shall 
     contain the certifications required by clauses (i) and 
     (ii).''.
       (b) Rulemaking.--Not later than 1 year after the date of 
     enactment of this Act, the Attorney General and the Secretary 
     of Health and Human Services, as the case may be, shall 
     promulgate rules to carry out the amendments made by 
     subsection (a).

     SEC. 802. DATA COLLECTION.

       The Secretary of Health and Human Services, acting through 
     the Administrator of the Substance Abuse and Mental Health 
     Services Administration, shall establish procedures to 
     require that a physician who have received a waiver under 
     section 303(g) of the Controlled Substances Act (21 U.S.C. 
     823(g)) submit to the Administration the following 
     information on a quarterly basis:
       (1) The number of patients the physician is treating 
     relative to the licensed maximum capacity of the physician.
       (2) With respect to the health facility in which the 
     physician is providing services, the percentage of physicians 
     providing counseling services on-site and the percentage of 
     patients in counseling and how frequently patients are 
     utilizing such services.
       (3) With respect to the health facility in which the 
     physician is providing services, the percentage of physicians 
     referring patients for counseling services off-site and the 
     percentage of these patients in counseling and how frequently 
     the patients are utilizing such services.
       (4) The frequency with which the physician utilizes 
     toxicology testing to guide therapeutic dosing and treatment 
     decision making.
       (5) The median patient length of time in treatment.
       (6) The rate of patient dropout against medical advice.
       (7) The rate and type of illicit drug use (opiate and non-
     opiate) by patients of the physician in the past 30 days.
       (8) With respect to the health facility in which the 
     physician is providing services, the percentage of physicians 
     employing medication diversion control strategies.
       (9) The median duration per buprenorphine prescription 
     written by the physician.
       (10) Patient demographics including age, gender, and payer 
     source (such as Medicaid, private insurance, or other types 
     of payment).
       (11) Other information that the Secretary determines to be 
     relevant to determine the quality of care being provided to 
     opioid-addicted patients.

     SEC. 803. GAO REPORT ON OPIOID ADDICTION TREATMENT IN THE 
                   PHYSICIAN OFFICE SETTING.

       (a) Report.--Not later than 2 years after the date of 
     enactment of this Act, the Comptroller General of the United 
     States 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 
     impact the amendments made by section 801 have had on the 
     quality of care being delivered by physicians who have 
     received a waiver under section 303(g) of the Controlled 
     Substances Act (21 U.S.C. 823(g)) and the impact such 
     amendments have had on access to care.
       (b) Recommendations.--The report required under subsection 
     (a) shall include recommendations to improve opioid addiction 
     treatment outcomes in the physician office setting.
       (c) Required Consultation.--In developing the methodology 
     of and considering recommendations to be included in the 
     report required under subsection (a), the Comptroller General 
     of the United States shall consult with interested parties 
     who specialize in addiction treatment, such as--
       (1) the American Academy of Addiction Psychiatry;
       (2) the American Association for the Treatment of Opioid 
     Dependence;

[[Page 2792]]

       (3) the American Osteopathic;
       (4) the Academy of Addiction Medicine;
       (5) the American Psychiatric Association;
       (6) the American Society of Addiction Medicine;
       (7) the National Association of State Alcohol and Drug 
     Abuse Directors; and
       (8) the National Council for Behavioral Health.

     SEC. 804. OFFSET.

       If the Secretary of Health and Human Services determines 
     that the amendments made by section 801 will result in an 
     increase in Federal spending, the Secretary shall reduce the 
     funds available under section 4002 of the Patient Protection 
     and Affordable Care Act (42 U.S.C. 300u-11) by such sums 
     necessary to fully offset the cost associated with the 
     amendments made by section 801.
                                 ______
                                 
  SA 3429. Mr. DAINES (for himself and Mr. Peters) submitted an 
amendment intended to be proposed by him to the bill S. 524, to 
authorize the Attorney General to award grants to address the national 
epidemics of prescription opioid abuse and heroin use; which was 
ordered to lie on the table; as follows:

       On page 66, line 2, strike ``under dishonorable 
     conditions'' and all that follows through line 5 and insert 
     the following: ``, if the reason for that discharge or 
     release, if known, is attributable to a substance use 
     disorder, service-connected post-traumatic stress disorder, 
     military sexual trauma, or a service-connected traumatic 
     brain injury, as determined on a case-by-case basis.''.
                                 ______
                                 
  SA 3430. Mr. HOEVEN submitted an amendment intended to be proposed by 
him to the bill S. 524, to authorize the Attorney General to award 
grants to address the national epidemics of prescription opioid abuse 
and heroin use; which was ordered to lie on the table; as follows:

       At the appropriate place, insert the following:

     SEC. ___. STUDY ON OPIOID TRAFFICKING THROUGH NORTHERN BORDER 
                   STATES.

       (a) Study.--The Secretary of Homeland Security, in 
     coordination with the Attorney General, shall conduct a study 
     on the trafficking of narcotics, specifically opioids, 
     through States that border Canada.
       (b) Report.--Not later than 1 year after the date of 
     enactment of this Act, the Secretary of Homeland Security, in 
     coordination with the Attorney General, shall submit to the 
     Committee on the Judiciary of the Senate, the Committee on 
     Homeland Security and Governmental Affairs of the Senate, the 
     Committee on Appropriations of the Senate, the Committee on 
     the Judiciary of the House of Representatives, the Committee 
     on Homeland Security of the House of Representatives, and the 
     Committee on Appropriations of the House of Representatives a 
     report on the study conducted under subsection (a), which 
     shall include--
       (1) a description of--
       (A) the patterns and trends in the trafficking of opioids;
       (B) trafficking transportation and delivery methods;
       (C) detection efforts and countermeasures used by the 
     United States and Canada;
       (D) opioid user trends in the United States and Canada; and
       (E) any opioid user awareness campaigns in the United 
     States or Canada;
       (2) a discussion of what efforts, if any, the Attorney 
     General and the Secretary of Homeland Security are 
     coordinating with Canadian officials to combat opioid 
     trafficking and use; and
       (3) recommendations on--
       (A) to how best to combat narcotics trafficking between the 
     United States and Canada; and
       (B) needed legal authorizations, funding levels, or 
     international agreements in order to help facilitate better 
     interdiction and prevention efforts.
                                 ______
                                 
  SA 3431. Mr. JOHNSON submitted an amendment intended to be proposed 
to amendment SA 3378 proposed by Mr. Grassley (for himself, Mr. Leahy, 
Mr. Whitehouse, Mr. Portman, Ms. Klobuchar, Ms. Ayotte, Mr. Graham, Mr. 
Coons, Mr. Cornyn, and Mr. Durbin) to the bill S. 524, to authorize the 
Attorney General to award grants to address the national epidemics of 
prescription opioid abuse and heroin use; which was ordered to lie on 
the table; as follows:

       In section 101(c)(1), insert after subparagraph (H) the 
     following:
       (I) the Indian Health Service;
                                 ______
                                 
  SA 3432. Mr. JOHNSON submitted an amendment intended to be proposed 
to amendment SA 3378 proposed by Mr. Grassley (for himself, Mr. Leahy, 
Mr. Whitehouse, Mr. Portman, Ms. Klobuchar, Ms. Ayotte, Mr. Graham, Mr. 
Coons, Mr. Cornyn, and Mr. Durbin) to the bill S. 524, to authorize the 
Attorney General to award grants to address the national epidemics of 
prescription opioid abuse and heroin use; which was ordered to lie on 
the table; as follows:

       In section 101(d)(1), insert after subparagraph (C) the 
     following:
       (D) the management of populations who have both a pain and 
     a mental health diagnosis, including post-traumatic stress 
     disorder and acute stress disorder;
                                 ______
                                 
  SA 3433. Mr. HELLER (for himself and Mr. Warner) submitted an 
amendment intended to be proposed to amendment SA 3378 proposed by Mr. 
Grassley (for himself, Mr. Leahy, Mr. Whitehouse, Mr. Portman, Ms. 
Klobuchar, Ms. Ayotte, Mr. Graham, Mr. Coons, Mr. Cornyn, and Mr. 
Durbin) to the bill S. 524, to authorize the Attorney General to award 
grants to address the national epidemics of prescription opioid abuse 
and heroin use; which was ordered to lie on the table; as follows:

       In section 2999C(b) of title I of the Omnibus Crime Control 
     and Safe Streets Act of 1968, as added by section 304, insert 
     after ``community organizations'' the following: ``, and 
     nonprofit organizations that demonstrate the capacity to 
     provide recovery services to veterans,''.
                                 ______
                                 
  SA 3434. Mr. HELLER (for himself and Mr. Warner) submitted an 
amendment intended to be proposed to amendment SA 3378 proposed by Mr. 
Grassley (for himself, Mr. Leahy, Mr. Whitehouse, Mr. Portman, Ms. 
Klobuchar, Ms. Ayotte, Mr. Graham, Mr. Coons, Mr. Cornyn, and Mr. 
Durbin) to the bill S. 524, to authorize the Attorney General to award 
grants to address the national epidemics of prescription opioid abuse 
and heroin use; which was ordered to lie on the table; as follows:

       In section 101(c)(5), insert after subparagraph (D) the 
     following:
       (E) organizations recognized by the Secretary of Veterans 
     Affairs for the representation of veterans under section 5902 
     of title 38, United States Code (commonly referred to as 
     ``veterans service organizations''); and
                                 ______
                                 
  SA 3435. Mr. SCHATZ (for himself, Mr. Hatch, Mr. Tester, Mr. Cochran, 
and Ms. Collins) submitted an amendment intended to be proposed by him 
to the bill S. 524, to authorize the Attorney General to award grants 
to address the national epidemics of prescription opioid abuse and 
heroin use; which was ordered to lie on the table; as follows:

       At the end of title I of the bill, add the following:

     SEC. 104. ENHANCING BASIC AND APPLIED RESEARCH ON PAIN TO 
                   DISCOVER THERAPIES, INCLUDING ALTERNATIVES TO 
                   OPIOIDS, FOR EFFECTIVE PAIN MANAGEMENT.

       (a) In General.--The Director of the National Institutes of 
     Health (referred to in this section as the ``NIH'') may 
     intensify and coordinate fundamental, translational, and 
     clinical research of the NIH with respect to--
       (1) the understanding of pain;
       (2) the discovery and development of therapies for chronic 
     pain; and
       (3) the development of alternatives to opioids for 
     effective pain treatments.
       (b) Priority and Direction.--The prioritization and 
     direction of the Federally funded portfolio of pain research 
     studies shall consider recommendations made by the 
     Interagency Pain Research Coordinating Committee in concert 
     with the Pain Management Best Practices Inter-Agency Task 
     Force, and in accordance with the National Pain Strategy, the 
     Federal Pain Research Strategy, and the NIH-Wide Strategic 
     Plan for Fiscal Years 2016-2020, the latter which calls for 
     the relative burdens of individual diseases and medical 
     disorders to be regarded as crucial considerations in 
     balancing the priorities of the Federal research portfolio.
                                 ______
                                 
  SA 3436. Mr. HEINRICH (for himself, Mr. Enzi, and Mr. Warner) 
submitted an amendment intended to be proposed by him to the bill S. 
524, to authorize the Attorney General to award grants to address the 
national epidemics of prescription opioid abuse and heroin use; which 
was ordered to lie on the table; as follows:

       On page 11, line 25, strike ``and''.
       On page 11, after line 25, insert the following:
       (6) rural community health professionals; and
       On page 12, line 1, strike ``(6)'' and insert ``(7)''.
                                 ______
                                 
  SA 3437. Mr. FRANKEN (for himself and Mr. Cassidy) submitted an 
amendment intended to be proposed by him to the bill S. 524, to 
authorize the Attorney General to award grants to address the national 
epidemics of prescription opioid abuse and heroin use;

[[Page 2793]]

which was ordered to lie on the table; as follows:

       At the appropriate place, insert the following:

     SEC. __. ESTABLISHING MENTAL HEALTH AND SUBSTANCE USE 
                   DISORDER CURRICULUM.

       (a) In General.--Subpart I of part C of title VII of the 
     Public Health Service Act (42 U.S.C. 293K et seq.) is amended 
     by inserting after section 747A, the following:

     ``SEC. 747B. ESTABLISHING MENTAL HEALTH AND SUBSTANCE USE 
                   DISORDER CURRICULUM.

       ``(a) Support and Development of Mental Health and 
     Substance Use Disorder Training Programs.--
       ``(1) In general.--The Secretary may make grants to, or 
     enter into contracts with, a school of medicine or 
     osteopathic medicine, a nursing school, a physician assistant 
     training program, a school of pharmacy, an accredited public 
     or nonprofit private hospital, or a public or private 
     nonprofit entity which the Secretary has determined is 
     capable of carrying out such grant or contract to establish, 
     maintain, or improve--
       ``(A) academic units or programs that include content and 
     clinical experiences related to mental health and substance 
     use disorder fields, with a special focus on addiction;
       ``(B) programs that enhance interdisciplinary recruitment, 
     training, and faculty development for the purposes of 
     improving clinical teaching and research in mental health and 
     substance use disorder fields, including addiction;
       ``(C) programs that develop, assess, and disseminate 
     evidence-based practices for the design of academic units, 
     training programs, and faculty development initiatives in 
     mental health and substance use disorder fields, including 
     addiction; and
       ``(D) recommendations for medical education curriculum 
     content standards regarding mental health and substance 
     abuse, including addiction, to ensure that medical students 
     are able to recognize, diagnose, and treat mental health and 
     substance use disorders.
       ``(2) Partnership required.--To be eligible to receive a 
     grant or contract under paragraph (1), an entity shall enter 
     into a partnership with a medical education accrediting 
     organization (such as the Liaison Committee on Medical 
     Education, the Accreditation Council for Graduate Medical 
     Education, the Commission on Osteopathic College 
     Accreditation, the Accreditation Commission For Education in 
     Nursing, the Commission on Collegiate Nursing Education, the 
     Accreditation Council for Pharmacy Education, or the 
     accreditation review commission on education for the 
     physician assistant).
       ``(b) Preference in Making Awards Under This Section.--In 
     making awards of grants and contracts under subsection 
     (a)(1), the Secretary shall give preference to any qualified 
     applicant for such an award that agrees to expend the award 
     for the purpose of--
       ``(1) establishing academic units or programs in mental 
     health and substance use disorder fields, including addiction 
     medicine; or
       ``(2) substantially expanding such units or programs.
       ``(c) Priorities in Making Awards.--In awarding grants or 
     contracts under subsection (a), the Secretary shall give 
     priority to qualified applicants that--
       ``(1) have a record of training the greatest percentage of 
     mental health and substance use disorder providers, including 
     addiction providers, who enter and remain in these fields;
       ``(2) have a record of training the greatest percentage of 
     providers, or that have demonstrated significant improvements 
     in the percentage of providers trained, who enter and remain 
     in settings with integrated primary and mental health and 
     substance use disorder health care service, or have a record 
     of establishing multidisciplinary addiction medicine 
     fellowship training programs;
       ``(3) have a record of training individuals who are from 
     underrepresented minority groups, including native 
     populations, or from a rural or disadvantaged background;
       ``(4) provide training in the care of vulnerable 
     populations such as children, pregnant and post-partum women, 
     older adults, homeless individuals, victims of abuse or 
     trauma, and other groups as defined by the Secretary;
       ``(5) teach trainees the skills to provide 
     interprofessional, integrated care through collaboration 
     among health professionals; or
       ``(6) provide training in cultural competency and health 
     literacy.
       ``(d) Duration of Awards.--The period during which payments 
     are made to an entity from an award of a grant or contract 
     under this section shall be 5 years.
       ``(e) Authorization of Appropriations.--For purposes of 
     carrying out this section, there are authorized to be 
     appropriated such sums as may be necessary for each of fiscal 
     years 2018 through 2022.''.
       (b) Increasing Transparency Regarding Graduate Medical 
     Education on Mental Health and Substance Use Disorders.--Not 
     later than 5 years after the date of the enactment of this 
     Act, and annually thereafter, the Secretary of Health and 
     Human Services shall submit to Congress a report that 
     describes the activities that hospitals receiving funding 
     under the Medicare program under title XVIII of the Social 
     Security Act (42 U.S.C. 1395 et seq.) have underway to 
     promote interdisciplinary care teams and provide training for 
     all medical residents, medical students, and faculty in 
     mental health and substance abuse disorders, including 
     addiction medicine.
                                 ______
                                 
  SA 3438. Mr. BLUMENTHAL submitted an amendment intended to be 
proposed by him to the bill S. 524, to authorize the Attorney General 
to award grants to address the national epidemics of prescription 
opioid abuse and heroin use; which was ordered to lie on the table; as 
follows:

       At the end of title V, add the following:

     SEC. 504. ELIMINATION OF COPAYMENT REQUIREMENT FOR VETERANS 
                   RECEIVING OPIOID ANTAGONISTS OR EDUCATION ON 
                   USE OF OPIOID ANTAGONISTS.

       (a) Copayment for Opioid Antagonists.--Section 1722A(a) of 
     title 38, United States Code, is amended by adding at the end 
     the following new paragraph:
       ``(4) Paragraph (1) does not apply to opioid antagonists 
     furnished under this chapter to a veteran who is at high risk 
     for overdose of a specific medication or substance in order 
     to reverse the effect of such an overdose.''.
       (b) Copayment for Education on Use of Opioid Antagonists.--
     Section 1710(g)(3) of such title is amended--
       (1) by striking ``with respect to home health services'' 
     and inserting ``with respect to the following:
       ``(A) Home health services''; and
       (2) by adding at the end the following new subparagraph:
       ``(B) Education on the use of opioid antagonists to reverse 
     the effects of overdoses of specific medications or 
     substances.''.
                                 ______
                                 
  SA 3439. Mr. BENNET submitted an amendment intended to be proposed by 
him to the bill S. 524, to authorize the Attorney General to award 
grants to address the national epidemics of prescription opioid abuse 
and heroin use; which was ordered to lie on the table; as follows:

       At the end, add the following:

                 TITLE VIII--CLOSING THE REVOLVING DOOR

     SEC. 801. SHORT TITLE.

       This title may be cited as the ``Close the Revolving Door 
     Act of 2016''.

     SEC. 802. LIFETIME BAN ON MEMBERS OF CONGRESS FROM LOBBYING.

       (a) In General.--Section 207(e)(1) of title 18, United 
     States Code, is amended to read as follows:
       ``(1) Members of congress.--Any person who is a Senator, a 
     Member of the House of Representatives, or an elected officer 
     of the Senate or the House of Representatives and who, after 
     that person leaves office, knowingly makes, with the intent 
     to influence, any communication to or appearance before any 
     Member, officer, or employee of either House of Congress or 
     any employee of any other legislative office of the Congress, 
     on behalf of any other person (except the United States) in 
     connection with any matter on which such former Senator, 
     Member, or elected official seeks action by a Member, 
     officer, or employee of either House of Congress, in his or 
     her official capacity, shall be punished as provided in 
     section 216 of this title.''.
       (b) Conforming Amendment.--Section 207(e)(2) of title 18, 
     United States Code, is amended--
       (1) in the heading, by striking ``Officers and staff'' and 
     inserting ``Staff'';
       (2) by striking ``an elected officer of the Senate, or'';
       (3) by striking ``leaves office or employment'' and 
     inserting ``leaves employment''; and
       (4) by striking ``former elected officer or''.

     SEC. 803. CONGRESSIONAL STAFF.

       Paragraphs (2), (3)(A), (4), (5)(A), and (6)(A) of section 
     207(e) of title 18, United States Code, are each amended by 
     striking ``1 year'' and inserting ``6 years''.

     SEC. 804. IMPROVED REPORTING OF LOBBYISTS' ACTIVITIES.

       Section 6 of the Lobbying Disclosure Act of 1995 (2 U.S.C. 
     1605) is amended by adding at the end the following:
       ``(c) Joint Web Site.--
       ``(1) In general.--The Secretary of the Senate and the 
     Clerk of the House of Representatives shall maintain a joint 
     lobbyist disclosure Internet database for information 
     required to be publicly disclosed under this Act which shall 
     be an easily searchable Web site called lobbyists.gov with a 
     stated goal of simplicity of usage.
       ``(2) Authorization of appropriations.--There is authorized 
     to be appropriated to carry out this subsection $100,000 for 
     fiscal year 2017.''.

     SEC. 805. LOBBYIST REVOLVING DOOR TO CONGRESS.

       (a) Definitions.--In this section--
       (1) the term ``foreign principal'' has the meaning given 
     that term under section 1(b) of the Foreign Agents 
     Registration Act of 1938 (22 U.S.C. 611(b));

[[Page 2794]]

       (2) the terms ``lobbyist'' and ``lobbying contact'' have 
     the meanings given such terms under section 3 of the Lobbying 
     Disclosure Act of 1995 (2 U.S.C. 1603); and
       (3) the term ``registered lobbyist'' means a lobbyist 
     registered under the Lobbying Disclosure Act of 1995 (2 
     U.S.C. 1601 et seq.).
       (b) Prohibition.--Any person who is a registered lobbyist 
     or an agent of a foreign principal may not, within 6 years 
     after that person leaves such position, be hired by a Member 
     or committee of either House of Congress with whom the 
     registered lobbyist or agent of a foreign principal has had 
     substantial lobbying contact.
       (c) Waiver.--This section may be waived in the Senate or 
     the House of Representatives by the Select Committee on 
     Ethics of the Senate or the Committee on Standards of 
     Official Conduct of the House of Representatives, 
     respectively, based on a compelling national need.
       (d) Substantial Lobbying Contact.--For purposes of this 
     section, in determining whether a registered lobbyist or 
     agent of a foreign principal has had substantial lobbying 
     contact within the applicable period of time, a Member or 
     committee of either House of Congress shall take into 
     consideration whether the individual's lobbying contacts have 
     pertained to pending legislative business, or related to 
     solicitation of an earmark or other Federal funding, 
     particularly if such contacts included the coordination of 
     meetings with the Member or committee, involved presentations 
     to employees of the Member or committee, or participation in 
     fundraising (except for the mere giving of a personal 
     contribution). Simple social contacts with the Member or 
     committee of either House of Congress and staff, shall not by 
     themselves constitute substantial lobbying contacts.

     SEC. 806. REPORTING BY SUBSTANTIAL LOBBYING ENTITIES.

       The Lobbying Disclosure Act of 1995 (2 U.S.C. 1601 et seq.) 
     is amended by inserting after section 6 the following:

     ``SEC. 6A. REPORTING BY SUBSTANTIAL LOBBYING ENTITIES.

       ``(a) In General.--A substantial lobbying entity shall file 
     on an annual basis with the Clerk of the House of 
     Representatives and the Secretary of the Senate a list of 
     each employee of, individual under contract with, or 
     individual who provides paid consulting services to the 
     substantial lobbying entity who is--
       ``(1) a former Senator or a former Member of the House of 
     Representatives; or
       ``(2) another covered legislative branch official who--
       ``(A) was paid not less than $100,000 in any 1 year as a 
     covered legislative branch official;
       ``(B) worked for a total of not less than 4 years as a 
     covered legislative branch official; or
       ``(C) had a job title at any time while employed as a 
     covered legislative branch official that contained any of the 
     following terms: `Chief of Staff', `Legislative Director', 
     `Staff Director', `Counsel', `Professional Staff Member', 
     `Communications Director', or `Press Secretary'.
       ``(b) Contents of Filing.--The filing required under this 
     section shall contain a brief job description of each 
     individual described in subsection (a) and an explanation of 
     their work experience under subsection (a) that requires this 
     filing.
       ``(c) Improved Reporting of Substantial Lobbying 
     Entities.--The Joint Web site being maintained by the 
     Secretary of the Senate and the Clerk of the House of 
     Representatives, known as lobbyists.gov, shall include an 
     easily searchable database entitled `Substantial Lobbying 
     Entities' that includes information on all individuals 
     described in subsection (a).
       ``(d) Law Enforcement Oversight.--The Clerk of the House of 
     Representatives and the Secretary of the Senate shall provide 
     a copy of each filing under subsection (a) to the United 
     States Attorney for the District of Columbia, to allow the 
     United States Attorney for the District of Columbia to 
     determine whether a substantial lobbying entity is 
     underreporting the lobbying activities of its employees, 
     individuals under contract, or individuals who provide paid 
     consulting services.
       ``(e) Substantial Lobbying Entity.--In this section, the 
     term `substantial lobbying entity' means an incorporated 
     entity that employs more than 3 registered lobbyists during a 
     filing period.''.

     SEC. 807. ENHANCED PENALTIES.

       Section 7(a) of the Lobbying Disclosure Act of 1995 (2 
     U.S.C. 1606(a)) is amended by striking ``$200,000'' and 
     inserting ``$500,000''.
                                 ______
                                 
  SA 3440. Ms. HEITKAMP submitted an amendment intended to be proposed 
by her to the bill S. 524, to authorize the Attorney General to award 
grants to address the national epidemics of prescription opioid abuse 
and heroin use; which was ordered to lie on the table; as follows:

       At the appropriate place, insert the following:

     SEC. __. NORTHERN BORDER THREAT ANALYSIS.

       (a) Short Title.--This section may be cited as the 
     ``Northern Border Security Review Act''.
       (b) Definitions.--In this section:
       (1) Appropriate congressional committees.--The term 
     ``appropriate congressional committees'' means--
       (A) the Committee on Homeland Security and Governmental 
     Affairs of the Senate;
       (B) the Committee on Appropriations of the Senate;
       (C) the Committee on the Judiciary of the Senate;
       (D) the Committee on Homeland Security of the House of 
     Representatives;
       (E) the Committee on Appropriations of the House of 
     Representatives; and
       (F) the Committee on the Judiciary of the House of 
     Representatives.
       (2) Northern border.--The term ``Northern Border'' means 
     the land and maritime borders between the United States and 
     Canada.
       (c) Northern Border Threat Analysis.--
       (1) In general.--Not later than 180 days after the date of 
     enactment of this Act, the Secretary of Homeland Security 
     shall submit a Northern Border threat analysis to the 
     appropriate congressional committees that includes--
       (A) current and potential terrorism and criminal threats 
     posed by individuals and organized groups seeking--
       (i) to enter the United States through the Northern Border; 
     or
       (ii) to exploit border vulnerabilities on the Northern 
     Border;
       (B) improvements needed at and between ports of entry along 
     the Northern Border--
       (i) to prevent terrorists and instruments of terrorism from 
     entering the United States; and
       (ii) to reduce criminal activity, as measured by the total 
     flow of illegal goods, illicit drugs (including opioids, 
     fentanyl, heroin, and the illegal movement of prescription 
     drugs), and smuggled and trafficked persons moved in either 
     direction across the Northern Border;
       (C) gaps in law, policy, cooperation between State, tribal, 
     and local law enforcement, international agreements, or 
     tribal agreements that hinder effective and efficient border 
     security, counter-terrorism, anti-human smuggling and 
     trafficking efforts, and the flow of legitimate trade along 
     the Northern Border; and
       (D) whether additional U.S. Customs and Border Protection 
     preclearance and preinspection operations at ports of entry 
     along the Northern Border could help prevent terrorists and 
     instruments of terrorism from entering the United States.
       (2) Analysis requirements.--For the threat analysis 
     required under paragraph (1), the Secretary of Homeland 
     Security shall consider and examine--
       (A) technology needs and challenges;
       (B) personnel needs and challenges;
       (C) the role of State, tribal, and local law enforcement in 
     general border security activities;
       (D) the need for cooperation among Federal, State, tribal, 
     local, and Canadian law enforcement entities relating to 
     border security;
       (E) the terrain, population density, and climate along the 
     Northern Border; and
       (F) the needs and challenges of Department facilities, 
     including the physical approaches to such facilities.
       (3) Classified threat analysis.--To the extent possible, 
     the Secretary of Homeland Security shall submit the threat 
     analysis required under paragraph (1) in unclassified form. 
     The Secretary may submit a portion of the threat analysis in 
     classified form if the Secretary determines that such form is 
     appropriate for that portion.
                                 ______
                                 
  SA 3441. Mr. BARRASSO submitted an amendment intended to be proposed 
to amendment SA 3378 proposed by Mr. Grassley (for himself, Mr. Leahy, 
Mr. Whitehouse, Mr. Portman, Ms. Klobuchar, Ms. Ayotte, Mr. Graham, Mr. 
Coons, Mr. Cornyn, and Mr. Durbin) to the bill S. 524, to authorize the 
Attorney General to award grants to address the national epidemics of 
prescription opioid abuse and heroin use; which was ordered to lie on 
the table; as follows:

       At the appropriate place, insert the following:

     SEC. ___. LAWFUL PRESENCE OF PRACTITIONERS REGISTERED UNDER 
                   THE CONTROLLED SUBSTANCES ACT.

       Section 303(f) of the Controlled Substances Act (21 U.S.C. 
     823(f)) is amended by adding at the end the following: ``In 
     the case of an applicant who is an individual, the Attorney 
     General may not register the applicant under this subsection 
     unless the applicant demonstrates that he or she is a 
     national of the United States or is otherwise lawfully 
     present in the United States under the immigration laws.''.
                                 ______
                                 
  SA 3442. Mr. CASSIDY submitted an amendment intended to be proposed 
to amendment SA 3378 proposed by Mr. Grassley (for himself, Mr. Leahy, 
Mr. Whitehouse, Mr. Portman, Ms. Klobuchar, Ms. Ayotte, Mr. Graham, Mr. 
Coons, Mr. Cornyn, and Mr. Durbin) to the bill S. 524, to authorize the 
Attorney General to award grants to address

[[Page 2795]]

the national epidemics of prescription opioid abuse and heroin use; 
which was ordered to lie on the table; as follows:

       At the appropriate place, insert the following:

     SEC. __. PRESCRIBER EDUCATION.

       Section 301 of the Controlled Substances Act (21 U.S.C. 
     821) is amended--
       (1) by striking ``The Attorney General'' and inserting 
     ``(a) Except as provided in subsection (b), the Attorney 
     General''; and
       (2) by adding at the end the following:
       ``(b) A fee charged by the Attorney General under 
     subsection (a) relating to dispensing narcotic drugs in 
     schedule III, IV, or V or combinations of such drugs in 
     accordance with section 303(g)(2) shall be reduced by 50 
     percent if the practitioner has completed not less than 24 
     hours of training during the 3-year period ending on the date 
     that is 30 days earlier that the date on which an application 
     for registration under section 303(g)(2) is submitted 
     (through classroom situations, seminar at professional 
     society meetings, electronic communications, or otherwise) 
     with respect to the treatment and management of substance use 
     disorders, including opiate-dependent patients, 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 Attorney General determines is appropriate for 
     purposes of this subsection after providing notice and a 
     period for public comment.''.
                                 ______
                                 
  SA 3443. Mr. CASSIDY (for himself and Mr. Markey) submitted an 
amendment intended to be proposed to amendment SA 3378 proposed by Mr. 
Grassley (for himself, Mr. Leahy, Mr. Whitehouse, Mr. Portman, Ms. 
Klobuchar, Ms. Ayotte, Mr. Graham, Mr. Coons, Mr. Cornyn, and Mr. 
Durbin) to the bill S. 524, to authorize the Attorney General to award 
grants to address the national epidemics of prescription opioid abuse 
and heroin use; which was ordered to lie on the table; as follows:

       On page 27, line 19, strike ``and''.
       On page 28, line 20, strike the period and insert ``; 
     and''.
       On page 28, between lines 20 and 21, insert the following:
       (3) a State that requires all licensed prescribers of 
     schedule II and III narcotic substances to complete training 
     on, at a minimum--
       (A) the best practices for pain management, including 
     alternatives to prescribing controlled substances and other 
     alternative therapies to decrease the use of opioids;
       (B) responsible prescribing of pain medications as 
     described in the Federal prescriber guidelines for 
     nonmalignant pain;
       (C) methods for diagnosing, treating, and managing a 
     substance use disorder, including the use of medications and 
     evidence-based non-pharmacological therapies approved by the 
     Food and Drug Administration;
       (D) linking patients to evidence-based treatment for 
     substance use disorders; and
       (E) tools to manage adherence and diversion of controlled 
     substances, including prescription drug monitoring programs, 
     drug screening, informed consent, overdose education, and the 
     use of opioid overdose antagonists.
       On page 39, line 20, strike ``and''.
       On page 39, line 23, strike ``program.'.'' and insert 
     ``program; and''.
       On page 39, after line 23, insert the following:
       ``(5) with respect to States, give preference to a State 
     that requires all licensed prescribers of schedule II and III 
     narcotic substances to complete training on, at a minimum--
       ``(A) the best practices for pain management, including 
     alternatives to prescribing controlled substances and other 
     alternative therapies to decrease the use of opioids;
       ``(B) responsible prescribing of pain medications as 
     described in the Federal prescriber guidelines for 
     nonmalignant pain;
       ``(C) methods for diagnosing, treating, and managing a 
     substance use disorder, including the use of medications and 
     evidence-based non-pharmacological therapies approved by the 
     Food and Drug Administration;
       ``(D) linking patients to evidence-based treatment for 
     substance use disorders; and
       ``(E) tools to manage adherence and diversion of controlled 
     substances, including prescription drug monitoring programs, 
     drug screening, informed consent, overdose education, and the 
     use of opioid overdose antagonists.''.
       On page 42, line 19, strike ``and''.
       On page 43, line 10, strike the period and insert ``; 
     and''.
       On page 43, between lines 10 and 11, insert the following:
       (3) requires all licensed prescribers of schedule II and 
     III narcotic substances to complete training on, at a 
     minimum--
       (A) the best practices for pain management, including 
     alternatives to prescribing controlled substances and other 
     alternative therapies to decrease the use of opioids;
       (B) responsible prescribing of pain medications as 
     described in the Federal prescriber guidelines for 
     nonmalignant pain;
       (C) methods for diagnosing, treating, and managing a 
     substance use disorder, including the use of medications and 
     evidence-based non-pharmacological therapies approved by the 
     Food and Drug Administration;
       (D) linking patients to evidence-based treatment for 
     substance use disorders; and
       (E) tools to manage adherence and diversion of controlled 
     substances, including prescription drug monitoring programs, 
     drug screening, informed consent, overdose education, and the 
     use of opioid overdose antagonists.
       On page 67, between lines 18 and 19, insert the following:
       (A) mandatory training for all licensed prescribers of 
     schedule II and III narcotic substances on, at a minimum--
       (i) the best practices for pain management, including 
     alternatives to prescribing controlled substances and other 
     alternative therapies to decrease the use of opioids;
       (ii) responsible prescribing of pain medications as 
     described in the Federal prescriber guidelines for 
     nonmalignant pain;
       (iii) methods for diagnosing, treating, and managing a 
     substance use disorder, including the use of medications and 
     evidence-based non-pharmacological therapies approved by the 
     Food and Drug Administration;
       (iv) linking patients to evidence-based treatment for 
     substance use disorders; and
       (v) tools to manage adherence and diversion of controlled 
     substances, including prescription drug monitoring programs, 
     drug screening, informed consent, overdose education, and the 
     use of opioid overdose antagonists;
       On page 72, line 8, strike ``and''.
       On page 72, line 12, insert ``and'' after the semicolon.
       On page 72, between lines 12 and 13, insert the following:

       (III) is trained on--

       (aa) the best practices for pain management, including 
     alternatives to prescribing controlled substances and other 
     alternative therapies to decrease the use of opioids;
       (bb) responsible prescribing of pain medications as 
     described in the Federal prescriber guidelines for 
     nonmalignant pain;
       (cc) methods for diagnosing, treating, and managing a 
     substance use disorder, including the use of medications and 
     evidence-based non-pharmacological therapies approved by the 
     Food and Drug Administration;
       (dd) linking patients to evidence-based treatment for 
     substance use disorders; and
       (ee) tools to manage adherence and diversion of controlled 
     substances, including prescription drug monitoring programs, 
     drug screening, informed consent, overdose education, and the 
     use of opioid overdose antagonists;
       On page 94, after line 17, insert the following:

     SEC. 705. GAO REPORT ON TRAINING FOR PRESCRIBERS.

       Not later than 3 years after the date of enactment of this 
     Act, the Comptroller General of the United States shall 
     submit to Congress a report on--
       (1) the number of States that have a mandatory training 
     program for prescribers of opioids;
       (2) when each State that has mandatory training for 
     prescribers of opioids implemented the training program;
       (3) the differences between the mandatory training programs 
     for prescribers of opioids from State to State; and
       (4) whether, in each State with a mandatory training 
     program for prescribers of opioids, the number of deaths 
     related to opioid abuse has changed since the implementation 
     of the training program.
                                 ______
                                 
  SA 3444. Mr. BLUNT submitted an amendment intended to be proposed to 
amendment SA 3378 proposed by Mr. Grassley (for himself, Mr. Leahy, Mr. 
Whitehouse, Mr. Portman, Ms. Klobuchar, Ms. Ayotte, Mr. Graham, Mr. 
Coons, Mr. Cornyn, and Mr. Durbin) to the bill S. 524, to authorize the 
Attorney General to award grants to address the national epidemics of 
prescription opioid abuse and heroin use; which was ordered to lie on 
the table; as follows:

       At the appropriate place, insert the following:

     SEC. __. TELEHEALTH GRANTS FOR PREVENTION AND TREATMENT OF 
                   OPIOID ABUSE.

       (a) In General.--Section 330I of the Public Health Service 
     Act (42 U.S.C. 254c-14) is amended--
       (1) in subsection (b), by inserting ``, which may include 
     telehealth opioid abuse prevention and treatment grant 
     programs'' before the period;
       (2) in subsection (d)(1)(A), by inserting ``, including 
     health care services for the prevention and treatment of 
     opioid abuse'' after ``health care services'';
       (3) in subsection (f)(1)(B)(iii)--
       (A) in subclause (IX) by inserting ``, including community 
     mental health centers meeting the criteria specified in 
     section 1913(c) and located in rural areas'' after 
     ``outpatient mental health facilities''; and
       (B) by adding at the end the following:

       ``(XIII) Drug abuse and opioid abuse treatment specialists.
       ``(XIV) Drug treatment and detoxification centers located 
     in rural areas, as identified by the Secretary.

[[Page 2796]]

       ``(XV) Clinics or hospitals of the Indian Health Service, 
     including hospitals and clinics operated by Indian tribes or 
     tribal organizations.''; and

       (4) in subsection (k)--
       (A) in paragraph (1)(A), by inserting ``, including 
     prevention and treatment services for opioid abuse or 
     addiction,'' after ``clinical telehealth services''; and
       (B) by adding at the end the following:
       ``(3) Telehealth opioid abuse prevention and treatment.--
     The recipient of a telehealth opioid abuse prevention and 
     treatment grant referred to in subsection (b) may use funds 
     received through such grant to--
       ``(A) provide prevention and treatment services to rural 
     communities and coordinate care for individuals in such 
     communities receiving treatment for opioid abuse or 
     addiction;
       ``(B) provide continuing education to rural clinicians on 
     emerging treatment options for individuals suffering from 
     opioid addiction, including through the use of electronic 
     health records linking rural providers with specialists and 
     other opioid prevention and treatment experts in order to 
     improve health care outcomes;
       ``(C) provide continuing education to rural emergency 
     medical service providers to improve capacity to respond to 
     opioid overdoses;
       ``(D) coordinate broader clinical services for individuals 
     suffering from opioid addiction or recovering from such 
     addiction;
       ``(E) focus primarily on opioid prevention and addiction 
     services and providing other clinical services as needed in 
     rural settings; and
       ``(F) develop best practices in delivery of opioid abuse 
     prevention and treatment through telehealth services.''.
                                 ______
                                 
  SA 3445. Ms. WARREN (for herself and Mrs. Capito) submitted an 
amendment intended to be proposed by her to the bill S. 524, to 
authorize the Attorney General to award grants to address the national 
epidemics of prescription opioid abuse and heroin use; which was 
ordered to lie on the table; as follows:

       At the appropriate place, insert the following:

     SEC. ____. PRESCRIPTIONS.

       Section 309(a) of the Controlled Substances Act (21 U.S.C. 
     829(a)) is amended--
       (1) by inserting ``(1) In general.--'' before ``Except''; 
     and
       (2) by adding at the end the following:
       ``(2) Partial filling of prescriptions.--
       ``(A) In general.--A prescription for a controlled 
     substance in schedule II may be partially filled if--
       ``(i) it is requested by--

       ``(I) the patient; or
       ``(II) the practitioner that wrote the prescription, if the 
     practitioner wrote the prescription in accordance with 
     paragraph (1);

       ``(ii) the pharmacist partially filling the prescription 
     makes a notation of the partial filling and records it in the 
     same manner as a filling of the prescription, in accordance 
     with regulations prescribed by the Attorney General;
       ``(iii) the total quantity dispensed in all partial 
     fillings does not exceed the total quantity prescribed; and
       ``(iv) the partial filling is not prohibited under the law 
     of the State in which it occurs.
       ``(B) Remaining portions.--Remaining portions of a 
     partially filled prescription--
       ``(i) may be filled; and
       ``(ii) must be exhausted not later than 30 days after the 
     date on which the prescription is issued, except in the case 
     of a partially filled emergency prescription, the remaining 
     portions of which must be exhausted not later than 72 hours 
     after the prescription is issued.''.
                                 ______
                                 
  SA 3446. Mr. THUNE (for himself, Mr. Barrasso, and Mr. Tester) 
submitted an amendment intended to be proposed to amendment SA 3378 
proposed by Mr. Grassley (for himself, Mr. Leahy, Mr. Whitehouse, Mr. 
Portman, Ms. Klobuchar, Ms. Ayotte, Mr. Graham, Mr. Coons, Mr. Cornyn, 
and Mr. Durbin) to the bill S. 524, to authorize the Attorney General 
to award grants to address the national epidemics of prescription 
opioid abuse and heroin use; which was ordered to lie on the table; as 
follows:

       On page 9, between lines 10 and 11, insert the following:
       (2) the term ``Indian tribe'' has the meaning given the 
     term in section 901(a) of title I of the Omnibus Crime 
     Control and Safe Streets Act of 1968 (42 U.S.C. 3791(a));
       On page 9, line 11, strike ``(2)'' and insert ``(3)''.
       On page 9, line 16, strike ``(3)'' and insert ``(4)''.
       On page 9, line 21, strike ``(4)'' and insert ``(5)''.
       On page 12, line 14, strike ``State and local'' and insert 
     ``State, tribal, and local''.
       On page 14, line 5, insert ``and the Indian Health 
     Service'' before the period.
       On page 16, line 1, insert ``or tribal'' after ``local''.
       On page 16, line 22, insert ``or tribal'' after ``local''.
       On page 17, line 2, insert ``or tribal'' after ``local''.
       On page 22, line 12, insert ``or tribal'' after ``State''.
       On page 22, line 13, insert ``or tribal'' after ``State''.
       On page 23, line 7, insert ``, and tribal if applicable,'' 
     after ``local''.
       On page 23, line 11, insert ``, including tribal law 
     enforcement agencies if applicable'' before the semicolon.
       On page 23, between lines 17 and 18, insert the following:
       (D) demonstrate consultation with affected Indian tribes, 
     if applicable;
       On page 23, line 18, strike ``(D)'' and insert ``(E)''.
       On page 23, line 22, strike ``(E)'' and insert ``(F)''.
       On page 27, line 17, insert ``or the agencies and tribal 
     governments,'' after ``the agencies,''.
       On page 32, line 15, insert ``, and tribal if applicable,'' 
     after ``State''.
       On page 35, line 1, strike ``tribal law'' and insert 
     ``tribal, or Bureau of Indian Affairs law''.
       On page 36, line 9, insert ``and tribal'' after ``State''.
       On page 36, line 9, insert ``, or Indian tribes served by 
     the Bureau of Indian Affairs,'' after ``agencies''.
       On page 41, line 19, insert ``and, if applicable, affected 
     Indian tribes'' before the semicolon.
       On page 42, line 24, strike ``and''.
       On page 43, line 16, strike the period and insert ``; 
     and''.
       On page 43, between lines 16 and 17, insert the following:
       (3) consults, if applicable, with Indian tribes for the 
     purposes of this section.
       On page 45, line 20, strike ``or''.
       On page 45, line 21, strike the period and insert ``; or''.
       On page 45, between lines 21 and 22, insert the following:
       ``(F) a Bureau of Indian Education-funded school.
       On page 52, line 19, strike ``and''.
       On page 52, line 20, insert ``, and tribally controlled 
     colleges or universities (as defined in section 2(a) of the 
     Tribally Controlled College or University Assistance Act of 
     1978 (25 U.S.C. 1801(a)))'' after ``providers''.
       On page 56, line 4, strike ``or State'' and insert ``, 
     State, or tribal''.
       On page 57, line 10, insert ``, tribal,'' after ``State''.
       On page 57, line 21, strike ``or State'' and insert ``, 
     State, or tribal''.
       On page 60, line 7, insert ``and Tribal'' after ``State''.
       On page 60, line 11, insert ``and Indian tribes'' after 
     ``agencies''.
       On page 60, line 18, insert ``and Indian tribes'' after 
     ``agencies''.
       On page 60, line 23, strike ``a''.
       On page 60, line 24, strike ``State system managed by 
     State'' and insert ``State and tribal systems managed by 
     State and tribal''.
       On page 61, line 24, strike ``and''.
       On page 62, line 3, strike the period and insert ``: and''.
       On page 62, between lines 2 and 3, insert the following:
       ``(F) shall apply requirements described in this section 
     for State substance abuse agencies to participating Indian 
     tribes to the maximum extent possible.
       On page 62, line 22, insert ``tribal governments,'' after 
     ``agencies,''.
       On page 66, line 6, insert ``AND TRIBAL'' after ``STATE''.
       On page 66, line 11, insert ``and tribal'' after ``state''.
       On page 67, line 17, insert ``and Indian tribes'' after 
     ``States''.
       On page 67, line 20, insert ``or Indian tribe'' after 
     ``State''.
       On page 68, line 5, insert `` or, if applicable, Indian 
     tribe'' after ``State''.
       On page 68, line 11, insert ``and, if applicable, Indian 
     tribes'' after ``States''.
       On page 68, line 14, insert ``or Indian tribe'' after 
     ``State''.
       On page 68, line 17, insert ``or Indian tribe'' after 
     ``State''.
       On page 70, line 2, insert ``or Indian tribe'' after 
     ``State''.
       On page 70, line 23, strike ``and''.
       On page 71, line 3, strike the period and insert ``; and''.
       On page 71, between lines 3 and 4, insert the following:

       (V) if applicable, a plan for how the State will consult 
     with Indian tribes and integrate tribal health programs (as 
     defined by section 4 of the Indian Healthcare Improvement Act 
     (25 U.S.C. 1603)) and tribal or Bureau of Indian Affairs law 
     enforcement into planning.

       On page 71, line 6, insert ``or Indian tribe'' after 
     ``State''.
       On page 71, line 9, insert ``or Indian tribe'' after 
     ``State''.
       On page 71, line 14, insert ``or Indian tribe'' after 
     ``State''.
       On page 71, line 21, insert ``or Indian tribe'' after 
     ``State''.
       On page 74, line 15, insert ``and, if applicable, affected 
     Indian tribes'' before the semicolon.
       On page 76, line 22, strike ``and''.
       On page 77, line 3, strike the period and insert ``; and''.

[[Page 2797]]

       On page 77, between lines 3 and 4, insert the following:
       (G) if applicable, ensures consultation with affected 
     Indian tribes.
                                 ______
                                 
  SA 3447. Mr. LEE (for himself and Mr. Hatch) submitted an amendment 
intended to be proposed to amendment SA 2953 proposed by Ms. Murkowski 
to the bill S. 2012, to provide for the modernization of the energy 
policy of the United States, and for other purposes; which was ordered 
to lie on the table; as follows:

       At the appropriate place, insert the following:

     SEC. ____. REQUIREMENTS FOR ESTABLISHMENT OR EXPANSION OF 
                   NATIONAL MONUMENTS IN THE STATE OF UTAH.

       Effective during the period beginning on the date of 
     enactment of this Act and ending on the date that is 1 year 
     after that date, no establishment or expansion of a National 
     Monument in the State of Utah shall be carried out unless 
     expressly authorized by Act of Congress.

                          ____________________