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Us Congress Senate Bill SB3393

Us Congress 2023-2024 Regular Session

Us Congress Senate Bill SB3393 Compare Versions

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11 II
2-Calendar No. 319
32 118THCONGRESS
4-2
5-DSESSION S. 3393
3+1
4+STSESSION S. 3393
65 To reauthorize the SUPPORT for Patients and Communities Act, and for
76 other purposes.
87 IN THE SENATE OF THE UNITED STATES
98 DECEMBER4, 2023
109 Mr. S
1110 ANDERS(for himself and Mr. CASSIDY) introduced the following bill;
1211 which was read twice and referred to the Committee on Health, Edu-
1312 cation, Labor, and Pensions
14-F
15-EBRUARY1, 2024
16-Reported by Mr. S
17-ANDERS, with an amendment
18-[Strike out all after the enacting clause and insert the part printed in italic]
1913 A BILL
2014 To reauthorize the SUPPORT for Patients and Communities
2115 Act, and for other purposes.
2216 Be it enacted by the Senate and House of Representa-1
2317 tives of the United States of America in Congress assembled, 2
2418 SECTION 1. SHORT TITLE; TABLE OF CONTENTS. 3
25-(a)SHORTTITLE.—ThisActmaybecitedasthe 4
19+(a) S
20+HORTTITLE.—This Act may be cited as the 4
2621 ‘‘SUPPORT for Patients and Communities Reauthoriza-5
2722 tion Act’’. 6
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31-(b)TABLEOFCONTENTS.—Thetableofcontentsfor 1
32-thisActisasfollows: 2
23+(b) T
24+ABLE OFCONTENTS.—The table of contents for 7
25+this Act is as follows: 8
3326 Sec. 1. Short title; table of contents.
3427 TITLE I—PREVENTION
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3530 Sec. 101. First responder training program.
3631 Sec. 102. Surveillance and education regarding infections associated with illicit
3732 drug use and other risk factors.
3833 Sec. 103. Preventing overdoses of controlled substances.
3934 Sec. 104. Pilot program for public health laboratories to detect fentanyl and
4035 other synthetic opioids.
4136 Sec. 105. Prenatal and postnatal health.
4237 Sec. 106. Donald J. Cohen National Child Traumatic Stress Initiative.
4338 Sec. 107. Surveillance and data collection for child, youth, and adult trauma.
4439 Sec. 108. Preventing adverse childhood experiences.
4540 Sec. 109. Clarification of use of funds for products used to prevent overdose
4641 deaths.
4742 Sec. 110. Support for individuals and families impacted by fetal alcohol spec-
4843 trum disorder.
4944 Sec. 111. Promoting State choice in PDMP systems.
5045 TITLE II—TREATMENT
5146 Sec. 201. Residential treatment program for pregnant and postpartum women.
5247 Sec. 202. Loan repayment program for substance use disorder treatment work-
5348 force.
5449 Sec. 203. Regional centers of excellence in substance use disorder education.
5550 Sec. 204. Mental and behavioral health education and training program.
5651 Sec. 205. Grants to enhance access to substance use disorder treatment.
5752 Sec. 206. Grants to improve trauma support services and mental health care
5853 for children and youth in educational settings.
5954 Sec. 207. Development and dissemination of model training programs for sub-
6055 stance use disorder patient records.
6156 Sec. 208. Task force on best practices for trauma-informed identification, refer-
6257 ral, and support.
6358 Sec. 209. Program to support coordination and continuation of care for drug
6459 overdose patients.
6560 Sec. 210. Regulations relating to special registration for telemedicine.
6661 Sec. 211. Mental health parity.
6762 Sec. 212. State guidance related to individuals with serious mental illness and
6863 children with serious emotional disturbance.
6964 Sec. 213. Improving access to addiction medicine providers.
7065 TITLE III—RECOVERY
7166 Sec. 301. Youth prevention and recovery.
7267 Sec. 302. Comprehensive opioid recovery centers.
7368 Sec. 303. Building communities of recovery.
7469 Sec. 304. Peer support technical assistance center.
7570 Sec. 305. CAREER Act.
7671 Sec. 306. Office of recovery.
7772 TITLE IV—TECHNICAL AMENDMENTS
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8173 Sec. 401. Delivery of a controlled substance by a pharmacy to an administering
8274 practitioner.
8375 Sec. 402. Technical correction on controlled substances dispensing.
8476 Sec. 403. Required training for prescribers of controlled substances.
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8579 TITLE I—PREVENTION 1
8680 SEC. 101. FIRST RESPONDER TRAINING PROGRAM. 2
8781 Section 546 of the Public Health Service Act (42 3
8882 U.S.C. 290ee–1) is amended— 4
8983 (1) in subsection (a), by striking ‘‘tribes and 5
9084 tribal’’ and inserting ‘‘Tribes and Tribal’’; 6
9185 (2) in subsections (a), (c), and (d)— 7
9286 (A) by striking ‘‘approved or cleared’’ each 8
9387 place it appears and inserting ‘‘approved, 9
9488 cleared, or otherwise legally marketed’’; and 10
9589 (B) by striking ‘‘opioid’’ each place it ap-11
9690 pears; 12
9791 (3) in subsection (f)— 13
9892 (A) by striking ‘‘approved or cleared’’ each 14
9993 place it appears and inserting ‘‘approved, 15
10094 cleared, or otherwise legally marketed’’; 16
10195 (B) in paragraph (1), by striking ‘‘opioid’’; 17
10296 (C) in paragraph (2)— 18
10397 (i) by striking ‘‘opioid and heroin’’ 19
10498 and inserting ‘‘opioid, heroin, and other 20
10599 drug’’; and 21
106100 (ii) by striking ‘‘opioid overdose’’ and 22
107101 inserting ‘‘overdose’’; and 23
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111-(D)inparagraph(3),bystriking‘‘opioid 1
112-andheroin’’;and 2
113-(4)insubsection(h),bystriking‘‘$36,000,000 3
114-foreachoffiscalyears2019through2023’’andin-4
115-serting‘‘$56,000,000foreachoffiscalyears2024 5
116-through2028’’. 6
117-SEC.102.SURVEILLANCE ANDEDUCATION REGARDING IN-7
118-FECTIONS ASSOCIATED WITHILLICITDRUG 8
119-USEANDOTHERRISKFACTORS. 9
120-Section317N(d)ofthePublicHealthServiceAct(42 10
121-U.S.C.247b–15(d))isamendedbystriking‘‘2019 11
122-through2023’’andinserting‘‘2024through2028’’. 12
123-SEC.103.PREVENTING OVERDOSES OFCONTROLLED SUB-13
124-STANCES. 14
125-Section392AofthePublicHealthServiceAct(42 15
126-U.S.C.280b–1)isamended— 16
127-(1)insubsection(a)— 17
128-(A)inparagraph(2)— 18
129-(i)insubparagraph(C),byinserting 19
130-‘‘andassociatedrisks’’beforetheperiodat 20
131-theend;and 21
132-(ii)insubparagraph(D),bystriking 22
133-‘‘opioids’’andinserting‘‘substancescaus-23
134-ingoverdose’’; 24
135-(B)inparagraph(3)(A)— 25
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139-(i)byinserting‘‘identifysubstances 1
140-causingoverdoseand’’after‘‘rapidly’’;and 2
141-(ii)bystriking‘‘abuse,and 3
142-overdoses’’andinserting‘‘overdoses,and 4
143-associatedriskfactors’’; 5
144-(2)insubsection(b)(2)— 6
145-(A)insubparagraph(B),byinserting‘‘, 7
146-andassociatedriskfactors,’’after‘‘such 8
147-overdoses’’; 9
148-(B)insubparagraph(C),bystriking‘‘cod-10
149-ing’’andinserting‘‘monitoringandidenti-11
150-fying’’; 12
151-(C)insubparagraph(E)— 13
152-(i)byinsertingacommaafter‘‘public 14
153-healthlaboratories’’;and 15
154-(ii)byinserting‘‘andotheremerging 16
155-substancesrelated’’after‘‘analogues’’;and 17
156-(D)insubparagraph(F,)byinserting 18
157-‘‘andassociatedriskfactors’’after‘‘overdoses’’; 19
158-and 20
159-(3)insubsection(e)bystriking‘‘$496,000,000 21
160-foreachoffiscalyears2019through2023’’andin-22
161-serting‘‘$505,579,000foreachoffiscalyears2024 23
162-through2028’’. 24
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102+(D) in paragraph (3), by striking ‘‘opioid 24
103+and heroin’’; and 25
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106+(4) in subsection (h), by striking ‘‘$36,000,000 1
107+for each of fiscal years 2019 through 2023’’ and in-2
108+serting ‘‘$56,000,000 for each of fiscal years 2024 3
109+through 2028’’. 4
110+SEC. 102. SURVEILLANCE AND EDUCATION REGARDING IN-5
111+FECTIONS ASSOCIATED WITH ILLICIT DRUG 6
112+USE AND OTHER RISK FACTORS. 7
113+Section 317N(d) of the Public Health Service Act (42 8
114+U.S.C. 247b–15(d)) is amended by striking ‘‘2019 9
115+through 2023’’ and inserting ‘‘2024 through 2028’’. 10
116+SEC. 103. PREVENTING OVERDOSES OF CONTROLLED SUB-11
117+STANCES. 12
118+Section 392A of the Public Health Service Act (42 13
119+U.S.C. 280b–1) is amended— 14
120+(1) in subsection (a)— 15
121+(A) in paragraph (2)— 16
122+(i) in subparagraph (C), by inserting 17
123+‘‘and associated risks’’ before the period at 18
124+the end; and 19
125+(ii) in subparagraph (D), by striking 20
126+‘‘opioids’’ and inserting ‘‘substances caus-21
127+ing overdose’’; 22
128+(B) in paragraph (3)(A)— 23
129+(i) by inserting ‘‘identify substances 24
130+causing overdose and’’ after ‘‘rapidly’’; and 25
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133+(ii) by striking ‘‘abuse, and 1
134+overdoses’’ and inserting ‘‘overdoses, and 2
135+associated risk factors’’; 3
136+(2) in subsection (b)(2)— 4
137+(A) in subparagraph (B), by inserting ‘‘, 5
138+and associated risk factors,’’ after ‘‘such 6
139+overdoses’’; 7
140+(B) in subparagraph (C), by striking ‘‘cod-8
141+ing’’ and inserting ‘‘monitoring and identi-9
142+fying’’; 10
143+(C) in subparagraph (E)— 11
144+(i) by inserting a comma after ‘‘public 12
145+health laboratories’’; and 13
146+(ii) by inserting ‘‘and other emerging 14
147+substances related’’ after ‘‘analogues’’; and 15
148+(D) in subparagraph (F,) by inserting 16
149+‘‘and associated risk factors’’ after ‘‘overdoses’’; 17
150+and 18
151+(3) in subsection (e) by striking ‘‘$496,000,000 19
152+for each of fiscal years 2019 through 2023’’ and in-20
153+serting ‘‘$505,579,000 for each of fiscal years 2024 21
154+through 2028’’. 22
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166157 SEC. 104. PILOT PROGRAM FOR PUBLIC HEALTH LABORA-1
167158 TORIES TO DETECT FENTANYL AND OTHER 2
168159 SYNTHETIC OPIOIDS. 3
169160 Section 7011 of the SUPPORT for Patients and 4
170161 Communities Act (42 U.S.C. 247d–10 note) is amended 5
171162 by striking subsection (d). 6
172163 SEC. 105. PRENATAL AND POSTNATAL HEALTH. 7
173164 Section 317L(d) of the Public Health Service Act (42 8
174165 U.S.C. 2476b–13(d)) is amended by striking ‘‘2019 9
175166 through 2023’’ and inserting ‘‘2024 through 2028’’. 10
176167 SEC. 106. DONALD J. COHEN NATIONAL CHILD TRAUMATIC 11
177168 STRESS INITIATIVE. 12
178169 Section 582 of the Public Health Service Act (42 13
179170 U.S.C. 290hh–1) is amended— 14
180-(1)inthesectionheading,bystriking‘‘VIO-15
171+(1) in the section heading, by striking ‘‘
172+VIO-15
181173 LENCE RELATED STRESS ’’ and inserting ‘‘TRAU-16
182174 MATIC EVENTS ’’; 17
183175 (2) in subsection (a)— 18
184176 (A) in the matter preceding paragraph (1), 19
185177 by striking ‘‘tribes and tribal’’ and inserting 20
186178 ‘‘Tribes and Tribal’’; and 21
187179 (B) in paragraph (2), by inserting ‘‘and 22
188180 dissemination’’ after ‘‘the development’’; 23
189181 (3) in subsection (b), by inserting ‘‘and dissemi-24
190182 nation’’ after ‘‘the development’’; 25
191183 (4) in subsection (d)— 26
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195186 (A) by striking ‘‘The NCTSI’’ and insert-1
196187 ing the following: 2
197-‘‘(1)COORDINATING CENTER.—TheNCTSI’’; 3
188+‘‘(1) C
189+OORDINATING CENTER .—The NCTSI’’; 3
198190 and 4
199191 (B) by adding at the end the following: 5
200-‘‘(2)NCTSIGRANTEES.—Incarryingoutsub-6
192+‘‘(2) NCTSI
193+GRANTEES.—In carrying out sub-6
201194 section (a)(2), NCTSI grantees shall develop 7
202195 trainings and other resources, as applicable and ap-8
203196 propriate, to support implementation of the evi-9
204197 dence-based practices developed and disseminated 10
205198 under such subsection.’’; 11
206199 (5) in subsection (e)— 12
207200 (A) by redesignating paragraphs (1) and 13
208201 (2) as subparagraphs (A) and (B), respectively, 14
209202 and adjusting the margins accordingly; 15
210203 (B) in subparagraph (A), as so redesig-16
211204 nated, by inserting ‘‘and implementation’’ after 17
212205 ‘‘the dissemination’’; 18
213206 (C) by striking ‘‘The NCTSI’’ and insert-19
214207 ing the following: 20
215-‘‘(1)COORDINATING CENTER.—’’;and 21
208+‘‘(1) C
209+OORDINATING CENTER .—’’; and 21
216210 (D) by adding at the end the following: 22
217-‘‘(2)NCTSIGRANTEES.—NCTSIgrantees 23
211+‘‘(2) NCTSI
212+GRANTEES.—NCTSI grantees 23
218213 shall, as appropriate, collaborate with other such 24
219214 grantees, the NCTSI coordinating center, and the 25
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223217 Secretary in carrying out subsections (a)(2) and 1
224218 (d)(2).’’; 2
225219 (6) by amending subsection (h) to read as fol-3
226220 lows: 4
227-‘‘(h)APPLICATIONANDEVALUATION.—Tobeeligible 5
221+‘‘(h) A
222+PPLICATION ANDEVALUATION.—To be eligible 5
228223 to receive a grant, contract, or cooperative agreement 6
229224 under subsection (a), a public or nonprofit private entity 7
230225 or an Indian Tribe or Tribal organization shall submit to 8
231226 the Secretary an application at such time, in such manner, 9
232227 and containing such information and assurances as the 10
233228 Secretary may require, including— 11
234229 ‘‘(1) a plan for the rigorous evaluation of the 12
235230 activities funded under the grant, contract or agree-13
236231 ment, including both process and outcomes evalua-14
237232 tion, and the submission of an evaluation at the end 15
238233 of the project period; and 16
239234 ‘‘(2) a description of how such entity, Indian 17
240235 Tribe, or Tribal organization will support efforts led 18
241236 by the Secretary or the NCTSI coordinating center, 19
242237 as applicable, to evaluate activities carried out under 20
243238 this section.’’; and 21
244239 (7) in subsection (j), by striking ‘‘, $63,887,000 22
245240 for each of fiscal years 2019 through 2023’’ and in-23
246241 serting ‘‘$93,887,000 for each of fiscal years 2024 24
247242 and 2025, $104,000,000 for fiscal year 2026, 25
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251245 $110,000,000 for fiscal year 2027, and 1
252246 $112,661,000 for fiscal year 2028’’. 2
253247 SEC. 107. SURVEILLANCE AND DATA COLLECTION FOR 3
254248 CHILD, YOUTH, AND ADULT TRAUMA. 4
255249 Section 7131(e) of the SUPPORT for Patients and 5
256250 Communities Act (42 U.S.C. 242t(e)) is amended by strik-6
257251 ing ‘‘2019 through 2023’’ and inserting ‘‘2024 through 7
258252 2028’’. 8
259253 SEC. 108. PREVENTING ADVERSE CHILDHOOD EXPERI-9
260254 ENCES. 10
261-(a)GRANTPROGRAM.— 11
262-(1)INGENERAL.—TheSecretaryofHealthand 12
255+(a) G
256+RANTPROGRAM.— 11
257+(1) I
258+N GENERAL.—The Secretary of Health and 12
263259 Human Services (referred to in this section as the 13
264260 ‘‘Secretary’’), acting through the Director of the 14
265261 Centers for Disease Control and Prevention, may 15
266262 award grants or cooperative agreements to States, 16
267263 territories, Indian Tribes and Tribal organizations 17
268264 (as such terms are defined in section 4 of the Indian 18
269265 Self-Determination and Education Assistance Act 19
270266 (25 U.S.C. 5304)), and local governmental entities 20
271267 for purposes of carrying out public health activities 21
272268 to improve health outcomes by preventing or reduc-22
273269 ing adverse childhood experiences. 23
274-(2)USEOFFUNDS.—Recipientsofanaward 24
270+(2) U
271+SE OF FUNDS.—Recipients of an award 24
275272 under this subsection may use such award to— 25
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279275 (A) identify, implement, and evaluate evi-1
280276 dence-based public health activities to prevent 2
281277 or reduce adverse childhood experiences and im-3
282278 prove health outcomes; 4
283279 (B) improve data collection and analysis 5
284280 regarding the prevention and reduction of ad-6
285281 verse childhood experiences, including any such 7
286282 data described in section 7131 of the SUP-8
287283 PORT for Patients and Communities Act (42 9
288284 U.S.C. 242t), to identify— 10
289285 (i) any geographic areas or popu-11
290286 lations within the jurisdiction of the recipi-12
291287 ent of an award that have disproportion-13
292288 ately high rates of adverse childhood expe-14
293289 riences; 15
294290 (ii) any types of adverse childhood ex-16
295291 periences of high prevalence within such 17
296292 jurisdiction; and 18
297293 (iii) any short-term health outcomes 19
298294 and long-term health outcomes associated 20
299295 with adverse childhood experiences, includ-21
300296 ing mental health and substance use dis-22
301297 orders; and 23
302298 (C) leverage such data and analysis to in-24
303299 form the identification, implementation, and 25
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307302 evaluation of evidence-based public health ac-1
308303 tivities under subparagraph (A). 2
309-(3)PARTNERSHIPS.—Recipientsofanaward 3
304+(3) P
305+ARTNERSHIPS.—Recipients of an award 3
310306 under this subsection may identify opportunities to 4
311307 establish, or strengthen existing, partnerships with 5
312308 other relevant public and private entities within such 6
313309 jurisdiction for purposes of carrying out such award. 7
314-(4)TECHNICAL ASSISTANCE.—TheSecretary 8
310+(4) T
311+ECHNICAL ASSISTANCE .—The Secretary 8
315312 may provide training and technical assistance to re-9
316313 cipients of awards under this subsection. 10
317-(5)EVALUATION.—Notlaterthan2yearsafter 11
314+(5) E
315+VALUATION.—Not later than 2 years after 11
318316 the date of enactment of this Act, and annually 12
319317 thereafter, the Secretary shall report to the Com-13
320318 mittee on Health, Education, Labor, and Pensions 14
321319 of the Senate and the Committee on Energy and 15
322320 Commerce of the House of Representatives on the 16
323321 specific activities supported through awards under 17
324322 this subsection, including the effectiveness of such 18
325323 activities in preventing or reducing adverse childhood 19
326324 experiences. 20
327-(b)RESEARCH.—TheSecretarymay,asappropriate, 21
325+(b) R
326+ESEARCH.—The Secretary may, as appropriate, 21
328327 conduct research to evaluate public health activities to ad-22
329328 dress adverse childhood experiences. 23
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333331 (c) AUTHORIZATION OFAPPROPRIATIONS.—To carry 1
334332 out this section, there is authorized to be appropriated 2
335333 $7,000,000 for each of fiscal years 2024 through 2028. 3
336334 SEC. 109. CLARIFICATION OF USE OF FUNDS FOR PROD-4
337335 UCTS USED TO PREVENT OVERDOSE DEATHS. 5
338336 The activities carried out pursuant to section 6
339337 1003(b)(4)(A) of the 21st Century Cures Act (42 U.S.C. 7
340338 290ee–3a(b)(4)(A)) may include facilitating access to 8
341339 products used to prevent overdose deaths by detecting the 9
342340 presence of one or more substances, to the extent the pur-10
343341 chase and possession of such products is consistent with 11
344342 Federal and State law. 12
345343 SEC. 110. SUPPORT FOR INDIVIDUALS AND FAMILIES IM-13
346344 PACTED BY FETAL ALCOHOL SPECTRUM DIS-14
347345 ORDER. 15
348-(a)INGENERAL.—PartOoftitleIIIofthePublic 16
346+(a) I
347+NGENERAL.—Part O of title III of the Public 16
349348 Health Service Act (42 U.S.C. 280f et seq.) is amended— 17
350349 (1) by amending the part heading to read as 18
351-follows:‘‘FETAL ALCOHOL SPECTRUM DIS-19
350+follows: ‘‘
351+FETAL ALCOHOL SPECTRUM DIS -19
352352 ORDERS PREVENTION AND SERVICES PRO -20
353353 GRAM’’; 21
354354 (2) in section 399H (42 U.S.C. 280f)— 22
355355 (A) in the section heading, by striking 23
356-‘‘ESTABLISHMENT OFFETAL ALCOHOL 24
356+‘‘
357+ESTABLISHMENT OF FETAL ALCOHOL 24
357358 SYNDROME PREVENTION ’’ and inserting 25
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361361 ‘‘FETAL ALCOHOL SPECTRUM DISORDERS 1
362362 PREVENTION , INTERVENTION ,’’; 2
363363 (B) by striking ‘‘Fetal Alcohol Syndrome 3
364364 and Fetal Alcohol Effect’’ each place it appears 4
365365 and inserting ‘‘FASD’’; 5
366366 (C) in subsection (a)— 6
367367 (i) by amending the heading to read 7
368-asfollows:‘‘INGENERAL’’; 8
368+as follows: ‘‘I
369+NGENERAL’’; 8
369370 (ii) in the matter preceding paragraph 9
370371 (1)— 10
371372 (I) by inserting ‘‘or continue ac-11
372373 tivities to support’’ after ‘‘shall estab-12
373374 lish’’; 13
374375 (II) by striking ‘‘FASD’’ (as 14
375376 amended by subparagraph (B)) and 15
376377 inserting ‘‘fetal alcohol spectrum dis-16
377378 orders (referred to in this section as 17
378379 ‘FASD’)’’; 18
379380 (III) by striking ‘‘prevention, 19
380381 intervention’’ and inserting ‘‘aware-20
381382 ness, prevention, identification, inter-21
382383 vention,’’; and 22
383384 (IV) by striking ‘‘that shall’’ and 23
384385 inserting ‘‘, which may’’; 24
385386 (iii) in paragraph (1)— 25
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389389 (I) in subparagraph (A)— 1
390390 (aa) by striking ‘‘medical 2
391391 schools’’ and inserting ‘‘health 3
392392 professions schools’’; and 4
393393 (bb) by inserting ‘‘infants,’’ 5
394394 after ‘‘provision of services for’’; 6
395395 and 7
396396 (II) in subparagraph (D), by 8
397397 striking ‘‘medical and mental’’ and in-9
398398 serting ‘‘agencies providing’’; 10
399399 (iv) in paragraph (2)— 11
400400 (I) in the matter preceding sub-12
401401 paragraph (A), by striking ‘‘a preven-13
402402 tion and diagnosis program to support 14
403403 clinical studies, demonstrations and 15
404404 other research as appropriate’’ and in-16
405405 serting ‘‘supporting and conducting 17
406406 research on FASD, as appropriate, in-18
407407 cluding’’; 19
408408 (II) in subparagraph (B)— 20
409409 (aa) by striking ‘‘prevention 21
410410 services and interventions for 22
411411 pregnant, alcohol-dependent 23
412412 women’’ and inserting ‘‘culturally 24
413413 and linguistically informed evi-25
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417416 dence-based or practice-based 1
418417 interventions and appropriate so-2
419418 cietal supports for preventing 3
420419 prenatal alcohol exposure, which 4
421420 may co-occur with exposure to 5
422421 other substances’’; and 6
423422 (bb) by striking ‘‘; and’’ and 7
424423 inserting a semicolon; 8
425424 (v) by striking paragraph (3) and in-9
426425 serting the following: 10
427426 ‘‘(3) integrating into surveillance practice an 11
428427 evidence-based standard case definition for FASD 12
429428 and, in collaboration with other Federal and outside 13
430429 partners, support organizations of appropriate med-14
431430 ical and mental health professionals in their develop-15
432431 ment and refinement of evidence-based clinical diag-16
433432 nostic guidelines and criteria for all FASD; and 17
434433 ‘‘(4) building State and Tribal capacity for the 18
435434 identification, treatment, and support of individuals 19
436435 with FASD and their families, which may include— 20
437436 ‘‘(A) utilizing and adapting existing Fed-21
438437 eral, State, or Tribal programs to include 22
439438 FASD identification and FASD-informed sup-23
440439 port; 24
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444442 ‘‘(B) developing and expanding screening 1
445443 and diagnostic capacity for FASD; 2
446444 ‘‘(C) developing, implementing, and evalu-3
447445 ating targeted FASD-informed intervention 4
448446 programs for FASD; 5
449447 ‘‘(D) increasing awareness of FASD; 6
450448 ‘‘(E) providing training with respect to 7
451449 FASD for professionals across relevant sectors; 8
452450 and 9
453451 ‘‘(F) disseminating information about 10
454452 FASD and support services to affected individ-11
455453 uals and their families.’’; 12
456454 (D) in subsection (b)— 13
457455 (i) by striking ‘‘described in section 14
458456 399I’’; 15
459457 (ii) by striking ‘‘The Secretary’’ and 16
460458 inserting the following: 17
461-‘‘(1)INGENERAL.—TheSecretary’’;and 18
459+‘‘(1) I
460+N GENERAL.—The Secretary’’; and 18
462461 (iii) by adding at the end the fol-19
463462 lowing: 20
464-‘‘(2)ELIGIBLEENTITIES.—Tobeeligibletore-21
463+‘‘(2) E
464+LIGIBLE ENTITIES.—To be eligible to re-21
465465 ceive a grant, or enter into a cooperative agreement 22
466466 or contract, under this section, an entity shall— 23
467467 ‘‘(A) be a State, Indian Tribe or Tribal or-24
468468 ganization, local government, scientific or aca-25
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472471 demic institution, or nonprofit organization; 1
473472 and 2
474473 ‘‘(B) prepare and submit to the Secretary 3
475474 an application at such time, in such manner, 4
476475 and containing such information as the Sec-5
477476 retary may require, including a description of 6
478477 the activities that the entity intends to carry 7
479478 out using amounts received under this section. 8
480-‘‘(3)ADDITIONAL APPLICATION CONTENTS.— 9
479+‘‘(3) A
480+DDITIONAL APPLICATION CONTENTS .— 9
481481 The Secretary may require that an entity using 10
482482 amounts from a grant, cooperative agreement, or 11
483483 contract under this section for an activity under sub-12
484484 section (a)(4) include in the application for such 13
485485 amounts submitted under paragraph (2)(B)— 14
486486 ‘‘(A) a designation of an individual to 15
487487 serve as a FASD State or Tribal coordinator of 16
488488 such activity; and 17
489489 ‘‘(B) a description of an advisory com-18
490490 mittee the entity will establish to provide guid-19
491491 ance for the entity on developing and imple-20
492492 menting a statewide or Tribal strategic plan to 21
493493 prevent FASD and provide for the identifica-22
494494 tion, treatment, and support of individuals with 23
495495 FASD and their families.’’; and 24
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499498 (E) by striking subsections (c) and (d); 1
500499 and 2
501500 (F) by adding at the end the following: 3
502-‘‘(c)DEFINITIONOFFASD-INFORMED.—Forpur-4
501+‘‘(c) D
502+EFINITION OFFASD-INFORMED.—For pur-4
503503 poses of this section, the term ‘FASD-informed’, with re-5
504504 spect to support or an intervention program, means that 6
505505 such support or intervention program uses culturally and 7
506506 linguistically informed evidence-based or practice-based 8
507507 interventions and appropriate societal supports to support 9
508508 an improved quality of life for an individual with FASD 10
509509 and the family of such individual.’’; and 11
510510 (3) by striking sections 399I, 399J, and 399K 12
511511 (42 U.S.C. 280f–1, 280f–2, 280f–3) and inserting 13
512512 the following: 14
513513 ‘‘SEC. 399I. FETAL ALCOHOL SPECTRUM DISORDERS CEN-15
514514 TERS FOR EXCELLENCE. 16
515-‘‘(a)INGENERAL.—TheSecretaryshall,asappro-17
515+‘‘(a) I
516+NGENERAL.—The Secretary shall, as appro-17
516517 priate, award grants, cooperative agreements, or contracts 18
517518 to public or nonprofit entities with demonstrated expertise 19
518519 in the prevention of, identification of, and intervention 20
519520 services with respect to, fetal alcohol spectrum disorders 21
520521 (referred to in this section as ‘FASD’) and other related 22
521522 adverse conditions. Such awards shall be for the purposes 23
522523 of establishing Fetal Alcohol Spectrum Disorders Centers 24
523524 for Excellence to build local, Tribal, State, and national 25
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527527 capacities to prevent the occurrence of FASD and other 1
528528 related adverse conditions, and to respond to the needs 2
529529 of individuals with FASD and their families by carrying 3
530530 out the programs described in subsection (b). 4
531-‘‘(b)PROGRAMS.—Anentityreceivinganaward 5
531+‘‘(b) P
532+ROGRAMS.—An entity receiving an award 5
532533 under subsection (a) may use such award for the following 6
533534 purposes: 7
534535 ‘‘(1) Initiating or expanding diagnostic capacity 8
535536 for FASD by increasing screening, assessment, iden-9
536537 tification, and diagnosis. 10
537538 ‘‘(2) Developing and supporting public aware-11
538539 ness and outreach activities, including the use of a 12
539540 range of media and public outreach, to raise public 13
540541 awareness of the risks associated with alcohol con-14
541542 sumption during pregnancy, with the goals of reduc-15
542543 ing the prevalence of FASD and improving the de-16
543544 velopmental, health (including mental health), and 17
544545 educational outcomes of individuals with FASD and 18
545546 supporting families caring for individuals with 19
546547 FASD. 20
547548 ‘‘(3) Acting as a clearinghouse for evidence- 21
548549 based resources on FASD prevention, identification, 22
549550 and culturally and linguistically informed best prac-23
550551 tices, including the maintenance of a national data- 24
551552 based directory on FASD-specific services in States, 25
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555555 Indian Tribes, and local communities, and dissemi-1
556556 nating ongoing research and developing resources on 2
557557 FASD to help inform systems of care for individuals 3
558558 with FASD across their lifespan. 4
559559 ‘‘(4) Increasing awareness and understanding 5
560560 of efficacious, evidence-based screening tools and 6
561561 culturally and linguistically appropriate evidence- 7
562562 based intervention services and best practices, which 8
563563 may include by conducting national, regional, State, 9
564564 Tribal, or peer cross-State webinars, workshops, or 10
565565 conferences for training community leaders, medical 11
566566 and mental health and substance use disorder pro-12
567567 fessionals, education and disability professionals, 13
568568 families, law enforcement personnel, judges, individ-14
569569 uals working in financial assistance programs, social 15
570570 service personnel, child welfare professionals, and 16
571571 other service providers. 17
572572 ‘‘(5) Improving capacity for State, Tribal, and 18
573573 local affiliates dedicated to FASD awareness, pre-19
574574 vention, and identification and family and individual 20
575575 support programs and services. 21
576576 ‘‘(6) Providing technical assistance to recipients 22
577577 of grants, cooperative agreements, or contracts 23
578578 under section 399H, as appropriate. 24
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582581 ‘‘(7) Carrying out other functions, as appro-1
583582 priate. 2
584-‘‘(c)APPLICATION.—Tobeeligibleforagrant,con-3
583+‘‘(c) A
584+PPLICATION.—To be eligible for a grant, con-3
585585 tract, or cooperative agreement under this section, an enti-4
586586 ty shall submit to the Secretary an application at such 5
587587 time, in such manner, and containing such information as 6
588588 the Secretary may require. 7
589-‘‘(d)SUBCONTRACTING.—Apublicorprivatenon-8
589+‘‘(d) S
590+UBCONTRACTING.—A public or private non-8
590591 profit entity may carry out the following activities required 9
591592 under this section through contracts or cooperative agree-10
592593 ments with other public and private nonprofit entities with 11
593594 demonstrated expertise in FASD: 12
594595 ‘‘(1) Prevention activities. 13
595596 ‘‘(2) Screening and identification. 14
596597 ‘‘(3) Resource development and dissemination, 15
597598 training and technical assistance, administration, 16
598599 and support of FASD partner networks. 17
599600 ‘‘(4) Intervention services. 18
600601 ‘‘SEC. 399J. AUTHORIZATION OF APPROPRIATIONS. 19
601602 ‘‘There are authorized to be appropriated to carry out 20
602603 this part such sums as may be necessary for each of fiscal 21
603604 years 2024 through 2028.’’. 22
604-(b)REPORT.—Notlaterthan4yearsafterthedate 23
605+(b) R
606+EPORT.—Not later than 4 years after the date 23
605607 of enactment of this Act, the Secretary of Health and 24
606608 Human Services shall submit to the Committee on Health, 25
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610611 Education, Labor, and Pensions of the Senate and the 1
611612 Committee on Energy and Commerce of the House of 2
612613 Representatives a report on the efforts of the Department 3
613614 of Health and Human Services to advance public aware-4
614615 ness on, and facilitate the identification of best practices 5
615616 related to, fetal alcohol spectrum disorders identification, 6
616617 prevention, treatment, and support. 7
617-(c)TECHNICALAMENDMENT.—Section519Dofthe 8
618+(c) T
619+ECHNICALAMENDMENT.—Section 519D of the 8
618620 Public Health Service Act (42 U.S.C. 290bb–25d) is re-9
619621 pealed. 10
620622 SEC. 111. PROMOTING STATE CHOICE IN PDMP SYSTEMS. 11
621623 Section 399O(h) of the Public Health Service Act (42 12
622624 U.S.C. 280g–3(h)) is amended by adding the following: 13
623-‘‘(5)PROMOTING STATECHOICE.—Nothingin 14
625+‘‘(5) P
626+ROMOTING STATE CHOICE .—Nothing in 14
624627 this section shall be construed to authorize the Sec-15
625628 retary to require States to use a specific vendor or 16
626629 a specific interoperability connection other than to 17
627630 align with nationally recognized, consensus-based 18
628631 open standards, such as in accordance with sections 19
629632 3001 and 3004.’’. 20
630633 TITLE II—TREATMENT 21
631634 SEC. 201. RESIDENTIAL TREATMENT PROGRAM FOR PREG-22
632635 NANT AND POSTPARTUM WOMEN. 23
633636 Section 508 of the Public Health Service Act (42 24
634637 U.S.C. 290bb–1) is amended— 25
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638640 (1) in subsection (d)(11)(C), by striking ‘‘pro-1
639641 viding health services’’ and inserting ‘‘providing 2
640642 health care services’’; 3
641643 (2) in subsection (g)— 4
642644 (A) by inserting ‘‘a plan describing’’ after 5
643645 ‘‘will provide’’; and 6
644646 (B) by adding at the end the following: 7
645647 ‘‘Such plan may include a description of how 8
646648 such applicant will target outreach to women 9
647649 disproportionately impacted by maternal sub-10
648650 stance use disorder.’’; and 11
649651 (3) in subsection (s), by striking ‘‘$29,931,000 12
650652 for each of fiscal years 2019 through 2023’’ and in-13
651653 serting ‘‘$38, 931,000 for each of fiscal years 2024 14
652654 through 2028’’. 15
653655 SEC. 202. LOAN REPAYMENT PROGRAM FOR SUBSTANCE 16
654656 USE DISORDER TREATMENT WORKFORCE. 17
655657 Section 781(j) of the Public Health Service Act (42 18
656658 U.S.C. 295h(j)) is amended by striking ‘‘$25,000,000 for 19
657659 each of fiscal years 2019 through 2023’’ and inserting 20
658660 ‘‘$50,000,000 for each of fiscal years 2024 through 21
659661 2028’’. 22
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663664 SEC. 203. REGIONAL CENTERS OF EXCELLENCE IN SUB-1
664665 STANCE USE DISORDER EDUCATION. 2
665666 Section 551 of the Public Health Service Act (42 3
666667 U.S.C. 290ee–6) is amended by striking subsection (f). 4
667668 SEC. 204. MENTAL AND BEHAVIORAL HEALTH EDUCATION 5
668669 AND TRAINING PROGRAM. 6
669670 Section 756(f) of the Public Health Service Act (42 7
670671 U.S.C. 294e–1(f)) is amended to read as follows: 8
671-‘‘(f)AUTHORIZATION OFAPPROPRIATIONS.—To 9
672+‘‘(f) A
673+UTHORIZATION OF APPROPRIATIONS.—To 9
672674 carry out this section, there is authorized to be appro-10
673675 priated the following: 11
674676 ‘‘(1) $50,000,000 for fiscal year 2024, to be al-12
675677 located as follows: 13
676678 ‘‘(A) For grants described in subsection 14
677679 (a)(1), $15,000,000. 15
678680 ‘‘(B) For grants described in subsection 16
679681 (a)(2), $15,000,000. 17
680682 ‘‘(C) For grants described in subsection 18
681683 (a)(3), $10,000,000. 19
682684 ‘‘(D) For grants described in subsection 20
683685 (a)(4), $10,000,000. 21
684686 ‘‘(2) $55,000,000 for fiscal year 2025, to be al-22
685687 located as follows: 23
686688 ‘‘(A) For grants described in subsection 24
687689 (a)(1), $16,500,000. 25
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691692 ‘‘(B) For grants described in subsection 1
692693 (a)(2), $16,500,000. 2
693694 ‘‘(C) For grants described in subsection 3
694695 (a)(3), $11,000,000. 4
695696 ‘‘(D) For grants described in subsection 5
696697 (a)(4), $11,000,000. 6
697698 ‘‘(3) $60,000,000 for fiscal year 2026, to be al-7
698699 located as follows: 8
699700 ‘‘(A) For grants described in subsection 9
700701 (a)(1), $18,000,000. 10
701702 ‘‘(B) For grants described in subsection 11
702703 (a)(2), $18,000,000. 12
703704 ‘‘(C) For grants described in subsection 13
704705 (a)(3), $12,000,000. 14
705706 ‘‘(D) For grants described in subsection 15
706707 (a)(4), $12,000,000. 16
707708 ‘‘(4) $65,000,000 for fiscal year 2027, to be al-17
708709 located as follows: 18
709710 ‘‘(A) For grants described in subsection 19
710711 (a)(1), $19,500,000. 20
711712 ‘‘(B) For grants described in subsection 21
712713 (a)(2), $19,500,000. 22
713714 ‘‘(C) For grants described in subsection 23
714715 (a)(3), $13,000,000. 24
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718718 ‘‘(D) For grants described in subsection 1
719719 (a)(4), $13,000,000. 2
720720 ‘‘(5) $75,000,000 for fiscal year 2028, to be al-3
721721 located as follows: 4
722722 ‘‘(A) For grants described in subsection 5
723723 (a)(1), $22,500,000. 6
724724 ‘‘(B) For grants described in subsection 7
725725 (a)(2), $22,500,000. 8
726726 ‘‘(C) For grants described in subsection 9
727727 (a)(3), $15,000,000. 10
728728 ‘‘(D) For grants described in subsection 11
729729 (a)(4), $15,000,000.’’. 12
730730 SEC. 205. GRANTS TO ENHANCE ACCESS TO SUBSTANCE 13
731731 USE DISORDER TREATMENT. 14
732732 Section 3203 of the SUPPORT for Patients and 15
733733 Communities Act (21 U.S.C. 823 note) is amended— 16
734734 (1) by striking subsection (b); and 17
735-(2)bystriking‘‘INGENERAL—TheSecretary’’ 18
735+(2) by striking ‘‘I
736+NGENERAL—The Secretary’’ 18
736737 and inserting the following: 19
737738 ‘‘The Secretary’’. 20
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741741 SEC. 206. GRANTS TO IMPROVE TRAUMA SUPPORT SERV-1
742742 ICES AND MENTAL HEALTH CARE FOR CHIL-2
743743 DREN AND YOUTH IN EDUCATIONAL SET-3
744744 TINGS. 4
745745 Section 7134 of the SUPPORT for Patients and 5
746746 Communities Act (42 U.S.C. 280h–7) is amended— 6
747747 (1) in subsection (a), by striking ‘‘tribal’’ and 7
748748 inserting ‘‘Tribal’’; 8
749749 (2) in subsection (c)— 9
750750 (A) in paragraph (1), by inserting ‘‘early 10
751751 intervention,’’ after ‘‘screening,’’; 11
752752 (B) in paragraph (3)— 12
753753 (i) in the matter preceding subpara-13
754754 graph (A), by inserting ‘‘other staff,’’ after 14
755755 ‘‘support personnel,’’; and 15
756756 (ii) in subparagraph (A), by striking 16
757757 ‘‘social and emotional learning’’ and insert-17
758758 ing ‘‘developmentally appropriate prac-18
759759 tices’’; and 19
760760 (C) in paragraph (5), by inserting ‘‘reduce 20
761761 stigma associated with mental health care and’’ 21
762762 after ‘‘efforts to’’; 22
763763 (3) in subsection (d)— 23
764764 (A) in paragraph (4)— 24
765765 (i) in subparagraph (A), by striking ‘‘; 25
766766 and’’ and inserting a semicolon; 26
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770769 (ii) in subparagraph (B)— 1
771770 (I) by striking ‘‘tribal organiza-2
772771 tions as appropriate, other school per-3
773772 sonnel’’ and inserting ‘‘Tribal organi-4
774773 zations as appropriate, other staff’’; 5
775774 and 6
776775 (II) by striking the period and 7
777776 inserting ‘‘; and’’; and 8
778777 (iii) by adding at the end the fol-9
779778 lowing: 10
780779 ‘‘(C) parents and guardians will be in-11
781780 formed of what trauma support services and 12
782781 mental health care are available to their stu-13
783782 dents and what services and care their students 14
784783 receive, in accordance with the parental consent 15
785784 requirements under subsection (h)(2).’’; and 16
786785 (B) by adding at the end the following: 17
787786 ‘‘(7) A plan for sustaining the program fol-18
788787 lowing the end of the award period.’’; 19
789788 (4) in subsection (f)(1), by inserting ‘‘, which 20
790789 shall include a description of how the school obtains 21
791790 consent from the student’s parent or guardian for 22
792791 the provision of trauma support services and mental 23
793792 health care’’ after ‘‘this section’’; 24
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797795 (5) in subsection (g), by striking ‘‘tribal’’ and 1
798796 inserting ‘‘Tribal’’; 2
799797 (6) in subsection (h)— 3
800798 (A) in the subsection heading, by inserting 4
801-‘‘;APPLICATION OFCERTAINPROVISIONS’’ 5
802-after‘‘CONSTRUCTION’’; 6
799+‘‘; A
800+PPLICATION OF CERTAINPROVISIONS’’ 5
801+after ‘‘C
802+ONSTRUCTION’’; 6
803803 (B) by striking ‘‘tribal’’ each place it ap-7
804804 pears and inserting ‘‘Tribal’’; 8
805805 (C) by redesignating paragraphs (1) and 9
806806 (2) as subparagraphs (A) and (B), respectively, 10
807807 and adjusting the margins accordingly; 11
808808 (D) by striking ‘‘Nothing in this section’’ 12
809809 and inserting the following: 13
810-‘‘(1)INGENERAL.—Nothinginthissection’’; 14
810+‘‘(1) I
811+N GENERAL.—Nothing in this section’’; 14
811812 and 15
812813 (E) by adding at the end the following: 16
813-‘‘(2)APPLICATIONOFPROVISIONS.— 17
814-‘‘(A)RULES.—Section4001oftheEle-18
814+‘‘(2) A
815+PPLICATION OF PROVISIONS.— 17
816+‘‘(A) R
817+ULES.—Section 4001 of the Ele-18
815818 mentary and Secondary Education Act of 1965 19
816819 (not including the exception under subsection 20
817820 (a)(2)(B)(i) of such section) shall apply to an 21
818821 entity receiving a grant, contract, or cooperative 22
819822 agreement under this section in the same man-23
820823 ner as such section 4001 applies to an entity 24
821824 receiving funding under title IV of such Act. 25
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825827 ‘‘(B) PRIVACY PROTECTIONS .—Any edu-1
826828 cation record of a student collected or main-2
827829 tained under subsection (c)(4) shall have the 3
828830 protections required for education records 4
829831 under section 444 of the General Education 5
830832 Provisions Act.’’. 6
831833 (7) in subsection (k)— 7
832834 (A) by redesignating paragraphs (5) 8
833835 through (11) as paragraphs (6) through (12), 9
834836 respectively; and 10
835837 (B) by inserting after paragraph (4) the 11
836838 following: 12
837-‘‘(5)OTHERSTAFF.—Theterm‘otherstaff’has 13
839+‘‘(5) O
840+THER STAFF.—The term ‘other staff’ has 13
838841 the meaning given such term in section 8101 of the 14
839842 Elementary and Secondary Education Act of 1965.’’; 15
840843 and 16
841844 (8) in subsection (l), by striking ‘‘2019 through 17
842845 2023’’ and inserting ‘‘2024 through 2028’’. 18
843846 SEC. 207. DEVELOPMENT AND DISSEMINATION OF MODEL 19
844847 TRAINING PROGRAMS FOR SUBSTANCE USE 20
845848 DISORDER PATIENT RECORDS. 21
846849 Section 7053 of the SUPPORT for Patients and 22
847850 Communities Act (42 U.S.C. 290dd–2 note) is amended 23
848851 by striking subsection (e). 24
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852854 SEC. 208. TASK FORCE ON BEST PRACTICES FOR TRAUMA- 1
853855 INFORMED IDENTIFICATION, REFERRAL, AND 2
854856 SUPPORT. 3
855857 Section 7132 of the SUPPORT for Patients and 4
856858 Communities Act (Public Law 115–271; 132 Stat. 4046) 5
857859 is amended— 6
858860 (1) in subsection (b)(1)— 7
859861 (A) by redesignating subparagraph (CC) as 8
860862 subparagraph (DD); and 9
861863 (B) by inserting after subparagraph (BB) 10
862864 the following: 11
863865 ‘‘(CC) The Administration for Community 12
864866 Living.’’; 13
865867 (2) in subsection (d)(1), in the matter pre-14
866868 ceding subparagraph (A), by inserting ‘‘, develop-15
867869 mental disability service providers’’ before ‘‘, individ-16
868870 uals who are’’; and 17
869871 (3) in subsection (i), by striking ‘‘2023’’ and in-18
870872 serting ‘‘2028’’. 19
871873 SEC. 209. PROGRAM TO SUPPORT COORDINATION AND 20
872874 CONTINUATION OF CARE FOR DRUG OVER-21
873875 DOSE PATIENTS. 22
874876 Section 7081 of the SUPPORT for Patients and 23
875877 Communities Act (42 U.S.C. 290dd–4) is amended by 24
876878 striking subsection (f). 25
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880881 SEC. 210. REGULATIONS RELATING TO SPECIAL REGISTRA-1
881882 TION FOR TELEMEDICINE. 2
882883 Not later than 1 year after the date of enactment 3
883884 of this Act, the Attorney General, in consultation with the 4
884885 Secretary of Health and Human Services, shall promul-5
885886 gate the final regulations required under section 311(h)(2) 6
886887 of the Controlled Substances Act (21 U.S.C. 831(h)(2)). 7
887888 SEC. 211. MENTAL HEALTH PARITY. 8
888-(a)INGENERAL.—NotlaterthanJanuary1,2025, 9
889+(a) I
890+NGENERAL.—Not later than January 1, 2025, 9
889891 the Inspector General of the Department of Labor, in co-10
890892 ordination with the Inspector General of the Department 11
891893 of Health and Human Services, shall report to the Com-12
892894 mittee on Health, Education, Labor, and Pensions of the 13
893895 Senate and the Committee on Energy and Commerce and 14
894896 the Committee on Education and the Workforce of the 15
895897 House of Representatives on the following: 16
896898 (1) The non-quantitative treatment limit (re-17
897899 ferred to in this section as ‘‘NQTL’’) requirements 18
898900 with respect to mental health and substance use dis-19
899901 order benefits under group health plans and health 20
900902 insurance issuers under section 2726(a)(8) of the 21
901903 Public Health Service Act (42 U.S.C. 300gg– 22
902904 26(a)(8)), section 712(a)(8) of the Employee Retire-23
903905 ment Income Security Act of 1974 (29 U.S.C. 24
904906 1185a(a)(8)), and section 9812(a)(8) of the Internal 25
905907 Revenue Code of 1986 (referred to in this section as 26
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909910 the ‘‘NQTL comparative analysis requirements’’), 1
910911 and the requirements for the Secretary of Health 2
911912 and Human Services, the Secretary of Labor, and 3
912913 the Secretary of the Treasury to issue regulations, 4
913914 a compliance program guide, and additional guid-5
914915 ance documents and tools providing guidance relat-6
915916 ing to mental health parity requirements under sec-7
916917 tion 2726(a) of the Public Health Service Act (42 8
917918 U.S.C. 300gg–26(a)), section 712(a) of the Em-9
918919 ployee Retirement Income Security Act of 1974 (29 10
919920 U.S.C. 1185a(a)), and section 9812(a) of the Inter-11
920921 nal Revenue Code of 1986. 12
921922 (2) With respect to the NQTL comparative 13
922923 analysis requirements described in paragraph (1), an 14
923924 analysis of the actions taken by the Secretary of 15
924925 Labor, the Secretary of the Treasury, and the Sec-16
925926 retary of Health and Human Services to provide 17
926927 guidance to ensure that group health plans and 18
927928 health insurance issuers can fully comply with men-19
928929 tal health parity requirements under section 2726 of 20
929930 the Public Health Service Act (42 U.S.C. 300gg– 21
930931 26), section 712 of the Employee Retirement Income 22
931932 Security Act of 1974 (29 U.S.C. 1185a), and section 23
932933 9812 of the Internal Revenue Code of 1986 and the 24
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936936 NQTL comparative analysis requirements described 1
937937 in paragraph (1), including an analysis of— 2
938938 (A) the extent to which the Secretary of 3
939939 Labor, the Secretary of the Treasury, and the 4
940940 Secretary of Health and Human Services have 5
941941 fulfilled the requirement under section 203(b) 6
942942 of division BB of the Consolidated Appropria-7
943943 tions Act, 2021 (Public Law 116–260) to issue 8
944944 the specific guidance and regulations pertaining 9
945945 to the requirements for group health plans and 10
946946 health insurance issuers to demonstrate compli-11
947947 ance with the NQTL comparative analysis re-12
948948 quirements; and 13
949949 (B) whether sufficient guidance and exam-14
950950 ples from the Department of Labor and De-15
951951 partment of Health and Human Services, and 16
952952 the Department of the Treasury exist to guide 17
953953 and assist group health plans and health insur-18
954954 ance issuers in complying with the requirements 19
955955 to demonstrate compliance with mental health 20
956956 parity NQTL comparative analysis require-21
957957 ments/under such sections 2726(a)(8), 22
958958 712(a)(8), and 9812(a)(8). 23
959959 (3) A review of the enforcement processes of 24
960960 the Department of Labor and the Department of 25
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964963 Health and Human Services to evaluate the consist-1
965964 ency of interpretation of the requirements under sec-2
966965 tion 2726(a)(8) of the Public Health Service Act (42 3
967966 U.S.C. 300gg–26(a)(8), section 712(a)(8) of the 4
968967 Employee Retirement Income Security Act of 1974 5
969968 (29 U.S.C. 1185a(a)(8)), and section 9812(a)(8) of 6
970969 the Internal Revenue Code of 1986, in particular 7
971970 with respect to processes utilized for enforcement, 8
972971 actions or inactions that constitute noncompliance, 9
973972 and avoidance among the agencies of duplication of 10
974973 enforcement, including an evaluation of compliance 11
975974 with section 104 of the Health Insurance Portability 12
976975 and Accountability Act of 1996 (Public Law 104– 13
977976 191). 14
978977 (4) A review of the implementation, by the De-15
979978 partment of Labor, Department of Health and 16
980979 Human Services, and Department of the Treasury, 17
981980 of mental health parity requirements under section 18
982981 2726 of the Public Health Service Act (42 U.S.C. 19
983982 300gg–26), section 712 of the Employee Retirement 20
984983 Income Security Act of 1974 (29 U.S.C. 1185a), 21
985984 and section 9812 of the Internal Revenue Code of 22
986985 1986, including all such requirements in effect 23
987986 through the enactment of the Mental Health Parity 24
988987 Act of 1996 (Public Law 104–204), the Paul 25
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992990 Wellstone and Pete Domenici Mental Health Parity 1
993991 and Addiction Equity Act of 2008 (Public Law 110– 2
994992 460), the 21st Century Cures Act (Public Law 114– 3
995993 255), and the Consolidated Appropriations Act, 4
996994 2023 (Public Law 117–328) (including any amend-5
997995 ments made by such Acts), and including with re-6
998996 spect to the timing of all actions, delays of any ac-7
999997 tions, reasons for any such delays, mandated re-8
1000998 quirements that were met only once but not each 9
1001999 time such requirements were mandated. 10
1002-(b)DEFINITIONS.—Inthissection,theterms‘‘group 11
1000+(b) D
1001+EFINITIONS.—In this section, the terms ‘‘group 11
10031002 health plan’’ and ‘‘health insurance issuer’’ have the 12
10041003 meanings given such terms in section 733 of the Employee 13
10051004 Retirement Income Security Act of 1974 (29 U.S.C. 14
10061005 1191b). 15
10071006 SEC. 212. STATE GUIDANCE RELATED TO INDIVIDUALS 16
10081007 WITH SERIOUS MENTAL ILLNESS AND CHIL-17
10091008 DREN WITH SERIOUS EMOTIONAL DISTURB-18
10101009 ANCE. 19
1011-(a)REVIEWOFUSEOFCERTAINFUNDING.—Not 20
1010+(a) R
1011+EVIEW OFUSE OFCERTAINFUNDING.—Not 20
10121012 later than 1 year after the date of enactment of this Act, 21
10131013 the Secretary of Health and Human Services, acting 22
10141014 through the Assistant Secretary for Mental Health and 23
10151015 Substance Use, shall conduct a review of the use by States 24
10161016 of funds made available under the Community Mental 25
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10201019 Health Services Block Grant program under subpart I of 1
10211020 part B of title XIX of the Public Health Service Act (42 2
10221021 U.S.C. 300x et seq.) for First Episode Psychosis activities. 3
10231022 Such review shall consider the following: 4
10241023 (1) How the States use funds for evidence- 5
10251024 based treatments and services, such as coordinated 6
10261025 specialty care, according to the standard of care for 7
10271026 individuals with early serious mental illness, includ-8
10281027 ing the comprehensiveness of such treatments to in-9
10291028 clude all aspects of the recommended intervention. 10
10301029 (2) How State mental health departments co-11
10311030 ordinate with State Medicaid departments in the de-12
10321031 livery of the treatments and services described in 13
10331032 paragraph (1). 14
10341033 (3) The percentage of the State funding under 15
10351034 the block grant program that is applied toward early 16
10361035 serious mental illness and funding in excess of, or 17
10371036 under, 10 percent of the amount of the grant, bro-18
10381037 ken down by State. 19
10391038 (4) The percentage of funds expended by States 20
10401039 through such block grant program specifically on 21
10411040 First Episode Psychosis, to the extent such informa-22
10421041 tion is available. 23
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10461044 (5) How many individuals are served by the ex-1
10471045 penditures described in paragraph (3)and (4), on a 2
10481046 per-capita basis. 3
10491047 (6) How the funds are used to reach under-4
10501048 served populations, including rural populations and 5
10511049 racial and ethnic minority populations. 6
1052-(b)REPORTANDGUIDANCE.— 7
1053-(1)REPORT.—Notlaterthan6monthsafter 8
1050+(b) R
1051+EPORT ANDGUIDANCE.— 7
1052+(1) R
1053+EPORT.—Not later than 6 months after 8
10541054 the completion of the review under subsection (a), 9
10551055 the Secretary of Health and Human Services, acting 10
10561056 through the Assistant Secretary for Mental Health 11
10571057 and Substance Use, shall submit to the Committee 12
10581058 on Appropriations, the Committee on Health, Edu-13
10591059 cation, Labor, and Pensions, and the Committee on 14
10601060 Finance of the Senate and to the Committee on Ap-15
10611061 propriations and the Committee on Energy and 16
10621062 Commerce of the House of Representatives a report 17
10631063 on the findings made as a result of the review con-18
10641064 ducted under subsection (a). Such report shall in-19
10651065 clude any recommendations with respect to any 20
10661066 changes to the Community Mental Health Services 21
10671067 Block Grant program under subpart I of part B of 22
10681068 title XIX of the Public Health Service Act (42 23
10691069 U.S.C. 300x et seq.), including the set aside re-24
10701070 quired for First Episode Psychosis, that would facili-25
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10741073 tate improved outcomes for the targeted population 1
10751074 involved. 2
1076-(2)GUIDANCE.—Notlaterthan1yearafter 3
1075+(2) G
1076+UIDANCE.—Not later than 1 year after 3
10771077 the date on which the report is submitted under 4
10781078 paragraph (1), the Secretary of Health and Human 5
10791079 Services, acting through the Assistant Secretary for 6
10801080 Mental Health and Substance Use, shall update the 7
10811081 guidance provided to States under the Community 8
10821082 Mental Health Services Block Grant program based 9
10831083 on the findings and recommendations of the report. 10
1084-(c)ADDITIONALGUIDANCE.—TheDirectorofthe 11
1084+(c) A
1085+DDITIONALGUIDANCE.—The Director of the 11
10851086 National Institute of Mental Health shall coordinate with 12
10861087 the Assistant Secretary for Mental Health and Substance 13
10871088 Use in providing guidance to State grantees and provider 14
10881089 subgrantees about research advances in the delivery of 15
10891090 services for First Episode Psychosis under the Community 16
10901091 Mental Health Services Block Grant program. 17
1091-(d)GUIDANCEFORSTATESRELATINGTOHEALTH 18
1092-CARESERVICESANDINTERVENTIONS FORINDIVIDUALS 19
1093-WITHSERIOUSMENTALILLNESSANDCHILDRENWITH 20
1094-SERIOUSEMOTIONALDISTURBANCE.—Notlaterthan2 21
1092+(d) G
1093+UIDANCE FORSTATESRELATING TOHEALTH 18
1094+C
1095+ARESERVICES ANDINTERVENTIONS FOR INDIVIDUALS 19
1096+W
1097+ITHSERIOUSMENTALILLNESS ANDCHILDRENWITH 20
1098+S
1099+ERIOUSEMOTIONALDISTURBANCE.—Not later than 2 21
10951100 years after the date of enactment of this Act, the Assistant 22
10961101 Secretary for Mental Health and Substance Use, jointly 23
10971102 with the Administrator of the Centers for Medicare & 24
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11011105 Medicaid Services and the Director of the National Insti-1
11021106 tute of Mental Health— 2
11031107 (1) shall provide updated guidance to States 3
11041108 concerning the manner in which Federal funding 4
11051109 provided to States through programs administered 5
11061110 by such agencies, including the Community Mental 6
11071111 Health Services Block Grant program under subpart 7
11081112 I of part B of title XIX of the Public Health Service 8
11091113 Act (42 U.S.C. 300x et seq.), may be coordinated to 9
11101114 provide evidence-based health care services such as 10
11111115 coordinated specialty care to individuals with serious 11
11121116 mental illness and serious emotional disturbance, 12
11131117 and interventions for individuals with early serious 13
11141118 mental illness, including First Episode Psychosis; 14
11151119 and 15
11161120 (2) may streamline relevant State reporting re-16
11171121 quirements if such streamlining would result in mak-17
11181122 ing it easier for States to coordinate funding under 18
11191123 the programs described in paragraph (1) to improve 19
11201124 treatments for individuals with serious mental illness 20
11211125 and serious emotional disturbance. 21
11221126 SEC. 213. IMPROVING ACCESS TO ADDICTION MEDICINE 22
11231127 PROVIDERS. 23
11241128 Section 597 of the Public Health Service Act (42 24
11251129 U.S.C. 290ll) is amended— 25
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11291132 (1) in subsection (a)(1), by inserting ‘‘diag-1
11301133 nosis,’’ after ‘‘related to’’; and 2
11311134 (2) in subsection (b), by inserting ‘‘addiction 3
11321135 medicine,’’ after ‘‘psychiatry,’’. 4
11331136 TITLE III—RECOVERY 5
11341137 SEC. 301. YOUTH PREVENTION AND RECOVERY. 6
11351138 Section 7102(c) of the SUPPORT for Patients and 7
11361139 Communities Act (42 U.S.C. 290bb–7a(c)) is amended— 8
11371140 (1) in paragraph (2)— 9
11381141 (A) in subparagraph (A)— 10
11391142 (i) in clause (i)— 11
11401143 (I) by inserting ‘‘, or a consortia 12
11411144 of local educational agencies,’’ after 13
11421145 ‘‘a local educational agency’’; and 14
11431146 (II) by striking ‘‘high schools’’ 15
11441147 and inserting ‘‘secondary schools’’; 16
11451148 and 17
11461149 (ii) in clause (vi), by striking ‘‘tribe, 18
11471150 or tribal’’ and inserting ‘‘Tribe, or Tribal’’; 19
11481151 (B) by amending subparagraph (E) to read 20
11491152 as follows: 21
1150-‘‘(E)INDIANTRIBE;TRIBALORGANIZA-22
1153+‘‘(E) I
1154+NDIAN TRIBE; TRIBAL ORGANIZA-22
11511155 TION.—The terms ‘Indian Tribe’ and ‘Tribal 23
11521156 organization’ have the meanings given such 24
11531157 terms in section 4 of the Indian Self-Deter-25
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1159+•S 3393 IS
11571160 mination and Education Assistance Act (25 1
11581161 U.S.C. 5304).’’; 2
11591162 (C) by redesignating subparagraph (K) as 3
11601163 subparagraph (L); and 4
11611164 (D) by inserting after subparagraph (J) 5
11621165 the following: 6
1163-‘‘(K)SECONDARY SCHOOL.—Theterm 7
1166+‘‘(K) S
1167+ECONDARY SCHOOL .—The term 7
11641168 ‘secondary school’ has the meaning given such 8
11651169 term in section 8101 of the Elementary and 9
11661170 Secondary Education Act of 1965 (20 U.S.C. 10
11671171 7801).’’; 11
11681172 (2) in paragraph (3)(A), in the matter pre-12
11691173 ceding clause (i)— 13
11701174 (A) by striking ‘‘and abuse’’; and 14
11711175 (B) by inserting ‘‘at increased risk for sub-15
11721176 stance misuse’’ after ‘‘specific populations’’; 16
11731177 (3) in paragraph (4)— 17
11741178 (A) in the matter preceding subparagraph 18
11751179 (A), by striking ‘‘Indian tribes’’ and inserting 19
11761180 ‘‘Indian Tribes’’; 20
11771181 (B) in subparagraph (A), by striking ‘‘and 21
11781182 abuse’’; and 22
11791183 (C) in subparagraph (B), by striking ‘‘peer 23
11801184 mentoring’’ and inserting ‘‘peer-to-peer sup-24
11811185 port’’; 25
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11851188 (4) in paragraph (5), by striking ‘‘tribal’’ and 1
11861189 inserting ‘‘Tribal’’; 2
11871190 (5) in paragraph (6)(A)— 3
11881191 (A) in clause (iv), by striking ‘‘; and’’ and 4
11891192 inserting a semicolon; and 5
11901193 (B) by adding at the end the following: 6
11911194 ‘‘(vi) a plan to sustain the activities 7
11921195 carried out under the grant program, after 8
11931196 the grant program has ended; and’’; 9
11941197 (6) in paragraph (8), by striking ‘‘2022’’ and 10
11951198 inserting ‘‘2027’’; and 11
11961199 (7) by amending paragraph (9) to read as fol-12
11971200 lows: 13
1198-‘‘(9)AUTHORIZATION OFAPPROPRIATIONS.— 14
1201+‘‘(9) A
1202+UTHORIZATION OF APPROPRIATIONS .— 14
11991203 To carry out this subsection, there are authorized to 15
12001204 be appropriated $10,000,000 for fiscal year 2024, 16
12011205 $12,000,000 for fiscal year 2025, $14,000,000 for 17
12021206 fiscal year 2026, $16,000,000 for fiscal year 2027, 18
12031207 and $18,000,000 for fiscal year 2028.’’. 19
12041208 SEC. 302. COMPREHENSIVE OPIOID RECOVERY CENTERS. 20
12051209 Section 552 of the Public Health Service Act (42 21
12061210 U.S.C. 290ee–7) is amended— 22
12071211 (1) in subsection (d)(2)— 23
12081212 (A) in the matter preceding subparagraph 24
12091213 (A), by striking ‘‘and in such manner’’ and in-25
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12131216 serting ‘‘, in such manner, and containing such 1
12141217 information and assurances’’; and 2
12151218 (B) in subparagraph (A), by striking ‘‘is 3
12161219 capable of coordinating with other entities to 4
12171220 carry out’’ and inserting ‘‘has the demonstrated 5
12181221 capability to carry out, through referral or con-6
12191222 tractual arrangements’’; 7
12201223 (2) in subsection (h)— 8
12211224 (A) by redesignating paragraphs (1) 9
12221225 through (4) as subparagraphs (A) through (D), 10
12231226 respectively, and adjusting the margins accord-11
12241227 ingly; 12
12251228 (B) by striking ‘‘With respect to’’ and in-13
12261229 serting the following: 14
1227-‘‘(1)INGENERAL.—Withrespectto’’;and 15
1230+‘‘(1) I
1231+N GENERAL.—With respect to’’; and 15
12281232 (C) by adding at the end the following: 16
1229-‘‘(2)ADDITIONALREPORTINGFORCERTAINEL-17
1233+‘‘(2) A
1234+DDITIONAL REPORTING FOR CERTAIN EL -17
12301235 IGIBLE ENTITIES.—An entity carrying out activities 18
12311236 described in subsection (g) through referral or con-19
12321237 tractual arrangements shall include in the submis-20
12331238 sions required under paragraph (1) information re-21
12341239 lated to the status of such referrals or contractual 22
12351240 arrangements, including an assessment of whether 23
12361241 such referrals or contractual arrangements are sup-24
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12401244 porting the ability of such entity to carry out such 1
12411245 activities.’’; and 2
12421246 (3) in subsection (j), by striking ‘‘2019 through 3
12431247 2023’’ and inserting ‘‘2024 through 2028’’. 4
12441248 SEC. 303. BUILDING COMMUNITIES OF RECOVERY. 5
12451249 Section 547(f) of the Public Health Service Act (42 6
12461250 U.S.C. 290ee–2(f)) is amended by striking ‘‘$5,000,000 7
12471251 for each of fiscal years 2019 through 2023’’ and inserting 8
12481252 ‘‘$16,000,000 for each of fiscal years 2024 through 9
12491253 2028’’. 10
12501254 SEC. 304. PEER SUPPORT TECHNICAL ASSISTANCE CEN-11
12511255 TER. 12
12521256 Section 547A of the Public Health Service Act (42 13
12531257 U.S.C. 290ee–2a) is amended— 14
12541258 (1) in subsection (b)(4), by striking ‘‘building; 15
12551259 and’’ and inserting the following: ‘‘building, such 16
12561260 as— 17
12571261 ‘‘(A) professional development of peer sup-18
12581262 port specialists; and 19
12591263 ‘‘(B) making recovery support services 20
12601264 available in nonclinical settings; and’’; 21
12611265 (2) by redesignating subsections (d) and (e) as 22
12621266 subsections (e) and (f), respectively; 23
12631267 (3) by inserting after subsection (c) the fol-24
12641268 lowing: 25
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12681271 ‘‘(d) PILOTPROGRAM.— 1
1269-‘‘(1)INGENERAL.—TheSecretaryshallcarry 2
1272+‘‘(1) I
1273+N GENERAL.—The Secretary shall carry 2
12701274 out a pilot program to establish one regional tech-3
12711275 nical assistance center (referred to in this subsection 4
12721276 as the ‘Regional Center’) to assist the Center in car-5
12731277 rying out activities described in subsection (b) within 6
12741278 the geographic region of such Regional Center in a 7
12751279 manner that is tailored to the needs of such region. 8
1276-‘‘(2)EVALUATION.—Notlaterthan4years 9
1280+‘‘(2) E
1281+VALUATION.—Not later than 4 years 9
12771282 after the date of enactment of the SUPPORT for 10
12781283 Patients and Communities Reauthorization Act, the 11
12791284 Secretary shall evaluate the activities of the Regional 12
12801285 Center and submit to the Committee on Health, 13
12811286 Education, Labor, and Pensions of the Senate and 14
12821287 the Committee on Energy and Commerce of the 15
12831288 House of Representatives a report on the findings of 16
12841289 such evaluation, including— 17
12851290 ‘‘(A) a description of the distinct roles and 18
12861291 responsibilities of the Regional Center and the 19
12871292 Center; 20
12881293 ‘‘(B) available information relating to the 21
12891294 outcomes of the pilot program under this sub-22
12901295 section, such as any impact the Regional Center 23
12911296 had on the operations and efficiency of the Cen-24
12921297 ter relating to requests for technical assistance 25
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12961300 and support within the region of such Regional 1
12971301 Center; 2
12981302 ‘‘(C) a description of any gaps or areas of 3
12991303 duplication relating to the activities of the Re-4
13001304 gional Center and the Center within such re-5
13011305 gion; and 6
13021306 ‘‘(D) recommendations relating to the 7
13031307 modification, expansion, or termination of the 8
13041308 pilot program under this subsection. 9
1305-‘‘(3)TERMINATION.—Thissubsectionshallter-10
1309+‘‘(3) T
1310+ERMINATION.—This subsection shall ter-10
13061311 minate on September 30, 2028.’’; and 11
13071312 (4) in subsection (f), as so redesignated, by 12
13081313 striking ‘‘$1,000,000 for each of fiscal years 2019 13
13091314 through 2023’’ and inserting ‘‘$2,000,000 for each 14
13101315 of fiscal years 2024 through 2028’’. 15
13111316 SEC. 305. CAREER ACT. 16
1312-(a)INGENERAL.—Section7183oftheSUPPORT 17
1317+(a) I
1318+NGENERAL.—Section 7183 of the SUPPORT 17
13131319 for Patients and Communities Act (42 U.S.C. 290ee–8) 18
13141320 is amended— 19
13151321 (1) in the section heading, by inserting ‘‘; 20
13161322 TREATMENT , RECOVERY, AND WORKFORCE 21
13171323 SUPPORT GRANTS ’’ after ‘‘CAREER ACT’’; 22
13181324 (2) in subsection (b), by inserting ‘‘each’’ before 23
13191325 ‘‘for a period’’; 24
13201326 (3) in subsection (c)— 25
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13241329 (A) in paragraph (1), by striking ‘‘the 1
13251330 rates described in paragraph (2)’’ and inserting 2
13261331 ‘‘the average rates for calendar years 2018 3
13271332 through 2022 described in paragraph (2)’’; and 4
13281333 (B) by amending paragraph (2) to read as 5
13291334 follows: 6
1330-‘‘(2)RATES.—Theratesdescribedinthispara-7
1335+‘‘(2) R
1336+ATES.—The rates described in this para-7
13311337 graph are the following: 8
13321338 ‘‘(A) The highest age-adjusted average 9
13331339 rates of drug overdose deaths for calendar years 10
13341340 2018 through 2022 based on data from the 11
13351341 Centers for Disease Control and Prevention, in-12
13361342 cluding, if necessary, provisional data for cal-13
13371343 endar year 2022. 14
13381344 ‘‘(B) The highest average rates of unem-15
13391345 ployment for calendar years 2018 through 2022 16
13401346 based on data provided by the Bureau of Labor 17
13411347 Statistics. 18
13421348 ‘‘(C) The lowest average labor force par-19
13431349 ticipation rates for calendar years 2018 through 20
13441350 2022 based on data provided by the Bureau of 21
13451351 Labor Statistics.’’; 22
13461352 (4) in subsection (g)— 23
13471353 (A) in each of paragraphs (1) and (3), by 24
13481354 redesignating subparagraphs (A) and (B) as 25
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13521357 clauses (i) and (ii), respectively, and adjusting 1
13531358 the margins accordingly; 2
13541359 (B) by redesignating paragraphs (1) 3
13551360 through (3) as subparagraphs (A) through (C), 4
13561361 respectively, and adjusting the margins accord-5
13571362 ingly; 6
13581363 (C) in the matter preceding subparagraph 7
13591364 (A) (as so redesignated), by striking ‘‘An enti-8
13601365 ty’’ and inserting the following: 9
1361-‘‘(1)INGENERAL.—Anentity’’;and 10
1366+‘‘(1) I
1367+N GENERAL.—An entity’’; and 10
13621368 (D) by adding at the end the following: 11
1363-‘‘(2)TRANSPORTATION SERVICES.—Anentity 12
1369+‘‘(2) T
1370+RANSPORTATION SERVICES .—An entity 12
13641371 receiving a grant under this section may use not 13
13651372 more than 5 percent of the funds for providing 14
13661373 transportation for individuals to participate in an ac-15
13671374 tivity supported by a grant under this section, which 16
13681375 transportation shall be to or from a place of work 17
13691376 or a place where the individual is receiving career 18
13701377 and technical education or job training services or 19
13711378 receiving services directly linked to treatment of or 20
13721379 recovery from a substance use disorder. 21
1373-‘‘(3)LIMITATION.—TheSecretarymaynotre-22
1380+‘‘(3) L
1381+IMITATION.—The Secretary may not re-22
13741382 quire an entity to, or give priority to an entity that 23
13751383 plans to, use the funds of a grant under this section 24
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13791386 for activities that are not specified in this sub-1
13801387 section.’’; 2
13811388 (5) in subsection (i)(2), by inserting ‘‘, which 3
13821389 shall include employment and earnings outcomes de-4
13831390 scribed in subclauses (I) and (III) of section 5
13841391 116(b)(2)(A)(i) of the Workforce Innovation and 6
13851392 Opportunity Act (29 U.S.C. 3141(b)(2)(A)(i)) with 7
13861393 respect to the participation of such individuals with 8
13871394 a substance use disorder in programs and activities 9
13881395 funded by the grant under this section’’ after ‘‘sub-10
13891396 section (g)’’; 11
13901397 (6) in subsection (j)— 12
13911398 (A) in paragraph (1), by inserting ‘‘for 13
13921399 grants awarded prior to the date of enactment 14
13931400 of the SUPPORT for Patients and Commu-15
13941401 nities Reauthorization Act’’ after ‘‘grant period 16
13951402 under this section’’; and 17
13961403 (B) in paragraph (2)— 18
13971404 (i) in the matter preceding subpara-19
13981405 graph (A), by striking ‘‘2 years after sub-20
13991406 mitting the preliminary report required 21
14001407 under paragraph (1)’’ and inserting ‘‘Sep-22
14011408 tember 30, 2028’’; and 23
14021409 (ii) in subparagraph (A), by striking 24
14031410 ‘‘(g)(3)’’ and inserting ‘‘(g)(1)(C)’’; and 25
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14071413 (7) in subsection (k), by striking ‘‘$5,000,000 1
14081414 for each of fiscal years 2019 through 2023’’ and in-2
14091415 serting ‘‘$12,000,000 for each of fiscal years 2024 3
14101416 through 2028’’. 4
1411-(b)CLERICALAMENDMENT.—Thetableofcontents 5
1417+(b) C
1418+LERICALAMENDMENT.—The table of contents 5
14121419 in section 1(b) of the SUPPORT for Patients and Com-6
14131420 munities Act (Public Law 115–271; 132 Stat. 3894) is 7
14141421 amended by striking the item relating to section 7183 and 8
14151422 inserting the following: 9
14161423 ‘‘Sec. 7183. CAREER Act; treatment, recovery, and workforce support
14171424 grants.’’.
1418-SEC.306.OFFICEOFRECOVERY. 10
1425+SEC. 306. OFFICE OF RECOVERY.
1426+10
14191427 Part A of title V of the Public Health Service Act 11
14201428 (42 U.S.C. 290aa et seq.) is amended by inserting after 12
14211429 section 501C (42 U.S.C. 290aa–0b) the following: 13
14221430 ‘‘SEC. 501D. OFFICE OF RECOVERY. 14
1423-‘‘(a)INGENERAL.—Thereisestablished,withinthe 15
1431+‘‘(a) I
1432+NGENERAL.—There is established, within the 15
14241433 Substance Abuse and Mental Health Services Administra-16
14251434 tion, an Office of Recovery (referred to in this section as 17
14261435 the ‘Office’). 18
1427-‘‘(b)RESPONSIBILITIES.—TheOfficeshall,taking 19
1436+‘‘(b) R
1437+ESPONSIBILITIES.—The Office shall, taking 19
14281438 into account the perspectives of individuals with dem-20
14291439 onstrated experience in mental health or substance use 21
14301440 disorder recovery— 22
14311441 ‘‘(1) identify new and emerging challenges re-23
14321442 lated to the provision of recovery support services; 24
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14361445 ‘‘(2) support technical assistance, data analysis, 1
14371446 and evaluation functions in order to assist States, 2
14381447 local governmental entities, Indian Tribes, and Trib-3
14391448 al organizations in implementing and strengthening 4
14401449 recovery support services, consistent with the needs 5
14411450 of such States, local governmental entities, Indian 6
14421451 Tribes, and Tribal organizations; and 7
14431452 ‘‘(3) ensure coordination of efforts to identify, 8
14441453 disseminate, and evaluate best practices related to— 9
14451454 ‘‘(A) improving the capacity of, and access 10
14461455 to, recovery support services; and 11
14471456 ‘‘(B) supporting the training, education, 12
14481457 professional development, and retention of peer 13
14491458 support specialists. 14
1450-‘‘(c)REPORT.—Notlaterthan4yearsafterthedate 15
1459+‘‘(c) R
1460+EPORT.—Not later than 4 years after the date 15
14511461 of enactment of the SUPPORT for Patients and Commu-16
14521462 nities Reauthorization Act, the Assistant Secretary for 17
14531463 Mental Health and Substance Use shall submit to the 18
14541464 Committee on Health, Education, Labor, and Pensions of 19
14551465 the Senate and the Committee on Energy and Commerce 20
14561466 of the House of Representatives a report on the activities 21
14571467 conducted by the Office, including— 22
14581468 ‘‘(1) a description of the specific roles and re-23
14591469 sponsibilities of the Office; 24
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14631472 ‘‘(2) a description of the relationship between 1
14641473 the Office and other relevant components or pro-2
14651474 grams of the Substance Abuse and Mental Health 3
14661475 Services Administration; 4
14671476 ‘‘(3) the identification of any gaps in the activi-5
14681477 ties of the Substance Abuse and Mental Health 6
14691478 Services Administration or challenges in coordina-7
14701479 tion between the Office and such relevant compo-8
14711480 nents or programs of such agency; and 9
14721481 ‘‘(4) recommendations related to the continued 10
14731482 operations of the Office. 11
1474-‘‘(d)SUNSET.—Thissectionshallceasetohaveforce 12
1483+‘‘(d) S
1484+UNSET.—This section shall cease to have force 12
14751485 or effect on September 30, 2028.’’. 13
14761486 TITLE IV—TECHNICAL 14
14771487 AMENDMENTS 15
14781488 SEC. 401. DELIVERY OF A CONTROLLED SUBSTANCE BY A 16
14791489 PHARMACY TO AN ADMINISTERING PRACTI-17
14801490 TIONER. 18
14811491 Section 309A(a) of the Controlled Substances Act 19
14821492 (21 U.S.C. 829a(a)) is amended by striking paragraph (2) 20
14831493 and inserting the following: 21
14841494 ‘‘(2) the controlled substance is a drug in 22
14851495 schedule III, IV, or V to be administered— 23
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14891498 ‘‘(A) by injection or implantation for the 1
14901499 purpose of maintenance or detoxification treat-2
14911500 ment; or 3
14921501 ‘‘(B) intranasally, subject to risk evalua-4
14931502 tion and mitigation strategy pursuant to section 5
14941503 505–1 of the Federal Food, Drug, and Cos-6
14951504 metic Act (21 U.S.C. 355–1), with post-admin-7
14961505 istration monitoring by a health care profes-8
14971506 sional;’’. 9
14981507 SEC. 402. TECHNICAL CORRECTION ON CONTROLLED SUB-10
14991508 STANCES DISPENSING. 11
15001509 Effective as if included in the enactment of Public 12
15011510 Law 117–328— 13
15021511 (1) section 1252(a) of division FF of Public 14
15031512 Law 117–328 (136 Stat. 5681) is amended, in the 15
15041513 matter being inserted into section 302(e) of the Con-16
15051514 trolled Substances Act, by striking ‘‘303(g)’’ and in-17
15061515 serting ‘‘303(h)’’; 18
15071516 (2) section 1262 of division FF of Public Law 19
15081517 117–328 (136 Stat. 5681) is amended— 20
15091518 (A) in subsection (a)— 21
15101519 (i) in the matter preceding paragraph 22
15111520 (1), by striking ‘‘303(g)’’ and inserting 23
15121521 ‘‘303(h)’’; 24
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15161524 (ii) in the matter being stricken by 1
15171525 subsection (a)(2), by striking ‘‘(g)(1)’’ and 2
15181526 inserting ‘‘(h)(1)’’; and 3
15191527 (iii) in the matter being inserted by 4
15201528 subsection (a)(2), by striking ‘‘(g) Practi-5
15211529 tioners’’ and inserting ‘‘(h) Practitioners’’; 6
15221530 and 7
15231531 (B) in subsection (b)— 8
15241532 (i) in the matter being stricken by 9
15251533 paragraph (1), by striking ‘‘303(g)(1)’’ 10
15261534 and inserting ‘‘303(h)(1)’’; 11
15271535 (ii) in the matter being inserted by 12
15281536 paragraph (1), by striking ‘‘303(g)’’ and 13
15291537 inserting ‘‘303(h)’’; 14
15301538 (iii) in the matter being stricken by 15
15311539 paragraph (2)(A), by striking ‘‘303(g)(2)’’ 16
15321540 and inserting ‘‘303(h)(2)’’; 17
15331541 (iv) in the matter being stricken by 18
15341542 paragraph (3), by striking ‘‘303(g)(2)(B)’’ 19
15351543 and inserting ‘‘303(h)(2)(B)’’; 20
15361544 (v) in the matter being stricken by 21
15371545 paragraph (5), by striking ‘‘303(g)’’ and 22
15381546 inserting ‘‘303(h)’’; and 23
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15421549 (vi) in the matter being stricken by 1
15431550 paragraph (6), by striking ‘‘303(g)’’ and 2
15441551 inserting ‘‘303(h)’’; and 3
15451552 (3) section 1263(b) of division FF of Public 4
15461553 Law 117–328 (136 Stat. 5685) is amended— 5
15471554 (A) by striking ‘‘303(g)(2)’’ and inserting 6
15481555 ‘‘303(h)(2)’’; and 7
15491556 (B) by striking ‘‘(21 U.S.C. 823(g)(2))’’ 8
15501557 and inserting ‘‘(21 U.S.C. 823(h)(2))’’. 9
15511558 SEC. 403. REQUIRED TRAINING FOR PRESCRIBERS OF CON-10
15521559 TROLLED SUBSTANCES. 11
1553-(a)INGENERAL.—Section303oftheControlled 12
1560+(a) I
1561+NGENERAL.—Section 303 of the Controlled 12
15541562 Substances Act (21 U.S.C. 823) is amended— 13
15551563 (1) by redesignating the second subsection des-14
15561564 ignated as subsection (l) as subsection (m); and 15
15571565 (2) in subsection (m)(1), as so redesignated— 16
15581566 (A) in subparagraph (A)— 17
15591567 (i) In clause (iv)— 18
15601568 (I) In subclause (I)— 19
15611569 (aa) by inserting ‘‘the Amer-20
15621570 ican Academy of Family Physi-21
15631571 cians, the American Podiatric 22
15641572 Medical Association, the Acad-23
15651573 emy of General Dentistry,’’ be-24
15661574 fore ‘‘or any other organization’’; 25
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15701577 (bb) by striking ‘‘or the 1
15711578 Commission’’ and inserting ‘‘the 2
15721579 Commission’’; and 3
15731580 (cc) by inserting ‘‘, or the 4
15741581 Council on Podiatric Medical 5
15751582 Education’’ before the semicolon 6
15761583 at the end; and 7
15771584 (II) in subclause (III), by insert-8
15781585 ing ‘‘or the American Academy of 9
15791586 Family Physicians’’ after ‘‘Associa-10
15801587 tion’’; and 11
15811588 (ii) in clause (v), in the matter pre-12
15821589 ceding subclause (I)— 13
15831590 (I) by striking ‘‘osteopathic medi-14
15841591 cine, dental surgery’’ and inserting 15
15851592 ‘‘osteopathic medicine, podiatric medi-16
15861593 cine, dental surgery’’; and 17
15871594 (II) by striking ‘‘or dental medi-18
15881595 cine curriculum’’ and inserting ‘‘or 19
15891596 dental or podiatric medicine cur-20
15901597 riculum’’; and 21
15911598 (B) in subparagraph (B)— 22
15921599 (i) in clause (i), by inserting ‘‘the 23
15931600 American Pharmacists Association, the Ac-24
15941601 creditation Council on Pharmacy Edu-25
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15981604 cation, the American Optometric Associa-1
15991605 tion, the American Psychiatric Nurses As-2
16001606 sociation, the American Academy of Nurs-3
16011607 ing, the American Academy of Family 4
16021608 Physicians’’ before ‘‘, or any other organi-5
16031609 zation’’; and 6
16041610 (ii) in clause (ii)— 7
16051611 (I) by striking ‘‘or accredited 8
16061612 school’’ and inserting ‘‘, an accredited 9
16071613 school’’; and 10
16081614 (II) by inserting ‘‘, or an accred-11
16091615 ited school of pharmacy’’ before ‘‘in 12
16101616 the United States’’. 13
1611-(b)EFFECTIVEDATE.—Theamendmentmadeby 14
1617+(b) E
1618+FFECTIVEDATE.—The amendment made by 14
16121619 subsection (a) shall take effect as if enacted on December 15
16131620 29, 2022. 16
1614-SECTION 1. SHORT TITLE; TABLE OF CONTENTS. 17
1615-(a) S
1616-HORTTITLE.—This Act may be cited as the 18
1617-‘‘SUPPORT for Patients and Communities Reauthoriza-19
1618-tion Act’’. 20
1619-(b) T
1620-ABLE OFCONTENTS.—The table of contents for 21
1621-this Act is as follows: 22
1622-Sec. 1. Short title; table of contents.
1623-TITLE I—PREVENTION
1624-Sec. 101. First responder training program.
1625-Sec. 102. Surveillance and education regarding infections associated with illicit
1626-drug use and other risk factors.
1627-Sec. 103. Preventing overdoses of controlled substances.
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1631-Sec. 104. Pilot program for public health laboratories to detect fentanyl and other
1632-synthetic opioids.
1633-Sec. 105. Prenatal and postnatal health.
1634-Sec. 106. Donald J. Cohen National Child Traumatic Stress Initiative.
1635-Sec. 107. Surveillance and data collection for child, youth, and adult trauma.
1636-Sec. 108. Preventing adverse childhood experiences.
1637-Sec. 109. Clarification of use of funds for products used to prevent overdose
1638-deaths.
1639-Sec. 110. Support for individuals and families impacted by fetal alcohol spec-
1640-trum disorder.
1641-Sec. 111. Promoting State choice in PDMP systems.
1642-Sec. 112. Protecting Suicide Prevention Lifeline from cybersecurity incidents.
1643-Sec. 113. Bruce’s Law.
1644-Sec. 114. Guidance on at-home drug disposal systems.
1645-Sec. 115. Review of opioid drugs and actions.
1646-Sec. 116. Consideration of enriched enrollment randomized withdrawal method-
1647-ology.
1648-Sec. 117. Approval of new opioid analgesic drugs.
1649-Sec. 118. Guidance on developing non-addictive medical products to treat pain
1650-or addiction.
1651-Sec. 119. National Chronic Pain Information System.
1652-Sec. 120. Requirements for electronic-prescribing for controlled substances under
1653-group health plans and group and individual health insurance
1654-coverage.
1655-TITLE II—TREATMENT
1656-Sec. 201. Residential treatment program for pregnant and postpartum women.
1657-Sec. 202. Loan repayment program for substance use disorder treatment work-
1658-force.
1659-Sec. 203. Regional centers of excellence in substance use disorder education.
1660-Sec. 204. Mental and behavioral health education and training program.
1661-Sec. 205. Grants to enhance access to substance use disorder treatment.
1662-Sec. 206. Grants to improve trauma support services and mental health care for
1663-children and youth in educational settings.
1664-Sec. 207. Development and dissemination of model training programs for sub-
1665-stance use disorder patient records.
1666-Sec. 208. Task force on best practices for trauma-informed identification, referral,
1667-and support.
1668-Sec. 209. Program to support coordination and continuation of care for drug
1669-overdose patients.
1670-Sec. 210. Regulations relating to special registration for telemedicine.
1671-Sec. 211. Mental health parity.
1672-Sec. 212. State guidance related to individuals with serious mental illness and
1673-children with serious emotional disturbance.
1674-Sec. 213. Improving access to addiction medicine providers.
1675-Sec. 214. Roundtable on using health information technology to improve mental
1676-health and substance use care outcomes.
1677-Sec. 215. Peer-to-peer mental health support.
1678-Sec. 216. Kid PROOF pilot program.
1679-TITLE III—RECOVERY
1680-Sec. 301. Youth prevention and recovery.
1681-Sec. 302. Comprehensive opioid recovery centers.
1682-Sec. 303. Building communities of recovery.
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1686-Sec. 304. Peer support technical assistance center.
1687-Sec. 305. CAREER Act.
1688-Sec. 306. Research and recommendations on criminal background check process
1689-for peer support specialists.
1690-Sec. 307. Office of Recovery.
1691-Sec. 308. Review of Grants.gov.
1692-TITLE IV—TECHNICAL AMENDMENTS
1693-Sec. 401. Delivery of a controlled substance by a pharmacy to an administering
1694-practitioner.
1695-Sec. 402. Technical correction on controlled substances dispensing.
1696-Sec. 403. Required training for prescribers of controlled substances.
1697-TITLE I—PREVENTION 1
1698-SEC. 101. FIRST RESPONDER TRAINING PROGRAM. 2
1699-Section 546 of the Public Health Service Act (42 3
1700-U.S.C. 290ee–1) is amended— 4
1701-(1) in subsection (a), by striking ‘‘tribes and 5
1702-tribal’’ and inserting ‘‘Tribes and Tribal’’; 6
1703-(2) in subsections (a), (c), and (d)— 7
1704-(A) by striking ‘‘approved or cleared’’ each 8
1705-place it appears and inserting ‘‘approved, 9
1706-cleared, or otherwise legally marketed’’; and 10
1707-(B) by striking ‘‘opioid’’ each place it ap-11
1708-pears; 12
1709-(3) in subsection (f)— 13
1710-(A) by striking ‘‘approved or cleared’’ each 14
1711-place it appears and inserting ‘‘approved, 15
1712-cleared, or otherwise legally marketed’’; 16
1713-(B) in paragraph (1), by striking ‘‘opioid’’; 17
1714-(C) in paragraph (2)— 18
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1718-(i) by striking ‘‘opioid and heroin’’ 1
1719-and inserting ‘‘opioid, heroin, and other 2
1720-drug’’; and 3
1721-(ii) by striking ‘‘opioid overdose’’ and 4
1722-inserting ‘‘overdose’’; and 5
1723-(D) in paragraph (3), by striking ‘‘opioid 6
1724-and heroin’’; and 7
1725-(4) in subsection (h), by striking ‘‘$36,000,000 8
1726-for each of fiscal years 2019 through 2023’’ and in-9
1727-serting ‘‘$56,000,000 for each of fiscal years 2024 10
1728-through 2028’’. 11
1729-SEC. 102. SURVEILLANCE AND EDUCATION REGARDING IN-12
1730-FECTIONS ASSOCIATED WITH ILLICIT DRUG 13
1731-USE AND OTHER RISK FACTORS. 14
1732-Section 317N(d) of the Public Health Service Act (42 15
1733-U.S.C. 247b–15(d)) is amended by striking ‘‘2019 through 16
1734-2023’’ and inserting ‘‘2024 through 2028’’. 17
1735-SEC. 103. PREVENTING OVERDOSES OF CONTROLLED SUB-18
1736-STANCES. 19
1737-Section 392A of the Public Health Service Act (42 20
1738-U.S.C. 280b–1) is amended— 21
1739-(1) in subsection (a)— 22
1740-(A) in paragraph (2)— 23
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1744-(i) in subparagraph (C), by inserting 1
1745-‘‘and associated risks’’ before the period at 2
1746-the end; and 3
1747-(ii) in subparagraph (D), by striking 4
1748-‘‘opioids’’ and inserting ‘‘substances causing 5
1749-overdose’’; 6
1750-(B) in paragraph (3)(A)— 7
1751-(i) by inserting ‘‘identify substances 8
1752-causing overdose and’’ after ‘‘rapidly’’; and 9
1753-(ii) by striking ‘‘abuse, and overdoses’’ 10
1754-and inserting ‘‘overdoses, and associated 11
1755-risk factors’’; 12
1756-(2) in subsection (b)(2)— 13
1757-(A) in subparagraph (B), by inserting ‘‘, 14
1758-and associated risk factors,’’ after ‘‘such 15
1759-overdoses’’; 16
1760-(B) in subparagraph (C), by striking ‘‘cod-17
1761-ing’’ and inserting ‘‘monitoring and identi-18
1762-fying’’; 19
1763-(C) in subparagraph (E)— 20
1764-(i) by inserting a comma after ‘‘public 21
1765-health laboratories’’; and 22
1766-(ii) by inserting ‘‘and other emerging 23
1767-substances related’’ after ‘‘analogues’’; and 24
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1771-(D) in subparagraph (F,) by inserting ‘‘and 1
1772-associated risk factors’’ after ‘‘overdoses’’; and 2
1773-(3) in subsection (e), by striking ‘‘$496,000,000 3
1774-for each of fiscal years 2019 through 2023’’ and in-4
1775-serting ‘‘$505,579,000 for each of fiscal years 2024 5
1776-through 2028’’. 6
1777-SEC. 104. PILOT PROGRAM FOR PUBLIC HEALTH LABORA-7
1778-TORIES TO DETECT FENTANYL AND OTHER 8
1779-SYNTHETIC OPIOIDS. 9
1780-Section 7011 of the SUPPORT for Patients and Com-10
1781-munities Act (42 U.S.C. 247d–10) is amended by striking 11
1782-subsection (d). 12
1783-SEC. 105. PRENATAL AND POSTNATAL HEALTH. 13
1784-Section 317L(d) of the Public Health Service Act (42 14
1785-U.S.C. 247b–13(d)) is amended by striking ‘‘2019 through 15
1786-2023’’ and inserting ‘‘2024 through 2028’’. 16
1787-SEC. 106. DONALD J. COHEN NATIONAL CHILD TRAUMATIC 17
1788-STRESS INITIATIVE. 18
1789-Section 582 of the Public Health Service Act (42 19
1790-U.S.C. 290hh–1) is amended— 20
1791-(1) in the section heading, by striking ‘‘
1792-VIO-21
1793-LENCE RELATED STRESS ’’ and inserting ‘‘TRAU-22
1794-MATIC EVENTS ’’; 23
1795-(2) in subsection (a)— 24
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1799-(A) in the matter preceding paragraph (1), 1
1800-by striking ‘‘tribes and tribal’’ and inserting 2
1801-‘‘Tribes and Tribal’’; and 3
1802-(B) in paragraph (2), by inserting ‘‘and 4
1803-dissemination’’ after ‘‘the development’’; 5
1804-(3) in subsection (b), by inserting ‘‘and dissemi-6
1805-nation’’ after ‘‘the development’’; 7
1806-(4) in subsection (d)— 8
1807-(A) by striking ‘‘The NCTSI’’ and inserting 9
1808-the following: 10
1809-‘‘(1) C
1810-OORDINATING CENTER.—The NCTSI’’; and 11
1811-(B) by adding at the end the following: 12
1812-‘‘(2) NCTSI
1813-GRANTEES.—In carrying out sub-13
1814-section (a)(2), NCTSI grantees shall develop trainings 14
1815-and other resources, as applicable and appropriate, to 15
1816-support implementation of the evidence-based prac-16
1817-tices developed and disseminated under such sub-17
1818-section.’’; 18
1819-(5) in subsection (e)— 19
1820-(A) by redesignating paragraphs (1) and 20
1821-(2) as subparagraphs (A) and (B), respectively, 21
1822-and adjusting the margins accordingly; 22
1823-(B) in subparagraph (A), as so redesig-23
1824-nated, by inserting ‘‘and implementation’’ after 24
1825-‘‘the dissemination’’; 25
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1829-(C) by striking ‘‘The NCTSI’’ and inserting 1
1830-the following: 2
1831-‘‘(1) C
1832-OORDINATING CENTER.—’’; and 3
1833-(D) by adding at the end the following: 4
1834-‘‘(2) NCTSI
1835-GRANTEES.—NCTSI grantees shall, 5
1836-as appropriate, collaborate with other such grantees, 6
1837-the NCTSI coordinating center, and the Secretary in 7
1838-carrying out subsections (a)(2) and (d)(2).’’; 8
1839-(6) by amending subsection (h) to read as fol-9
1840-lows: 10
1841-‘‘(h) A
1842-PPLICATION ANDEVALUATION.—To be eligible 11
1843-to receive a grant, contract, or cooperative agreement under 12
1844-subsection (a), a public or nonprofit private entity or an 13
1845-Indian Tribe or Tribal organization shall submit to the 14
1846-Secretary an application at such time, in such manner, and 15
1847-containing such information and assurances as the Sec-16
1848-retary may require, including— 17
1849-‘‘(1) a plan for the rigorous evaluation of the ac-18
1850-tivities funded under the grant, contract, or agree-19
1851-ment, including both process and outcomes evalua-20
1852-tion, and the submission of an evaluation at the end 21
1853-of the project period; and 22
1854-‘‘(2) a description of how such entity, Indian 23
1855-Tribe, or Tribal organization will support efforts led 24
1856-by the Secretary or the NCTSI coordinating center, as 25
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1860-applicable, to evaluate activities carried out under 1
1861-this section.’’; and 2
1862-(7) in subsection (j), by striking ‘‘, $63,887,000 3
1863-for each of fiscal years 2019 through 2023’’ and in-4
1864-serting ‘‘$93,887,000 for each of fiscal years 2024 and 5
1865-2025, $104,000,000 for fiscal year 2026, $110,000,000 6
1866-for fiscal year 2027, and $112,661,000 for fiscal year 7
1867-2028’’. 8
1868-SEC. 107. SURVEILLANCE AND DATA COLLECTION FOR 9
1869-CHILD, YOUTH, AND ADULT TRAUMA. 10
1870-Section 7131(e) of the SUPPORT for Patients and 11
1871-Communities Act (42 U.S.C. 242t(e)) is amended by strik-12
1872-ing ‘‘2019 through 2023’’ and inserting ‘‘2024 through 13
1873-2028’’. 14
1874-SEC. 108. PREVENTING ADVERSE CHILDHOOD EXPERI-15
1875-ENCES. 16
1876-(a) G
1877-RANTPROGRAM.— 17
1878-(1) I
1879-N GENERAL.—The Secretary of Health and 18
1880-Human Services (referred to in this section as the 19
1881-‘‘Secretary’’), acting through the Director of the Cen-20
1882-ters for Disease Control and Prevention, may award 21
1883-grants or cooperative agreements to States, territories, 22
1884-Indian Tribes and Tribal organizations (as such 23
1885-terms are defined in section 4 of the Indian Self-De-24
1886-termination and Education Assistance Act (25 U.S.C. 25
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1890-5304)), and local governmental entities for purposes 1
1891-of carrying out public health activities to improve 2
1892-health outcomes by preventing or reducing adverse 3
1893-childhood experiences. 4
1894-(2) U
1895-SE OF FUNDS.—Recipients of an award 5
1896-under this subsection may use such award to— 6
1897-(A) identify, implement, and evaluate evi-7
1898-dence-based public health activities to prevent or 8
1899-reduce adverse childhood experiences and im-9
1900-prove health outcomes; 10
1901-(B) improve data collection and analysis 11
1902-regarding the prevention and reduction of ad-12
1903-verse childhood experiences, including any such 13
1904-data described in section 7131 of the SUPPORT 14
1905-for Patients and Communities Act (42 U.S.C. 15
1906-242t), to identify— 16
1907-(i) any geographic areas or popu-17
1908-lations within the jurisdiction of the recipi-18
1909-ent of an award that have disproportion-19
1910-ately high rates of adverse childhood experi-20
1911-ences; 21
1912-(ii) any types of adverse childhood ex-22
1913-periences of high prevalence within such ju-23
1914-risdiction; and 24
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1918-(iii) any short-term health outcomes 1
1919-and long-term health outcomes associated 2
1920-with adverse childhood experiences, includ-3
1921-ing mental health and substance use dis-4
1922-orders; and 5
1923-(C) leverage such data and analysis to in-6
1924-form the identification, implementation, and 7
1925-evaluation of evidence-based public health activi-8
1926-ties under subparagraph (A). 9
1927-(3) P
1928-ARTNERSHIPS.—Recipients of an award 10
1929-under this subsection may identify opportunities to 11
1930-establish, or strengthen existing, partnerships with 12
1931-other relevant public and private entities within such 13
1932-jurisdiction for purposes of carrying out such award. 14
1933-(4) T
1934-ECHNICAL ASSISTANCE .—The Secretary 15
1935-may provide training and technical assistance to re-16
1936-cipients of awards under this subsection. 17
1937-(5) E
1938-VALUATION.—Not later than 2 years after 18
1939-the date of enactment of this Act, and annually there-19
1940-after, the Secretary shall report to the Committee on 20
1941-Health, Education, Labor, and Pensions of the Senate 21
1942-and the Committee on Energy and Commerce of the 22
1943-House of Representatives on the specific activities 23
1944-supported through awards under this subsection, in-24
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1948-cluding the effectiveness of such activities in pre-1
1949-venting or reducing adverse childhood experiences. 2
1950-(b) R
1951-ESEARCH.—The Secretary may, as appropriate, 3
1952-conduct research to evaluate public health activities to ad-4
1953-dress adverse childhood experiences. 5
1954-(c) A
1955-UTHORIZATION OFAPPROPRIATIONS.—To carry 6
1956-out this section, there is authorized to be appropriated 7
1957-$7,000,000 for each of fiscal years 2024 through 2028. 8
1958-SEC. 109. CLARIFICATION OF USE OF FUNDS FOR PROD-9
1959-UCTS USED TO PREVENT OVERDOSE DEATHS. 10
1960-The activities carried out pursuant to section 11
1961-1003(b)(4)(A) of the 21st Century Cures Act (42 U.S.C. 12
1962-290ee–3a(b)(4)(A)) may include facilitating access to prod-13
1963-ucts used to prevent overdose deaths by detecting the pres-14
1964-ence of one or more substances, to the extent the purchase 15
1965-and possession of such products is consistent with Federal 16
1966-and State law. 17
1967-SEC. 110. SUPPORT FOR INDIVIDUALS AND FAMILIES IM-18
1968-PACTED BY FETAL ALCOHOL SPECTRUM DIS-19
1969-ORDER. 20
1970-(a) I
1971-NGENERAL.—Part O of title III of the Public 21
1972-Health Service Act (42 U.S.C. 280f et seq.) is amended— 22
1973-(1) by amending the part heading to read as fol-23
1974-lows: ‘‘
1975-FETAL ALCOHOL SPECTRUM DISORDERS 24
1976-PREVENTION AND SERVICES PROGRAM ’’; 25
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1979-•S 3393 RS
1980-(2) in section 399H (42 U.S.C. 280f)— 1
1981-(A) in the section heading, by striking ‘‘
1982-ES-2
1983-TABLISHMENT OF FETAL ALCOHOL SYN -3
1984-DROME PREVENTION ’’ and inserting ‘‘FETAL 4
1985-ALCOHOL SPECTRUM DISORDERS PREVEN -5
1986-TION, INTERVENTION ,’’; 6
1987-(B) by striking ‘‘Fetal Alcohol Syndrome 7
1988-and Fetal Alcohol Effect’’ each place it appears 8
1989-and inserting ‘‘FASD’’; 9
1990-(C) in subsection (a)— 10
1991-(i) by amending the heading to read as 11
1992-follows: ‘‘I
1993-NGENERAL’’; 12
1994-(ii) in the matter preceding paragraph 13
1995-(1)— 14
1996-(I) by inserting ‘‘or continue ac-15
1997-tivities to support’’ after ‘‘shall estab-16
1998-lish’’; 17
1999-(II) by striking ‘‘FASD’’ (as 18
2000-amended by subparagraph (B)) and 19
2001-inserting ‘‘fetal alcohol spectrum dis-20
2002-orders (referred to in this section as 21
2003-‘FASD’)’’; 22
2004-(III) by striking ‘‘prevention, 23
2005-intervention’’ and inserting ‘‘aware-24
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2008-•S 3393 RS
2009-ness, prevention, identification, inter-1
2010-vention,’’; and 2
2011-(IV) by striking ‘‘that shall’’ and 3
2012-inserting ‘‘, which may’’; 4
2013-(iii) in paragraph (1)— 5
2014-(I) in subparagraph (A)— 6
2015-(aa) by striking ‘‘medical 7
2016-schools’’ and inserting ‘‘health 8
2017-professions schools’’; and 9
2018-(bb) by inserting ‘‘infants,’’ 10
2019-after ‘‘provision of services for’’; 11
2020-and 12
2021-(II) in subparagraph (D), by 13
2022-striking ‘‘medical and mental’’ and in-14
2023-serting ‘‘agencies providing’’; 15
2024-(iv) in paragraph (2)— 16
2025-(I) in the matter preceding sub-17
2026-paragraph (A), by striking ‘‘a preven-18
2027-tion and diagnosis program to support 19
2028-clinical studies, demonstrations and 20
2029-other research as appropriate’’ and in-21
2030-serting ‘‘supporting and conducting re-22
2031-search on FASD, as appropriate, in-23
2032-cluding’’; 24
2033-(II) in subparagraph (B)— 25
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2036-•S 3393 RS
2037-(aa) by striking ‘‘prevention 1
2038-services and interventions for 2
2039-pregnant, alcohol-dependent 3
2040-women’’ and inserting ‘‘culturally 4
2041-and linguistically appropriate 5
2042-evidence-based or evidence-in-6
2043-formed interventions and appro-7
2044-priate societal supports for pre-8
2045-venting prenatal alcohol exposure, 9
2046-which may co-occur with exposure 10
2047-to other substances’’; and 11
2048-(bb) by striking ‘‘; and’’ and 12
2049-inserting a semicolon; 13
2050-(v) by striking paragraph (3) and in-14
2051-serting the following: 15
2052-‘‘(3) integrating into surveillance a case defini-16
2053-tion for FASD and, in collaboration with other Fed-17
2054-eral and outside partners, support organizations of 18
2055-appropriate medical and mental health professionals 19
2056-in their development and refinement of evidence-based 20
2057-clinical diagnostic guidelines and criteria for all 21
2058-FASD; and 22
2059-‘‘(4) building State and Tribal capacity for the 23
2060-identification, treatment, and support of individuals 24
2061-with FASD and their families, which may include— 25
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2064-•S 3393 RS
2065-‘‘(A) utilizing and adapting existing Fed-1
2066-eral, State, or Tribal programs to include FASD 2
2067-identification and FASD-informed support; 3
2068-‘‘(B) developing and expanding screening 4
2069-and diagnostic capacity for FASD; 5
2070-‘‘(C) developing, implementing, and evalu-6
2071-ating targeted FASD-informed intervention pro-7
2072-grams for FASD; 8
2073-‘‘(D) increasing awareness of FASD; 9
2074-‘‘(E) providing training with respect to 10
2075-FASD for professionals across relevant sectors; 11
2076-and 12
2077-‘‘(F) disseminating information about 13
2078-FASD and support services to affected individ-14
2079-uals and their families.’’; 15
2080-(D) in subsection (b)— 16
2081-(i) by striking ‘‘described in section 17
2082-399I’’; 18
2083-(ii) by striking ‘‘The Secretary’’ and 19
2084-inserting the following: 20
2085-‘‘(1) I
2086-N GENERAL.—The Secretary’’; and 21
2087-(iii) by adding at the end the fol-22
2088-lowing: 23
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2091-•S 3393 RS
2092-‘‘(2) ELIGIBLE ENTITIES.—To be eligible to re-1
2093-ceive a grant, or enter into a cooperative agreement 2
2094-or contract, under this section, an entity shall— 3
2095-‘‘(A) be a State, Indian Tribe or Tribal or-4
2096-ganization, local government, scientific or aca-5
2097-demic institution, or nonprofit organization; and 6
2098-‘‘(B) prepare and submit to the Secretary 7
2099-an application at such time, in such manner, 8
2100-and containing such information as the Sec-9
2101-retary may require, including a description of 10
2102-the activities that the entity intends to carry out 11
2103-using amounts received under this section. 12
2104-‘‘(3) A
2105-DDITIONAL APPLICATION CONTENTS .—The 13
2106-Secretary may require that an eligible entity include 14
2107-in the application submitted under paragraph 15
2108-(2)(B)— 16
2109-‘‘(A) a designation of an individual to serve 17
2110-as a FASD State or Tribal coordinator of activi-18
2111-ties such eligible entity proposes to carry out 19
2112-through a grant, cooperative agreement, or con-20
2113-tract under this section; and 21
2114-‘‘(B) a description of an advisory committee 22
2115-the entity will establish to provide guidance for 23
2116-the entity on developing and implementing a 24
2117-statewide or Tribal strategic plan to prevent 25
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2120-•S 3393 RS
2121-FASD and provide for the identification, treat-1
2122-ment, and support of individuals with FASD 2
2123-and their families.’’; and 3
2124-(E) by striking subsections (c) and (d); and 4
2125-(F) by adding at the end the following: 5
2126-‘‘(c) D
2127-EFINITION OFFASD-INFORMED.—For purposes 6
2128-of this section, the term ‘FASD-informed’, with respect to 7
2129-support or an intervention program, means that such sup-8
2130-port or intervention program uses culturally and linguis-9
2131-tically informed evidence-based or practice-based interven-10
2132-tions and appropriate societal supports to support an im-11
2133-proved quality of life for an individual with FASD and 12
2134-the family of such individual.’’; and 13
2135-(3) by striking sections 399I, 399J, and 399K 14
2136-(42 U.S.C. 280f–1, 280f–2, 280f–3) and inserting the 15
2137-following: 16
2138-‘‘SEC. 399I. FETAL ALCOHOL SPECTRUM DISORDERS CEN-17
2139-TERS FOR EXCELLENCE. 18
2140-‘‘(a) I
2141-NGENERAL.—The Secretary shall, as appro-19
2142-priate, award grants, cooperative agreements, or contracts 20
2143-to public or nonprofit private entities with demonstrated 21
2144-expertise in the prevention of, identification of, and inter-22
2145-vention services with respect to, fetal alcohol spectrum dis-23
2146-orders (referred to in this section as ‘FASD’) and other re-24
2147-lated adverse conditions. Such awards shall be for the pur-25
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2150-•S 3393 RS
2151-poses of establishing Fetal Alcohol Spectrum Disorders Cen-1
2152-ters for Excellence to build local, Tribal, State, and nation-2
2153-wide capacities to prevent the occurrence of FASD and 3
2154-other related adverse conditions, and to respond to the needs 4
2155-of individuals with FASD and their families by carrying 5
2156-out the programs described in subsection (b). 6
2157-‘‘(b) P
2158-ROGRAMS.—An entity receiving an award under 7
2159-subsection (a) may use such award for the following pur-8
2160-poses: 9
2161-‘‘(1) Initiating or expanding diagnostic capacity 10
2162-for FASD by increasing screening, assessment, identi-11
2163-fication, and diagnosis. 12
2164-‘‘(2) Developing and supporting public aware-13
2165-ness and outreach activities, including the use of a 14
2166-range of media and public outreach, to raise public 15
2167-awareness of the risks associated with alcohol con-16
2168-sumption during pregnancy, with the goals of reduc-17
2169-ing the prevalence of FASD and improving the devel-18
2170-opmental, health (including mental health), and edu-19
2171-cational outcomes of individuals with FASD and sup-20
2172-porting families caring for individuals with FASD. 21
2173-‘‘(3) Acting as a clearinghouse for evidence-based 22
2174-resources on FASD prevention, identification, and 23
2175-culturally and linguistically appropriate best prac-24
2176-tices, including the maintenance of a national data- 25
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2179-•S 3393 RS
2180-based directory on FASD-specific services in States, 1
2181-Indian Tribes, and local communities, and dissemi-2
2182-nating ongoing research and developing resources on 3
2183-FASD to help inform systems of care for individuals 4
2184-with FASD across their lifespan. 5
2185-‘‘(4) Increasing awareness and understanding of 6
2186-efficacious, evidence-based screening tools and cul-7
2187-turally and linguistically appropriate evidence-based 8
2188-intervention services and best practices, which may 9
2189-include by conducting nationwide, regional, State, 10
2190-Tribal, or peer cross-State webinars, workshops, or 11
2191-conferences for training community leaders, medical 12
2192-and mental health and substance use disorder profes-13
2193-sionals, education and disability professionals, fami-14
2194-lies, law enforcement personnel, judges, individuals 15
2195-working in financial assistance programs, social serv-16
2196-ice personnel, child welfare professionals, and other 17
2197-service providers. 18
2198-‘‘(5) Improving capacity for State, Tribal, and 19
2199-local affiliates dedicated to FASD awareness, preven-20
2200-tion, and identification and family and individual 21
2201-support programs and services. 22
2202-‘‘(6) Providing technical assistance to recipients 23
2203-of grants, cooperative agreements, or contracts under 24
2204-section 399H, as appropriate. 25
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2207-•S 3393 RS
2208-‘‘(7) Carrying out other functions, as appro-1
2209-priate. 2
2210-‘‘(c) A
2211-PPLICATION.—To be eligible for a grant, con-3
2212-tract, or cooperative agreement under this section, an entity 4
2213-shall submit to the Secretary an application at such time, 5
2214-in such manner, and containing such information as the 6
2215-Secretary may require. 7
2216-‘‘(d) S
2217-UBCONTRACTING.—A public or private non-8
2218-profit entity may carry out the following activities required 9
2219-under this section through contracts or cooperative agree-10
2220-ments with other public and private nonprofit entities with 11
2221-demonstrated expertise in FASD: 12
2222-‘‘(1) Prevention activities. 13
2223-‘‘(2) Screening and identification. 14
2224-‘‘(3) Resource development and dissemination, 15
2225-training and technical assistance, administration, 16
2226-and support of FASD partner networks. 17
2227-‘‘(4) Intervention and treatment services. 18
2228-‘‘SEC. 399J. AUTHORIZATION OF APPROPRIATIONS. 19
2229-‘‘There are authorized to be appropriated to carry out 20
2230-this part such sums as may be necessary for each of fiscal 21
2231-years 2024 through 2028.’’. 22
2232-(b) R
2233-EPORT.—Not later than 4 years after the date 23
2234-of enactment of this Act, the Secretary of Health and 24
2235-Human Services shall submit to the Committee on Health, 25
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2238-•S 3393 RS
2239-Education, Labor, and Pensions of the Senate and the Com-1
2240-mittee on Energy and Commerce of the House of Represent-2
2241-atives a report on the efforts of the Department of Health 3
2242-and Human Services to advance public awareness of, and 4
2243-facilitate the identification of best practices related to, fetal 5
2244-alcohol spectrum disorders identification, prevention, treat-6
2245-ment, and support. 7
2246-(c) T
2247-ECHNICALAMENDMENT.—Section 519D of the 8
2248-Public Health Service Act (42 U.S.C. 290bb–25d) is re-9
2249-pealed. 10
2250-SEC. 111. PROMOTING STATE CHOICE IN PDMP SYSTEMS. 11
2251-Section 399O(h) of the Public Health Service Act (42 12
2252-U.S.C. 280g–3(h)) is amended by adding the following: 13
2253-‘‘(5) P
2254-ROMOTING STATE CHOICE .—Nothing in 14
2255-this section shall be construed to authorize the Sec-15
2256-retary to require States to use a specific vendor or a 16
2257-specific interoperability connection other than to 17
2258-align with nationally recognized, consensus-based 18
2259-open standards, such as in accordance with the appli-19
2260-cation programming interface (API) requirements 20
2261-pursuant to sections 3001 and 3004.’’. 21
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2264-•S 3393 RS
2265-SEC. 112. PROTECTING SUICIDE PREVENTION LIFELINE 1
2266-FROM CYBERSECURITY INCIDENTS. 2
2267-(a) N
2268-ATIONALSUICIDEPREVENTIONLIFELINEPRO-3
2269-GRAM.—Section 520E–3(b) of the Public Health Service Act 4
2270-(42 U.S.C. 290bb–36c(b)) is amended— 5
2271-(1) in paragraph (4), by striking ‘‘and’’ at the 6
2272-end; 7
2273-(2) in paragraph (5), by striking the period at 8
2274-the end and inserting ‘‘; and’’; and 9
2275-(3) by adding at the end the following: 10
2276-‘‘(6) taking such steps as may be necessary to en-11
2277-sure the suicide prevention hotline is protected from 12
2278-cybersecurity incidents and eliminates known cyberse-13
2279-curity vulnerabilities.’’. 14
2280-(b) R
2281-EPORTING.—Section 520E–3 of the Public Health 15
2282-Service Act (42 U.S.C. 290bb–36c) is amended— 16
2283-(1) by redesignating subsection (f) as subsection 17
2284-(g); and 18
2285-(2) by inserting after subsection (e) the following: 19
2286-‘‘(f) C
2287-YBERSECURITYREPORTING.— 20
2288-‘‘(1) N
2289-OTIFICATION.— 21
2290-‘‘(A) I
2291-N GENERAL.—The program’s network 22
2292-administrator receiving Federal funding pursu-23
2293-ant to subsection (a) shall report to the Assistant 24
2294-Secretary, in a manner that protects personal 25
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2297-•S 3393 RS
2298-privacy, consistent with applicable Federal and 1
2299-State privacy laws— 2
2300-‘‘(i) any identified cybersecurity 3
2301-vulnerabilities to the program within a rea-4
2302-sonable amount of time after identification 5
2303-of such a vulnerability; and 6
2304-‘‘(ii) any identified cybersecurity inci-7
2305-dents to the program within a reasonable 8
2306-amount of time after identification of such 9
2307-incident. 10
2308-‘‘(B) L
2309-OCAL AND REGIONAL CRISIS CEN -11
2310-TERS.—Local and regional crisis centers partici-12
2311-pating in the program shall report to the pro-13
2312-gram’s network administrator identified under 14
2313-subparagraph (A), in a manner that protects 15
2314-personal privacy, consistent with applicable Fed-16
2315-eral and State privacy laws— 17
2316-‘‘(i) any identified cybersecurity 18
2317-vulnerabilities to the program within a rea-19
2318-sonable amount of time after identification 20
2319-of such vulnerability; and 21
2320-‘‘(ii) any identified cybersecurity inci-22
2321-dents to the program within a reasonable 23
2322-amount of time after identification of such 24
2323-incident. 25
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2326-•S 3393 RS
2327-‘‘(2) NOTIFICATION.—If the program’s network 1
2328-administrator receiving funding pursuant to sub-2
2329-section (a) discovers, or is informed by a local or re-3
2330-gional crisis center pursuant to paragraph (1)(B) of, 4
2331-a cybersecurity vulnerability or incident, within a 5
2332-reasonable amount of time after such discovery or re-6
2333-ceipt of information, such entity shall report the vul-7
2334-nerability or incident to the Assistant Secretary. 8
2335-‘‘(3) C
2336-LARIFICATION.— 9
2337-‘‘(A) O
2338-VERSIGHT.— 10
2339-‘‘(i) L
2340-OCAL AND REGIONAL CRISIS CEN -11
2341-TERS.—Except as provided in clause (ii), 12
2342-local and regional crisis centers partici-13
2343-pating in the program shall oversee all tech-14
2344-nology each center employs in the provision 15
2345-of services as a participant in the program. 16
2346-‘‘(ii) N
2347-ETWORK ADMINISTRATOR .—The 17
2348-program’s network administrator receiving 18
2349-Federal funding pursuant to subsection (a) 19
2350-shall oversee the technology each crisis cen-20
2351-ter employs in the provision of services as 21
2352-a participant in the program if such over-22
2353-sight responsibilities are established in the 23
2354-applicable network participation agreement. 24
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2357-•S 3393 RS
2358-‘‘(B) SUPPLEMENT, NOT SUPPLANT.—The 1
2359-cybersecurity incident reporting requirements 2
2360-under this subsection shall supplement, and not 3
2361-supplant, cybersecurity incident reporting re-4
2362-quirements under other provisions of applicable 5
2363-Federal law that are in effect on the date of the 6
2364-enactment of the SUPPORT for Patients and 7
2365-Communities Reauthorization Act.’’. 8
2366-(c) S
2367-TUDY.—Not later than 180 days after the date 9
2368-of the enactment of this Act, the Comptroller General of the 10
2369-United States shall— 11
2370-(1) conduct and complete a study that evaluates 12
2371-cybersecurity risks and vulnerabilities associated with 13
2372-the 9–8–8 National Suicide Prevention Lifeline; and 14
2373-(2) submit a report of the findings of such study 15
2374-to the Committee on Health, Education, Labor, and 16
2375-Pensions of the Senate and the Committee on Energy 17
2376-and Commerce of the House of Representatives. 18
2377-SEC. 113. BRUCE’S LAW. 19
2378-(a) Y
2379-OUTHPREVENTION AND RECOVERY.—Section 20
2380-7102(c) of the SUPPORT for Patients and Communities 21
2381-Act (42 U.S.C. 290bb–7a(c)) is amended— 22
2382-(1) in paragraph (3)(A)(i), by inserting ‘‘, which 23
2383-may include strategies to increase education and 24
2384-awareness of the potency and dangers of synthetic 25
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2387-•S 3393 RS
2388-opioids (including drugs contaminated with fentanyl) 1
2389-and, as appropriate, other emerging drug use or mis-2
2390-use issues’’ before the semicolon; and 3
2391-(2) in paragraph (4)(A), by inserting ‘‘and 4
2392-strategies to increase education and awareness of the 5
2393-potency and dangers of synthetic opioids (including 6
2394-drugs contaminated with fentanyl) and, as appro-7
2395-priate, emerging drug use or misuse issues’’ before the 8
2396-semicolon. 9
2397-(b) I
2398-NTERDEPARTMENTAL SUBSTANCEUSEDIS-10
2399-ORDERSCOORDINATINGCOMMITTEE.—Section 7022 of the 11
2400-SUPPORT for Patients and Communities Act (42 U.S.C. 12
2401-290aa note) is amended— 13
2402-(1) by striking subsection (g) and inserting the 14
2403-following: 15
2404-‘‘(g) W
2405-ORKINGGROUPS.— 16
2406-‘‘(1) I
2407-N GENERAL.—The Committee may estab-17
2408-lish working groups for purposes of carrying out the 18
2409-duties described in subsection (e). Any such working 19
2410-group shall be composed of members of the Committee 20
2411-(or the designees of such members) and may hold such 21
2412-meetings as are necessary to enable the working group 22
2413-to carry out the duties delegated to the working 23
2414-group. 24
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2417-•S 3393 RS
2418-‘‘(2) ADDITIONAL FEDERAL INTERAGENCY WORK 1
2419-GROUP ON FENTANYL CONTAMINATION OF ILLEGAL 2
2420-DRUGS.— 3
2421-‘‘(A) E
2422-STABLISHMENT.—The Secretary, act-4
2423-ing through the Committee, shall establish a Fed-5
2424-eral Interagency Work Group on Fentanyl Con-6
2425-tamination of Illegal Drugs (referred to in this 7
2426-paragraph as the ‘Work Group’), consisting of 8
2427-representatives from relevant Federal depart-9
2428-ments and agencies on the Committee. 10
2429-‘‘(B) C
2430-ONSULTATION.—The Work Group 11
2431-shall consult with relevant stakeholders and sub-12
2432-ject matter experts, including— 13
2433-‘‘(i) State, Tribal, and local subject 14
2434-matter experts in reducing, preventing, and 15
2435-responding to drug overdose caused by 16
2436-fentanyl contamination of illicit drugs; and 17
2437-‘‘(ii) family members of both adults 18
2438-and youth who have overdosed by fentanyl- 19
2439-contaminated illicit drugs. 20
2440-‘‘(C) D
2441-UTIES.—The Work Group shall— 21
2442-‘‘(i) examine Federal efforts to reduce 22
2443-and prevent drug overdose by fentanyl-con-23
2444-taminated illicit drugs; 24
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2448-‘‘(ii) identify strategies to improve 1
2449-State, Tribal, and local responses to over-2
2450-dose by fentanyl-contaminated illicit drugs; 3
2451-‘‘(iii) coordinate with the Secretary, as 4
2452-appropriate, in carrying out activities to 5
2453-raise public awareness of synthetic opioids 6
2454-and other emerging drug use and misuse 7
2455-issues; 8
2456-‘‘(iv) make recommendations to Con-9
2457-gress for improving Federal programs, in-10
2458-cluding with respect to the coordination of 11
2459-efforts across such programs; and 12
2460-‘‘(v) make recommendations for edu-13
2461-cating youth on the potency and dangers of 14
2462-drugs contaminated by fentanyl. 15
2463-‘‘(D) A
2464-NNUAL REPORT TO SECRETARY .—The 16
2465-Work Group shall annually prepare and submit 17
2466-to the Secretary, the Committee on Health, Edu-18
2467-cation, Labor, and Pensions of the Senate, and 19
2468-the Committee on Education and the Workforce 20
2469-of the House of Representatives, a report on the 21
2470-activities carried out by the Work Group under 22
2471-subparagraph (C), including recommendations to 23
2472-reduce and prevent drug overdose by fentanyl 24
2473-contamination of illegal drugs, in all popu-25
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2477-lations, and specifically among youth at risk for 1
2478-substance misuse.’’; and 2
2479-(2) by striking subsection (i) and inserting the 3
2480-following: 4
2481-‘‘(i) S
2482-UNSET.—The Committee shall terminate on Sep-5
2483-tember 30, 2028.’’. 6
2484-SEC. 114. GUIDANCE ON AT-HOME DRUG DISPOSAL SYS-7
2485-TEMS. 8
2486-(a) I
2487-NGENERAL.—Not later than one year after the 9
2488-date of enactment of this Act, the Secretary of Health and 10
2489-Human Services (referred to in this section as the ‘‘Sec-11
2490-retary’’), in consultation with the Administrator of the 12
2491-Drug Enforcement Administration, shall publish guidance 13
2492-to facilitate the use of at-home safe disposal systems for ap-14
2493-plicable drugs, including for such at-home safe disposal sys-15
2494-tems that the Secretary may require as a part of a risk 16
2495-evaluation and mitigation strategy under section 505–1 of 17
2496-the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 355– 18
2497-1). 19
2498-(b) C
2499-ONTENTS.—The guidance under subsection (a) 20
2500-shall include— 21
2501-(1) recommended standards for effective at-home 22
2502-drug disposal systems to meet applicable statutory or 23
2503-regulatory requirements enforced by the Food and 24
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2507-Drug Administration and, as appropriate, the Drug 1
2508-Enforcement Administration; 2
2509-(2) recommended information to include as in-3
2510-structions for use to disseminate with at-home drug 4
2511-disposal systems; 5
2512-(3) best practices and educational tools to sup-6
2513-port the use of an at-home drug disposal system; and 7
2514-(4) recommended use of licensed health providers 8
2515-for the dissemination of education, instruction, and 9
2516-at-home drug disposal systems. 10
2517-SEC. 115. REVIEW OF OPIOID DRUGS AND ACTIONS. 11
2518-Not later than one year after the date of enactment 12
2519-of this Act, the Secretary of Health and Human Services 13
2520-(referred to in this section as the ‘‘Secretary’’) shall publish 14
2521-on the website of the Food and Drug Administration (re-15
2522-ferred to in this section as the ‘‘FDA’’) a report that out-16
2523-lines a plan for completing a review of opioid analgesic 17
2524-drugs that are approved under section 505 of the Federal 18
2525-Food, Drug, and Cosmetic Act (21 U.S.C. 355) that con-19
2526-siders the public health effects of such opioid drugs as part 20
2527-of the benefit-risk assessment, and that addresses the activi-21
2528-ties of the FDA that relate to increasing the development 22
2529-of non-addictive medical products intended to treat pain 23
2530-or addiction. Such report shall include— 24
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2534-(1) an opportunity for public input concerning 1
2535-the regulation by the FDA of opioid analgesic drugs, 2
2536-including scientific evidence that relates to conditions 3
2537-of use, safety, or benefit-risk assessment (including 4
2538-consideration of the public health effects) of such 5
2539-opioid drugs; 6
2540-(2) an update on the actions taken by the FDA 7
2541-to review the effectiveness, safety, benefit-risk profile 8
2542-(which may include public health effects), and use of 9
2543-approved opioid analgesic drugs; 10
2544-(3) a timeline for an assessment of the potential 11
2545-need, as appropriate, for labeling changes, revised or 12
2546-additional postmarketing requirements, enforcement 13
2547-actions, or withdrawals for opioid analgesic drugs; 14
2548-(4) an overview of the steps that the FDA has 15
2549-taken to support the development and approval of 16
2550-non-addictive medical products intended to treat pain 17
2551-or addiction, and actions planned to further support 18
2552-the development and approval of such products; and 19
2553-(5) an overview of the consideration by the FDA 20
2554-of clinical trial methodologies for analgesic drugs, in-21
2555-cluding the enriched enrollment randomized with-22
2556-drawal methodology, and the benefits and drawbacks 23
2557-associated with different trial methodologies for such 24
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2561-drugs, incorporating any public input received under 1
2562-paragraph (1). 2
2563-SEC. 116. CONSIDERATION OF ENRICHED ENROLLMENT 3
2564-RANDOMIZED WITHDRAWAL METHODOLOGY. 4
2565-(a) I
2566-NGENERAL.—Not later than 2 years after the 5
2567-date of enactment of this Act, the Secretary of Health and 6
2568-Human Services (referred to in this section as the ‘‘Sec-7
2569-retary’’), acting through the Commissioner of Food and 8
2570-Drugs, shall convene a meeting of the Anesthetic and An-9
2571-algesic Drug Products Advisory Committee and the Drug 10
2572-Safety and Risk Management Advisory Committee of the 11
2573-Food and Drug Administration to review the use of the en-12
2574-riched enrollment randomized withdrawal methodology in 13
2575-clinical trials of opioid analgesic drugs and consider and 14
2576-make recommendations regarding the use of alternative 15
2577-clinical study methodologies. In conducting such review, the 16
2578-Secretary shall consider the report issued by the National 17
2579-Academy of Sciences under subsection (c). 18
2580-(b) P
2581-RESENTATIONS.—If the Secretary allows for for-19
2582-mal presentations in support of the use of the enriched en-20
2583-rollment randomized withdrawal methodology at the meet-21
2584-ing described in subsection (a), the Secretary shall also 22
2585-allow for equal time at such meeting for presentations that 23
2586-are critical of such methodology. 24
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2590-(c) NASSTUDY ANDREPORT.—The Secretary shall 1
2591-seek to enter into a contract with the National Academy 2
2592-of Sciences under which the National Academy— 3
2593-(1) conducts a study on the effectiveness of en-4
2594-riched enrollment randomized withdrawal method-5
2595-ology in demonstrating the efficacy of opioid analge-6
2596-sic drugs in treating chronic pain; and 7
2597-(2) not later than 1 year after the date of enact-8
2598-ment of this Act, submits a report on such study to 9
2599-the Secretary. 10
2600-(d) R
2601-EVIEW OFOPIOIDANALGESICDRUGS.—In con-11
2602-nection with the meeting described in subsection (a), the 12
2603-Anesthetic and Analgesic Drug Products Advisory Com-13
2604-mittee and the Drug Safety and Risk Management Advisory 14
2605-Committee of the Food and Drug Administration shall re-15
2606-view the approved labeling and action package for approval 16
2607-(as described in subsection (l)(2) of section 505 of the Fed-17
2608-eral Food, Drug, and Cosmetic Act (21 U.S.C. 355)), on 18
2609-all opioid analgesic drugs approved using enriched enroll-19
2610-ment randomized withdrawal methodology under such sec-20
2611-tion 505 as of the date of such meeting. The findings from 21
2612-such review shall be made publicly available on a website 22
2613-operated by the Secretary, acting through the Commissioner 23
2614-of Food and Drugs. 24
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2618-(e) DEFINITION OFOPIOIDANALGESICDRUG.—In this 1
2619-section, the term ‘‘opioid analgesic drug’’ means a drug that 2
2620-has a labeled indication approved by the Food and Drug 3
2621-Administration to produce analgesia by acting upon the 4
2622-body’s opioid receptors. 5
2623-SEC. 117. APPROVAL OF NEW OPIOID ANALGESIC DRUGS. 6
2624-Section 505(c) of the Federal Food, Drug, and Cos-7
2625-metic Act (21 U.S.C. 355(c)) is amended by adding at the 8
2626-end the following: 9
2627-‘‘(6) Notwithstanding any other provision of this 10
2628-section, in making a determination to approve or 11
2629-deny an application submitted under subsection (b) 12
2630-for an opioid analgesic drug, the Secretary may con-13
2631-sider whether such drug provides a substantial im-14
2632-provement, in terms of greater safety or greater effec-15
2633-tiveness, or major contribution to patient care, com-16
2634-pared to an approved opioid analgesic drug. For pur-17
2635-poses of this paragraph, the term ‘opioid analgesic 18
2636-drug’ means a drug that is approved under this sec-19
2637-tion to produce analgesia by acting upon the body’s 20
2638-opioid receptors.’’. 21
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2642-SEC. 118. GUIDANCE ON DEVELOPING NON-ADDICTIVE MED-1
2643-ICAL PRODUCTS TO TREAT PAIN OR ADDIC-2
2644-TION. 3
2645-Not later than 1 year after the date of enactment of 4
2646-this Act, the Secretary of Health and Human Services shall 5
2647-issue draft guidance under section 3001(b) of the SUP-6
2648-PORT for Patients and Communities Act (21 U.S.C. 355 7
2649-note) to address non-addictive analgesics for chronic pain, 8
2650-including the information required to be included in guid-9
2651-ance documents under paragraphs (1) through (4) of such 10
2652-section 3001(b). 11
2653-SEC. 119. NATIONAL CHRONIC PAIN INFORMATION SYSTEM. 12
2654-Part P of title III of the Public Health Service Act 13
2655-(42 U.S.C. 280g et seq.) is amended by adding at the end 14
2656-the following: 15
2657-‘‘SEC. 399V–8. CHRONIC PAIN RESEARCH. 16
2658-‘‘(a) I
2659-NGENERAL.—The Secretary, in consultation 17
2660-with the Director of the Centers for Disease Control and 18
2661-Prevention, the Director of the National Institutes of 19
2662-Health, and other agencies as the Secretary determines ap-20
2663-propriate, shall— 21
2664-‘‘(1) utilize available Federal research data to 22
2665-clarify the incidence and prevalence of chronic pain 23
2666-from any source, including injuries, operations, and 24
2667-diseases and conditions; 25
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2671-‘‘(2) identify gaps in the available research data 1
2672-and collect deidentified population research data 2
2673-using medical claims and survey data to fill gaps in 3
2674-available research data, such as— 4
2675-‘‘(A) incidence and prevalence of specific 5
2676-pain conditions; 6
2677-‘‘(B) demographics and other information, 7
2678-such as age, race, ethnicity, gender, and geo-8
2679-graphic location; 9
2680-‘‘(C) the incidence and prevalence of known 10
2681-chronic pain conditions, as well as diseases and 11
2682-conditions that include or lead to pain; 12
2683-‘‘(D) risk factors that may be associated 13
2684-with chronic pain conditions, such as genetic 14
2685-and environmental risk factors and other infor-15
2686-mation, as appropriate; 16
2687-‘‘(E) diagnosis and progression markers; 17
2688-‘‘(F) both direct and indirect costs of illness; 18
2689-‘‘(G) the epidemiology of the conditions; 19
2690-‘‘(H) the detection, management, and treat-20
2691-ment of the conditions; 21
2692-‘‘(I) the epidemiology, detection, manage-22
2693-ment, and treatment of frequent secondary or co- 23
2694-occurring conditions, such as depression, anx-24
2695-iety, and substance use disorders; 25
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2699-‘‘(J) the utilization of medical and social 1
2700-services by patients with chronic pain condi-2
2701-tions, including the direct health care costs of 3
2702-pain treatment, both traditional and alternative, 4
2703-and the indirect costs (such as missed work, pub-5
2704-lic and private disability, and reduction in pro-6
2705-ductivity); and 7
2706-‘‘(K) the effectiveness of evidence-based 8
2707-treatment approaches on chronic pain condi-9
2708-tions; 10
2709-‘‘(3) develop, in collaboration with individuals 11
2710-and organizations with appropriate chronic pain ex-12
2711-pertise, including patients or patient advocates, epi-13
2712-demiologists, representatives of national voluntary 14
2713-health associations, health information technology ex-15
2714-perts, clinicians, and research scientists, standard 16
2715-definitions and approaches for population research on 17
2716-chronic pain to efficiently promote greater com-18
2717-parability of data; and 19
2718-‘‘(4) disseminate, pursuant to the public webpage 20
2719-under subsection (b), and, as appropriate, to the pub-21
2720-lic and to other Federal departments and agencies, 22
2721-any findings, developed population research stand-23
2722-ards, and available Federal data sources related to 24
2723-chronic pain. 25
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2727-‘‘(b) DISSEMINATION.—The Secretary, acting through 1
2728-the Director of the Centers for Disease Control and Preven-2
2729-tion, shall establish a public webpage, to be known as the 3
2730-Chronic Pain Information Hub, that— 4
2731-‘‘(1) aggregates and summarizes available Fed-5
2732-eral data sources, indicators, and peer-reviewed re-6
2733-search related to chronic pain; 7
2734-‘‘(2) includes an up-to-date summary of com-8
2735-plete, ongoing, and planned data collection and anal-9
2736-ysis related to chronic pain that is conducted and 10
2737-supported by the Centers for Disease Control and Pre-11
2738-vention; and 12
2739-‘‘(3) translates research findings into clinical 13
2740-tools and resources, recommendations for closing re-14
2741-search gaps, and recommendations for population re-15
2742-search standards for researchers, with recommenda-16
2743-tions updated annually to incorporate research find-17
2744-ings from the prior year. 18
2745-‘‘(c) C
2746-ONFLICTS OFINTEREST.—If an individual or 19
2747-organization that collaborates with the Secretary in car-20
2748-rying out subsection (a) receives a payment or other trans-21
2749-fer of value of a type described in section 22
2750-1128G(a)(1)(A)(vi) of the Social Security Act from a man-23
2751-ufacturer of a drug (including a biological product) or de-24
2752-vice that would be required to be disclosed pursuant to sec-25
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2756-tion 1128G(a)(1) of the Social Security Act, if the indi-1
2757-vidual or organization were a covered recipient or if such 2
2758-disclosure were required upon request of or by designation 3
2759-on behalf of a covered recipient pursuant to such section, 4
2760-the individual or organization shall disclose to the Sec-5
2761-retary information regarding such payment or other trans-6
2762-fer of value. The Secretary shall make such disclosures pub-7
2763-licly available. 8
2764-‘‘(d) R
2765-EPORT.—Not later than 2 years after the date 9
2766-of the enactment of the SUPPORT for Patients and Com-10
2767-munities Reauthorization Act, the Secretary shall submit 11
2768-a report to the Committee on Health, Education, Labor, 12
2769-and Pensions of the Senate and the Committee on Energy 13
2770-and Commerce of the House of Representatives concerning 14
2771-the implementation of this section. Such report shall include 15
2772-information on— 16
2773-‘‘(1) the development and maintenance of the 17
2774-Chronic Pain Information Hub; 18
2775-‘‘(2) the information made available through the 19
2776-Chronic Pain Information Hub; 20
2777-‘‘(3) the data gaps identified, and planned efforts 21
2778-to address such gaps; 22
2779-‘‘(4) the process established for soliciting feedback 23
2780-from collaborators; and 24
2781-‘‘(5) feedback received from collaborators. 25
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2785-‘‘(e) DEFINITION.—In this section, the term ‘chronic 1
2786-pain’ means persistent or recurrent pain lasting longer 2
2787-than 3 months. 3
2788-‘‘(f) A
2789-UTHORIZATION OFAPPROPRIATIONS.—To carry 4
2790-out this section, there is authorized to be appropriated such 5
2791-sums as may be necessary for each of fiscal years 2024 6
2792-through 2028.’’. 7
2793-SEC. 120. REQUIREMENTS FOR ELECTRONIC-PRESCRIBING 8
2794-FOR CONTROLLED SUBSTANCES UNDER 9
2795-GROUP HEALTH PLANS AND GROUP AND IN-10
2796-DIVIDUAL HEALTH INSURANCE COVERAGE. 11
2797-(a) P
2798-UBLICHEALTHSERVICEACTAMENDMENT.— 12
2799-Section 2799A–7 of the Public Health Service Act (42 13
2800-U.S.C. 300gg–117) is amended by adding at the end the 14
2801-following new subsection: 15
2802-‘‘(d) R
2803-EQUIREMENTS FOR ELECTRONIC-PRESCRIBING 16
2804-FORCONTROLLEDSUBSTANCES.— 17
2805-‘‘(1) I
2806-N GENERAL.—Except as provided pursuant 18
2807-to paragraph (2), for plan years beginning on or after 19
2808-January 1, 2026, a group health plan and a health 20
2809-insurance issuer offering group or individual health 21
2810-insurance coverage, with respect to a participating 22
2811-provider, as defined in section 2799–1(a)(3), shall 23
2812-have in place policies, subject to paragraphs (4) and 24
2813-(5), that require any prescription for a schedule II, 25
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2817-III, IV, or V controlled substance (as defined by sec-1
2818-tion 202 of the Controlled Substances Act) covered by 2
2819-the plan or coverage that is transmitted by such a 3
2820-participating provider for such a participant, bene-4
2821-ficiary, or enrollee be electronically transmitted con-5
2822-sistent with standards established under paragraph 6
2823-(3) of section 1860D–4(e) of the Social Security Act, 7
2824-under an electronic prescription drug program that 8
2825-meets requirements that are substantially similar (as 9
2826-jointly determined by the Secretary, the Secretary of 10
2827-Labor, and the Secretary of the Treasury) to the re-11
2828-quirements of paragraph (2) of such section 1860D– 12
2829-4(e). 13
2830-‘‘(2) E
2831-XCEPTION FOR CERTAIN CIR -14
2832-CUMSTANCES.—The Secretary, the Secretary of Labor, 15
2833-and the Secretary of the Treasury shall jointly, 16
2834-through rulemaking, specify circumstances and proc-17
2835-esses by which the requirement under paragraph (1) 18
2836-may be waived, with respect to a schedule II, III, IV, 19
2837-or V controlled substance that is a prescription drug 20
2838-covered by a group health plan or group or indi-21
2839-vidual health insurance coverage offered by a health 22
2840-insurance issuer, including in the case of— 23
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2844-‘‘(A) a prescription issued when the partici-1
2845-pating provider and dispensing pharmacy are 2
2846-the same entity; 3
2847-‘‘(B) a prescription issued that cannot be 4
2848-transmitted electronically under the most re-5
2849-cently implemented version of the National 6
2850-Council for Prescription Drug Programs 7
2851-SCRIPT Standard; 8
2852-‘‘(C) a prescription issued by a partici-9
2853-pating provider who received a waiver (which 10
2854-may include a waiver obtained pursuant to sec-11
2855-tion 1860D–4(e)(7)(B)(iii) of the Social Security 12
2856-Act) or a renewal thereof for a period of time as 13
2857-determined by the Secretary, the Secretary of 14
2858-Labor, and the Secretary of the Treasury, not to 15
2859-exceed one year, from the requirement to use elec-16
2860-tronic prescribing due to demonstrated economic 17
2861-hardship, technological limitations that are not 18
2862-reasonably within the control of the partici-19
2863-pating provider, or other exceptional cir-20
2864-cumstance demonstrated by the participating 21
2865-provider; 22
2866-‘‘(D) a prescription issued by a partici-23
2867-pating provider under circumstances in which, 24
2868-notwithstanding the participating provider’s 25
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2872-ability to submit a prescription electronically as 1
2873-required by this subsection, such participating 2
2874-provider reasonably determines that it would be 3
2875-impractical for the individual involved to obtain 4
2876-substances prescribed by electronic prescription 5
2877-in a timely manner, and such delay would ad-6
2878-versely impact the individual involved’s medical 7
2879-condition involved; 8
2880-‘‘(E) a prescription issued by a partici-9
2881-pating provider prescribing a drug under a re-10
2882-search protocol; 11
2883-‘‘(F) a prescription issued by a partici-12
2884-pating provider for a drug for which the Food 13
2885-and Drug Administration requires a prescrip-14
2886-tion to contain elements that are not able to be 15
2887-included in electronic prescribing, such as a drug 16
2888-with risk evaluation and mitigation strategies 17
2889-that include elements to assure safe use; 18
2890-‘‘(G) a prescription issued for an individual 19
2891-who receives hospice care or for a resident of a 20
2892-nursing facility (as defined in section 1919(a) of 21
2893-the Social Security Act); 22
2894-‘‘(H) a prescription issued under cir-23
2895-cumstances in which electronic prescribing is not 24
2896-available due to temporary technological or elec-25
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2900-trical failure, as specified jointly by the Sec-1
2901-retary, the Secretary of Labor, and the Secretary 2
2902-of the Treasury through rulemaking; and 3
2903-‘‘(I) a prescription issued by a partici-4
2904-pating provider allowing for the dispensing of a 5
2905-non-patient specific prescription pursuant to a 6
2906-standing order, approved protocol for drug ther-7
2907-apy, collaborative drug management, or com-8
2908-prehensive medication management, in response 9
2909-to a public health emergency or other cir-10
2910-cumstances under which the participating pro-11
2911-vider may issue a non-patient specific prescrip-12
2912-tion. 13
2913-‘‘(3) R
2914-ULES OF CONSTRUCTION.— 14
2915-‘‘(A) V
2916-ERIFICATION.—Nothing in this sub-15
2917-section shall be construed as requiring a dis-16
2918-penser to verify that a participating provider, 17
2919-with respect to a prescription for a schedule II, 18
2920-III, IV, or V controlled substance that is a pre-19
2921-scription drug covered by a group health plan or 20
2922-group or individual health insurance coverage of-21
2923-fered by a health insurance issuer, has a waiver 22
2924-(or is otherwise exempt) under paragraph (2) 23
2925-from the requirement under paragraph (1). 24
2926-VerDate Sep 11 2014 23:37 Feb 01, 2024 Jkt 049200 PO 00000 Frm 00102 Fmt 6652 Sfmt 6203 E:\BILLS\S3393.RS S3393
2927-kjohnson on DSK7ZCZBW3PROD with $$_JOB 103
2928-•S 3393 RS
2929-‘‘(B) AUTHORITY TO DISPENSE .—Nothing 1
2930-in this subsection shall be construed as affecting 2
2931-the authority of a group health plan or group or 3
2932-individual health insurance coverage offered by a 4
2933-health insurance issuer to cover, or the authority 5
2934-of a dispenser to continue to dispense, a pre-6
2935-scription drug if the prescription for such drug 7
2936-is an otherwise valid written, oral, or fax pre-8
2937-scription that is consistent with applicable law. 9
2938-‘‘(C) P
2939-ATIENT CHOICE.—Nothing in this 10
2940-subsection shall be construed as affecting the 11
2941-ability of an individual who is a participant, 12
2942-beneficiary, or enrollee of a group health plan or 13
2943-group or individual health insurance coverage of-14
2944-fered by a health insurance issuer and who is 15
2945-prescribed a schedule II, III, IV, or V controlled 16
2946-substance that is a prescription drug covered by 17
2947-the plan or coverage to designate a particular 18
2948-dispenser to dispense a prescribed controlled sub-19
2949-stance to the extent consistent with the require-20
2950-ments under this subsection. 21
2951-‘‘(4) R
2952-EGULATIONS ON POLICY REQUIRE -22
2953-MENTS.—The Secretary, the Secretary of Labor, and 23
2954-the Secretary of the Treasury shall promulgate regu-24
2955-lations specifying requirements for the policies estab-25
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2957-kjohnson on DSK7ZCZBW3PROD with $$_JOB 104
2958-•S 3393 RS
2959-lished by group health plans and health insurance 1
2960-issuers under paragraph (1). Such regulations shall 2
2961-include requirements for— 3
2962-‘‘(A) a uniform process by which plans and 4
2963-issuers are required to set the e-prescribing re-5
2964-quirements; 6
2965-‘‘(B) a process by which plans and issuers 7
2966-are required to grant waivers and exceptions to 8
2967-participating providers pursuant to paragraph 9
2968-(2); and 10
2969-‘‘(C) a mechanism for plans and issuers to 11
2970-recognize waivers issued to participating pro-12
2971-viders under part D of title XVIII of the Social 13
2972-Security Act, pursuant to paragraph (2)(C). 14
2973-‘‘(5) P
2974-ROHIBITIONS.—The policies established 15
2975-pursuant to paragraph (1) by a group health plan or 16
2976-health insurance issuer offering group or individual 17
2977-health insurance coverage may not— 18
2978-‘‘(A) require dispensers of a schedule II, III, 19
2979-IV, or V controlled substance to confirm that the 20
2980-prescription for the controlled substance was elec-21
2981-tronically issued by a participating provider in 22
2982-accordance with such policies, as described in 23
2983-paragraph (1); 24
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2986-•S 3393 RS
2987-‘‘(B) require dispensers of such controlled 1
2988-substances to submit information or data beyond 2
2989-what is otherwise required to process a prescrip-3
2990-tion drug claim in order to confirm a partici-4
2991-pating provider’s compliance with such policies; 5
2992-‘‘(C) reject, deny, or recoup reimbursement 6
2993-for a prescription drug claim based on the for-7
2994-mat in which the prescription was issued; or 8
2995-‘‘(D) require a participating provider to use 9
2996-a specific vendor for electronic prescribing or a 10
2997-specific electronic prescribing product or system. 11
2998-‘‘(6) A
2999-TTESTATION OF COMPLIANCE .—Beginning 12
3000-on January 1, 2026, each group health plan and 13
3001-health insurance issuer offering group or individual 14
3002-health insurance coverage shall annually submit to 15
3003-the Secretary, the Secretary of Labor, and the Sec-16
3004-retary of the Treasury an attestation of compliance 17
3005-with the requirements of this subsection. 18
3006-‘‘(7) C
3007-ONSULTATION REQUIREMENT FOR RULE -19
3008-MAKING.—In promulgating regulations to carry out 20
3009-this subsection, the Secretary, the Secretary of the 21
3010-Labor, and the Secretary of the Treasury shall jointly 22
3011-consult with dispensers of controlled substances, State 23
3012-insurance regulators, and health care practitioners.’’. 24
3013-VerDate Sep 11 2014 23:37 Feb 01, 2024 Jkt 049200 PO 00000 Frm 00105 Fmt 6652 Sfmt 6203 E:\BILLS\S3393.RS S3393
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3015-•S 3393 RS
3016-(b) EMPLOYEERETIREMENTINCOMESECURITYACT 1
3017-OF1974 AMENDMENT.—Section 722 of the Employee Re-2
3018-tirement Income Security Act of 1974 (29 U.S.C. 1185k) 3
3019-is amended by adding at the end the following new sub-4
3020-section: 5
3021-‘‘(d) R
3022-EQUIREMENTS FOR ELECTRONIC-PRESCRIBING 6
3023-FORCONTROLLEDSUBSTANCES.— 7
3024-‘‘(1) I
3025-N GENERAL.—Except as provided pursuant 8
3026-to paragraph (2), for plan years beginning on or after 9
3027-January 1, 2026, a group health plan and a health 10
3028-insurance issuer offering group health insurance cov-11
3029-erage, with respect to a participating provider, as de-12
3030-fined in section 716(a)(3), shall have in place poli-13
3031-cies, subject to paragraphs (4) and (5), that require 14
3032-any prescription for a schedule II, III, IV, or V con-15
3033-trolled substance (as defined by section 202 of the 16
3034-Controlled Substances Act) covered by the plan or cov-17
3035-erage that is transmitted by such a participating pro-18
3036-vider for such a participant or beneficiary be elec-19
3037-tronically transmitted consistent with standards es-20
3038-tablished under paragraph (3) of section 1860D–4(e) 21
3039-of the Social Security Act, under an electronic pre-22
3040-scription drug program that meets requirements that 23
3041-are substantially similar (as jointly determined by 24
3042-the Secretary, the Secretary of Health and Human 25
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3044-kjohnson on DSK7ZCZBW3PROD with $$_JOB 107
3045-•S 3393 RS
3046-Services, and the Secretary of the Treasury) to the re-1
3047-quirements of paragraph (2) of such section 1860D– 2
3048-4(e). 3
3049-‘‘(2) E
3050-XCEPTION FOR CERTAIN CIR -4
3051-CUMSTANCES.—The Secretary, the Secretary of 5
3052-Health and Human Services, and the Secretary of the 6
3053-Treasury shall jointly, through rulemaking, specify 7
3054-circumstances and processes by which the requirement 8
3055-under paragraph (1) may be waived, with respect to 9
3056-a schedule II, III, IV, or V controlled substance that 10
3057-is a prescription drug covered by a group health plan 11
3058-or group health insurance coverage offered by a health 12
3059-insurance issuer, including in the case of— 13
3060-‘‘(A) a prescription issued when the partici-14
3061-pating provider and dispensing pharmacy are 15
3062-the same entity; 16
3063-‘‘(B) a prescription issued that cannot be 17
3064-transmitted electronically under the most re-18
3065-cently implemented version of the National 19
3066-Council for Prescription Drug Programs 20
3067-SCRIPT Standard; 21
3068-‘‘(C) a prescription issued by a partici-22
3069-pating provider who received a waiver (which 23
3070-may include a waiver obtained pursuant to sec-24
3071-tion 1860D–4(e)(7)(B)(iii) of the Social Security 25
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3073-kjohnson on DSK7ZCZBW3PROD with $$_JOB 108
3074-•S 3393 RS
3075-Act) or a renewal thereof for a period of time as 1
3076-determined by the Secretary, the Secretary of 2
3077-Health and Human Services, and the Secretary 3
3078-of the Treasury, not to exceed one year, from the 4
3079-requirement to use electronic prescribing due to 5
3080-demonstrated economic hardship, technological 6
3081-limitations that are not reasonably within the 7
3082-control of the participating provider, or other ex-8
3083-ceptional circumstance demonstrated by the par-9
3084-ticipating provider; 10
3085-‘‘(D) a prescription issued by a partici-11
3086-pating provider under circumstances in which, 12
3087-notwithstanding the participating provider’s 13
3088-ability to submit a prescription electronically as 14
3089-required by this subsection, such participating 15
3090-provider reasonably determines that it would be 16
3091-impractical for the individual involved to obtain 17
3092-substances prescribed by electronic prescription 18
3093-in a timely manner, and such delay would ad-19
3094-versely impact the individual’s medical condi-20
3095-tion involved; 21
3096-‘‘(E) a prescription issued by a partici-22
3097-pating provider prescribing a drug under a re-23
3098-search protocol; 24
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3100-kjohnson on DSK7ZCZBW3PROD with $$_JOB 109
3101-•S 3393 RS
3102-‘‘(F) a prescription issued by a partici-1
3103-pating provider for a drug for which the Food 2
3104-and Drug Administration requires a prescrip-3
3105-tion to contain elements that are not able to be 4
3106-included in electronic prescribing, such as a drug 5
3107-with risk evaluation and mitigation strategies 6
3108-that include elements to assure safe use; 7
3109-‘‘(G) a prescription issued for an individual 8
3110-who receives hospice care or for a resident of a 9
3111-nursing facility (as defined in section 1919(a) of 10
3112-the Social Security Act); 11
3113-‘‘(H) a prescription issued under cir-12
3114-cumstances in which electronic prescribing is not 13
3115-available due to temporary technological or elec-14
3116-trical failure, as specified jointly by the Sec-15
3117-retary, the Secretary of Health and Human 16
3118-Services, and the Secretary of the Treasury 17
3119-through rulemaking; and 18
3120-‘‘(I) a prescription issued by a partici-19
3121-pating provider allowing for the dispensing of a 20
3122-non-patient specific prescription pursuant to a 21
3123-standing order, approved protocol for drug ther-22
3124-apy, collaborative drug management, or com-23
3125-prehensive medication management, in response 24
3126-to a public health emergency or other cir-25
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3128-kjohnson on DSK7ZCZBW3PROD with $$_JOB 110
3129-•S 3393 RS
3130-cumstances under which the participating pro-1
3131-vider may issue a non-patient specific prescrip-2
3132-tion. 3
3133-‘‘(3) R
3134-ULES OF CONSTRUCTION.— 4
3135-‘‘(A) V
3136-ERIFICATION.—Nothing in this sub-5
3137-section shall be construed as requiring a dis-6
3138-penser to verify that a participating provider, 7
3139-with respect to a prescription for a schedule II, 8
3140-III, IV, or V controlled substance that is a pre-9
3141-scription drug covered by a group health plan or 10
3142-group or individual health insurance coverage of-11
3143-fered by a health insurance issuer, has a waiver 12
3144-(or is otherwise exempt) under paragraph (2) 13
3145-from the requirement under paragraph (1). 14
3146-‘‘(B) A
3147-UTHORITY TO DISPENSE .—Nothing 15
3148-in this subsection shall be construed as affecting 16
3149-the authority of a group health plan or group 17
3150-health insurance coverage offered by a health in-18
3151-surance issuer to cover, or the authority of a dis-19
3152-penser to continue to dispense, a prescription 20
3153-drug if the prescription for such drug is an oth-21
3154-erwise valid written, oral, or fax prescription 22
3155-that is consistent with applicable law. 23
3156-‘‘(C) P
3157-ATIENT CHOICE.—Nothing in this 24
3158-subsection shall be construed as affecting the 25
3159-VerDate Sep 11 2014 23:37 Feb 01, 2024 Jkt 049200 PO 00000 Frm 00110 Fmt 6652 Sfmt 6203 E:\BILLS\S3393.RS S3393
3160-kjohnson on DSK7ZCZBW3PROD with $$_JOB 111
3161-•S 3393 RS
3162-ability of an individual who is a participant or 1
3163-beneficiary of a group health plan or group or 2
3164-individual health insurance coverage offered by a 3
3165-health insurance issuer and who is prescribed a 4
3166-schedule II, III, IV, or V controlled substance 5
3167-that is a prescription drug covered by the plan 6
3168-or coverage to designate a particular dispenser to 7
3169-dispense a prescribed controlled substance to the 8
3170-extent consistent with the requirements under 9
3171-this subsection. 10
3172-‘‘(4) R
3173-EGULATIONS ON POLICY REQUIRE -11
3174-MENTS.—The Secretary, the Secretary of Health and 12
3175-Human Services, and the Secretary of the Treasury 13
3176-shall promulgate regulations specifying requirements 14
3177-for the policies established by group health plans and 15
3178-health insurance issuers under paragraph (1). Such 16
3179-regulations shall include requirements for— 17
3180-‘‘(A) a uniform process by which plans and 18
3181-issuers are required to set the e-prescribing re-19
3182-quirements; 20
3183-‘‘(B) a process by which plans and issuers 21
3184-are required to grant waivers and exceptions to 22
3185-participating providers pursuant to paragraph 23
3186-(2); and 24
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3188-kjohnson on DSK7ZCZBW3PROD with $$_JOB 112
3189-•S 3393 RS
3190-‘‘(C) a mechanism for plans and issuers to 1
3191-recognize waivers issued to participating pro-2
3192-viders under part D of title XVIII of the Social 3
3193-Security Act, pursuant to paragraph (2)(C). 4
3194-‘‘(5) P
3195-ROHIBITIONS.—The policies established 5
3196-pursuant to paragraph (1) by a group health plan or 6
3197-health insurance issuer offering group health insur-7
3198-ance coverage may not— 8
3199-‘‘(A) require dispensers of a schedule II, III, 9
3200-IV, or V controlled substance to confirm that the 10
3201-prescription for the controlled substance was elec-11
3202-tronically issued by a participating provider in 12
3203-accordance with such policies, as described in 13
3204-paragraph (1); 14
3205-‘‘(B) require dispensers of such controlled 15
3206-substances to submit information or data beyond 16
3207-what is otherwise required to process a prescrip-17
3208-tion drug claim in order to confirm a partici-18
3209-pating provider’s compliance with such policies; 19
3210-‘‘(C) reject, deny, or recoup reimbursement 20
3211-for a prescription drug claim based on the for-21
3212-mat in which the prescription was issued; or 22
3213-‘‘(D) require a participating provider to use 23
3214-a specific vendor for electronic prescribing or a 24
3215-specific electronic prescribing product or system. 25
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3218-•S 3393 RS
3219-‘‘(6) ATTESTATION OF COMPLIANCE .—Beginning 1
3220-on January 1, 2026, each group health plan and 2
3221-health insurance issuer offering group health insur-3
3222-ance coverage shall annually submit to the Secretary, 4
3223-the Secretary of Health and Human Services, and the 5
3224-Secretary of the Treasury an attestation of compli-6
3225-ance with the requirements of this subsection. 7
3226-‘‘(7) C
3227-ONSULTATION REQUIREMENT FOR RULE -8
3228-MAKING.—In promulgating regulations to carry out 9
3229-this subsection, the Secretary, the Secretary of Health 10
3230-and Human Services, and the Secretary of the Treas-11
3231-ury shall jointly consult with dispensers of controlled 12
3232-substances, State insurance regulators, and health 13
3233-care practitioners.’’. 14
3234-(c) I
3235-NTERNALREVENUECODE OF1986 AMEND-15
3236-MENT.—Section 9822 of the Internal Revenue Code of 1986 16
3237-is amended by adding at the end the following new sub-17
3238-section: 18
3239-‘‘(d) R
3240-EQUIREMENTS FOR ELECTRONIC-PRESCRIBING 19
3241-FORCONTROLLEDSUBSTANCES.— 20
3242-‘‘(1) I
3243-N GENERAL.—Except as provided pursuant 21
3244-to paragraph (2), for plan years beginning on or after 22
3245-January 1, 2026, a group health plan, with respect 23
3246-to a participating provider, as defined in section 24
3247-9816(a)(3), shall have in place policies, subject to 25
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3249-kjohnson on DSK7ZCZBW3PROD with $$_JOB 114
3250-•S 3393 RS
3251-paragraphs (4) and (5), that require any prescription 1
3252-for a schedule II, III, IV, or V controlled substance 2
3253-(as defined by section 202 of the Controlled Sub-3
3254-stances Act) covered by the plan that is transmitted 4
3255-by such a participating provider for such a partici-5
3256-pant or beneficiary be electronically transmitted con-6
3257-sistent with standards established under paragraph 7
3258-(3) of section 1860D–4(e) of the Social Security Act, 8
3259-under an electronic prescription drug program that 9
3260-meets requirements that are substantially similar (as 10
3261-jointly determined by the Secretary, the Secretary of 11
3262-Health and Human Services, and the Secretary of 12
3263-Labor) to the requirements of paragraph (2) of such 13
3264-section 1860D–4(e). 14
3265-‘‘(2) E
3266-XCEPTION FOR CERTAIN CIR -15
3267-CUMSTANCES.—The Secretary, the Secretary of 16
3268-Health and Human Services, and the Secretary of 17
3269-Labor shall jointly, through rulemaking, specify cir-18
3270-cumstances and processes by which the requirement 19
3271-under paragraph (1) may be waived, with respect to 20
3272-a schedule II, III, IV, or V controlled substance that 21
3273-is a prescription drug covered by a group health, in-22
3274-cluding in the case of— 23
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3276-kjohnson on DSK7ZCZBW3PROD with $$_JOB 115
3277-•S 3393 RS
3278-‘‘(A) a prescription issued when the partici-1
3279-pating provider and dispensing pharmacy are 2
3280-the same entity; 3
3281-‘‘(B) a prescription issued that cannot be 4
3282-transmitted electronically under the most re-5
3283-cently implemented version of the National 6
3284-Council for Prescription Drug Programs 7
3285-SCRIPT Standard; 8
3286-‘‘(C) a prescription issued by a partici-9
3287-pating provider who received a waiver (which 10
3288-may include a waiver obtained pursuant to sec-11
3289-tion 1860D–4(e)(7)(B)(iii) of the Social Security 12
3290-Act) or a renewal thereof for a period of time as 13
3291-determined by the Secretary, the Secretary of 14
3292-Health and Human Services, and the Secretary 15
3293-of Labor, not to exceed one year, from the re-16
3294-quirement to use electronic prescribing due to 17
3295-demonstrated economic hardship, technological 18
3296-limitations that are not reasonably within the 19
3297-control of the participating provider, or other ex-20
3298-ceptional circumstance demonstrated by the par-21
3299-ticipating provider; 22
3300-‘‘(D) a prescription issued by a partici-23
3301-pating provider under circumstances in which, 24
3302-notwithstanding the participating provider’s 25
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3304-kjohnson on DSK7ZCZBW3PROD with $$_JOB 116
3305-•S 3393 RS
3306-ability to submit a prescription electronically as 1
3307-required by this subsection, such participating 2
3308-provider reasonably determines that it would be 3
3309-impractical for the individual involved to obtain 4
3310-substances prescribed by electronic prescription 5
3311-in a timely manner, and such delay would ad-6
3312-versely impact the individual’s medical condi-7
3313-tion involved; 8
3314-‘‘(E) a prescription issued by a partici-9
3315-pating provider prescribing a drug under a re-10
3316-search protocol; 11
3317-‘‘(F) a prescription issued by a partici-12
3318-pating provider for a drug for which the Food 13
3319-and Drug Administration requires a prescrip-14
3320-tion to contain elements that are not able to be 15
3321-included in electronic prescribing, such as a drug 16
3322-with risk evaluation and mitigation strategies 17
3323-that include elements to assure safe use; 18
3324-‘‘(G) a prescription issued for an individual 19
3325-who receives hospice care or for a resident of a 20
3326-nursing facility (as defined in section 1919(a) of 21
3327-the Social Security Act); 22
3328-‘‘(H) a prescription issued under cir-23
3329-cumstances in which electronic prescribing is not 24
3330-available due to temporary technological or elec-25
3331-VerDate Sep 11 2014 23:37 Feb 01, 2024 Jkt 049200 PO 00000 Frm 00116 Fmt 6652 Sfmt 6203 E:\BILLS\S3393.RS S3393
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3333-•S 3393 RS
3334-trical failure, as specified jointly by the Sec-1
3335-retary, the Secretary of Health and Human 2
3336-Services, and the Secretary of Labor through 3
3337-rulemaking; and 4
3338-‘‘(I) a prescription issued by a partici-5
3339-pating provider allowing for the dispensing of a 6
3340-non-patient specific prescription pursuant to a 7
3341-standing order, approved protocol for drug ther-8
3342-apy, collaborative drug management, or com-9
3343-prehensive medication management, in response 10
3344-to a public health emergency or other cir-11
3345-cumstances under which the participating pro-12
3346-vider may issue a non-patient specific prescrip-13
3347-tion. 14
3348-‘‘(3) R
3349-ULES OF CONSTRUCTION.— 15
3350-‘‘(A) V
3351-ERIFICATION.—Nothing in this sub-16
3352-section shall be construed as requiring a dis-17
3353-penser to verify that a participating provider, 18
3354-with respect to a prescription for a schedule II, 19
3355-III, IV, or V controlled substance that is a pre-20
3356-scription drug covered by a group health plan, 21
3357-has a waiver (or is otherwise exempt) under 22
3358-paragraph (2) from the requirement under para-23
3359-graph (1). 24
3360-VerDate Sep 11 2014 23:37 Feb 01, 2024 Jkt 049200 PO 00000 Frm 00117 Fmt 6652 Sfmt 6203 E:\BILLS\S3393.RS S3393
3361-kjohnson on DSK7ZCZBW3PROD with $$_JOB 118
3362-•S 3393 RS
3363-‘‘(B) AUTHORITY TO DISPENSE .—Nothing 1
3364-in this subsection shall be construed as affecting 2
3365-the ability of a group health plan to cover, or the 3
3366-ability of a dispenser to continue to dispense, a 4
3367-prescription drug if the prescription for such 5
3368-drug is an otherwise valid written, oral, or fax 6
3369-prescription that is consistence with applicable 7
3370-laws and regulations. 8
3371-‘‘(C) P
3372-ATIENT CHOICE.—Nothing in this 9
3373-subsection shall be construed as affecting the 10
3374-ability of an individual who is a participant or 11
3375-beneficiary of a group health plan and who is 12
3376-prescribed a schedule II, III, IV, or V controlled 13
3377-substance that is a prescription drug covered by 14
3378-the plan to designate a particular dispenser to 15
3379-dispense a prescribed controlled substance to the 16
3380-extent consistent with the requirements under 17
3381-this subsection. 18
3382-‘‘(4) R
3383-EGULATIONS ON POLICY REQUIRE -19
3384-MENTS.—The Secretary, the Secretary of Health and 20
3385-Human Services, and the Secretary of Labor shall 21
3386-promulgate regulations specifying requirements for 22
3387-the policies established by group health plans under 23
3388-paragraph (1). Such regulations shall include require-24
3389-ments for— 25
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3392-•S 3393 RS
3393-‘‘(A) a uniform process by which plans are 1
3394-required to set the e-prescribing requirements; 2
3395-‘‘(B) a process by which plans are required 3
3396-to grant waivers and exceptions to participating 4
3397-providers pursuant to paragraph (2); and 5
3398-‘‘(C) a mechanism for plans to recognize 6
3399-waivers issued to participating providers under 7
3400-part D of title XVIII of the Public Health Serv-8
3401-ice Act, pursuant to paragraph (2)(C). 9
3402-‘‘(5) P
3403-ROHIBITIONS.—The policies established 10
3404-pursuant to paragraph (1) by a group health plan 11
3405-may not— 12
3406-‘‘(A) require dispensers of a schedule II, III, 13
3407-IV, or V controlled substance to confirm that the 14
3408-prescription for the controlled substance was elec-15
3409-tronically issued by a participating provider in 16
3410-accordance with such policies, as described in 17
3411-paragraph (1); 18
3412-‘‘(B) require dispensers of such controlled 19
3413-substances to submit information or data beyond 20
3414-what is otherwise required to process a prescrip-21
3415-tion drug claim in order to confirm a partici-22
3416-pating provider’s compliance with such policies; 23
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3419-•S 3393 RS
3420-‘‘(C) reject, deny, or recoup reimbursement 1
3421-for a prescription drug claim based on the for-2
3422-mat in which the prescription was issued; or 3
3423-‘‘(D) require a participating provider to use 4
3424-a specific vendor for electronic prescribing or a 5
3425-specific electronic prescribing product or system. 6
3426-‘‘(6) A
3427-TTESTATION OF COMPLIANCE .—Beginning 7
3428-on January 1, 2026, each group health plan shall an-8
3429-nually submit to the Secretary, the Secretary of 9
3430-Health and Human Services, and the Secretary of 10
3431-Labor an attestation of compliance with the require-11
3432-ments of this subsection. 12
3433-‘‘(7) C
3434-ONSULTATION REQUIREMENT FOR RULE -13
3435-MAKING.—In promulgating regulations to carry out 14
3436-this subsection, the Secretary, the Secretary of Health 15
3437-and Human Services, and the Secretary of Labor 16
3438-shall jointly consult with dispensers of controlled sub-17
3439-stances, State insurance regulators, and health care 18
3440-practitioners.’’. 19
3441-(d) U
3442-PDATE OFBIOMETRICCOMPONENT OFMULTI-20
3443-FACTORAUTHENTICATION.—Not later than 1 year after the 21
3444-date of enactment of this Act, the Attorney General shall 22
3445-finalize a regulation updating the requirements for the bio-23
3446-metric component of multifactor authentication with re-24
3447-spect to electronic prescriptions of controlled substances, as 25
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3451-required under section 2003(c) of the SUPPORT for Pa-1
3452-tients and Community Act (Public Law 115–271). 2
3453-TITLE II—TREATMENT 3
3454-SEC. 201. RESIDENTIAL TREATMENT PROGRAM FOR PREG-4
3455-NANT AND POSTPARTUM WOMEN. 5
3456-Section 508 of the Public Health Service Act (42 6
3457-U.S.C. 290bb–1) is amended— 7
3458-(1) in subsection (d)(11)(C), by striking ‘‘pro-8
3459-viding health services’’ and inserting ‘‘providing 9
3460-health care services’’; 10
3461-(2) in subsection (g)— 11
3462-(A) by inserting ‘‘a plan describing’’ after 12
3463-‘‘will provide’’; and 13
3464-(B) by adding at the end the following: 14
3465-‘‘Such plan may include a description of how 15
3466-such applicant will target outreach to women 16
3467-disproportionately impacted by maternal sub-17
3468-stance use disorder.’’; and 18
3469-(3) in subsection (s), by striking ‘‘$29,931,000 19
3470-for each of fiscal years 2019 through 2023’’ and in-20
3471-serting ‘‘$38,931,000 for each of fiscal years 2024 21
3472-through 2028’’. 22
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3475-•S 3393 RS
3476-SEC. 202. LOAN REPAYMENT PROGRAM FOR SUBSTANCE 1
3477-USE DISORDER TREATMENT WORKFORCE. 2
3478-Section 781(j) of the Public Health Service Act (42 3
3479-U.S.C. 295h(j)) is amended by striking ‘‘$25,000,000 for 4
3480-each of fiscal years 2019 through 2023’’ and inserting 5
3481-‘‘$50,000,000 for each of fiscal years 2024 through 2028’’. 6
3482-SEC. 203. REGIONAL CENTERS OF EXCELLENCE IN SUB-7
3483-STANCE USE DISORDER EDUCATION. 8
3484-Section 551 of the Public Health Service Act (42 9
3485-U.S.C. 290ee–6) is amended by striking subsection (f). 10
3486-SEC. 204. MENTAL AND BEHAVIORAL HEALTH EDUCATION 11
3487-AND TRAINING PROGRAM. 12
3488-Section 756(f) of the Public Health Service Act (42 13
3489-U.S.C. 294e–1(f)) is amended to read as follows: 14
3490-‘‘(f) A
3491-UTHORIZATION OFAPPROPRIATIONS.—To carry 15
3492-out this section, there is authorized to be appropriated the 16
3493-following: 17
3494-‘‘(1) $50,000,000 for fiscal year 2024, to be allo-18
3495-cated as follows: 19
3496-‘‘(A) For grants described in subsection 20
3497-(a)(1), $15,000,000. 21
3498-‘‘(B) For grants described in subsection 22
3499-(a)(2), $15,000,000. 23
3500-‘‘(C) For grants described in subsection 24
3501-(a)(3), $10,000,000. 25
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3504-•S 3393 RS
3505-‘‘(D) For grants described in subsection 1
3506-(a)(4), $10,000,000. 2
3507-‘‘(2) $55,000,000 for fiscal year 2025, to be allo-3
3508-cated as follows: 4
3509-‘‘(A) For grants described in subsection 5
3510-(a)(1), $16,500,000. 6
3511-‘‘(B) For grants described in subsection 7
3512-(a)(2), $16,500,000. 8
3513-‘‘(C) For grants described in subsection 9
3514-(a)(3), $11,000,000. 10
3515-‘‘(D) For grants described in subsection 11
3516-(a)(4), $11,000,000. 12
3517-‘‘(3) $60,000,000 for fiscal year 2026, to be allo-13
3518-cated as follows: 14
3519-‘‘(A) For grants described in subsection 15
3520-(a)(1), $18,000,000. 16
3521-‘‘(B) For grants described in subsection 17
3522-(a)(2), $18,000,000. 18
3523-‘‘(C) For grants described in subsection 19
3524-(a)(3), $12,000,000. 20
3525-‘‘(D) For grants described in subsection 21
3526-(a)(4), $12,000,000. 22
3527-‘‘(4) $65,000,000 for fiscal year 2027, to be allo-23
3528-cated as follows: 24
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3531-•S 3393 RS
3532-‘‘(A) For grants described in subsection 1
3533-(a)(1), $19,500,000. 2
3534-‘‘(B) For grants described in subsection 3
3535-(a)(2), $19,500,000. 4
3536-‘‘(C) For grants described in subsection 5
3537-(a)(3), $13,000,000. 6
3538-‘‘(D) For grants described in subsection 7
3539-(a)(4), $13,000,000. 8
3540-‘‘(5) $75,000,000 for fiscal year 2028, to be allo-9
3541-cated as follows: 10
3542-‘‘(A) For grants described in subsection 11
3543-(a)(1), $22,500,000. 12
3544-‘‘(B) For grants described in subsection 13
3545-(a)(2), $22,500,000. 14
3546-‘‘(C) For grants described in subsection 15
3547-(a)(3), $15,000,000. 16
3548-‘‘(D) For grants described in subsection 17
3549-(a)(4), $15,000,000.’’. 18
3550-SEC. 205. GRANTS TO ENHANCE ACCESS TO SUBSTANCE 19
3551-USE DISORDER TREATMENT. 20
3552-Section 3203 of the SUPPORT for Patients and Com-21
3553-munities Act (21 U.S.C. 823 note) is amended— 22
3554-(1) by striking subsection (b); and 23
3555-(2) by striking ‘‘I
3556-NGENERAL—The Secretary’’ 24
3557-and inserting the following: 25
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3561-‘‘The Secretary’’. 1
3562-SEC. 206. GRANTS TO IMPROVE TRAUMA SUPPORT SERV-2
3563-ICES AND MENTAL HEALTH CARE FOR CHIL-3
3564-DREN AND YOUTH IN EDUCATIONAL SET-4
3565-TINGS. 5
3566-Section 7134 of the SUPPORT for Patients and Com-6
3567-munities Act (42 U.S.C. 280h–7) is amended— 7
3568-(1) in subsection (a), by striking ‘‘tribal’’ and 8
3569-inserting ‘‘Tribal’’; 9
3570-(2) in subsection (c)— 10
3571-(A) in paragraph (1), by inserting ‘‘early 11
3572-intervention,’’ after ‘‘screening,’’; 12
3573-(B) in paragraph (3)— 13
3574-(i) in the matter preceding subpara-14
3575-graph (A), by inserting ‘‘other staff,’’ after 15
3576-‘‘support personnel,’’; and 16
3577-(ii) in subparagraph (A), by striking 17
3578-‘‘social and emotional learning’’ and insert-18
3579-ing ‘‘developmentally appropriate prac-19
3580-tices’’; and 20
3581-(C) in paragraph (5), by inserting ‘‘reduce 21
3582-stigma associated with mental health care and’’ 22
3583-after ‘‘efforts to’’; 23
3584-(3) in subsection (d)— 24
3585-(A) in paragraph (4)— 25
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3588-•S 3393 RS
3589-(i) in subparagraph (A), by striking ‘‘; 1
3590-and’’ and inserting a semicolon; 2
3591-(ii) in subparagraph (B)— 3
3592-(I) by striking ‘‘tribal organiza-4
3593-tions as appropriate, other school per-5
3594-sonnel’’ and inserting ‘‘Tribal organi-6
3595-zations as appropriate, other staff’’; 7
3596-and 8
3597-(II) by striking the period and in-9
3598-serting ‘‘; and’’; and 10
3599-(iii) by adding at the end the fol-11
3600-lowing: 12
3601-‘‘(C) parents and guardians will be in-13
3602-formed of what trauma support services and 14
3603-mental health care are available to their students 15
3604-and what services and care their students receive, 16
3605-in accordance with the parental consent require-17
3606-ments under subsection (h)(2).’’; and 18
3607-(B) by adding at the end the following: 19
3608-‘‘(7) A plan for sustaining the program following 20
3609-the end of the award period.’’; 21
3610-(4) in subsection (f)(1), by inserting ‘‘, which 22
3611-shall include a description of how the school obtains 23
3612-consent from the student’s parent or guardian for the 24
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3615-•S 3393 RS
3616-provision of trauma support services and mental 1
3617-health care’’ after ‘‘this section’’; 2
3618-(5) in subsection (g), by striking ‘‘tribal’’ and 3
3619-inserting ‘‘Tribal’’; 4
3620-(6) in subsection (h)— 5
3621-(A) in the subsection heading, by inserting 6
3622-‘‘; A
3623-PPLICATION OFCERTAINPROVISIONS’’ after 7
3624-‘‘C
3625-ONSTRUCTION’’; 8
3626-(B) by striking ‘‘tribal’’ each place it ap-9
3627-pears and inserting ‘‘Tribal’’; 10
3628-(C) by redesignating paragraphs (1) and 11
3629-(2) as subparagraphs (A) and (B), respectively, 12
3630-and adjusting the margins accordingly; 13
3631-(D) by striking ‘‘Nothing in this section’’ 14
3632-and inserting the following: 15
3633-‘‘(1) I
3634-N GENERAL.—Nothing in this section’’; and 16
3635-(E) by adding at the end the following: 17
3636-‘‘(2) A
3637-PPLICATION OF PROVISIONS.— 18
3638-‘‘(A) R
3639-ULES.—Section 4001 of the Elemen-19
3640-tary and Secondary Education Act of 1965 (not 20
3641-including the exception under subsection 21
3642-(a)(2)(B)(i) of such section) shall apply to an 22
3643-entity receiving a grant, contract, or cooperative 23
3644-agreement under this section in the same manner 24
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3648-as such section 4001 applies to an entity receiv-1
3649-ing funding under title IV of such Act. 2
3650-‘‘(B) P
3651-RIVACY PROTECTIONS.—Any edu-3
3652-cation record of a student collected or main-4
3653-tained under subsection (c)(4) shall have the pro-5
3654-tections required for education records under sec-6
3655-tion 444 of the General Education Provisions 7
3656-Act.’’. 8
3657-(7) in subsection (k)— 9
3658-(A) by redesignating paragraphs (5) 10
3659-through (11) as paragraphs (6) through (12), re-11
3660-spectively; and 12
3661-(B) by inserting after paragraph (4) the fol-13
3662-lowing: 14
3663-‘‘(5) O
3664-THER STAFF.—The term ‘other staff’ has 15
3665-the meaning given such term in section 8101 of the 16
3666-Elementary and Secondary Education Act of 1965.’’; 17
3667-and 18
3668-(8) in subsection (l), by striking ‘‘2019 through 19
3669-2023’’ and inserting ‘‘2024 through 2028’’. 20
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3673-SEC. 207. DEVELOPMENT AND DISSEMINATION OF MODEL 1
3674-TRAINING PROGRAMS FOR SUBSTANCE USE 2
3675-DISORDER PATIENT RECORDS. 3
3676-Section 7053 of the SUPPORT for Patients and Com-4
3677-munities Act (42 U.S.C. 290dd–2 note) is amended by strik-5
3678-ing subsection (e). 6
3679-SEC. 208. TASK FORCE ON BEST PRACTICES FOR TRAUMA- 7
3680-INFORMED IDENTIFICATION, REFERRAL, AND 8
3681-SUPPORT. 9
3682-Section 7132 of the SUPPORT for Patients and Com-10
3683-munities Act (Public Law 115–271; 132 Stat. 4046) is 11
3684-amended— 12
3685-(1) in subsection (b)(1)— 13
3686-(A) by redesignating subparagraph (CC) as 14
3687-subparagraph (DD); and 15
3688-(B) by inserting after subparagraph (BB) 16
3689-the following: 17
3690-‘‘(CC) The Administration for Community 18
3691-Living.’’; 19
3692-(2) in subsection (d)(1), in the matter preceding 20
3693-subparagraph (A), by inserting ‘‘, developmental dis-21
3694-ability service providers’’ before ‘‘, individuals who 22
3695-are’’; and 23
3696-(3) in subsection (i), by striking ‘‘2023’’ and in-24
3697-serting ‘‘2028’’. 25
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3701-SEC. 209. PROGRAM TO SUPPORT COORDINATION AND CON-1
3702-TINUATION OF CARE FOR DRUG OVERDOSE 2
3703-PATIENTS. 3
3704-Section 7081 of the SUPPORT for Patients and Com-4
3705-munities Act (42 U.S.C. 290dd–4) is amended by striking 5
3706-subsection (f). 6
3707-SEC. 210. REGULATIONS RELATING TO SPECIAL REGISTRA-7
3708-TION FOR TELEMEDICINE. 8
3709-Not later than 1 year after the date of enactment of 9
3710-this Act, the Attorney General, in consultation with the Sec-10
3711-retary of Health and Human Services, shall promulgate the 11
3712-final regulations required under section 311(h)(2) of the 12
3713-Controlled Substances Act (21 U.S.C. 831(h)(2)). 13
3714-SEC. 211. MENTAL HEALTH PARITY. 14
3715-(a) I
3716-NGENERAL.—Not later than January 1, 2025, 15
3717-the Inspector General of the Department of Labor, in co-16
3718-ordination with the Inspector General of the Department 17
3719-of Health and Human Services, shall report to the Com-18
3720-mittee on Health, Education, Labor, and Pensions of the 19
3721-Senate and the Committee on Energy and Commerce and 20
3722-the Committee on Education and the Workforce of the 21
3723-House of Representatives on the following: 22
3724-(1) The non-quantitative treatment limit (re-23
3725-ferred to in this section as ‘‘NQTL’’) requirements 24
3726-with respect to mental health and substance use dis-25
3727-order benefits under group health plans and health 26
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3730-•S 3393 RS
3731-insurance issuers under section 2726(a)(8) of the Pub-1
3732-lic Health Service Act (42 U.S.C. 300gg–26(a)(8)), 2
3733-section 712(a)(8) of the Employee Retirement Income 3
3734-Security Act of 1974 (29 U.S.C. 1185a(a)(8)), and 4
3735-section 9812(a)(8) of the Internal Revenue Code of 5
3736-1986 (referred to in this section as the ‘‘NQTL com-6
3737-parative analysis requirements’’), and the require-7
3738-ments for the Secretary of Health and Human Serv-8
3739-ices, the Secretary of Labor, and the Secretary of the 9
3740-Treasury to issue regulations, a compliance program 10
3741-guide, and additional guidance documents and tools 11
3742-providing guidance relating to mental health parity 12
3743-requirements under section 2726(a) of the Public 13
3744-Health Service Act (42 U.S.C. 300gg–26(a)), section 14
3745-712(a) of the Employee Retirement Income Security 15
3746-Act of 1974 (29 U.S.C. 1185a(a)), and section 16
3747-9812(a) of the Internal Revenue Code of 1986. 17
3748-(2) With respect to the NQTL comparative anal-18
3749-ysis requirements described in paragraph (1), an 19
3750-analysis of the actions taken by the Secretary of 20
3751-Labor, the Secretary of the Treasury, and the Sec-21
3752-retary of Health and Human Services to provide 22
3753-guidance to ensure that group health plans and health 23
3754-insurance issuers can fully comply with mental health 24
3755-parity requirements under section 2726 of the Public 25
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3759-Health Service Act (42 U.S.C. 300gg–26), section 712 1
3760-of the Employee Retirement Income Security Act of 2
3761-1974 (29 U.S.C. 1185a), and section 9812 of the In-3
3762-ternal Revenue Code of 1986 and the NQTL compara-4
3763-tive analysis requirements described in paragraph 5
3764-(1), including an analysis of— 6
3765-(A) the extent to which the Secretary of 7
3766-Labor, the Secretary of the Treasury, and the 8
3767-Secretary of Health and Human Services have 9
3768-fulfilled the requirement under section 203(b) of 10
3769-division BB of the Consolidated Appropriations 11
3770-Act, 2021 (Public Law 116–260) to issue the spe-12
3771-cific guidance and regulations pertaining to the 13
3772-requirements for group health plans and health 14
3773-insurance issuers to demonstrate compliance 15
3774-with the NQTL comparative analysis require-16
3775-ments; and 17
3776-(B) whether sufficient guidance and exam-18
3777-ples from the Department of Labor and Depart-19
3778-ment of Health and Human Services, and the 20
3779-Department of the Treasury exist to guide and 21
3780-assist group health plans and health insurance 22
3781-issuers in complying with the requirements to 23
3782-demonstrate compliance with mental health par-24
3783-ity NQTL comparative analysis requirements/ 25
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3787-under such sections 2726(a)(8), 712(a)(8), and 1
3788-9812(a)(8). 2
3789-(3) A review of the enforcement processes of the 3
3790-Department of Labor and the Department of Health 4
3791-and Human Services to evaluate the consistency of 5
3792-interpretation of the requirements under section 6
3793-2726(a)(8) of the Public Health Service Act (42 7
3794-U.S.C. 300gg–26(a)(8)), section 712(a)(8) of the Em-8
3795-ployee Retirement Income Security Act of 1974 (29 9
3796-U.S.C. 1185a(a)(8)), and section 9812(a)(8) of the In-10
3797-ternal Revenue Code of 1986, in particular with re-11
3798-spect to processes utilized for enforcement, actions or 12
3799-inactions that constitute noncompliance, and avoid-13
3800-ance among the agencies of duplication of enforce-14
3801-ment, including an evaluation of compliance with sec-15
3802-tion 104 of the Health Insurance Portability and Ac-16
3803-countability Act of 1996 (Public Law 104–191). 17
3804-(4) A review of the implementation, by the De-18
3805-partment of Labor, Department of Health and 19
3806-Human Services, and Department of the Treasury, of 20
3807-mental health parity requirements under section 2726 21
3808-of the Public Health Service Act (42 U.S.C. 300gg– 22
3809-26), section 712 of the Employee Retirement Income 23
3810-Security Act of 1974 (29 U.S.C. 1185a), and section 24
3811-9812 of the Internal Revenue Code of 1986, including 25
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3815-all such requirements in effect through the enactment 1
3816-of the Mental Health Parity Act of 1996 (Public Law 2
3817-104–204), the Paul Wellstone and Pete Domenici 3
3818-Mental Health Parity and Addiction Equity Act of 4
3819-2008 (Public Law 110–460), the 21st Century Cures 5
3820-Act (Public Law 114–255), and the Consolidated Ap-6
3821-propriations Act, 2023 (Public Law 117–328) (in-7
3822-cluding any amendments made by such Acts), and in-8
3823-cluding with respect to the timing of all actions, 9
3824-delays of any actions, reasons for any such delays, 10
3825-mandated requirements that were met only once but 11
3826-not each time such requirements were mandated. 12
3827-(b) D
3828-EFINITIONS.—In this section, the terms ‘‘group 13
3829-health plan’’ and ‘‘health insurance issuer’’ have the mean-14
3830-ings given such terms in section 733 of the Employee Retire-15
3831-ment Income Security Act of 1974 (29 U.S.C. 1191b). 16
3832-SEC. 212. STATE GUIDANCE RELATED TO INDIVIDUALS 17
3833-WITH SERIOUS MENTAL ILLNESS AND CHIL-18
3834-DREN WITH SERIOUS EMOTIONAL DISTURB-19
3835-ANCE. 20
3836-(a) R
3837-EVIEW OFUSE OFCERTAINFUNDING.—Not later 21
3838-than 1 year after the date of enactment of this Act, the Sec-22
3839-retary of Health and Human Services, acting through the 23
3840-Assistant Secretary for Mental Health and Substance Use, 24
3841-shall conduct a review of the use by States of funds made 25
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3845-available under the Community Mental Health Services 1
3846-Block Grant program under subpart I of part B of title 2
3847-XIX of the Public Health Service Act (42 U.S.C. 300x et 3
3848-seq.) for First Episode Psychosis activities. Such review 4
3849-shall consider the following: 5
3850-(1) How the States use funds for evidence-based 6
3851-treatments and services, such as coordinated specialty 7
3852-care, according to the standard of care for individuals 8
3853-with early serious mental illness, including the com-9
3854-prehensiveness of such treatments to include all as-10
3855-pects of the recommended intervention. 11
3856-(2) How State mental health departments coordi-12
3857-nate with State Medicaid departments in the delivery 13
3858-of the treatments and services described in paragraph 14
3859-(1). 15
3860-(3) The percentage of the State funding under 16
3861-the block grant program that is applied toward early 17
3862-serious mental illness, and funding in excess of, or 18
3863-under, 10 percent of the amount of the grant, broken 19
3864-down by State. 20
3865-(4) The percentage of funds expended by States 21
3866-through such block grant program specifically on 22
3867-First Episode Psychosis, to the extent such informa-23
3868-tion is available. 24
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3872-(5) How many individuals are served by the ex-1
3873-penditures described in paragraphs (3) and (4), on a 2
3874-per-capita basis. 3
3875-(6) How the funds are used to reach underserved 4
3876-populations, including rural populations and racial 5
3877-and ethnic minority populations. 6
3878-(b) R
3879-EPORT ANDGUIDANCE.— 7
3880-(1) R
3881-EPORT.—Not later than 6 months after the 8
3882-completion of the review under subsection (a), the Sec-9
3883-retary of Health and Human Services, acting through 10
3884-the Assistant Secretary for Mental Health and Sub-11
3885-stance Use, shall submit to the Committee on Appro-12
3886-priations, the Committee on Health, Education, 13
3887-Labor, and Pensions, and the Committee on Finance 14
3888-of the Senate and to the Committee on Appropria-15
3889-tions and the Committee on Energy and Commerce of 16
3890-the House of Representatives a report on the findings 17
3891-made as a result of the review conducted under sub-18
3892-section (a). Such report shall include any rec-19
3893-ommendations with respect to any changes to the 20
3894-Community Mental Health Services Block Grant pro-21
3895-gram under subpart I of part B of title XIX of the 22
3896-Public Health Service Act (42 U.S.C. 300x et seq.), 23
3897-including the set-aside required for First Episode 24
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3901-Psychosis, that would facilitate improved outcomes for 1
3902-the targeted population involved. 2
3903-(2) G
3904-UIDANCE.—Not later than 1 year after the 3
3905-date on which the report is submitted under para-4
3906-graph (1), the Secretary of Health and Human Serv-5
3907-ices, acting through the Assistant Secretary for Men-6
3908-tal Health and Substance Use, shall update the guid-7
3909-ance provided to States under the Community Mental 8
3910-Health Services Block Grant program based on the 9
3911-findings and recommendations of the report. 10
3912-(c) A
3913-DDITIONALGUIDANCE.—The Director of the Na-11
3914-tional Institute of Mental Health shall coordinate with the 12
3915-Assistant Secretary for Mental Health and Substance Use 13
3916-in providing guidance to State grantees and provider sub-14
3917-grantees about research advances in the delivery of services 15
3918-for First Episode Psychosis under the Community Mental 16
3919-Health Services Block Grant program. 17
3920-(d) G
3921-UIDANCE FORSTATESRELATING TOHEALTH 18
3922-C
3923-ARESERVICES ANDINTERVENTIONS FOR INDIVIDUALS 19
3924-W
3925-ITHSERIOUSMENTALILLNESS ANDCHILDRENWITH 20
3926-S
3927-ERIOUSEMOTIONALDISTURBANCE.—Not later than 2 21
3928-years after the date of enactment of this Act, the Assistant 22
3929-Secretary for Mental Health and Substance Use, jointly 23
3930-with the Administrator of the Centers for Medicare & Med-24
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3934-icaid Services and the Director of the National Institute 1
3935-of Mental Health— 2
3936-(1) shall provide updated guidance to States con-3
3937-cerning the manner in which Federal funding pro-4
3938-vided to States through programs administered by 5
3939-such agencies, including the Community Mental 6
3940-Health Services Block Grant program under subpart 7
3941-I of part B of title XIX of the Public Health Service 8
3942-Act (42 U.S.C. 300x et seq.), may be coordinated to 9
3943-provide evidence-based health care services such as co-10
3944-ordinated specialty care to individuals with serious 11
3945-mental illness and serious emotional disturbance, and 12
3946-interventions for individuals with early serious men-13
3947-tal illness, including First Episode Psychosis; and 14
3948-(2) may streamline relevant State reporting re-15
3949-quirements if such streamlining would result in mak-16
3950-ing it easier for States to coordinate funding under 17
3951-the programs described in paragraph (1) to improve 18
3952-treatments for individuals with serious mental illness 19
3953-and serious emotional disturbance. 20
3954-SEC. 213. IMPROVING ACCESS TO ADDICTION MEDICINE 21
3955-PROVIDERS. 22
3956-Section 597 of the Public Health Service Act (42 23
3957-U.S.C. 290ll) is amended— 24
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3960-•S 3393 RS
3961-(1) in subsection (a)(1), by inserting ‘‘diag-1
3962-nosis,’’ after ‘‘related to’’; and 2
3963-(2) in subsection (b), by inserting ‘‘addiction 3
3964-medicine,’’ after ‘‘psychiatry,’’. 4
3965-SEC. 214. ROUNDTABLE ON USING HEALTH INFORMATION 5
3966-TECHNOLOGY TO IMPROVE MENTAL HEALTH 6
3967-AND SUBSTANCE USE CARE OUTCOMES. 7
3968-(a) R
3969-OUNDTABLE.—Not later than 180 days after the 8
3970-date of enactment of this Act, the Office of the National 9
3971-Coordinator for Health Information Technology shall con-10
3972-vene a public roundtable to examine how the expanded use 11
3973-of electronic health records among mental health and sub-12
3974-stance use service providers can improve outcomes for pa-13
3975-tients in mental health and substance use settings and how 14
3976-best to increase electronic health record adoption among 15
3977-such providers. 16
3978-(b) P
3979-ARTICIPANTS.—The National Coordinator for 17
3980-Health Information Technology shall ensure that the par-18
3981-ticipants in the roundtable under subsection (a) include 19
3982-private and public sector stakeholders, including patients, 20
3983-providers (including providers of inpatient services and 21
3984-providers of outpatient services), and representatives of 22
3985-payors, health information exchanges, professional associa-23
3986-tions, health information technology vendors, health infor-24
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3990-mation technology certification organizations, and State 1
3991-and Federal agencies. 2
3992-(c) R
3993-EPORT.—Not later than 180 days after the con-3
3994-clusion of the public stakeholder roundtable under sub-4
3995-section (a), the Office of the National Coordinator for 5
3996-Health Information Technology shall submit to the Com-6
3997-mittee on Health, Education, Labor, and Pensions of the 7
3998-Senate and the Committee on Energy and Commerce of the 8
3999-House of Representatives a report outlining information 9
4000-gathered from the roundtable under subsection (a). Such re-10
4001-port shall include an examination of— 11
4002-(1) recommendations from the roundtable par-12
4003-ticipants; 13
4004-(2) unique considerations for using electronic 14
4005-health record systems in mental health and substance 15
4006-use treatment settings; 16
4007-(3) unique considerations for developers of health 17
4008-information technology relating to certification of 18
4009-electronic health records for use in mental health and 19
4010-substance use treatment settings where the applicable 20
4011-health information technology is not currently subject 21
4012-to certification requirements; 22
4013-(4) current usage of electronic health records by 23
4014-mental health and substance use disorder service pro-24
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4018-viders, and the scope and magnitude of such providers 1
4019-that do not use electronic health record systems; 2
4020-(5) examples of how electronic health record sys-3
4021-tems enable coordinated care and care management; 4
4022-(6) how electronic health record systems further 5
4023-appropriate patient and provider access to secure, us-6
4024-able electronic information exchange; 7
4025-(7) how electronic health record systems can be 8
4026-connected to or support existing systems, which may 9
4027-include the 988 crisis line, mobile crisis response sys-10
4028-tems, and co-responder programs, to facilitate 11
4029-connectivity, response, and integrated care; 12
4030-(8) any existing programs to support greater 13
4031-adoption of electronic health record systems among 14
4032-mental health and substance use service providers; 15
4033-(9) any limitations to greater adoption of elec-16
4034-tronic health record systems among mental health and 17
4035-substance use service providers; 18
4036-(10) the costs of adoption of electronic health 19
4037-record systems by mental health and substance use 20
4038-disorder service providers; and 21
4039-(11) best practices implemented by States and by 22
4040-other entities to support adoption of use of electronic 23
4041-health records among mental health and substance use 24
4042-disorder service providers. 25
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4046-SEC. 215. PEER-TO-PEER MENTAL HEALTH SUPPORT. 1
4047-(a) I
4048-NGENERAL.—The Assistant Secretary for Mental 2
4049-Health and Substance Use (referred to in this section as 3
4050-the ‘‘Assistant Secretary’’), in consultation with the Sec-4
4051-retary of Education, may, as appropriate and within a rel-5
4052-evant existing program, carry out a pilot program and 6
4053-make awards, on a competitive basis, to eligible entities to 7
4054-support evidence-based mental health peer support activities 8
4055-for students enrolled in secondary schools (as such term is 9
4056-defined in section 8101 of the Elementary and Secondary 10
4057-Education Act of 1965 (20 U.S.C. 7801)). 11
4058-(b) E
4059-LIGIBILITY.—To be eligible to receive an award 12
4060-under this section, an entity shall— 13
4061-(1) be a State, political subdivision of a State, 14
4062-territory, or Indian Tribe or Tribal organization (as 15
4063-such terms are defined in section 4 of the Indian Self- 16
4064-Determination and Education Assistance Act (25 17
4065-U.S.C. 5304)); and 18
4066-(2) submit to the Assistant Secretary an applica-19
4067-tion at such time, in such manner, and containing 20
4068-such information as the Assistant Secretary may re-21
4069-quire, including a description of how the entity will 22
4070-measure and evaluate progress of the program in im-23
4071-proving student mental health outcomes. 24
4072-(c) U
4073-SE OFAMOUNTS.— 25
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4076-•S 3393 RS
4077-(1) IN GENERAL.—Subject to paragraph (2), an 1
4078-eligible entity may use amounts provided under this 2
4079-section to implement or operate evidence-based mental 3
4080-health peer support activities in 1 or more secondary 4
4081-schools (as such term is defined in section 8101 of the 5
4082-Elementary and Secondary Education Act of 1965 6
4083-(20 U.S.C. 7801)) within the jurisdiction of such eli-7
4084-gible entity, which may include providing training, 8
4085-as appropriate, to students, adult supervisors, and 9
4086-other appropriate individuals to improve the early 10
4087-identification of, response to, and recovery supports 11
4088-for mental health and substance use challenges, reduce 12
4089-associated risks, and promote resiliency. 13
4090-(2) P
4091-ROGRAM OVERSIGHT .—An eligible entity 14
4092-shall ensure that mental health peer support activities 15
4093-under paragraph (1) are overseen by a school-based 16
4094-mental health professional. 17
4095-(3) FERPA.—Any education records of the stu-18
4096-dent collected or maintained under this section shall 19
4097-have the protections provided in section 444 of the 20
4098-General Education Provisions Act (20 U.S.C. 1232g). 21
4099-(d) E
4100-VALUATION; REPORT.— 22
4101-(1) E
4102-VALUATION.—The Assistant Secretary shall 23
4103-carry out an evaluation to measure the efficacy of the 24
4104-program under this section. The evaluation shall— 25
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4107-•S 3393 RS
4108-(A) measure participation rates in mental 1
4109-health peer support activities, including any as-2
4110-sociated trends; 3
4111-(B) describe the specific trainings provided, 4
4112-or other activities carried out under the pilot 5
4113-program; 6
4114-(C) assess whether such mental health peer 7
4115-support activities impacted mental health out-8
4116-comes of participating students; and 9
4117-(D) measure the effectiveness of the pilot 10
4118-program in connecting students to professional 11
4119-mental health services compared to other evi-12
4120-dence-based strategies. 13
4121-(2) R
4122-EPORT.—The Assistant Secretary shall pre-14
4123-pare and submit to the Committee on Health, Edu-15
4124-cation, Labor, and Pensions of the Senate and the 16
4125-Committees on Energy and Commerce and Education 17
4126-and the Workforce of the House of Representatives a 18
4127-report containing the results of the evaluation con-19
4128-ducted under paragraph (1). 20
4129-(e) T
4130-ECHNICALASSISTANCE.—The Assistant Sec-21
4131-retary, in coordination with the Secretary of Education, 22
4132-shall provide technical assistance to eligible entities apply-23
4133-ing for and receiving an award under this section, includ-24
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4137-ing the identification and dissemination of best practices 1
4138-for mental health peer support programs for students. 2
4139-(f) R
4140-ULE OFCONSTRUCTION.—Section 4001 of the Ele-3
4141-mentary and Secondary Education Act of 1965 (20 U.S.C. 4
4142-7101) shall apply to an entity receiving a grant, contract, 5
4143-or cooperative agreement under this section in the same 6
4144-manner as such section applies to an entity receiving fund-7
4145-ing under title IV of such Act, except that section 8
4146-4001(a)(2)(B)(i) of such Act shall not apply. 9
4147-(g) S
4148-UNSET.—This section shall terminate on Sep-10
4149-tember 30, 2028. 11
4150-SEC. 216. KID PROOF PILOT PROGRAM. 12
4151-(a) I
4152-NGENERAL.—The Assistant Secretary for Mental 13
4153-Health and Substance Use (referred to in this section as 14
4154-the ‘‘Assistant Secretary’’), may, as appropriate and within 15
4155-a relevant existing program, carry out a pilot program and 16
4156-make awards, on a competitive basis, to eligible entities to 17
4157-prevent, or reduce the risk of, suicide and drug overdose 18
4158-by children, adolescents, and young adults, including by ad-19
4159-dressing the misuse of lethal means commonly used in over-20
4160-dose or suicide. 21
4161-(b) E
4162-LIGIBILITY.—To be eligible to receive an award 22
4163-under this section, an entity shall— 23
4164-(1) be a State, political subdivision of a State, 24
4165-territory, or Indian Tribe or Tribal organization (as 25
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4168-•S 3393 RS
4169-such terms are defined in section 4 of the Indian Self- 1
4170-Determination and Education Assistance Act (25 2
4171-U.S.C. 5304)); and 3
4172-(2) submit to the Assistant Secretary an applica-4
4173-tion at such time, in such manner, and containing 5
4174-such information as the Assistant Secretary may re-6
4175-quire, including a description of the geographic loca-7
4176-tion and settings in which such entity proposes to 8
4177-carry out activities under such award and the dem-9
4178-onstrated need of such geographic location and set-10
4179-tings. 11
4180-(c) U
4181-SE OFFUNDS.—An eligible entity shall use 12
4182-amounts provided under this section to implement evidence- 13
4183-based practices to prevent, or reduce the risk of, overdose 14
4184-and suicide among children, adolescents, and young adults, 15
4185-including promoting education and awareness among par-16
4186-ents or legal guardians on relevant best practices and pro-17
4187-viding appropriate supplies to parents or legal guardians 18
4188-to prevent, or reduce the risk of, the misuse of lethal means 19
4189-commonly used in overdose or suicide. 20
4190-(d) P
4191-ARTNERSHIPS.—Recipients of funding under this 21
4192-section may partner with health care facilities to carry out 22
4193-activities under subsection (c). 23
4194-(e) E
4195-VALUATION; REPORT.— 24
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4198-•S 3393 RS
4199-(1) EVALUATION.—Not later than 2 years after 1
4200-the date on which awards under this section are first 2
4201-issued, the Assistant Secretary shall carry out an 3
4202-evaluation to measure the efficacy of the program 4
4203-under this section. The evaluation shall include— 5
4204-(A) a description of any specific education 6
4205-and awareness activities carried out through the 7
4206-pilot program under this section; 8
4207-(B) the number and types of supplies pro-9
4208-vided to parents or legal guardians to prevent, or 10
4209-reduce the risk of, the misuse of lethal means 11
4210-commonly used in overdose or suicide; and 12
4211-(C) an assessment of the efficacy of the pilot 13
4212-program in preventing, or reducing the risk of, 14
4213-overdose and suicide. 15
4214-(2) R
4215-EPORT.—The Assistant Secretary shall pre-16
4216-pare and submit to the Committee on Health, Edu-17
4217-cation, Labor, and Pensions of the Senate and the 18
4218-Committee on Energy and Commerce of the House of 19
4219-Representatives a report containing the results of the 20
4220-evaluation conducted under paragraph (1). 21
4221-(f) S
4222-UNSET.—This section shall terminate on Sep-22
4223-tember 30, 2028. 23
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4226-•S 3393 RS
4227-TITLE III—RECOVERY 1
4228-SEC. 301. YOUTH PREVENTION AND RECOVERY. 2
4229-Section 7102(c) of the SUPPORT for Patients and 3
4230-Communities Act (42 U.S.C. 290bb–7a(c)) (as amended by 4
4231-section 113(a)) is amended— 5
4232-(1) in paragraph (2)— 6
4233-(A) in subparagraph (A)— 7
4234-(i) in clause (i)— 8
4235-(I) by inserting ‘‘, or a consortia 9
4236-of local educational agencies,’’ after ‘‘a 10
4237-local educational agency’’; and 11
4238-(II) by striking ‘‘high schools’’ 12
4239-and inserting ‘‘secondary schools’’; and 13
4240-(ii) in clause (vi), by striking ‘‘tribe, 14
4241-or tribal’’ and inserting ‘‘Tribe, or Tribal’’; 15
4242-(B) by amending subparagraph (E) to read 16
4243-as follows: 17
4244-‘‘(E) I
4245-NDIAN TRIBE; TRIBAL ORGANIZA-18
4246-TION.—The terms ‘Indian Tribe’ and ‘Tribal or-19
4247-ganization’ have the meanings given such terms 20
4248-in section 4 of the Indian Self-Determination 21
4249-and Education Assistance Act (25 U.S.C. 22
4250-5304).’’; 23
4251-(C) by redesignating subparagraph (K) as 24
4252-subparagraph (L); and 25
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4255-•S 3393 RS
4256-(D) by inserting after subparagraph (J) the 1
4257-following: 2
4258-‘‘(K) S
4259-ECONDARY SCHOOL.—The term ‘sec-3
4260-ondary school’ has the meaning given such term 4
4261-in section 8101 of the Elementary and Sec-5
4262-ondary Education Act of 1965 (20 U.S.C. 6
4263-7801).’’; 7
4264-(2) in paragraph (3)(A), in the matter preceding 8
4265-clause (i)— 9
4266-(A) by striking ‘‘and abuse’’; and 10
4267-(B) by inserting ‘‘at increased risk for sub-11
4268-stance misuse’’ after ‘‘specific populations’’; 12
4269-(3) in paragraph (4)— 13
4270-(A) in the matter preceding subparagraph 14
4271-(A), by striking ‘‘Indian tribes’’ and inserting 15
4272-‘‘Indian Tribes’’; 16
4273-(B) in subparagraph (A), by striking ‘‘and 17
4274-abuse’’; and 18
4275-(C) in subparagraph (B), by striking ‘‘peer 19
4276-mentoring’’ and inserting ‘‘peer-to-peer support’’; 20
4277-(4) in paragraph (5), by striking ‘‘tribal’’ and 21
4278-inserting ‘‘Tribal’’; 22
4279-(5) in paragraph (6)(A)— 23
4280-(A) in clause (iv), by striking ‘‘; and’’ and 24
4281-inserting a semicolon; and 25
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4285-(B) by adding at the end the following: 1
4286-‘‘(vi) a plan to sustain the activities 2
4287-carried out under the grant program, after 3
4288-the grant program has ended; and’’; 4
4289-(6) in paragraph (8), by striking ‘‘2022’’ and in-5
4290-serting ‘‘2027’’; and 6
4291-(7) by amending paragraph (9) to read as fol-7
4292-lows: 8
4293-‘‘(9) A
4294-UTHORIZATION OF APPROPRIATIONS .—To 9
4295-carry out this subsection, there are authorized to be 10
4296-appropriated $10,000,000 for fiscal year 2024, 11
4297-$12,000,000 for fiscal year 2025, $14,000,000 for fis-12
4298-cal year 2026, $16,000,000 for fiscal year 2027, and 13
4299-$18,000,000 for fiscal year 2028.’’. 14
4300-SEC. 302. COMPREHENSIVE OPIOID RECOVERY CENTERS. 15
4301-Section 552 of the Public Health Service Act (42 16
4302-U.S.C. 290ee–7) is amended— 17
4303-(1) in subsection (d)(2)— 18
4304-(A) in the matter preceding subparagraph 19
4305-(A), by striking ‘‘and in such manner’’ and in-20
4306-serting ‘‘, in such manner, and containing such 21
4307-information and assurances’’; and 22
4308-(B) in subparagraph (A), by striking ‘‘is 23
4309-capable of coordinating with other entities to 24
4310-carry out’’ and inserting ‘‘has the demonstrated 25
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4314-capability to carry out, through referral or con-1
4315-tractual arrangements’’; 2
4316-(2) in subsection (h)— 3
4317-(A) by redesignating paragraphs (1) 4
4318-through (4) as subparagraphs (A) through (D), 5
4319-respectively, and adjusting the margins accord-6
4320-ingly; 7
4321-(B) by striking ‘‘With respect to’’ and in-8
4322-serting the following: 9
4323-‘‘(1) I
4324-N GENERAL.—With respect to’’; and 10
4325-(C) by adding at the end the following: 11
4326-‘‘(2) A
4327-DDITIONAL REPORTING FOR CERTAIN ELI -12
4328-GIBLE ENTITIES.—An entity carrying out activities 13
4329-described in subsection (g) through referral or con-14
4330-tractual arrangements shall include in the submis-15
4331-sions required under paragraph (1) information re-16
4332-lated to the status of such referrals or contractual ar-17
4333-rangements, including an assessment of whether such 18
4334-referrals or contractual arrangements are supporting 19
4335-the ability of such entity to carry out such activi-20
4336-ties.’’; and 21
4337-(3) in subsection (j), by striking ‘‘2019 through 22
4338-2023’’ and inserting ‘‘2024 through 2028’’. 23
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4341-•S 3393 RS
4342-SEC. 303. BUILDING COMMUNITIES OF RECOVERY. 1
4343-Section 547(f) of the Public Health Service Act (42 2
4344-U.S.C. 290ee–2(f)) is amended by striking ‘‘$5,000,000 for 3
4345-each of fiscal years 2019 through 2023’’ and inserting 4
4346-‘‘$16,000,000 for each of fiscal years 2024 through 2028’’. 5
4347-SEC. 304. PEER SUPPORT TECHNICAL ASSISTANCE CENTER. 6
4348-Section 547A of the Public Health Service Act (42 7
4349-U.S.C. 290ee–2a) is amended— 8
4350-(1) in subsection (b)(4), by striking ‘‘building; 9
4351-and’’ and inserting the following: ‘‘building, such 10
4352-as— 11
4353-‘‘(A) professional development of peer sup-12
4354-port specialists; and 13
4355-‘‘(B) making recovery support services 14
4356-available in nonclinical settings; and’’; 15
4357-(2) by redesignating subsections (d) and (e) as 16
4358-subsections (e) and (f), respectively; 17
4359-(3) by inserting after subsection (c) the fol-18
4360-lowing: 19
4361-‘‘(d) P
4362-ILOTPROGRAM.— 20
4363-‘‘(1) I
4364-N GENERAL.—The Secretary shall carry 21
4365-out a pilot program to establish one regional technical 22
4366-assistance center (referred to in this subsection as the 23
4367-‘Regional Center’) to assist the Center in carrying out 24
4368-activities described in subsection (b) within the geo-25
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4371-•S 3393 RS
4372-graphic region of such Regional Center in a manner 1
4373-that is tailored to the needs of such region. 2
4374-‘‘(2) E
4375-VALUATION.—Not later than 4 years after 3
4376-the date of enactment of the SUPPORT for Patients 4
4377-and Communities Reauthorization Act, the Secretary 5
4378-shall evaluate the activities of the Regional Center 6
4379-and submit to the Committee on Health, Education, 7
4380-Labor, and Pensions of the Senate and the Committee 8
4381-on Energy and Commerce of the House of Representa-9
4382-tives a report on the findings of such evaluation, in-10
4383-cluding— 11
4384-‘‘(A) a description of the distinct roles and 12
4385-responsibilities of the Regional Center and the 13
4386-Center; 14
4387-‘‘(B) available information relating to the 15
4388-outcomes of the pilot program under this sub-16
4389-section, such as any impact the Regional Center 17
4390-had on the operations and efficiency of the Cen-18
4391-ter relating to requests for technical assistance 19
4392-and support within the region of such Regional 20
4393-Center; 21
4394-‘‘(C) a description of any gaps or areas of 22
4395-duplication relating to the activities of the Re-23
4396-gional Center and the Center within such region; 24
4397-and 25
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4400-•S 3393 RS
4401-‘‘(D) recommendations relating to the modi-1
4402-fication, expansion, or termination of the pilot 2
4403-program under this subsection. 3
4404-‘‘(3) T
4405-ERMINATION.—This subsection shall termi-4
4406-nate on September 30, 2028.’’; and 5
4407-(4) in subsection (f), as so redesignated, by strik-6
4408-ing ‘‘$1,000,000 for each of fiscal years 2019 through 7
4409-2023’’ and inserting ‘‘$2,000,000 for each of fiscal 8
4410-years 2024 through 2028’’. 9
4411-SEC. 305. CAREER ACT. 10
4412-(a) I
4413-NGENERAL.—Section 7183 of the SUPPORT for 11
4414-Patients and Communities Act (42 U.S.C. 290ee–8) is 12
4415-amended— 13
4416-(1) in the section heading, by inserting ‘‘; 14
4417-TREATMENT, RECOVERY, AND WORKFORCE 15
4418-SUPPORT GRANTS ’’ after ‘‘CAREER ACT’’; 16
4419-(2) in subsection (b), by inserting ‘‘each’’ before 17
4420-‘‘for a period’’; 18
4421-(3) in subsection (c)— 19
4422-(A) in paragraph (1), by striking ‘‘the rates 20
4423-described in paragraph (2)’’ and inserting ‘‘the 21
4424-average rates for calendar years 2018 through 22
4425-2022 described in paragraph (2)’’; and 23
4426-(B) by amending paragraph (2) to read as 24
4427-follows: 25
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4430-•S 3393 RS
4431-‘‘(2) RATES.—The rates described in this para-1
4432-graph are the following: 2
4433-‘‘(A) The highest age-adjusted average rates 3
4434-of drug overdose deaths for calendar years 2018 4
4435-through 2022 based on data from the Centers for 5
4436-Disease Control and Prevention, including, if 6
4437-necessary, provisional data for calendar year 7
4438-2022. 8
4439-‘‘(B) The highest average rates of unemploy-9
4440-ment for calendar years 2018 through 2022 10
4441-based on data provided by the Bureau of Labor 11
4442-Statistics. 12
4443-‘‘(C) The lowest average labor force partici-13
4444-pation rates for calendar years 2018 through 14
4445-2022 based on data provided by the Bureau of 15
4446-Labor Statistics.’’; 16
4447-(4) in subsection (g)— 17
4448-(A) in each of paragraphs (1) and (3), by 18
4449-redesignating subparagraphs (A) and (B) as 19
4450-clauses (i) and (ii), respectively, and adjusting 20
4451-the margins accordingly; 21
4452-(B) by redesignating paragraphs (1) 22
4453-through (3) as subparagraphs (A) through (C), 23
4454-respectively, and adjusting the margins accord-24
4455-ingly; 25
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4458-•S 3393 RS
4459-(C) in the matter preceding subparagraph 1
4460-(A) (as so redesignated), by striking ‘‘An entity’’ 2
4461-and inserting the following: 3
4462-‘‘(1) I
4463-N GENERAL.—An entity’’; and 4
4464-(D) by adding at the end the following: 5
4465-‘‘(2) T
4466-RANSPORTATION SERVICES.—An entity re-6
4467-ceiving a grant under this section may use not more 7
4468-than 5 percent of the funds for providing transpor-8
4469-tation for individuals to participate in an activity 9
4470-supported by a grant under this section, which trans-10
4471-portation shall be to or from a place of work or a 11
4472-place where the individual is receiving career and 12
4473-technical education or job training services or receiv-13
4474-ing services directly linked to treatment of or recovery 14
4475-from a substance use disorder. 15
4476-‘‘(3) L
4477-IMITATION.—The Secretary may not re-16
4478-quire an entity to, or give priority to an entity that 17
4479-plans to, use the funds of a grant under this section 18
4480-for activities that are not specified in this sub-19
4481-section.’’; 20
4482-(5) in subsection (i)(2), by inserting ‘‘, which 21
4483-shall include employment and earnings outcomes de-22
4484-scribed in subclauses (I) and (III) of section 23
4485-116(b)(2)(A)(i) of the Workforce Innovation and Op-24
4486-portunity Act (29 U.S.C. 3141(b)(2)(A)(i)) with re-25
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4489-•S 3393 RS
4490-spect to the participation of such individuals with a 1
4491-substance use disorder in programs and activities 2
4492-funded by the grant under this section’’ after ‘‘sub-3
4493-section (g)’’; 4
4494-(6) in subsection (j)— 5
4495-(A) in paragraph (1), by inserting ‘‘for 6
4496-grants awarded prior to the date of enactment of 7
4497-the SUPPORT for Patients and Communities 8
4498-Reauthorization Act’’ after ‘‘grant period under 9
4499-this section’’; and 10
4500-(B) in paragraph (2)— 11
4501-(i) in the matter preceding subpara-12
4502-graph (A), by striking ‘‘2 years after sub-13
4503-mitting the preliminary report required 14
4504-under paragraph (1)’’ and inserting ‘‘Sep-15
4505-tember 30, 2028’’; and 16
4506-(ii) in subparagraph (A), by striking 17
4507-‘‘(g)(3)’’ and inserting ‘‘(g)(1)(C)’’; and 18
4508-(7) in subsection (k), by striking ‘‘$5,000,000 for 19
4509-each of fiscal years 2019 through 2023’’ and inserting 20
4510-‘‘$12,000,000 for each of fiscal years 2024 through 21
4511-2028’’. 22
4512-(b) C
4513-LERICALAMENDMENT.—The table of contents in 23
4514-section 1(b) of the SUPPORT for Patients and Commu-24
4515-nities Act (Public Law 115–271; 132 Stat. 3894) is amend-25
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4518-•S 3393 RS
4519-ed by striking the item relating to section 7183 and insert-1
4520-ing the following: 2
4521-‘‘Sec. 7183. CAREER Act; treatment, recovery, and workforce support grants.’’.
4522-SEC. 306. RESEARCH AND RECOMMENDATIONS ON CRIMI-
4523-3
4524-NAL BACKGROUND CHECK PROCESS FOR 4
4525-PEER SUPPORT SPECIALISTS. 5
4526-(a) I
4527-NGENERAL.—The Secretary of Health and 6
4528-Human Services (referred to in this section as the ‘‘Sec-7
4529-retary’’), in coordination with the Attorney General, shall 8
4530-develop a report on research and recommendations with re-9
4531-spect to criminal background check processes for individuals 10
4532-becoming peer support specialists. 11
4533-(b) C
4534-ONTENTS.—The report under subsection (a) shall 12
4535-include— 13
4536-(1) a summary of evidence-based research on the 14
4537-effectiveness of peer support specialists in improving 15
4538-the mental health and the substance use disorder re-16
4539-covery of other individuals; 17
4540-(2) a survey of each State’s laws (including reg-18
4541-ulations) that contain criminal background check re-19
4542-quirements for serving as a peer support specialist, 20
4543-including— 21
4544-(A) an analysis of criminal offenses that 22
4545-are included in State laws (including regula-23
4546-tions) that prevent individuals from earning a 24
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4549-•S 3393 RS
4550-peer support specialist certification or from 1
4551-practicing as a peer support specialist; 2
4552-(B) an analysis of requirements (if any) 3
4553-under the State plan under title XIX of the So-4
4554-cial Security Act (42 U.S.C. 1396 et seq.) or 5
4555-under a waiver of such plan relating to back-6
4556-ground checks for providers participating under 7
4557-such plan or waiver and the extent to which any 8
4558-such requirements differ from similar require-9
4559-ments imposed under State law (including regu-10
4560-lations); 11
4561-(C) an analysis of requirements (if any) of 12
4562-any State receiving a grant under part B of title 13
4563-XIX of the Public Health Service Act (42 U.S.C. 14
4564-300x et seq.) relating to background checks for 15
4565-providers participating in a program under, or 16
4566-otherwise providing services supported by, such 17
4567-grant; 18
4568-(D) a review of State laws (including regu-19
4569-lations) that provide exemptions from prohibi-20
4570-tions regarding certification or practice of peer 21
4571-support specialists; and 22
4572-(E) an indication of each State that has 23
4573-gone through the process of amending or other-24
4574-wise changing criminal background check laws 25
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4577-•S 3393 RS
4578-(including regulations) for the certification and 1
4579-practice of peer support specialists; and 2
4580-(3) recommendations to States on criminal back-3
4581-ground check processes that would reduce barriers to 4
4582-becoming certified as peer support specialists. 5
4583-(c) A
4584-VAILABILITY.—Not later than 1 year after the 6
4585-date of enactment of this Act, the Secretary shall— 7
4586-(1) post the report required under subsection (a) 8
4587-on the publicly accessible internet website of the Sub-9
4588-stance Abuse and Mental Health Services Administra-10
4589-tion; and 11
4590-(2) distribute such report to— 12
4591-(A) State agencies responsible for certifi-13
4592-cation of peer support specialists; 14
4593-(B) the Centers for Medicare & Medicaid 15
4594-Services; 16
4595-(C) State agencies responsible for carrying 17
4596-out a State plan under title XIX of the Social 18
4597-Security Act or under a waiver of such plan; 19
4598-and 20
4599-(D) State agencies responsible for carrying 21
4600-out a grant under part B of title XIX of the 22
4601-Public Health Service Act (42 U.S.C. 300x et 23
4602-seq.). 24
4603-(d) D
4604-EFINITION OFPEERSUPPORTSPECIALIST.— 25
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4607-•S 3393 RS
4608-(1) IN GENERAL.—In this section, the term ‘‘peer 1
4609-support specialist’’ means an individual— 2
4610-(A)(i) who has lived experience of recovery 3
4611-from a mental health condition or substance use 4
4612-disorder and who specializes in supporting indi-5
4613-viduals with mental health conditions or sub-6
4614-stance use disorders; or 7
4615-(ii) who has lived experience as a parent or 8
4616-caregiver of an individual with a mental health 9
4617-condition or substance use disorder and who spe-10
4618-cializes in supporting families navigating men-11
4619-tal health or substance use service systems; and 12
4620-(B) who is certified as qualified to furnish 13
4621-peer support services, as described in paragraph 14
4622-(2), under a process that is determined by the 15
4623-State in which such individual furnishes such 16
4624-services or determined appropriate by the Sec-17
4625-retary. 18
4626-(2) P
4627-EER SUPPORT SERVICES.—The services de-19
4628-scribed in this paragraph shall be consistent with the 20
4629-National Practice Guidelines for Peer Supporters 21
4630-issued by the National Association of Peer Supporters 22
4631-(or a successor publication) and inclusive of the Core 23
4632-Competencies for Peer Workers in Behavioral Health 24
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4635-•S 3393 RS
4636-Services of the Substance Abuse and Mental Health 1
4637-Services Administration. 2
4638-SEC. 307. OFFICE OF RECOVERY. 3
4639-(a) I
4640-NGENERAL.—There is established, within the 4
4641-Substance Abuse and Mental Health Services Administra-5
4642-tion, an Office of Recovery (referred to in this section as 6
4643-the ‘‘Office’’). 7
4644-(b) R
4645-ESPONSIBILITIES.—The Office shall, taking into 8
4646-account the perspectives of individuals with demonstrated 9
4647-experience in mental health or substance use disorder recov-10
4648-ery— 11
4649-(1) identify new and emerging challenges related 12
4650-to the provision of recovery support services; 13
4651-(2) support technical assistance, data analysis, 14
4652-and evaluation functions in order to assist States, 15
4653-local governmental entities, Indian Tribes, and Tribal 16
4654-organizations in implementing and strengthening re-17
4655-covery support services, consistent with the needs of 18
4656-such States, local governmental entities, Indian 19
4657-Tribes, and Tribal organizations; and 20
4658-(3) ensure coordination of efforts to identify, dis-21
4659-seminate, and evaluate best practices related to— 22
4660-(A) improving the capacity of, and access 23
4661-to, recovery support services; and 24
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4664-•S 3393 RS
4665-(B) supporting the training, education, pro-1
4666-fessional development, and retention of peer sup-2
4667-port specialists. 3
4668-(c) R
4669-EPORT.—Not later than 4 years after the date of 4
4670-enactment of this Act, the Assistant Secretary for Mental 5
4671-Health and Substance Use shall submit to the Committee 6
4672-on Health, Education, Labor, and Pensions of the Senate 7
4673-and the Committee on Energy and Commerce of the House 8
4674-of Representatives a report on the activities conducted by 9
4675-the Office, including— 10
4676-(1) a description of the specific roles and respon-11
4677-sibilities of the Office; 12
4678-(2) a description of the relationship between the 13
4679-Office and other relevant components or programs of 14
4680-the Substance Abuse and Mental Health Services Ad-15
4681-ministration; 16
4682-(3) the identification of any gaps in the activi-17
4683-ties of the Substance Abuse and Mental Health Serv-18
4684-ices Administration or challenges in coordination be-19
4685-tween the Office and such relevant components or pro-20
4686-grams of such agency; and 21
4687-(4) recommendations related to the continued op-22
4688-erations of the Office. 23
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4691-•S 3393 RS
4692-SEC. 308. REVIEW OF GRANTS.GOV. 1
4693-(a) I
4694-NGENERAL.—Not later than 1 year after the date 2
4695-of enactment of this Act, the Secretary of Health and 3
4696-Human Services (referred to in this section as the ‘‘Sec-4
4697-retary’’) shall convene a public meeting for purposes of im-5
4698-proving awareness of, and access to, information related to 6
4699-current and future Federal funding opportunities, includ-7
4700-ing Federal funding opportunities related to mental health 8
4701-and substance use disorder programs. 9
4702-(b) T
4703-OPICS.—The public meeting under subsection (a) 10
4704-shall include— 11
4705-(1) opportunities to improve the utility and 12
4706-functionality of relevant internet websites maintained 13
4707-by the Secretary, such as Grants.gov; 14
4708-(2) other models for displaying and dissemi-15
4709-nating information related to Federal funding oppor-16
4710-tunities, such as interactive dashboards; and 17
4711-(3) strategies to improve the ability of entities to 18
4712-apply for Federal funding opportunities, including 19
4713-entities that have not traditionally applied for pro-20
4714-grams administered by the Secretary. 21
4715-(c) W
4716-EBSITEIMPROVEMENTS.—The Secretary shall 22
4717-implement improvements to Grants.gov based on stake-23
4718-holder feedback received at the public meeting under sub-24
4719-section (a). 25
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4722-•S 3393 RS
4723-(d) REPORT.—Not later than 1 year after the date on 1
4724-which the public meeting under subsection (a) is convened, 2
4725-the Secretary shall submit to the Committee on Health, 3
4726-Education, Labor, and Pensions of the Senate and the Com-4
4727-mittee on Energy and Commerce of the House of Represent-5
4728-atives a report summarizing the findings of such meeting, 6
4729-including how the Secretary has taken into account the feed-7
4730-back received through such meeting and implemented im-8
4731-provements to relevant internet websites maintained by the 9
4732-Secretary and strategies to improve awareness of Federal 10
4733-funding opportunities. 11
4734-TITLE IV—TECHNICAL 12
4735-AMENDMENTS 13
4736-SEC. 401. DELIVERY OF A CONTROLLED SUBSTANCE BY A 14
4737-PHARMACY TO AN ADMINISTERING PRACTI-15
4738-TIONER. 16
4739-Section 309A(a) of the Controlled Substances Act (21 17
4740-U.S.C. 829a(a)) is amended by striking paragraph (2) and 18
4741-inserting the following: 19
4742-‘‘(2) the controlled substance is a drug in sched-20
4743-ule III, IV, or V to be administered— 21
4744-‘‘(A) by injection or implantation for the 22
4745-purpose of maintenance or detoxification treat-23
4746-ment; or 24
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4750-‘‘(B) intranasally, subject to risk evaluation 1
4751-and mitigation strategy pursuant to section 2
4752-505–1 of the Federal Food, Drug, and Cosmetic 3
4753-Act (21 U.S.C. 355–1), with post-administration 4
4754-monitoring by a health care professional;’’. 5
4755-SEC. 402. TECHNICAL CORRECTION ON CONTROLLED SUB-6
4756-STANCES DISPENSING. 7
4757-Effective as if included in the enactment of Public Law 8
4758-117–328— 9
4759-(1) section 1252(a) of division FF of Public Law 10
4760-117–328 (136 Stat. 5681) is amended, in the matter 11
4761-being inserted into section 302(e) of the Controlled 12
4762-Substances Act, by striking ‘‘303(g)’’ and inserting 13
4763-‘‘303(h)’’; 14
4764-(2) section 1262 of division FF of Public Law 15
4765-117–328 (136 Stat. 5681) is amended— 16
4766-(A) in subsection (a)— 17
4767-(i) in the matter preceding paragraph 18
4768-(1), by striking ‘‘303(g)’’ and inserting 19
4769-‘‘303(h)’’; 20
4770-(ii) in the matter being stricken by 21
4771-subsection (a)(2), by striking ‘‘(g)(1)’’ and 22
4772-inserting ‘‘(h)(1)’’; and 23
4773-(iii) in the matter being inserted by 24
4774-subsection (a)(2), by striking ‘‘(g) Practi-25
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4777-•S 3393 RS
4778-tioners’’ and inserting ‘‘(h) Practitioners’’; 1
4779-and 2
4780-(B) in subsection (b)— 3
4781-(i) in the matter being stricken by 4
4782-paragraph (1), by striking ‘‘303(g)(1)’’ and 5
4783-inserting ‘‘303(h)(1)’’; 6
4784-(ii) in the matter being inserted by 7
4785-paragraph (1), by striking ‘‘303(g)’’ and in-8
4786-serting ‘‘303(h)’’; 9
4787-(iii) in the matter being stricken by 10
4788-paragraph (2)(A), by striking ‘‘303(g)(2)’’ 11
4789-and inserting ‘‘303(h)(2)’’; 12
4790-(iv) in the matter being stricken by 13
4791-paragraph (3), by striking ‘‘303(g)(2)(B)’’ 14
4792-and inserting ‘‘303(h)(2)(B)’’; 15
4793-(v) in the matter being stricken by 16
4794-paragraph (5), by striking ‘‘303(g)’’ and in-17
4795-serting ‘‘303(h)’’; and 18
4796-(vi) in the matter being stricken by 19
4797-paragraph (6), by striking ‘‘303(g)’’ and in-20
4798-serting ‘‘303(h)’’; and 21
4799-(3) section 1263(b) of division FF of Public Law 22
4800-117–328 (136 Stat. 5685) is amended— 23
4801-(A) by striking ‘‘303(g)(2)’’ and inserting 24
4802-‘‘303(h)(2)’’; and 25
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4806-(B) by striking ‘‘(21 U.S.C. 823(g)(2))’’ and 1
4807-inserting ‘‘(21 U.S.C. 823(h)(2))’’. 2
4808-SEC. 403. REQUIRED TRAINING FOR PRESCRIBERS OF CON-3
4809-TROLLED SUBSTANCES. 4
4810-(a) I
4811-NGENERAL.—Section 303 of the Controlled Sub-5
4812-stances Act (21 U.S.C. 823) is amended— 6
4813-(1) by redesignating the second subsection des-7
4814-ignated as subsection (l) as subsection (m); and 8
4815-(2) in subsection (m)(1), as so redesignated— 9
4816-(A) in subparagraph (A)— 10
4817-(i) in clause (iv)— 11
4818-(I) in subclause (I)— 12
4819-(aa) by inserting ‘‘the Amer-13
4820-ican Academy of Family Physi-14
4821-cians, the American Podiatric 15
4822-Medical Association, the Academy 16
4823-of General Dentistry, the Amer-17
4824-ican Optometric Association,’’ be-18
4825-fore ‘‘or any other organization’’; 19
4826-(bb) by striking ‘‘or the Com-20
4827-mission’’ and inserting ‘‘the Com-21
4828-mission’’; and 22
4829-(cc) by inserting ‘‘, or the 23
4830-Council on Podiatric Medical 24
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4833-•S 3393 RS
4834-Education’’ before the semicolon 1
4835-at the end; and 2
4836-(II) in subclause (III), by insert-3
4837-ing ‘‘or the American Academy of 4
4838-Family Physicians’’ after ‘‘Associa-5
4839-tion’’; and 6
4840-(ii) in clause (v), in the matter pre-7
4841-ceding subclause (I)— 8
4842-(I) by striking ‘‘osteopathic medi-9
4843-cine, dental surgery’’ and inserting 10
4844-‘‘osteopathic medicine, podiatric medi-11
4845-cine, dental surgery’’; and 12
4846-(II) by striking ‘‘or dental medi-13
4847-cine curriculum’’ and inserting ‘‘or 14
4848-dental or podiatric medicine cur-15
4849-riculum’’; and 16
4850-(B) in subparagraph (B)— 17
4851-(i) in clause (i)— 18
4852-(I) by inserting ‘‘the American 19
4853-Pharmacists Association, the Accredi-20
4854-tation Council on Pharmacy Edu-21
4855-cation, the American Psychiatric 22
4856-Nurses Association, the American 23
4857-Academy of Nursing, the American 24
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4860-•S 3393 RS
4861-Academy of Family Physicians,’’ before 1
4862-‘‘or any other organization’’; and 2
4863-(II) by inserting ‘‘, the American 3
4864-Academy of Family Physicians,’’ before 4
4865-‘‘or the Accreditation Council’’; and 5
4866-(ii) in clause (ii)— 6
4867-(I) by striking ‘‘or accredited 7
4868-school’’ and inserting ‘‘, an accredited 8
4869-school’’; and 9
4870-(II) by inserting ‘‘, or an accred-10
4871-ited school of pharmacy’’ before ‘‘in the 11
4872-United States’’. 12
4873-(b) E
4874-FFECTIVEDATE.—The amendment made by sub-13
4875-section (a) shall take effect as if enacted on December 29, 14
4876-2022. 15
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4879-kjohnson on DSK7ZCZBW3PROD with $$_JOB Calendar No.
4880-319
4881-118
4882-TH
4883-CONGRESS
4884-2
4885-D
4886-S
4887-ESSION
4888-
4889-S. 3393 A BILL
4890-To reauthorize the SUPPORT for Patients and
4891-Communities Act, and for other purposes.
4892-F
4893-EBRUARY
4894-1, 2024
4895-Reported with an amendment
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1621+Æ
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