Us Congress Senate Bill SB3393 Latest Draft

                            II 
Calendar No. 319 
118THCONGRESS 
2
DSESSION S. 3393 
To reauthorize the SUPPORT for Patients and Communities Act, and for 
other purposes. 
IN THE SENATE OF THE UNITED STATES 
DECEMBER4, 2023 
Mr. S
ANDERS(for himself and Mr. CASSIDY) introduced the following bill; 
which was read twice and referred to the Committee on Health, Edu-
cation, Labor, and Pensions 
F
EBRUARY1, 2024 
Reported by Mr. S
ANDERS, with an amendment 
[Strike out all after the enacting clause and insert the part printed in italic] 
A BILL 
To reauthorize the SUPPORT for Patients and Communities 
Act, and for other purposes. 
Be it enacted by the Senate and House of Representa-1
tives of the United States of America in Congress assembled, 2
SECTION1.SHORTTITLE;TABLEOFCONTENTS. 3
(a)SHORTTITLE.—ThisActmaybecitedasthe 4
‘‘SUPPORTforPatientsandCommunitiesReauthoriza-5
tionAct’’. 6
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(b)TABLEOFCONTENTS.—Thetableofcontentsfor 1
thisActisasfollows: 2
Sec.1.Shorttitle;tableofcontents. 
TITLEI—PREVENTION 
Sec.101.Firstrespondertrainingprogram. 
Sec.102.Surveillanceandeducationregardinginfectionsassociatedwithillicit 
druguseandotherriskfactors. 
Sec.103.Preventingoverdosesofcontrolledsubstances. 
Sec.104.Pilotprogramforpublichealthlaboratoriestodetectfentanyland 
othersyntheticopioids. 
Sec.105.Prenatalandpostnatalhealth. 
Sec.106.DonaldJ.CohenNationalChildTraumaticStressInitiative. 
Sec.107.Surveillanceanddatacollectionforchild,youth,andadulttrauma. 
Sec.108.Preventingadversechildhoodexperiences. 
Sec.109.Clarificationofuseoffundsforproductsusedtopreventoverdose 
deaths. 
Sec.110.Supportforindividualsandfamiliesimpactedbyfetalalcoholspec-
trumdisorder. 
Sec.111.PromotingStatechoiceinPDMPsystems. 
TITLEII—TREATMENT 
Sec.201.Residentialtreatmentprogramforpregnantandpostpartumwomen. 
Sec.202.Loanrepaymentprogramforsubstanceusedisordertreatmentwork-
force. 
Sec.203.Regionalcentersofexcellenceinsubstanceusedisordereducation. 
Sec.204.Mentalandbehavioralhealtheducationandtrainingprogram. 
Sec.205.Grantstoenhanceaccesstosubstanceusedisordertreatment. 
Sec.206.Grantstoimprovetraumasupportservicesandmentalhealthcare 
forchildrenandyouthineducationalsettings. 
Sec.207.Developmentanddisseminationofmodeltrainingprogramsforsub-
stanceusedisorderpatientrecords. 
Sec.208.Taskforceonbestpracticesfortrauma-informedidentification,refer-
ral,andsupport. 
Sec.209.Programtosupportcoordinationandcontinuationofcarefordrug 
overdosepatients. 
Sec.210.Regulationsrelatingtospecialregistrationfortelemedicine. 
Sec.211.Mentalhealthparity. 
Sec.212.Stateguidancerelatedtoindividualswithseriousmentalillnessand 
childrenwithseriousemotionaldisturbance. 
Sec.213.Improvingaccesstoaddictionmedicineproviders. 
TITLEIII—RECOVERY 
Sec.301.Youthpreventionandrecovery. 
Sec.302.Comprehensiveopioidrecoverycenters. 
Sec.303.Buildingcommunitiesofrecovery. 
Sec.304.Peersupporttechnicalassistancecenter. 
Sec.305.CAREERAct. 
Sec.306.Officeofrecovery. 
TITLEIV—TECHNICAL AMENDMENTS 
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Sec.401.Deliveryofacontrolledsubstancebyapharmacytoanadministering 
practitioner. 
Sec.402.Technicalcorrectiononcontrolledsubstancesdispensing. 
Sec.403.Requiredtrainingforprescribersofcontrolledsubstances. 
TITLEI—PREVENTION 1
SEC.101.FIRSTRESPONDER TRAINING PROGRAM. 2
Section546ofthePublicHealthServiceAct(42 3
U.S.C.290ee–1)isamended— 4
(1)insubsection(a),bystriking‘‘tribesand 5
tribal’’andinserting‘‘TribesandTribal’’; 6
(2)insubsections(a),(c),and(d)— 7
(A)bystriking‘‘approvedorcleared’’each 8
placeitappearsandinserting‘‘approved, 9
cleared,orotherwiselegallymarketed’’;and 10
(B)bystriking‘‘opioid’’eachplaceitap-11
pears; 12
(3)insubsection(f)— 13
(A)bystriking‘‘approvedorcleared’’each 14
placeitappearsandinserting‘‘approved, 15
cleared,orotherwiselegallymarketed’’; 16
(B)inparagraph(1),bystriking‘‘opioid’’; 17
(C)inparagraph(2)— 18
(i)bystriking‘‘opioidandheroin’’ 19
andinserting‘‘opioid,heroin,andother 20
drug’’;and 21
(ii)bystriking‘‘opioidoverdose’’and 22
inserting‘‘overdose’’;and 23
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(D)inparagraph(3),bystriking‘‘opioid 1
andheroin’’;and 2
(4)insubsection(h),bystriking‘‘$36,000,000 3
foreachoffiscalyears2019through2023’’andin-4
serting‘‘$56,000,000foreachoffiscalyears2024 5
through2028’’. 6
SEC.102.SURVEILLANCE ANDEDUCATION REGARDING IN-7
FECTIONS ASSOCIATED WITHILLICITDRUG 8
USEANDOTHERRISKFACTORS. 9
Section317N(d)ofthePublicHealthServiceAct(42 10
U.S.C.247b–15(d))isamendedbystriking‘‘2019 11
through2023’’andinserting‘‘2024through2028’’. 12
SEC.103.PREVENTING OVERDOSES OFCONTROLLED SUB-13
STANCES. 14
Section392AofthePublicHealthServiceAct(42 15
U.S.C.280b–1)isamended— 16
(1)insubsection(a)— 17
(A)inparagraph(2)— 18
(i)insubparagraph(C),byinserting 19
‘‘andassociatedrisks’’beforetheperiodat 20
theend;and 21
(ii)insubparagraph(D),bystriking 22
‘‘opioids’’andinserting‘‘substancescaus-23
ingoverdose’’; 24
(B)inparagraph(3)(A)— 25
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(i)byinserting‘‘identifysubstances 1
causingoverdoseand’’after‘‘rapidly’’;and 2
(ii)bystriking‘‘abuse,and 3
overdoses’’andinserting‘‘overdoses,and 4
associatedriskfactors’’; 5
(2)insubsection(b)(2)— 6
(A)insubparagraph(B),byinserting‘‘, 7
andassociatedriskfactors,’’after‘‘such 8
overdoses’’; 9
(B)insubparagraph(C),bystriking‘‘cod-10
ing’’andinserting‘‘monitoringandidenti-11
fying’’; 12
(C)insubparagraph(E)— 13
(i)byinsertingacommaafter‘‘public 14
healthlaboratories’’;and 15
(ii)byinserting‘‘andotheremerging 16
substancesrelated’’after‘‘analogues’’;and 17
(D)insubparagraph(F,)byinserting 18
‘‘andassociatedriskfactors’’after‘‘overdoses’’; 19
and 20
(3)insubsection(e)bystriking‘‘$496,000,000 21
foreachoffiscalyears2019through2023’’andin-22
serting‘‘$505,579,000foreachoffiscalyears2024 23
through2028’’. 24
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SEC.104.PILOTPROGRAM FORPUBLICHEALTH LABORA-1
TORIESTODETECT FENTANYL ANDOTHER 2
SYNTHETIC OPIOIDS. 3
Section7011oftheSUPPORTforPatientsand 4
CommunitiesAct(42U.S.C.247d–10note)isamended 5
bystrikingsubsection(d). 6
SEC.105.PRENATAL ANDPOSTNATAL HEALTH. 7
Section317L(d)ofthePublicHealthServiceAct(42 8
U.S.C.2476b–13(d))isamendedbystriking‘‘2019 9
through2023’’andinserting‘‘2024through2028’’. 10
SEC.106.DONALD J.COHENNATIONAL CHILDTRAUMATIC 11
STRESSINITIATIVE. 12
Section582ofthePublicHealthServiceAct(42 13
U.S.C.290hh–1)isamended— 14
(1)inthesectionheading,bystriking‘‘VIO-15
LENCERELATED STRESS’’andinserting‘‘TRAU-16
MATICEVENTS’’; 17
(2)insubsection(a)— 18
(A)inthematterprecedingparagraph(1), 19
bystriking‘‘tribesandtribal’’andinserting 20
‘‘TribesandTribal’’;and 21
(B)inparagraph(2),byinserting‘‘and 22
dissemination’’after‘‘thedevelopment’’; 23
(3)insubsection(b),byinserting‘‘anddissemi-24
nation’’after‘‘thedevelopment’’; 25
(4)insubsection(d)— 26
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(A)bystriking‘‘TheNCTSI’’andinsert-1
ingthefollowing: 2
‘‘(1)COORDINATING CENTER.—TheNCTSI’’; 3
and 4
(B)byaddingattheendthefollowing: 5
‘‘(2)NCTSIGRANTEES.—Incarryingoutsub-6
section(a)(2),NCTSIgranteesshalldevelop 7
trainingsandotherresources,asapplicableandap-8
propriate,tosupportimplementationoftheevi-9
dence-basedpracticesdevelopedanddisseminated 10
undersuchsubsection.’’; 11
(5)insubsection(e)— 12
(A)byredesignatingparagraphs(1)and 13
(2)assubparagraphs(A)and(B),respectively, 14
andadjustingthemarginsaccordingly; 15
(B)insubparagraph(A),assoredesig-16
nated,byinserting‘‘andimplementation’’after 17
‘‘thedissemination’’; 18
(C)bystriking‘‘TheNCTSI’’andinsert-19
ingthefollowing: 20
‘‘(1)COORDINATING CENTER.—’’;and 21
(D)byaddingattheendthefollowing: 22
‘‘(2)NCTSIGRANTEES.—NCTSIgrantees 23
shall,asappropriate,collaboratewithothersuch 24
grantees,theNCTSIcoordinatingcenter,andthe 25
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Secretaryincarryingoutsubsections(a)(2)and 1
(d)(2).’’; 2
(6)byamendingsubsection(h)toreadasfol-3
lows: 4
‘‘(h)APPLICATIONANDEVALUATION.—Tobeeligible 5
toreceiveagrant,contract,orcooperativeagreement 6
undersubsection(a),apublicornonprofitprivateentity 7
oranIndianTribeorTribalorganizationshallsubmitto 8
theSecretaryanapplicationatsuchtime,insuchmanner, 9
andcontainingsuchinformationandassurancesasthe 10
Secretarymayrequire,including— 11
‘‘(1)aplanfortherigorousevaluationofthe 12
activitiesfundedunderthegrant,contractoragree-13
ment,includingbothprocessandoutcomesevalua-14
tion,andthesubmissionofanevaluationattheend 15
oftheprojectperiod;and 16
‘‘(2)adescriptionofhowsuchentity,Indian 17
Tribe,orTribalorganizationwillsupporteffortsled 18
bytheSecretaryortheNCTSIcoordinatingcenter, 19
asapplicable,toevaluateactivitiescarriedoutunder 20
thissection.’’;and 21
(7)insubsection(j),bystriking‘‘,$63,887,000 22
foreachoffiscalyears2019through2023’’andin-23
serting‘‘$93,887,000foreachoffiscalyears2024 24
and2025,$104,000,000forfiscalyear2026, 25
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$110,000,000forfiscalyear2027,and 1
$112,661,000forfiscalyear2028’’. 2
SEC.107.SURVEILLANCE ANDDATACOLLECTION FOR 3
CHILD,YOUTH,ANDADULTTRAUMA. 4
Section7131(e)oftheSUPPORTforPatientsand 5
CommunitiesAct(42U.S.C.242t(e))isamendedbystrik-6
ing‘‘2019through2023’’andinserting‘‘2024through 7
2028’’. 8
SEC.108.PREVENTING ADVERSE CHILDHOOD EXPERI-9
ENCES. 10
(a)GRANTPROGRAM.— 11
(1)INGENERAL.—TheSecretaryofHealthand 12
HumanServices(referredtointhissectionasthe 13
‘‘Secretary’’),actingthroughtheDirectorofthe 14
CentersforDiseaseControlandPrevention,may 15
awardgrantsorcooperativeagreementstoStates, 16
territories,IndianTribesandTribalorganizations 17
(assuchtermsaredefinedinsection4oftheIndian 18
Self-DeterminationandEducationAssistanceAct 19
(25U.S.C.5304)),andlocalgovernmentalentities 20
forpurposesofcarryingoutpublichealthactivities 21
toimprovehealthoutcomesbypreventingorreduc-22
ingadversechildhoodexperiences. 23
(2)USEOFFUNDS.—Recipientsofanaward 24
underthissubsectionmayusesuchawardto— 25
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(A)identify,implement,andevaluateevi-1
dence-basedpublichealthactivitiestoprevent 2
orreduceadversechildhoodexperiencesandim-3
provehealthoutcomes; 4
(B)improvedatacollectionandanalysis 5
regardingthepreventionandreductionofad-6
versechildhoodexperiences,includinganysuch 7
datadescribedinsection7131oftheSUP-8
PORTforPatientsandCommunitiesAct(42 9
U.S.C.242t),toidentify— 10
(i)anygeographicareasorpopu-11
lationswithinthejurisdictionoftherecipi-12
entofanawardthathavedisproportion-13
atelyhighratesofadversechildhoodexpe-14
riences; 15
(ii)anytypesofadversechildhoodex-16
periencesofhighprevalencewithinsuch 17
jurisdiction;and 18
(iii)anyshort-termhealthoutcomes 19
andlong-termhealthoutcomesassociated 20
withadversechildhoodexperiences,includ-21
ingmentalhealthandsubstanceusedis-22
orders;and 23
(C)leveragesuchdataandanalysistoin-24
formtheidentification,implementation,and 25
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evaluationofevidence-basedpublichealthac-1
tivitiesundersubparagraph(A). 2
(3)PARTNERSHIPS.—Recipientsofanaward 3
underthissubsectionmayidentifyopportunitiesto 4
establish,orstrengthenexisting,partnershipswith 5
otherrelevantpublicandprivateentitieswithinsuch 6
jurisdictionforpurposesofcarryingoutsuchaward. 7
(4)TECHNICAL ASSISTANCE.—TheSecretary 8
mayprovidetrainingandtechnicalassistancetore-9
cipientsofawardsunderthissubsection. 10
(5)EVALUATION.—Notlaterthan2yearsafter 11
thedateofenactmentofthisAct,andannually 12
thereafter,theSecretaryshallreporttotheCom-13
mitteeonHealth,Education,Labor,andPensions 14
oftheSenateandtheCommitteeonEnergyand 15
CommerceoftheHouseofRepresentativesonthe 16
specificactivitiessupportedthroughawardsunder 17
thissubsection,includingtheeffectivenessofsuch 18
activitiesinpreventingorreducingadversechildhood 19
experiences. 20
(b)RESEARCH.—TheSecretarymay,asappropriate, 21
conductresearchtoevaluatepublichealthactivitiestoad-22
dressadversechildhoodexperiences. 23
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(c)AUTHORIZATION OFAPPROPRIATIONS.—Tocarry 1
outthissection,thereisauthorizedtobeappropriated 2
$7,000,000foreachoffiscalyears2024through2028. 3
SEC.109.CLARIFICATION OFUSEOFFUNDSFORPROD-4
UCTSUSEDTOPREVENT OVERDOSE DEATHS. 5
Theactivitiescarriedoutpursuanttosection 6
1003(b)(4)(A)ofthe21stCenturyCuresAct(42U.S.C. 7
290ee–3a(b)(4)(A))mayincludefacilitatingaccessto 8
productsusedtopreventoverdosedeathsbydetectingthe 9
presenceofoneormoresubstances,totheextentthepur-10
chaseandpossessionofsuchproductsisconsistentwith 11
FederalandStatelaw. 12
SEC.110.SUPPORT FORINDIVIDUALS ANDFAMILIES IM-13
PACTED BYFETALALCOHOL SPECTRUM DIS-14
ORDER. 15
(a)INGENERAL.—PartOoftitleIIIofthePublic 16
HealthServiceAct(42U.S.C.280fetseq.)isamended— 17
(1)byamendingthepartheadingtoreadas 18
follows:‘‘FETAL ALCOHOL SPECTRUM DIS-19
ORDERS PREVENTION AND SERVICES PRO-20
GRAM’’; 21
(2)insection399H(42U.S.C.280f)— 22
(A)inthesectionheading,bystriking 23
‘‘ESTABLISHMENT OFFETAL ALCOHOL 24
SYNDROME PREVENTION ’’andinserting 25
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‘‘FETALALCOHOL SPECTRUM DISORDERS 1
PREVENTION ,INTERVENTION ,’’; 2
(B)bystriking‘‘FetalAlcoholSyndrome 3
andFetalAlcoholEffect’’eachplaceitappears 4
andinserting‘‘FASD’’; 5
(C)insubsection(a)— 6
(i)byamendingtheheadingtoread 7
asfollows:‘‘INGENERAL’’; 8
(ii)inthematterprecedingparagraph 9
(1)— 10
(I)byinserting‘‘orcontinueac-11
tivitiestosupport’’after‘‘shallestab-12
lish’’; 13
(II)bystriking‘‘FASD’’(as 14
amendedbysubparagraph(B))and 15
inserting‘‘fetalalcoholspectrumdis-16
orders(referredtointhissectionas 17
‘FASD’)’’; 18
(III)bystriking‘‘prevention, 19
intervention’’andinserting‘‘aware-20
ness,prevention,identification,inter-21
vention,’’;and 22
(IV)bystriking‘‘thatshall’’and 23
inserting‘‘,whichmay’’; 24
(iii)inparagraph(1)— 25
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(I)insubparagraph(A)— 1
(aa)bystriking‘‘medical 2
schools’’andinserting‘‘health 3
professionsschools’’;and 4
(bb)byinserting‘‘infants,’’ 5
after‘‘provisionofservicesfor’’; 6
and 7
(II)insubparagraph(D),by 8
striking‘‘medicalandmental’’andin-9
serting‘‘agenciesproviding’’; 10
(iv)inparagraph(2)— 11
(I)inthematterprecedingsub-12
paragraph(A),bystriking‘‘apreven-13
tionanddiagnosisprogramtosupport 14
clinicalstudies,demonstrationsand 15
otherresearchasappropriate’’andin-16
serting‘‘supportingandconducting 17
researchonFASD,asappropriate,in-18
cluding’’; 19
(II)insubparagraph(B)— 20
(aa)bystriking‘‘prevention 21
servicesandinterventionsfor 22
pregnant, alcohol-dependent 23
women’’andinserting‘‘culturally 24
andlinguisticallyinformedevi-25
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dence-basedorpractice-based 1
interventionsandappropriateso-2
cietalsupportsforpreventing 3
prenatalalcoholexposure,which 4
mayco-occurwithexposureto 5
othersubstances’’;and 6
(bb)bystriking‘‘;and’’and 7
insertingasemicolon; 8
(v)bystrikingparagraph(3)andin-9
sertingthefollowing: 10
‘‘(3)integratingintosurveillancepracticean 11
evidence-basedstandardcasedefinitionforFASD 12
and,incollaborationwithotherFederalandoutside 13
partners,supportorganizationsofappropriatemed-14
icalandmentalhealthprofessionalsintheirdevelop-15
mentandrefinementofevidence-basedclinicaldiag-16
nosticguidelinesandcriteriaforallFASD;and 17
‘‘(4)buildingStateandTribalcapacityforthe 18
identification,treatment,andsupportofindividuals 19
withFASDandtheirfamilies,whichmayinclude— 20
‘‘(A)utilizingandadaptingexistingFed-21
eral,State,orTribalprogramstoinclude 22
FASDidentificationandFASD-informedsup-23
port; 24
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‘‘(B)developingandexpandingscreening 1
anddiagnosticcapacityforFASD; 2
‘‘(C)developing,implementing,andevalu-3
atingtargetedFASD-informedintervention 4
programsforFASD; 5
‘‘(D)increasingawarenessofFASD; 6
‘‘(E)providingtrainingwithrespectto 7
FASDforprofessionalsacrossrelevantsectors; 8
and 9
‘‘(F)disseminatinginformationabout 10
FASDandsupportservicestoaffectedindivid-11
ualsandtheirfamilies.’’; 12
(D)insubsection(b)— 13
(i)bystriking‘‘describedinsection 14
399I’’; 15
(ii)bystriking‘‘TheSecretary’’and 16
insertingthefollowing: 17
‘‘(1)INGENERAL.—TheSecretary’’;and 18
(iii)byaddingattheendthefol-19
lowing: 20
‘‘(2)ELIGIBLEENTITIES.—Tobeeligibletore-21
ceiveagrant,orenterintoacooperativeagreement 22
orcontract,underthissection,anentityshall— 23
‘‘(A)beaState,IndianTribeorTribalor-24
ganization,localgovernment,scientificoraca-25
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demicinstitution,ornonprofitorganization; 1
and 2
‘‘(B)prepareandsubmittotheSecretary 3
anapplicationatsuchtime,insuchmanner, 4
andcontainingsuchinformationastheSec-5
retarymayrequire,includingadescriptionof 6
theactivitiesthattheentityintendstocarry 7
outusingamountsreceivedunderthissection. 8
‘‘(3)ADDITIONAL APPLICATION CONTENTS.— 9
TheSecretarymayrequirethatanentityusing 10
amountsfromagrant,cooperativeagreement,or 11
contractunderthissectionforanactivityundersub-12
section(a)(4)includeintheapplicationforsuch 13
amountssubmittedunderparagraph(2)(B)— 14
‘‘(A)adesignationofanindividualto 15
serveasaFASDStateorTribalcoordinatorof 16
suchactivity;and 17
‘‘(B)adescriptionofanadvisorycom-18
mitteetheentitywillestablishtoprovideguid-19
ancefortheentityondevelopingandimple-20
mentingastatewideorTribalstrategicplanto 21
preventFASDandprovidefortheidentifica-22
tion,treatment,andsupportofindividualswith 23
FASDandtheirfamilies.’’;and 24
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(E)bystrikingsubsections(c)and(d); 1
and 2
(F)byaddingattheendthefollowing: 3
‘‘(c)DEFINITIONOFFASD-INFORMED.—Forpur-4
posesofthissection,theterm‘FASD-informed’,withre-5
specttosupportoraninterventionprogram,meansthat 6
suchsupportorinterventionprogramusesculturallyand 7
linguisticallyinformedevidence-basedorpractice-based 8
interventionsandappropriatesocietalsupportstosupport 9
animprovedqualityoflifeforanindividualwithFASD 10
andthefamilyofsuchindividual.’’;and 11
(3)bystrikingsections399I,399J,and399K 12
(42U.S.C.280f–1,280f–2,280f–3)andinserting 13
thefollowing: 14
‘‘SEC.399I.FETALALCOHOL SPECTRUM DISORDERS CEN-15
TERSFOREXCELLENCE. 16
‘‘(a)INGENERAL.—TheSecretaryshall,asappro-17
priate,awardgrants,cooperativeagreements,orcontracts 18
topublicornonprofitentitieswithdemonstratedexpertise 19
inthepreventionof,identificationof,andintervention 20
serviceswithrespectto,fetalalcoholspectrumdisorders 21
(referredtointhissectionas‘FASD’)andotherrelated 22
adverseconditions.Suchawardsshallbeforthepurposes 23
ofestablishingFetalAlcoholSpectrumDisordersCenters 24
forExcellencetobuildlocal,Tribal,State,andnational 25
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capacitiestopreventtheoccurrenceofFASDandother 1
relatedadverseconditions,andtorespondtotheneeds 2
ofindividualswithFASDandtheirfamiliesbycarrying 3
outtheprogramsdescribedinsubsection(b). 4
‘‘(b)PROGRAMS.—Anentityreceivinganaward 5
undersubsection(a)mayusesuchawardforthefollowing 6
purposes: 7
‘‘(1)Initiatingorexpandingdiagnosticcapacity 8
forFASDbyincreasingscreening,assessment,iden-9
tification,anddiagnosis. 10
‘‘(2)Developingandsupportingpublicaware-11
nessandoutreachactivities,includingtheuseofa 12
rangeofmediaandpublicoutreach,toraisepublic 13
awarenessoftherisksassociatedwithalcoholcon-14
sumptionduringpregnancy,withthegoalsofreduc-15
ingtheprevalenceofFASDandimprovingthede-16
velopmental,health(includingmentalhealth),and 17
educationaloutcomesofindividualswithFASDand 18
supportingfamiliescaringforindividualswith 19
FASD. 20
‘‘(3)Actingasaclearinghouseforevidence- 21
basedresourcesonFASDprevention,identification, 22
andculturallyandlinguisticallyinformedbestprac-23
tices,includingthemaintenanceofanationaldata- 24
baseddirectoryonFASD-specificservicesinStates, 25
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IndianTribes,andlocalcommunities,anddissemi-1
natingongoingresearchanddevelopingresourceson 2
FASDtohelpinformsystemsofcareforindividuals 3
withFASDacrosstheirlifespan. 4
‘‘(4)Increasingawarenessandunderstanding 5
ofefficacious,evidence-basedscreeningtoolsand 6
culturallyandlinguisticallyappropriateevidence- 7
basedinterventionservicesandbestpractices,which 8
mayincludebyconductingnational,regional,State, 9
Tribal,orpeercross-Statewebinars,workshops,or 10
conferencesfortrainingcommunityleaders,medical 11
andmentalhealthandsubstanceusedisorderpro-12
fessionals,educationanddisabilityprofessionals, 13
families,lawenforcementpersonnel,judges,individ-14
ualsworkinginfinancialassistanceprograms,social 15
servicepersonnel,childwelfareprofessionals,and 16
otherserviceproviders. 17
‘‘(5)ImprovingcapacityforState,Tribal,and 18
localaffiliatesdedicatedtoFASDawareness,pre-19
vention,andidentificationandfamilyandindividual 20
supportprogramsandservices. 21
‘‘(6)Providingtechnicalassistancetorecipients 22
ofgrants,cooperativeagreements,orcontracts 23
undersection399H,asappropriate. 24
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‘‘(7)Carryingoutotherfunctions,asappro-1
priate. 2
‘‘(c)APPLICATION.—Tobeeligibleforagrant,con-3
tract,orcooperativeagreementunderthissection,anenti-4
tyshallsubmittotheSecretaryanapplicationatsuch 5
time,insuchmanner,andcontainingsuchinformationas 6
theSecretarymayrequire. 7
‘‘(d)SUBCONTRACTING.—Apublicorprivatenon-8
profitentitymaycarryoutthefollowingactivitiesrequired 9
underthissectionthroughcontractsorcooperativeagree-10
mentswithotherpublicandprivatenonprofitentitieswith 11
demonstratedexpertiseinFASD: 12
‘‘(1)Preventionactivities. 13
‘‘(2)Screeningandidentification. 14
‘‘(3)Resourcedevelopmentanddissemination, 15
trainingandtechnicalassistance,administration, 16
andsupportofFASDpartnernetworks. 17
‘‘(4)Interventionservices. 18
‘‘SEC.399J.AUTHORIZATION OFAPPROPRIATIONS. 19
‘‘Thereareauthorizedtobeappropriatedtocarryout 20
thispartsuchsumsasmaybenecessaryforeachoffiscal 21
years2024through2028.’’. 22
(b)REPORT.—Notlaterthan4yearsafterthedate 23
ofenactmentofthisAct,theSecretaryofHealthand 24
HumanServicesshallsubmittotheCommitteeonHealth, 25
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Education,Labor,andPensionsoftheSenateandthe 1
CommitteeonEnergyandCommerceoftheHouseof 2
RepresentativesareportontheeffortsoftheDepartment 3
ofHealthandHumanServicestoadvancepublicaware-4
nesson,andfacilitatetheidentificationofbestpractices 5
relatedto,fetalalcoholspectrumdisordersidentification, 6
prevention,treatment,andsupport. 7
(c)TECHNICALAMENDMENT.—Section519Dofthe 8
PublicHealthServiceAct(42U.S.C.290bb–25d)isre-9
pealed. 10
SEC.111.PROMOTING STATECHOICEINPDMPSYSTEMS. 11
Section399O(h)ofthePublicHealthServiceAct(42 12
U.S.C.280g–3(h))isamendedbyaddingthefollowing: 13
‘‘(5)PROMOTING STATECHOICE.—Nothingin 14
thissectionshallbeconstruedtoauthorizetheSec-15
retarytorequireStatestouseaspecificvendoror 16
aspecificinteroperabilityconnectionotherthanto 17
alignwithnationallyrecognized,consensus-based 18
openstandards,suchasinaccordancewithsections 19
3001and3004.’’. 20
TITLEII—TREATMENT 21
SEC.201.RESIDENTIAL TREATMENT PROGRAM FORPREG-22
NANTANDPOSTPARTUM WOMEN. 23
Section508ofthePublicHealthServiceAct(42 24
U.S.C.290bb–1)isamended— 25
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(1)insubsection(d)(11)(C),bystriking‘‘pro-1
vidinghealthservices’’andinserting‘‘providing 2
healthcareservices’’; 3
(2)insubsection(g)— 4
(A)byinserting‘‘aplandescribing’’after 5
‘‘willprovide’’;and 6
(B)byaddingattheendthefollowing: 7
‘‘Suchplanmayincludeadescriptionofhow 8
suchapplicantwilltargetoutreachtowomen 9
disproportionatelyimpactedbymaternalsub-10
stanceusedisorder.’’;and 11
(3)insubsection(s),bystriking‘‘$29,931,000 12
foreachoffiscalyears2019through2023’’andin-13
serting‘‘$38,931,000foreachoffiscalyears2024 14
through2028’’. 15
SEC.202.LOANREPAYMENT PROGRAM FORSUBSTANCE 16
USEDISORDER TREATMENT WORKFORCE. 17
Section781(j)ofthePublicHealthServiceAct(42 18
U.S.C.295h(j))isamendedbystriking‘‘$25,000,000for 19
eachoffiscalyears2019through2023’’andinserting 20
‘‘$50,000,000foreachoffiscalyears2024through 21
2028’’. 22
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SEC.203.REGIONAL CENTERS OFEXCELLENCE INSUB-1
STANCEUSEDISORDER EDUCATION. 2
Section551ofthePublicHealthServiceAct(42 3
U.S.C.290ee–6)isamendedbystrikingsubsection(f). 4
SEC.204.MENTAL ANDBEHAVIORAL HEALTH EDUCATION 5
ANDTRAINING PROGRAM. 6
Section756(f)ofthePublicHealthServiceAct(42 7
U.S.C.294e–1(f))isamendedtoreadasfollows: 8
‘‘(f)AUTHORIZATION OFAPPROPRIATIONS.—To 9
carryoutthissection,thereisauthorizedtobeappro-10
priatedthefollowing: 11
‘‘(1)$50,000,000forfiscalyear2024,tobeal-12
locatedasfollows: 13
‘‘(A)Forgrantsdescribedinsubsection 14
(a)(1),$15,000,000. 15
‘‘(B)Forgrantsdescribedinsubsection 16
(a)(2),$15,000,000. 17
‘‘(C)Forgrantsdescribedinsubsection 18
(a)(3),$10,000,000. 19
‘‘(D)Forgrantsdescribedinsubsection 20
(a)(4),$10,000,000. 21
‘‘(2)$55,000,000forfiscalyear2025,tobeal-22
locatedasfollows: 23
‘‘(A)Forgrantsdescribedinsubsection 24
(a)(1),$16,500,000. 25
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‘‘(B)Forgrantsdescribedinsubsection 1
(a)(2),$16,500,000. 2
‘‘(C)Forgrantsdescribedinsubsection 3
(a)(3),$11,000,000. 4
‘‘(D)Forgrantsdescribedinsubsection 5
(a)(4),$11,000,000. 6
‘‘(3)$60,000,000forfiscalyear2026,tobeal-7
locatedasfollows: 8
‘‘(A)Forgrantsdescribedinsubsection 9
(a)(1),$18,000,000. 10
‘‘(B)Forgrantsdescribedinsubsection 11
(a)(2),$18,000,000. 12
‘‘(C)Forgrantsdescribedinsubsection 13
(a)(3),$12,000,000. 14
‘‘(D)Forgrantsdescribedinsubsection 15
(a)(4),$12,000,000. 16
‘‘(4)$65,000,000forfiscalyear2027,tobeal-17
locatedasfollows: 18
‘‘(A)Forgrantsdescribedinsubsection 19
(a)(1),$19,500,000. 20
‘‘(B)Forgrantsdescribedinsubsection 21
(a)(2),$19,500,000. 22
‘‘(C)Forgrantsdescribedinsubsection 23
(a)(3),$13,000,000. 24
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‘‘(D)Forgrantsdescribedinsubsection 1
(a)(4),$13,000,000. 2
‘‘(5)$75,000,000forfiscalyear2028,tobeal-3
locatedasfollows: 4
‘‘(A)Forgrantsdescribedinsubsection 5
(a)(1),$22,500,000. 6
‘‘(B)Forgrantsdescribedinsubsection 7
(a)(2),$22,500,000. 8
‘‘(C)Forgrantsdescribedinsubsection 9
(a)(3),$15,000,000. 10
‘‘(D)Forgrantsdescribedinsubsection 11
(a)(4),$15,000,000.’’. 12
SEC.205.GRANTS TOENHANCE ACCESS TOSUBSTANCE 13
USEDISORDER TREATMENT. 14
Section3203oftheSUPPORTforPatientsand 15
CommunitiesAct(21U.S.C.823note)isamended— 16
(1)bystrikingsubsection(b);and 17
(2)bystriking‘‘INGENERAL—TheSecretary’’ 18
andinsertingthefollowing: 19
‘‘TheSecretary’’. 20
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SEC.206.GRANTS TOIMPROVE TRAUMA SUPPORT SERV-1
ICESANDMENTAL HEALTH CAREFORCHIL-2
DREN ANDYOUTH INEDUCATIONAL SET-3
TINGS. 4
Section7134oftheSUPPORTforPatientsand 5
CommunitiesAct(42U.S.C.280h–7)isamended— 6
(1)insubsection(a),bystriking‘‘tribal’’and 7
inserting‘‘Tribal’’; 8
(2)insubsection(c)— 9
(A)inparagraph(1),byinserting‘‘early 10
intervention,’’after‘‘screening,’’; 11
(B)inparagraph(3)— 12
(i)inthematterprecedingsubpara-13
graph(A),byinserting‘‘otherstaff,’’after 14
‘‘supportpersonnel,’’;and 15
(ii)insubparagraph(A),bystriking 16
‘‘socialandemotionallearning’’andinsert-17
ing‘‘developmentallyappropriateprac-18
tices’’;and 19
(C)inparagraph(5),byinserting‘‘reduce 20
stigmaassociatedwithmentalhealthcareand’’ 21
after‘‘effortsto’’; 22
(3)insubsection(d)— 23
(A)inparagraph(4)— 24
(i)insubparagraph(A),bystriking‘‘; 25
and’’andinsertingasemicolon; 26
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(ii)insubparagraph(B)— 1
(I)bystriking‘‘tribalorganiza-2
tionsasappropriate,otherschoolper-3
sonnel’’andinserting‘‘Tribalorgani-4
zationsasappropriate,otherstaff’’; 5
and 6
(II)bystrikingtheperiodand 7
inserting‘‘;and’’;and 8
(iii)byaddingattheendthefol-9
lowing: 10
‘‘(C)parentsandguardianswillbein-11
formedofwhattraumasupportservicesand 12
mentalhealthcareareavailabletotheirstu-13
dentsandwhatservicesandcaretheirstudents 14
receive,inaccordancewiththeparentalconsent 15
requirementsundersubsection(h)(2).’’;and 16
(B)byaddingattheendthefollowing: 17
‘‘(7)Aplanforsustainingtheprogramfol-18
lowingtheendoftheawardperiod.’’; 19
(4)insubsection(f)(1),byinserting‘‘,which 20
shallincludeadescriptionofhowtheschoolobtains 21
consentfromthestudent’sparentorguardianfor 22
theprovisionoftraumasupportservicesandmental 23
healthcare’’after‘‘thissection’’; 24
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(5)insubsection(g),bystriking‘‘tribal’’and 1
inserting‘‘Tribal’’; 2
(6)insubsection(h)— 3
(A)inthesubsectionheading,byinserting 4
‘‘;APPLICATION OFCERTAINPROVISIONS’’ 5
after‘‘CONSTRUCTION’’; 6
(B)bystriking‘‘tribal’’eachplaceitap-7
pearsandinserting‘‘Tribal’’; 8
(C)byredesignatingparagraphs(1)and 9
(2)assubparagraphs(A)and(B),respectively, 10
andadjustingthemarginsaccordingly; 11
(D)bystriking‘‘Nothinginthissection’’ 12
andinsertingthefollowing: 13
‘‘(1)INGENERAL.—Nothinginthissection’’; 14
and 15
(E)byaddingattheendthefollowing: 16
‘‘(2)APPLICATIONOFPROVISIONS.— 17
‘‘(A)RULES.—Section4001oftheEle-18
mentaryandSecondaryEducationActof1965 19
(notincludingtheexceptionundersubsection 20
(a)(2)(B)(i)ofsuchsection)shallapplytoan 21
entityreceivingagrant,contract,orcooperative 22
agreementunderthissectioninthesameman-23
nerassuchsection4001appliestoanentity 24
receivingfundingundertitleIVofsuchAct. 25
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‘‘(B)PRIVACYPROTECTIONS.—Anyedu-1
cationrecordofastudentcollectedormain-2
tainedundersubsection(c)(4)shallhavethe 3
protectionsrequiredforeducationrecords 4
undersection444oftheGeneralEducation 5
ProvisionsAct.’’. 6
(7)insubsection(k)— 7
(A)byredesignatingparagraphs(5) 8
through(11)asparagraphs(6)through(12), 9
respectively;and 10
(B)byinsertingafterparagraph(4)the 11
following: 12
‘‘(5)OTHERSTAFF.—Theterm‘otherstaff’has 13
themeaninggivensuchterminsection8101ofthe 14
ElementaryandSecondaryEducationActof1965.’’; 15
and 16
(8)insubsection(l),bystriking‘‘2019through 17
2023’’andinserting‘‘2024through2028’’. 18
SEC.207.DEVELOPMENT ANDDISSEMINATION OFMODEL 19
TRAINING PROGRAMS FORSUBSTANCE USE 20
DISORDER PATIENTRECORDS. 21
Section7053oftheSUPPORTforPatientsand 22
CommunitiesAct(42U.S.C.290dd–2note)isamended 23
bystrikingsubsection(e). 24
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SEC.208.TASKFORCEONBESTPRACTICES FORTRAUMA- 1
INFORMED IDENTIFICATION, REFERRAL, AND 2
SUPPORT. 3
Section7132oftheSUPPORTforPatientsand 4
CommunitiesAct(PublicLaw115–271;132Stat.4046) 5
isamended— 6
(1)insubsection(b)(1)— 7
(A)byredesignatingsubparagraph(CC)as 8
subparagraph(DD);and 9
(B)byinsertingaftersubparagraph(BB) 10
thefollowing: 11
‘‘(CC)TheAdministrationforCommunity 12
Living.’’; 13
(2)insubsection(d)(1),inthematterpre-14
cedingsubparagraph(A),byinserting‘‘,develop-15
mentaldisabilityserviceproviders’’before‘‘,individ-16
ualswhoare’’;and 17
(3)insubsection(i),bystriking‘‘2023’’andin-18
serting‘‘2028’’. 19
SEC.209.PROGRAM TOSUPPORT COORDINATION AND 20
CONTINUATION OFCAREFORDRUGOVER-21
DOSEPATIENTS. 22
Section7081oftheSUPPORTforPatientsand 23
CommunitiesAct(42U.S.C.290dd–4)isamendedby 24
strikingsubsection(f). 25
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SEC.210.REGULATIONS RELATING TOSPECIALREGISTRA-1
TIONFORTELEMEDICINE. 2
Notlaterthan1yearafterthedateofenactment 3
ofthisAct,theAttorneyGeneral,inconsultationwiththe 4
SecretaryofHealthandHumanServices,shallpromul-5
gatethefinalregulationsrequiredundersection311(h)(2) 6
oftheControlledSubstancesAct(21U.S.C.831(h)(2)). 7
SEC.211.MENTAL HEALTH PARITY. 8
(a)INGENERAL.—NotlaterthanJanuary1,2025, 9
theInspectorGeneraloftheDepartmentofLabor,inco-10
ordinationwiththeInspectorGeneraloftheDepartment 11
ofHealthandHumanServices,shallreporttotheCom-12
mitteeonHealth,Education,Labor,andPensionsofthe 13
SenateandtheCommitteeonEnergyandCommerceand 14
theCommitteeonEducationandtheWorkforceofthe 15
HouseofRepresentativesonthefollowing: 16
(1)Thenon-quantitativetreatmentlimit(re-17
ferredtointhissectionas‘‘NQTL’’)requirements 18
withrespecttomentalhealthandsubstanceusedis-19
orderbenefitsundergrouphealthplansandhealth 20
insuranceissuersundersection2726(a)(8)ofthe 21
PublicHealthServiceAct(42U.S.C.300gg– 22
26(a)(8)),section712(a)(8)oftheEmployeeRetire-23
mentIncomeSecurityActof1974(29U.S.C. 24
1185a(a)(8)),andsection9812(a)(8)oftheInternal 25
RevenueCodeof1986(referredtointhissectionas 26
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the‘‘NQTLcomparativeanalysisrequirements’’), 1
andtherequirementsfortheSecretaryofHealth 2
andHumanServices,theSecretaryofLabor,and 3
theSecretaryoftheTreasurytoissueregulations, 4
acomplianceprogramguide,andadditionalguid-5
ancedocumentsandtoolsprovidingguidancerelat-6
ingtomentalhealthparityrequirementsundersec-7
tion2726(a)ofthePublicHealthServiceAct(42 8
U.S.C.300gg–26(a)),section712(a)oftheEm-9
ployeeRetirementIncomeSecurityActof1974(29 10
U.S.C.1185a(a)),andsection9812(a)oftheInter-11
nalRevenueCodeof1986. 12
(2)WithrespecttotheNQTLcomparative 13
analysisrequirementsdescribedinparagraph(1),an 14
analysisoftheactionstakenbytheSecretaryof 15
Labor,theSecretaryoftheTreasury,andtheSec-16
retaryofHealthandHumanServicestoprovide 17
guidancetoensurethatgrouphealthplansand 18
healthinsuranceissuerscanfullycomplywithmen-19
talhealthparityrequirementsundersection2726of 20
thePublicHealthServiceAct(42U.S.C.300gg– 21
26),section712oftheEmployeeRetirementIncome 22
SecurityActof1974(29U.S.C.1185a),andsection 23
9812oftheInternalRevenueCodeof1986andthe 24
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NQTLcomparativeanalysisrequirementsdescribed 1
inparagraph(1),includingananalysisof— 2
(A)theextenttowhichtheSecretaryof 3
Labor,theSecretaryoftheTreasury,andthe 4
SecretaryofHealthandHumanServiceshave 5
fulfilledtherequirementundersection203(b) 6
ofdivisionBBoftheConsolidatedAppropria-7
tionsAct,2021(PublicLaw116–260)toissue 8
thespecificguidanceandregulationspertaining 9
totherequirementsforgrouphealthplansand 10
healthinsuranceissuerstodemonstratecompli-11
ancewiththeNQTLcomparativeanalysisre-12
quirements;and 13
(B)whethersufficientguidanceandexam-14
plesfromtheDepartmentofLaborandDe-15
partmentofHealthandHumanServices,and 16
theDepartmentoftheTreasuryexisttoguide 17
andassistgrouphealthplansandhealthinsur-18
anceissuersincomplyingwiththerequirements 19
todemonstratecompliancewithmentalhealth 20
parityNQTLcomparativeanalysisrequire-21
ments/undersuchsections2726(a)(8), 22
712(a)(8),and9812(a)(8). 23
(3)Areviewoftheenforcementprocessesof 24
theDepartmentofLaborandtheDepartmentof 25
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HealthandHumanServicestoevaluatetheconsist-1
encyofinterpretationoftherequirementsundersec-2
tion2726(a)(8)ofthePublicHealthServiceAct(42 3
U.S.C.300gg–26(a)(8),section712(a)(8)ofthe 4
EmployeeRetirementIncomeSecurityActof1974 5
(29U.S.C.1185a(a)(8)),andsection9812(a)(8)of 6
theInternalRevenueCodeof1986,inparticular 7
withrespecttoprocessesutilizedforenforcement, 8
actionsorinactionsthatconstitutenoncompliance, 9
andavoidanceamongtheagenciesofduplicationof 10
enforcement,includinganevaluationofcompliance 11
withsection104oftheHealthInsurancePortability 12
andAccountabilityActof1996(PublicLaw104– 13
191). 14
(4)Areviewoftheimplementation,bytheDe-15
partmentofLabor,DepartmentofHealthand 16
HumanServices,andDepartmentoftheTreasury, 17
ofmentalhealthparityrequirementsundersection 18
2726ofthePublicHealthServiceAct(42U.S.C. 19
300gg–26),section712oftheEmployeeRetirement 20
IncomeSecurityActof1974(29U.S.C.1185a), 21
andsection9812oftheInternalRevenueCodeof 22
1986,includingallsuchrequirementsineffect 23
throughtheenactmentoftheMentalHealthParity 24
Actof1996(PublicLaw104–204),thePaul 25
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WellstoneandPeteDomeniciMentalHealthParity 1
andAddictionEquityActof2008(PublicLaw110– 2
460),the21stCenturyCuresAct(PublicLaw114– 3
255),andtheConsolidatedAppropriationsAct, 4
2023(PublicLaw117–328)(includinganyamend-5
mentsmadebysuchActs),andincludingwithre-6
specttothetimingofallactions,delaysofanyac-7
tions,reasonsforanysuchdelays,mandatedre-8
quirementsthatweremetonlyoncebutnoteach 9
timesuchrequirementsweremandated. 10
(b)DEFINITIONS.—Inthissection,theterms‘‘group 11
healthplan’’and‘‘healthinsuranceissuer’’havethe 12
meaningsgivensuchtermsinsection733oftheEmployee 13
RetirementIncomeSecurityActof1974(29U.S.C. 14
1191b). 15
SEC.212.STATEGUIDANCE RELATED TOINDIVIDUALS 16
WITHSERIOUS MENTAL ILLNESSANDCHIL-17
DRENWITHSERIOUS EMOTIONAL DISTURB-18
ANCE. 19
(a)REVIEWOFUSEOFCERTAINFUNDING.—Not 20
laterthan1yearafterthedateofenactmentofthisAct, 21
theSecretaryofHealthandHumanServices,acting 22
throughtheAssistantSecretaryforMentalHealthand 23
SubstanceUse,shallconductareviewoftheusebyStates 24
offundsmadeavailableundertheCommunityMental 25
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HealthServicesBlockGrantprogramundersubpartIof 1
partBoftitleXIXofthePublicHealthServiceAct(42 2
U.S.C.300xetseq.)forFirstEpisodePsychosisactivities. 3
Suchreviewshallconsiderthefollowing: 4
(1)HowtheStatesusefundsforevidence- 5
basedtreatmentsandservices,suchascoordinated 6
specialtycare,accordingtothestandardofcarefor 7
individualswithearlyseriousmentalillness,includ-8
ingthecomprehensivenessofsuchtreatmentstoin-9
cludeallaspectsoftherecommendedintervention. 10
(2)HowStatementalhealthdepartmentsco-11
ordinatewithStateMedicaiddepartmentsinthede-12
liveryofthetreatmentsandservicesdescribedin 13
paragraph(1). 14
(3)ThepercentageoftheStatefundingunder 15
theblockgrantprogramthatisappliedtowardearly 16
seriousmentalillnessandfundinginexcessof,or 17
under,10percentoftheamountofthegrant,bro-18
kendownbyState. 19
(4)ThepercentageoffundsexpendedbyStates 20
throughsuchblockgrantprogramspecificallyon 21
FirstEpisodePsychosis,totheextentsuchinforma-22
tionisavailable. 23
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(5)Howmanyindividualsareservedbytheex-1
pendituresdescribedinparagraph(3)and(4),ona 2
per-capitabasis. 3
(6)Howthefundsareusedtoreachunder-4
servedpopulations,includingruralpopulationsand 5
racialandethnicminoritypopulations. 6
(b)REPORTANDGUIDANCE.— 7
(1)REPORT.—Notlaterthan6monthsafter 8
thecompletionofthereviewundersubsection(a), 9
theSecretaryofHealthandHumanServices,acting 10
throughtheAssistantSecretaryforMentalHealth 11
andSubstanceUse,shallsubmittotheCommittee 12
onAppropriations,theCommitteeonHealth,Edu-13
cation,Labor,andPensions,andtheCommitteeon 14
FinanceoftheSenateandtotheCommitteeonAp-15
propriationsandtheCommitteeonEnergyand 16
CommerceoftheHouseofRepresentativesareport 17
onthefindingsmadeasaresultofthereviewcon-18
ductedundersubsection(a).Suchreportshallin-19
cludeanyrecommendationswithrespecttoany 20
changestotheCommunityMentalHealthServices 21
BlockGrantprogramundersubpartIofpartBof 22
titleXIXofthePublicHealthServiceAct(42 23
U.S.C.300xetseq.),includingthesetasidere-24
quiredforFirstEpisodePsychosis,thatwouldfacili-25
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tateimprovedoutcomesforthetargetedpopulation 1
involved. 2
(2)GUIDANCE.—Notlaterthan1yearafter 3
thedateonwhichthereportissubmittedunder 4
paragraph(1),theSecretaryofHealthandHuman 5
Services,actingthroughtheAssistantSecretaryfor 6
MentalHealthandSubstanceUse,shallupdatethe 7
guidanceprovidedtoStatesundertheCommunity 8
MentalHealthServicesBlockGrantprogrambased 9
onthefindingsandrecommendationsofthereport. 10
(c)ADDITIONALGUIDANCE.—TheDirectorofthe 11
NationalInstituteofMentalHealthshallcoordinatewith 12
theAssistantSecretaryforMentalHealthandSubstance 13
UseinprovidingguidancetoStategranteesandprovider 14
subgranteesaboutresearchadvancesinthedeliveryof 15
servicesforFirstEpisodePsychosisundertheCommunity 16
MentalHealthServicesBlockGrantprogram. 17
(d)GUIDANCEFORSTATESRELATINGTOHEALTH 18
CARESERVICESANDINTERVENTIONS FORINDIVIDUALS 19
WITHSERIOUSMENTALILLNESSANDCHILDRENWITH 20
SERIOUSEMOTIONALDISTURBANCE.—Notlaterthan2 21
yearsafterthedateofenactmentofthisAct,theAssistant 22
SecretaryforMentalHealthandSubstanceUse,jointly 23
withtheAdministratoroftheCentersforMedicare& 24
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MedicaidServicesandtheDirectoroftheNationalInsti-1
tuteofMentalHealth— 2
(1)shallprovideupdatedguidancetoStates 3
concerningthemannerinwhichFederalfunding 4
providedtoStatesthroughprogramsadministered 5
bysuchagencies,includingtheCommunityMental 6
HealthServicesBlockGrantprogramundersubpart 7
IofpartBoftitleXIXofthePublicHealthService 8
Act(42U.S.C.300xetseq.),maybecoordinatedto 9
provideevidence-basedhealthcareservicessuchas 10
coordinatedspecialtycaretoindividualswithserious 11
mentalillnessandseriousemotionaldisturbance, 12
andinterventionsforindividualswithearlyserious 13
mentalillness,includingFirstEpisodePsychosis; 14
and 15
(2)maystreamlinerelevantStatereportingre-16
quirementsifsuchstreamliningwouldresultinmak-17
ingiteasierforStatestocoordinatefundingunder 18
theprogramsdescribedinparagraph(1)toimprove 19
treatmentsforindividualswithseriousmentalillness 20
andseriousemotionaldisturbance. 21
SEC.213.IMPROVING ACCESS TOADDICTION MEDICINE 22
PROVIDERS. 23
Section597ofthePublicHealthServiceAct(42 24
U.S.C.290ll)isamended— 25
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(1)insubsection(a)(1),byinserting‘‘diag-1
nosis,’’after‘‘relatedto’’;and 2
(2)insubsection(b),byinserting‘‘addiction 3
medicine,’’after‘‘psychiatry,’’. 4
TITLEIII—RECOVERY 5
SEC.301.YOUTHPREVENTION ANDRECOVERY. 6
Section7102(c)oftheSUPPORTforPatientsand 7
CommunitiesAct(42U.S.C.290bb–7a(c))isamended— 8
(1)inparagraph(2)— 9
(A)insubparagraph(A)— 10
(i)inclause(i)— 11
(I)byinserting‘‘,oraconsortia 12
oflocaleducationalagencies,’’after 13
‘‘alocaleducationalagency’’;and 14
(II)bystriking‘‘highschools’’ 15
andinserting‘‘secondaryschools’’; 16
and 17
(ii)inclause(vi),bystriking‘‘tribe, 18
ortribal’’andinserting‘‘Tribe,orTribal’’; 19
(B)byamendingsubparagraph(E)toread 20
asfollows: 21
‘‘(E)INDIANTRIBE;TRIBALORGANIZA-22
TION.—Theterms‘IndianTribe’and‘Tribal 23
organization’havethemeaningsgivensuch 24
termsinsection4oftheIndianSelf-Deter-25
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minationandEducationAssistanceAct(25 1
U.S.C.5304).’’; 2
(C)byredesignatingsubparagraph(K)as 3
subparagraph(L);and 4
(D)byinsertingaftersubparagraph(J) 5
thefollowing: 6
‘‘(K)SECONDARY SCHOOL.—Theterm 7
‘secondaryschool’hasthemeaninggivensuch 8
terminsection8101oftheElementaryand 9
SecondaryEducationActof1965(20U.S.C. 10
7801).’’; 11
(2)inparagraph(3)(A),inthematterpre-12
cedingclause(i)— 13
(A)bystriking‘‘andabuse’’;and 14
(B)byinserting‘‘atincreasedriskforsub-15
stancemisuse’’after‘‘specificpopulations’’; 16
(3)inparagraph(4)— 17
(A)inthematterprecedingsubparagraph 18
(A),bystriking‘‘Indiantribes’’andinserting 19
‘‘IndianTribes’’; 20
(B)insubparagraph(A),bystriking‘‘and 21
abuse’’;and 22
(C)insubparagraph(B),bystriking‘‘peer 23
mentoring’’andinserting‘‘peer-to-peersup-24
port’’; 25
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(4)inparagraph(5),bystriking‘‘tribal’’and 1
inserting‘‘Tribal’’; 2
(5)inparagraph(6)(A)— 3
(A)inclause(iv),bystriking‘‘;and’’and 4
insertingasemicolon;and 5
(B)byaddingattheendthefollowing: 6
‘‘(vi)aplantosustaintheactivities 7
carriedoutunderthegrantprogram,after 8
thegrantprogramhasended;and’’; 9
(6)inparagraph(8),bystriking‘‘2022’’and 10
inserting‘‘2027’’;and 11
(7)byamendingparagraph(9)toreadasfol-12
lows: 13
‘‘(9)AUTHORIZATION OFAPPROPRIATIONS.— 14
Tocarryoutthissubsection,thereareauthorizedto 15
beappropriated$10,000,000forfiscalyear2024, 16
$12,000,000forfiscalyear2025,$14,000,000for 17
fiscalyear2026,$16,000,000forfiscalyear2027, 18
and$18,000,000forfiscalyear2028.’’. 19
SEC.302.COMPREHENSIVE OPIOIDRECOVERY CENTERS. 20
Section552ofthePublicHealthServiceAct(42 21
U.S.C.290ee–7)isamended— 22
(1)insubsection(d)(2)— 23
(A)inthematterprecedingsubparagraph 24
(A),bystriking‘‘andinsuchmanner’’andin-25
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serting‘‘,insuchmanner,andcontainingsuch 1
informationandassurances’’;and 2
(B)insubparagraph(A),bystriking‘‘is 3
capableofcoordinatingwithotherentitiesto 4
carryout’’andinserting‘‘hasthedemonstrated 5
capabilitytocarryout,throughreferralorcon-6
tractualarrangements’’; 7
(2)insubsection(h)— 8
(A)byredesignatingparagraphs(1) 9
through(4)assubparagraphs(A)through(D), 10
respectively,andadjustingthemarginsaccord-11
ingly; 12
(B)bystriking‘‘Withrespectto’’andin-13
sertingthefollowing: 14
‘‘(1)INGENERAL.—Withrespectto’’;and 15
(C)byaddingattheendthefollowing: 16
‘‘(2)ADDITIONALREPORTINGFORCERTAINEL-17
IGIBLEENTITIES.—Anentitycarryingoutactivities 18
describedinsubsection(g)throughreferralorcon-19
tractualarrangementsshallincludeinthesubmis-20
sionsrequiredunderparagraph(1)informationre-21
latedtothestatusofsuchreferralsorcontractual 22
arrangements,includinganassessmentofwhether 23
suchreferralsorcontractualarrangementsaresup-24
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portingtheabilityofsuchentitytocarryoutsuch 1
activities.’’;and 2
(3)insubsection(j),bystriking‘‘2019through 3
2023’’andinserting‘‘2024through2028’’. 4
SEC.303.BUILDING COMMUNITIES OFRECOVERY. 5
Section547(f)ofthePublicHealthServiceAct(42 6
U.S.C.290ee–2(f))isamendedbystriking‘‘$5,000,000 7
foreachoffiscalyears2019through2023’’andinserting 8
‘‘$16,000,000foreachoffiscalyears2024through 9
2028’’. 10
SEC.304.PEERSUPPORT TECHNICAL ASSISTANCE CEN-11
TER. 12
Section547AofthePublicHealthServiceAct(42 13
U.S.C.290ee–2a)isamended— 14
(1)insubsection(b)(4),bystriking‘‘building; 15
and’’andinsertingthefollowing:‘‘building,such 16
as— 17
‘‘(A)professionaldevelopmentofpeersup-18
portspecialists;and 19
‘‘(B)makingrecoverysupportservices 20
availableinnonclinicalsettings;and’’; 21
(2)byredesignatingsubsections(d)and(e)as 22
subsections(e)and(f),respectively; 23
(3)byinsertingaftersubsection(c)thefol-24
lowing: 25
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‘‘(d)PILOTPROGRAM.— 1
‘‘(1)INGENERAL.—TheSecretaryshallcarry 2
outapilotprogramtoestablishoneregionaltech-3
nicalassistancecenter(referredtointhissubsection 4
asthe‘RegionalCenter’)toassisttheCenterincar-5
ryingoutactivitiesdescribedinsubsection(b)within 6
thegeographicregionofsuchRegionalCenterina 7
mannerthatistailoredtotheneedsofsuchregion. 8
‘‘(2)EVALUATION.—Notlaterthan4years 9
afterthedateofenactmentoftheSUPPORTfor 10
PatientsandCommunitiesReauthorizationAct,the 11
SecretaryshallevaluatetheactivitiesoftheRegional 12
CenterandsubmittotheCommitteeonHealth, 13
Education,Labor,andPensionsoftheSenateand 14
theCommitteeonEnergyandCommerceofthe 15
HouseofRepresentativesareportonthefindingsof 16
suchevaluation,including— 17
‘‘(A)adescriptionofthedistinctrolesand 18
responsibilitiesoftheRegionalCenterandthe 19
Center; 20
‘‘(B)availableinformationrelatingtothe 21
outcomesofthepilotprogramunderthissub-22
section,suchasanyimpacttheRegionalCenter 23
hadontheoperationsandefficiencyoftheCen-24
terrelatingtorequestsfortechnicalassistance 25
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andsupportwithintheregionofsuchRegional 1
Center; 2
‘‘(C)adescriptionofanygapsorareasof 3
duplicationrelatingtotheactivitiesoftheRe-4
gionalCenterandtheCenterwithinsuchre-5
gion;and 6
‘‘(D)recommendationsrelatingtothe 7
modification,expansion,orterminationofthe 8
pilotprogramunderthissubsection. 9
‘‘(3)TERMINATION.—Thissubsectionshallter-10
minateonSeptember30,2028.’’;and 11
(4)insubsection(f),assoredesignated,by 12
striking‘‘$1,000,000foreachoffiscalyears2019 13
through2023’’andinserting‘‘$2,000,000foreach 14
offiscalyears2024through2028’’. 15
SEC.305.CAREER ACT. 16
(a)INGENERAL.—Section7183oftheSUPPORT 17
forPatientsandCommunitiesAct(42U.S.C.290ee–8) 18
isamended— 19
(1)inthesectionheading,byinserting‘‘; 20
TREATMENT ,RECOVERY,AND WORKFORCE 21
SUPPORT GRANTS’’after‘‘CAREER ACT’’; 22
(2)insubsection(b),byinserting‘‘each’’before 23
‘‘foraperiod’’; 24
(3)insubsection(c)— 25
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(A)inparagraph(1),bystriking‘‘the 1
ratesdescribedinparagraph(2)’’andinserting 2
‘‘theaverageratesforcalendaryears2018 3
through2022describedinparagraph(2)’’;and 4
(B)byamendingparagraph(2)toreadas 5
follows: 6
‘‘(2)RATES.—Theratesdescribedinthispara-7
grapharethefollowing: 8
‘‘(A)Thehighestage-adjustedaverage 9
ratesofdrugoverdosedeathsforcalendaryears 10
2018through2022basedondatafromthe 11
CentersforDiseaseControlandPrevention,in-12
cluding,ifnecessary,provisionaldataforcal-13
endaryear2022. 14
‘‘(B)Thehighestaverageratesofunem-15
ploymentforcalendaryears2018through2022 16
basedondataprovidedbytheBureauofLabor 17
Statistics. 18
‘‘(C)Thelowestaveragelaborforcepar-19
ticipationratesforcalendaryears2018through 20
2022basedondataprovidedbytheBureauof 21
LaborStatistics.’’; 22
(4)insubsection(g)— 23
(A)ineachofparagraphs(1)and(3),by 24
redesignatingsubparagraphs(A)and(B)as 25
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clauses(i)and(ii),respectively,andadjusting 1
themarginsaccordingly; 2
(B)byredesignatingparagraphs(1) 3
through(3)assubparagraphs(A)through(C), 4
respectively,andadjustingthemarginsaccord-5
ingly; 6
(C)inthematterprecedingsubparagraph 7
(A)(assoredesignated),bystriking‘‘Anenti-8
ty’’andinsertingthefollowing: 9
‘‘(1)INGENERAL.—Anentity’’;and 10
(D)byaddingattheendthefollowing: 11
‘‘(2)TRANSPORTATION SERVICES.—Anentity 12
receivingagrantunderthissectionmayusenot 13
morethan5percentofthefundsforproviding 14
transportationforindividualstoparticipateinanac-15
tivitysupportedbyagrantunderthissection,which 16
transportationshallbetoorfromaplaceofwork 17
oraplacewheretheindividualisreceivingcareer 18
andtechnicaleducationorjobtrainingservicesor 19
receivingservicesdirectlylinkedtotreatmentofor 20
recoveryfromasubstanceusedisorder. 21
‘‘(3)LIMITATION.—TheSecretarymaynotre-22
quireanentityto,orgiveprioritytoanentitythat 23
plansto,usethefundsofagrantunderthissection 24
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foractivitiesthatarenotspecifiedinthissub-1
section.’’; 2
(5)insubsection(i)(2),byinserting‘‘,which 3
shallincludeemploymentandearningsoutcomesde-4
scribedinsubclauses(I)and(III)ofsection 5
116(b)(2)(A)(i)oftheWorkforceInnovationand 6
OpportunityAct(29U.S.C.3141(b)(2)(A)(i))with 7
respecttotheparticipationofsuchindividualswith 8
asubstanceusedisorderinprogramsandactivities 9
fundedbythegrantunderthissection’’after‘‘sub-10
section(g)’’; 11
(6)insubsection(j)— 12
(A)inparagraph(1),byinserting‘‘for 13
grantsawardedpriortothedateofenactment 14
oftheSUPPORTforPatientsandCommu-15
nitiesReauthorizationAct’’after‘‘grantperiod 16
underthissection’’;and 17
(B)inparagraph(2)— 18
(i)inthematterprecedingsubpara-19
graph(A),bystriking‘‘2yearsaftersub-20
mittingthepreliminaryreportrequired 21
underparagraph(1)’’andinserting‘‘Sep-22
tember30,2028’’;and 23
(ii)insubparagraph(A),bystriking 24
‘‘(g)(3)’’andinserting‘‘(g)(1)(C)’’;and 25
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(7)insubsection(k),bystriking‘‘$5,000,000 1
foreachoffiscalyears2019through2023’’andin-2
serting‘‘$12,000,000foreachoffiscalyears2024 3
through2028’’. 4
(b)CLERICALAMENDMENT.—Thetableofcontents 5
insection1(b)oftheSUPPORTforPatientsandCom-6
munitiesAct(PublicLaw115–271;132Stat.3894)is 7
amendedbystrikingtheitemrelatingtosection7183and 8
insertingthefollowing: 9
‘‘Sec.7183.CAREER Act;treatment,recovery,andworkforcesupport 
grants.’’. 
SEC.306.OFFICEOFRECOVERY. 10
PartAoftitleVofthePublicHealthServiceAct 11
(42U.S.C.290aaetseq.)isamendedbyinsertingafter 12
section501C(42U.S.C.290aa–0b)thefollowing: 13
‘‘SEC.501D.OFFICEOFRECOVERY. 14
‘‘(a)INGENERAL.—Thereisestablished,withinthe 15
SubstanceAbuseandMentalHealthServicesAdministra-16
tion,anOfficeofRecovery(referredtointhissectionas 17
the‘Office’). 18
‘‘(b)RESPONSIBILITIES.—TheOfficeshall,taking 19
intoaccounttheperspectivesofindividualswithdem-20
onstratedexperienceinmentalhealthorsubstanceuse 21
disorderrecovery— 22
‘‘(1)identifynewandemergingchallengesre-23
latedtotheprovisionofrecoverysupportservices; 24
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‘‘(2)supporttechnicalassistance,dataanalysis, 1
andevaluationfunctionsinordertoassistStates, 2
localgovernmentalentities,IndianTribes,andTrib-3
alorganizationsinimplementingandstrengthening 4
recoverysupportservices,consistentwiththeneeds 5
ofsuchStates,localgovernmentalentities,Indian 6
Tribes,andTribalorganizations;and 7
‘‘(3)ensurecoordinationofeffortstoidentify, 8
disseminate,andevaluatebestpracticesrelatedto— 9
‘‘(A)improvingthecapacityof,andaccess 10
to,recoverysupportservices;and 11
‘‘(B)supportingthetraining,education, 12
professionaldevelopment,andretentionofpeer 13
supportspecialists. 14
‘‘(c)REPORT.—Notlaterthan4yearsafterthedate 15
ofenactmentoftheSUPPORTforPatientsandCommu-16
nitiesReauthorizationAct,theAssistantSecretaryfor 17
MentalHealthandSubstanceUseshallsubmittothe 18
CommitteeonHealth,Education,Labor,andPensionsof 19
theSenateandtheCommitteeonEnergyandCommerce 20
oftheHouseofRepresentativesareportontheactivities 21
conductedbytheOffice,including— 22
‘‘(1)adescriptionofthespecificrolesandre-23
sponsibilitiesoftheOffice; 24
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‘‘(2)adescriptionoftherelationshipbetween 1
theOfficeandotherrelevantcomponentsorpro-2
gramsoftheSubstanceAbuseandMentalHealth 3
ServicesAdministration; 4
‘‘(3)theidentificationofanygapsintheactivi-5
tiesoftheSubstanceAbuseandMentalHealth 6
ServicesAdministrationorchallengesincoordina-7
tionbetweentheOfficeandsuchrelevantcompo-8
nentsorprogramsofsuchagency;and 9
‘‘(4)recommendationsrelatedtothecontinued 10
operationsoftheOffice. 11
‘‘(d)SUNSET.—Thissectionshallceasetohaveforce 12
oreffectonSeptember30,2028.’’. 13
TITLEIV—TECHNICAL 14
AMENDMENTS 15
SEC.401.DELIVERY OFACONTROLLED SUBSTANCE BYA 16
PHARMACY TOANADMINISTERING PRACTI-17
TIONER. 18
Section309A(a)oftheControlledSubstancesAct 19
(21U.S.C.829a(a))isamendedbystrikingparagraph(2) 20
andinsertingthefollowing: 21
‘‘(2)thecontrolledsubstanceisadrugin 22
scheduleIII,IV,orVtobeadministered— 23
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‘‘(A)byinjectionorimplantationforthe 1
purposeofmaintenanceordetoxificationtreat-2
ment;or 3
‘‘(B)intranasally,subjecttoriskevalua-4
tionandmitigationstrategypursuanttosection 5
505–1oftheFederalFood,Drug,andCos-6
meticAct(21U.S.C.355–1),withpost-admin-7
istrationmonitoringbyahealthcareprofes-8
sional;’’. 9
SEC.402.TECHNICAL CORRECTION ONCONTROLLED SUB-10
STANCES DISPENSING. 11
EffectiveasifincludedintheenactmentofPublic 12
Law117–328— 13
(1)section1252(a)ofdivisionFFofPublic 14
Law117–328(136Stat.5681)isamended,inthe 15
matterbeinginsertedintosection302(e)oftheCon-16
trolledSubstancesAct,bystriking‘‘303(g)’’andin-17
serting‘‘303(h)’’; 18
(2)section1262ofdivisionFFofPublicLaw 19
117–328(136Stat.5681)isamended— 20
(A)insubsection(a)— 21
(i)inthematterprecedingparagraph 22
(1),bystriking‘‘303(g)’’andinserting 23
‘‘303(h)’’; 24
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(ii)inthematterbeingstrickenby 1
subsection(a)(2),bystriking‘‘(g)(1)’’and 2
inserting‘‘(h)(1)’’;and 3
(iii)inthematterbeinginsertedby 4
subsection(a)(2),bystriking‘‘(g)Practi-5
tioners’’andinserting‘‘(h)Practitioners’’; 6
and 7
(B)insubsection(b)— 8
(i)inthematterbeingstrickenby 9
paragraph(1),bystriking‘‘303(g)(1)’’ 10
andinserting‘‘303(h)(1)’’; 11
(ii)inthematterbeinginsertedby 12
paragraph(1),bystriking‘‘303(g)’’and 13
inserting‘‘303(h)’’; 14
(iii)inthematterbeingstrickenby 15
paragraph(2)(A),bystriking‘‘303(g)(2)’’ 16
andinserting‘‘303(h)(2)’’; 17
(iv)inthematterbeingstrickenby 18
paragraph(3),bystriking‘‘303(g)(2)(B)’’ 19
andinserting‘‘303(h)(2)(B)’’; 20
(v)inthematterbeingstrickenby 21
paragraph(5),bystriking‘‘303(g)’’and 22
inserting‘‘303(h)’’;and 23
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(vi)inthematterbeingstrickenby 1
paragraph(6),bystriking‘‘303(g)’’and 2
inserting‘‘303(h)’’;and 3
(3)section1263(b)ofdivisionFFofPublic 4
Law117–328(136Stat.5685)isamended— 5
(A)bystriking‘‘303(g)(2)’’andinserting 6
‘‘303(h)(2)’’;and 7
(B)bystriking‘‘(21U.S.C.823(g)(2))’’ 8
andinserting‘‘(21U.S.C.823(h)(2))’’. 9
SEC.403.REQUIRED TRAINING FORPRESCRIBERS OFCON-10
TROLLED SUBSTANCES. 11
(a)INGENERAL.—Section303oftheControlled 12
SubstancesAct(21U.S.C.823)isamended— 13
(1)byredesignatingthesecondsubsectiondes-14
ignatedassubsection(l)assubsection(m);and 15
(2)insubsection(m)(1),assoredesignated— 16
(A)insubparagraph(A)— 17
(i)Inclause(iv)— 18
(I)Insubclause(I)— 19
(aa)byinserting‘‘theAmer-20
icanAcademyofFamilyPhysi-21
cians,theAmericanPodiatric 22
MedicalAssociation,theAcad-23
emyofGeneralDentistry,’’be-24
fore‘‘oranyotherorganization’’; 25
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(bb)bystriking‘‘orthe 1
Commission’’andinserting‘‘the 2
Commission’’;and 3
(cc)byinserting‘‘,orthe 4
CouncilonPodiatricMedical 5
Education’’beforethesemicolon 6
attheend;and 7
(II)insubclause(III),byinsert-8
ing‘‘ortheAmericanAcademyof 9
FamilyPhysicians’’after‘‘Associa-10
tion’’;and 11
(ii)inclause(v),inthematterpre-12
cedingsubclause(I)— 13
(I)bystriking‘‘osteopathicmedi-14
cine,dentalsurgery’’andinserting 15
‘‘osteopathicmedicine,podiatricmedi-16
cine,dentalsurgery’’;and 17
(II)bystriking‘‘ordentalmedi-18
cinecurriculum’’andinserting‘‘or 19
dentalorpodiatricmedicinecur-20
riculum’’;and 21
(B)insubparagraph(B)— 22
(i)inclause(i),byinserting‘‘the 23
AmericanPharmacistsAssociation,theAc-24
creditationCouncilonPharmacyEdu-25
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cation,theAmericanOptometricAssocia-1
tion,theAmericanPsychiatricNursesAs-2
sociation,theAmericanAcademyofNurs-3
ing,theAmericanAcademyofFamily 4
Physicians’’before‘‘,oranyotherorgani-5
zation’’;and 6
(ii)inclause(ii)— 7
(I)bystriking‘‘oraccredited 8
school’’andinserting‘‘,anaccredited 9
school’’;and 10
(II)byinserting‘‘,oranaccred-11
itedschoolofpharmacy’’before‘‘in 12
theUnitedStates’’. 13
(b)EFFECTIVEDATE.—Theamendmentmadeby 14
subsection(a)shalltakeeffectasifenactedonDecember 15
29,2022. 16
SECTION 1. SHORT TITLE; TABLE OF CONTENTS. 17
(a) S
HORTTITLE.—This Act may be cited as the 18
‘‘SUPPORT for Patients and Communities Reauthoriza-19
tion Act’’. 20
(b) T
ABLE OFCONTENTS.—The table of contents for 21
this Act is as follows: 22
Sec. 1. Short title; table of contents. 
TITLE I—PREVENTION 
Sec. 101. First responder training program. 
Sec. 102. Surveillance and education regarding infections associated with illicit 
drug use and other risk factors. 
Sec. 103. Preventing overdoses of controlled substances. 
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Sec. 104. Pilot program for public health laboratories to detect fentanyl and other 
synthetic opioids. 
Sec. 105. Prenatal and postnatal health. 
Sec. 106. Donald J. Cohen National Child Traumatic Stress Initiative. 
Sec. 107. Surveillance and data collection for child, youth, and adult trauma. 
Sec. 108. Preventing adverse childhood experiences. 
Sec. 109. Clarification of use of funds for products used to prevent overdose 
deaths. 
Sec. 110. Support for individuals and families impacted by fetal alcohol spec-
trum disorder. 
Sec. 111. Promoting State choice in PDMP systems. 
Sec. 112. Protecting Suicide Prevention Lifeline from cybersecurity incidents. 
Sec. 113. Bruce’s Law. 
Sec. 114. Guidance on at-home drug disposal systems. 
Sec. 115. Review of opioid drugs and actions. 
Sec. 116. Consideration of enriched enrollment randomized withdrawal method-
ology. 
Sec. 117. Approval of new opioid analgesic drugs. 
Sec. 118. Guidance on developing non-addictive medical products to treat pain 
or addiction. 
Sec. 119. National Chronic Pain Information System. 
Sec. 120. Requirements for electronic-prescribing for controlled substances under 
group health plans and group and individual health insurance 
coverage. 
TITLE II—TREATMENT 
Sec. 201. Residential treatment program for pregnant and postpartum women. 
Sec. 202. Loan repayment program for substance use disorder treatment work-
force. 
Sec. 203. Regional centers of excellence in substance use disorder education. 
Sec. 204. Mental and behavioral health education and training program. 
Sec. 205. Grants to enhance access to substance use disorder treatment. 
Sec. 206. Grants to improve trauma support services and mental health care for 
children and youth in educational settings. 
Sec. 207. Development and dissemination of model training programs for sub-
stance use disorder patient records. 
Sec. 208. Task force on best practices for trauma-informed identification, referral, 
and support. 
Sec. 209. Program to support coordination and continuation of care for drug 
overdose patients. 
Sec. 210. Regulations relating to special registration for telemedicine. 
Sec. 211. Mental health parity. 
Sec. 212. State guidance related to individuals with serious mental illness and 
children with serious emotional disturbance. 
Sec. 213. Improving access to addiction medicine providers. 
Sec. 214. Roundtable on using health information technology to improve mental 
health and substance use care outcomes. 
Sec. 215. Peer-to-peer mental health support. 
Sec. 216. Kid PROOF pilot program. 
TITLE III—RECOVERY 
Sec. 301. Youth prevention and recovery. 
Sec. 302. Comprehensive opioid recovery centers. 
Sec. 303. Building communities of recovery. 
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Sec. 304. Peer support technical assistance center. 
Sec. 305. CAREER Act. 
Sec. 306. Research and recommendations on criminal background check process 
for peer support specialists. 
Sec. 307. Office of Recovery. 
Sec. 308. Review of Grants.gov. 
TITLE IV—TECHNICAL AMENDMENTS 
Sec. 401. Delivery of a controlled substance by a pharmacy to an administering 
practitioner. 
Sec. 402. Technical correction on controlled substances dispensing. 
Sec. 403. Required training for prescribers of controlled substances. 
TITLE I—PREVENTION 1
SEC. 101. FIRST RESPONDER TRAINING PROGRAM. 2
Section 546 of the Public Health Service Act (42 3
U.S.C. 290ee–1) is amended— 4
(1) in subsection (a), by striking ‘‘tribes and 5
tribal’’ and inserting ‘‘Tribes and Tribal’’; 6
(2) in subsections (a), (c), and (d)— 7
(A) by striking ‘‘approved or cleared’’ each 8
place it appears and inserting ‘‘approved, 9
cleared, or otherwise legally marketed’’; and 10
(B) by striking ‘‘opioid’’ each place it ap-11
pears; 12
(3) in subsection (f)— 13
(A) by striking ‘‘approved or cleared’’ each 14
place it appears and inserting ‘‘approved, 15
cleared, or otherwise legally marketed’’; 16
(B) in paragraph (1), by striking ‘‘opioid’’; 17
(C) in paragraph (2)— 18
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(i) by striking ‘‘opioid and heroin’’ 1
and inserting ‘‘opioid, heroin, and other 2
drug’’; and 3
(ii) by striking ‘‘opioid overdose’’ and 4
inserting ‘‘overdose’’; and 5
(D) in paragraph (3), by striking ‘‘opioid 6
and heroin’’; and 7
(4) in subsection (h), by striking ‘‘$36,000,000 8
for each of fiscal years 2019 through 2023’’ and in-9
serting ‘‘$56,000,000 for each of fiscal years 2024 10
through 2028’’. 11
SEC. 102. SURVEILLANCE AND EDUCATION REGARDING IN-12
FECTIONS ASSOCIATED WITH ILLICIT DRUG 13
USE AND OTHER RISK FACTORS. 14
Section 317N(d) of the Public Health Service Act (42 15
U.S.C. 247b–15(d)) is amended by striking ‘‘2019 through 16
2023’’ and inserting ‘‘2024 through 2028’’. 17
SEC. 103. PREVENTING OVERDOSES OF CONTROLLED SUB-18
STANCES. 19
Section 392A of the Public Health Service Act (42 20
U.S.C. 280b–1) is amended— 21
(1) in subsection (a)— 22
(A) in paragraph (2)— 23
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(i) in subparagraph (C), by inserting 1
‘‘and associated risks’’ before the period at 2
the end; and 3
(ii) in subparagraph (D), by striking 4
‘‘opioids’’ and inserting ‘‘substances causing 5
overdose’’; 6
(B) in paragraph (3)(A)— 7
(i) by inserting ‘‘identify substances 8
causing overdose and’’ after ‘‘rapidly’’; and 9
(ii) by striking ‘‘abuse, and overdoses’’ 10
and inserting ‘‘overdoses, and associated 11
risk factors’’; 12
(2) in subsection (b)(2)— 13
(A) in subparagraph (B), by inserting ‘‘, 14
and associated risk factors,’’ after ‘‘such 15
overdoses’’; 16
(B) in subparagraph (C), by striking ‘‘cod-17
ing’’ and inserting ‘‘monitoring and identi-18
fying’’; 19
(C) in subparagraph (E)— 20
(i) by inserting a comma after ‘‘public 21
health laboratories’’; and 22
(ii) by inserting ‘‘and other emerging 23
substances related’’ after ‘‘analogues’’; and 24
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(D) in subparagraph (F,) by inserting ‘‘and 1
associated risk factors’’ after ‘‘overdoses’’; and 2
(3) in subsection (e), by striking ‘‘$496,000,000 3
for each of fiscal years 2019 through 2023’’ and in-4
serting ‘‘$505,579,000 for each of fiscal years 2024 5
through 2028’’. 6
SEC. 104. PILOT PROGRAM FOR PUBLIC HEALTH LABORA-7
TORIES TO DETECT FENTANYL AND OTHER 8
SYNTHETIC OPIOIDS. 9
Section 7011 of the SUPPORT for Patients and Com-10
munities Act (42 U.S.C. 247d–10) is amended by striking 11
subsection (d). 12
SEC. 105. PRENATAL AND POSTNATAL HEALTH. 13
Section 317L(d) of the Public Health Service Act (42 14
U.S.C. 247b–13(d)) is amended by striking ‘‘2019 through 15
2023’’ and inserting ‘‘2024 through 2028’’. 16
SEC. 106. DONALD J. COHEN NATIONAL CHILD TRAUMATIC 17
STRESS INITIATIVE. 18
Section 582 of the Public Health Service Act (42 19
U.S.C. 290hh–1) is amended— 20
(1) in the section heading, by striking ‘‘
VIO-21
LENCE RELATED STRESS ’’ and inserting ‘‘TRAU-22
MATIC EVENTS ’’; 23
(2) in subsection (a)— 24
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(A) in the matter preceding paragraph (1), 1
by striking ‘‘tribes and tribal’’ and inserting 2
‘‘Tribes and Tribal’’; and 3
(B) in paragraph (2), by inserting ‘‘and 4
dissemination’’ after ‘‘the development’’; 5
(3) in subsection (b), by inserting ‘‘and dissemi-6
nation’’ after ‘‘the development’’; 7
(4) in subsection (d)— 8
(A) by striking ‘‘The NCTSI’’ and inserting 9
the following: 10
‘‘(1) C
OORDINATING CENTER.—The NCTSI’’; and 11
(B) by adding at the end the following: 12
‘‘(2) NCTSI 
GRANTEES.—In carrying out sub-13
section (a)(2), NCTSI grantees shall develop trainings 14
and other resources, as applicable and appropriate, to 15
support implementation of the evidence-based prac-16
tices developed and disseminated under such sub-17
section.’’; 18
(5) in subsection (e)— 19
(A) by redesignating paragraphs (1) and 20
(2) as subparagraphs (A) and (B), respectively, 21
and adjusting the margins accordingly; 22
(B) in subparagraph (A), as so redesig-23
nated, by inserting ‘‘and implementation’’ after 24
‘‘the dissemination’’; 25
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(C) by striking ‘‘The NCTSI’’ and inserting 1
the following: 2
‘‘(1) C
OORDINATING CENTER.—’’; and 3
(D) by adding at the end the following: 4
‘‘(2) NCTSI 
GRANTEES.—NCTSI grantees shall, 5
as appropriate, collaborate with other such grantees, 6
the NCTSI coordinating center, and the Secretary in 7
carrying out subsections (a)(2) and (d)(2).’’; 8
(6) by amending subsection (h) to read as fol-9
lows: 10
‘‘(h) A
PPLICATION ANDEVALUATION.—To be eligible 11
to receive a grant, contract, or cooperative agreement under 12
subsection (a), a public or nonprofit private entity or an 13
Indian Tribe or Tribal organization shall submit to the 14
Secretary an application at such time, in such manner, and 15
containing such information and assurances as the Sec-16
retary may require, including— 17
‘‘(1) a plan for the rigorous evaluation of the ac-18
tivities funded under the grant, contract, or agree-19
ment, including both process and outcomes evalua-20
tion, and the submission of an evaluation at the end 21
of the project period; and 22
‘‘(2) a description of how such entity, Indian 23
Tribe, or Tribal organization will support efforts led 24
by the Secretary or the NCTSI coordinating center, as 25
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applicable, to evaluate activities carried out under 1
this section.’’; and 2
(7) in subsection (j), by striking ‘‘, $63,887,000 3
for each of fiscal years 2019 through 2023’’ and in-4
serting ‘‘$93,887,000 for each of fiscal years 2024 and 5
2025, $104,000,000 for fiscal year 2026, $110,000,000 6
for fiscal year 2027, and $112,661,000 for fiscal year 7
2028’’. 8
SEC. 107. SURVEILLANCE AND DATA COLLECTION FOR 9
CHILD, YOUTH, AND ADULT TRAUMA. 10
Section 7131(e) of the SUPPORT for Patients and 11
Communities Act (42 U.S.C. 242t(e)) is amended by strik-12
ing ‘‘2019 through 2023’’ and inserting ‘‘2024 through 13
2028’’. 14
SEC. 108. PREVENTING ADVERSE CHILDHOOD EXPERI-15
ENCES. 16
(a) G
RANTPROGRAM.— 17
(1) I
N GENERAL.—The Secretary of Health and 18
Human Services (referred to in this section as the 19
‘‘Secretary’’), acting through the Director of the Cen-20
ters for Disease Control and Prevention, may award 21
grants or cooperative agreements to States, territories, 22
Indian Tribes and Tribal organizations (as such 23
terms are defined in section 4 of the Indian Self-De-24
termination and Education Assistance Act (25 U.S.C. 25
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5304)), and local governmental entities for purposes 1
of carrying out public health activities to improve 2
health outcomes by preventing or reducing adverse 3
childhood experiences. 4
(2) U
SE OF FUNDS.—Recipients of an award 5
under this subsection may use such award to— 6
(A) identify, implement, and evaluate evi-7
dence-based public health activities to prevent or 8
reduce adverse childhood experiences and im-9
prove health outcomes; 10
(B) improve data collection and analysis 11
regarding the prevention and reduction of ad-12
verse childhood experiences, including any such 13
data described in section 7131 of the SUPPORT 14
for Patients and Communities Act (42 U.S.C. 15
242t), to identify— 16
(i) any geographic areas or popu-17
lations within the jurisdiction of the recipi-18
ent of an award that have disproportion-19
ately high rates of adverse childhood experi-20
ences; 21
(ii) any types of adverse childhood ex-22
periences of high prevalence within such ju-23
risdiction; and 24
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(iii) any short-term health outcomes 1
and long-term health outcomes associated 2
with adverse childhood experiences, includ-3
ing mental health and substance use dis-4
orders; and 5
(C) leverage such data and analysis to in-6
form the identification, implementation, and 7
evaluation of evidence-based public health activi-8
ties under subparagraph (A). 9
(3) P
ARTNERSHIPS.—Recipients of an award 10
under this subsection may identify opportunities to 11
establish, or strengthen existing, partnerships with 12
other relevant public and private entities within such 13
jurisdiction for purposes of carrying out such award. 14
(4) T
ECHNICAL ASSISTANCE .—The Secretary 15
may provide training and technical assistance to re-16
cipients of awards under this subsection. 17
(5) E
VALUATION.—Not later than 2 years after 18
the date of enactment of this Act, and annually there-19
after, the Secretary shall report to the Committee on 20
Health, Education, Labor, and Pensions of the Senate 21
and the Committee on Energy and Commerce of the 22
House of Representatives on the specific activities 23
supported through awards under this subsection, in-24
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cluding the effectiveness of such activities in pre-1
venting or reducing adverse childhood experiences. 2
(b) R
ESEARCH.—The Secretary may, as appropriate, 3
conduct research to evaluate public health activities to ad-4
dress adverse childhood experiences. 5
(c) A
UTHORIZATION OFAPPROPRIATIONS.—To carry 6
out this section, there is authorized to be appropriated 7
$7,000,000 for each of fiscal years 2024 through 2028. 8
SEC. 109. CLARIFICATION OF USE OF FUNDS FOR PROD-9
UCTS USED TO PREVENT OVERDOSE DEATHS. 10
The activities carried out pursuant to section 11
1003(b)(4)(A) of the 21st Century Cures Act (42 U.S.C. 12
290ee–3a(b)(4)(A)) may include facilitating access to prod-13
ucts used to prevent overdose deaths by detecting the pres-14
ence of one or more substances, to the extent the purchase 15
and possession of such products is consistent with Federal 16
and State law. 17
SEC. 110. SUPPORT FOR INDIVIDUALS AND FAMILIES IM-18
PACTED BY FETAL ALCOHOL SPECTRUM DIS-19
ORDER. 20
(a) I
NGENERAL.—Part O of title III of the Public 21
Health Service Act (42 U.S.C. 280f et seq.) is amended— 22
(1) by amending the part heading to read as fol-23
lows: ‘‘
FETAL ALCOHOL SPECTRUM DISORDERS 24
PREVENTION AND SERVICES PROGRAM ’’; 25
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(2) in section 399H (42 U.S.C. 280f)— 1
(A) in the section heading, by striking ‘‘
ES-2
TABLISHMENT OF FETAL ALCOHOL SYN -3
DROME PREVENTION ’’ and inserting ‘‘FETAL 4
ALCOHOL SPECTRUM DISORDERS PREVEN -5
TION, INTERVENTION ,’’; 6
(B) by striking ‘‘Fetal Alcohol Syndrome 7
and Fetal Alcohol Effect’’ each place it appears 8
and inserting ‘‘FASD’’; 9
(C) in subsection (a)— 10
(i) by amending the heading to read as 11
follows: ‘‘I
NGENERAL’’; 12
(ii) in the matter preceding paragraph 13
(1)— 14
(I) by inserting ‘‘or continue ac-15
tivities to support’’ after ‘‘shall estab-16
lish’’; 17
(II) by striking ‘‘FASD’’ (as 18
amended by subparagraph (B)) and 19
inserting ‘‘fetal alcohol spectrum dis-20
orders (referred to in this section as 21
‘FASD’)’’; 22
(III) by striking ‘‘prevention, 23
intervention’’ and inserting ‘‘aware-24
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ness, prevention, identification, inter-1
vention,’’; and 2
(IV) by striking ‘‘that shall’’ and 3
inserting ‘‘, which may’’; 4
(iii) in paragraph (1)— 5
(I) in subparagraph (A)— 6
(aa) by striking ‘‘medical 7
schools’’ and inserting ‘‘health 8
professions schools’’; and 9
(bb) by inserting ‘‘infants,’’ 10
after ‘‘provision of services for’’; 11
and 12
(II) in subparagraph (D), by 13
striking ‘‘medical and mental’’ and in-14
serting ‘‘agencies providing’’; 15
(iv) in paragraph (2)— 16
(I) in the matter preceding sub-17
paragraph (A), by striking ‘‘a preven-18
tion and diagnosis program to support 19
clinical studies, demonstrations and 20
other research as appropriate’’ and in-21
serting ‘‘supporting and conducting re-22
search on FASD, as appropriate, in-23
cluding’’; 24
(II) in subparagraph (B)— 25
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(aa) by striking ‘‘prevention 1
services and interventions for 2
pregnant, alcohol-dependent 3
women’’ and inserting ‘‘culturally 4
and linguistically appropriate 5
evidence-based or evidence-in-6
formed interventions and appro-7
priate societal supports for pre-8
venting prenatal alcohol exposure, 9
which may co-occur with exposure 10
to other substances’’; and 11
(bb) by striking ‘‘; and’’ and 12
inserting a semicolon; 13
(v) by striking paragraph (3) and in-14
serting the following: 15
‘‘(3) integrating into surveillance a case defini-16
tion for FASD and, in collaboration with other Fed-17
eral and outside partners, support organizations of 18
appropriate medical and mental health professionals 19
in their development and refinement of evidence-based 20
clinical diagnostic guidelines and criteria for all 21
FASD; and 22
‘‘(4) building State and Tribal capacity for the 23
identification, treatment, and support of individuals 24
with FASD and their families, which may include— 25
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‘‘(A) utilizing and adapting existing Fed-1
eral, State, or Tribal programs to include FASD 2
identification and FASD-informed support; 3
‘‘(B) developing and expanding screening 4
and diagnostic capacity for FASD; 5
‘‘(C) developing, implementing, and evalu-6
ating targeted FASD-informed intervention pro-7
grams for FASD; 8
‘‘(D) increasing awareness of FASD; 9
‘‘(E) providing training with respect to 10
FASD for professionals across relevant sectors; 11
and 12
‘‘(F) disseminating information about 13
FASD and support services to affected individ-14
uals and their families.’’; 15
(D) in subsection (b)— 16
(i) by striking ‘‘described in section 17
399I’’; 18
(ii) by striking ‘‘The Secretary’’ and 19
inserting the following: 20
‘‘(1) I
N GENERAL.—The Secretary’’; and 21
(iii) by adding at the end the fol-22
lowing: 23
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‘‘(2) ELIGIBLE ENTITIES.—To be eligible to re-1
ceive a grant, or enter into a cooperative agreement 2
or contract, under this section, an entity shall— 3
‘‘(A) be a State, Indian Tribe or Tribal or-4
ganization, local government, scientific or aca-5
demic institution, or nonprofit organization; and 6
‘‘(B) prepare and submit to the Secretary 7
an application at such time, in such manner, 8
and containing such information as the Sec-9
retary may require, including a description of 10
the activities that the entity intends to carry out 11
using amounts received under this section. 12
‘‘(3) A
DDITIONAL APPLICATION CONTENTS .—The 13
Secretary may require that an eligible entity include 14
in the application submitted under paragraph 15
(2)(B)— 16
‘‘(A) a designation of an individual to serve 17
as a FASD State or Tribal coordinator of activi-18
ties such eligible entity proposes to carry out 19
through a grant, cooperative agreement, or con-20
tract under this section; and 21
‘‘(B) a description of an advisory committee 22
the entity will establish to provide guidance for 23
the entity on developing and implementing a 24
statewide or Tribal strategic plan to prevent 25
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FASD and provide for the identification, treat-1
ment, and support of individuals with FASD 2
and their families.’’; and 3
(E) by striking subsections (c) and (d); and 4
(F) by adding at the end the following: 5
‘‘(c) D
EFINITION OFFASD-INFORMED.—For purposes 6
of this section, the term ‘FASD-informed’, with respect to 7
support or an intervention program, means that such sup-8
port or intervention program uses culturally and linguis-9
tically informed evidence-based or practice-based interven-10
tions and appropriate societal supports to support an im-11
proved quality of life for an individual with FASD and 12
the family of such individual.’’; and 13
(3) by striking sections 399I, 399J, and 399K 14
(42 U.S.C. 280f–1, 280f–2, 280f–3) and inserting the 15
following: 16
‘‘SEC. 399I. FETAL ALCOHOL SPECTRUM DISORDERS CEN-17
TERS FOR EXCELLENCE. 18
‘‘(a) I
NGENERAL.—The Secretary shall, as appro-19
priate, award grants, cooperative agreements, or contracts 20
to public or nonprofit private entities with demonstrated 21
expertise in the prevention of, identification of, and inter-22
vention services with respect to, fetal alcohol spectrum dis-23
orders (referred to in this section as ‘FASD’) and other re-24
lated adverse conditions. Such awards shall be for the pur-25
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poses of establishing Fetal Alcohol Spectrum Disorders Cen-1
ters for Excellence to build local, Tribal, State, and nation-2
wide capacities to prevent the occurrence of FASD and 3
other related adverse conditions, and to respond to the needs 4
of individuals with FASD and their families by carrying 5
out the programs described in subsection (b). 6
‘‘(b) P
ROGRAMS.—An entity receiving an award under 7
subsection (a) may use such award for the following pur-8
poses: 9
‘‘(1) Initiating or expanding diagnostic capacity 10
for FASD by increasing screening, assessment, identi-11
fication, and diagnosis. 12
‘‘(2) Developing and supporting public aware-13
ness and outreach activities, including the use of a 14
range of media and public outreach, to raise public 15
awareness of the risks associated with alcohol con-16
sumption during pregnancy, with the goals of reduc-17
ing the prevalence of FASD and improving the devel-18
opmental, health (including mental health), and edu-19
cational outcomes of individuals with FASD and sup-20
porting families caring for individuals with FASD. 21
‘‘(3) Acting as a clearinghouse for evidence-based 22
resources on FASD prevention, identification, and 23
culturally and linguistically appropriate best prac-24
tices, including the maintenance of a national data- 25
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based directory on FASD-specific services in States, 1
Indian Tribes, and local communities, and dissemi-2
nating ongoing research and developing resources on 3
FASD to help inform systems of care for individuals 4
with FASD across their lifespan. 5
‘‘(4) Increasing awareness and understanding of 6
efficacious, evidence-based screening tools and cul-7
turally and linguistically appropriate evidence-based 8
intervention services and best practices, which may 9
include by conducting nationwide, regional, State, 10
Tribal, or peer cross-State webinars, workshops, or 11
conferences for training community leaders, medical 12
and mental health and substance use disorder profes-13
sionals, education and disability professionals, fami-14
lies, law enforcement personnel, judges, individuals 15
working in financial assistance programs, social serv-16
ice personnel, child welfare professionals, and other 17
service providers. 18
‘‘(5) Improving capacity for State, Tribal, and 19
local affiliates dedicated to FASD awareness, preven-20
tion, and identification and family and individual 21
support programs and services. 22
‘‘(6) Providing technical assistance to recipients 23
of grants, cooperative agreements, or contracts under 24
section 399H, as appropriate. 25
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‘‘(7) Carrying out other functions, as appro-1
priate. 2
‘‘(c) A
PPLICATION.—To be eligible for a grant, con-3
tract, or cooperative agreement under this section, an entity 4
shall submit to the Secretary an application at such time, 5
in such manner, and containing such information as the 6
Secretary may require. 7
‘‘(d) S
UBCONTRACTING.—A public or private non-8
profit entity may carry out the following activities required 9
under this section through contracts or cooperative agree-10
ments with other public and private nonprofit entities with 11
demonstrated expertise in FASD: 12
‘‘(1) Prevention activities. 13
‘‘(2) Screening and identification. 14
‘‘(3) Resource development and dissemination, 15
training and technical assistance, administration, 16
and support of FASD partner networks. 17
‘‘(4) Intervention and treatment services. 18
‘‘SEC. 399J. AUTHORIZATION OF APPROPRIATIONS. 19
‘‘There are authorized to be appropriated to carry out 20
this part such sums as may be necessary for each of fiscal 21
years 2024 through 2028.’’. 22
(b) R
EPORT.—Not later than 4 years after the date 23
of enactment of this Act, the Secretary of Health and 24
Human Services shall submit to the Committee on Health, 25
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Education, Labor, and Pensions of the Senate and the Com-1
mittee on Energy and Commerce of the House of Represent-2
atives a report on the efforts of the Department of Health 3
and Human Services to advance public awareness of, and 4
facilitate the identification of best practices related to, fetal 5
alcohol spectrum disorders identification, prevention, treat-6
ment, and support. 7
(c) T
ECHNICALAMENDMENT.—Section 519D of the 8
Public Health Service Act (42 U.S.C. 290bb–25d) is re-9
pealed. 10
SEC. 111. PROMOTING STATE CHOICE IN PDMP SYSTEMS. 11
Section 399O(h) of the Public Health Service Act (42 12
U.S.C. 280g–3(h)) is amended by adding the following: 13
‘‘(5) P
ROMOTING STATE CHOICE .—Nothing in 14
this section shall be construed to authorize the Sec-15
retary to require States to use a specific vendor or a 16
specific interoperability connection other than to 17
align with nationally recognized, consensus-based 18
open standards, such as in accordance with the appli-19
cation programming interface (API) requirements 20
pursuant to sections 3001 and 3004.’’. 21
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SEC. 112. PROTECTING SUICIDE PREVENTION LIFELINE 1
FROM CYBERSECURITY INCIDENTS. 2
(a) N
ATIONALSUICIDEPREVENTIONLIFELINEPRO-3
GRAM.—Section 520E–3(b) of the Public Health Service Act 4
(42 U.S.C. 290bb–36c(b)) is amended— 5
(1) in paragraph (4), by striking ‘‘and’’ at the 6
end; 7
(2) in paragraph (5), by striking the period at 8
the end and inserting ‘‘; and’’; and 9
(3) by adding at the end the following: 10
‘‘(6) taking such steps as may be necessary to en-11
sure the suicide prevention hotline is protected from 12
cybersecurity incidents and eliminates known cyberse-13
curity vulnerabilities.’’. 14
(b) R
EPORTING.—Section 520E–3 of the Public Health 15
Service Act (42 U.S.C. 290bb–36c) is amended— 16
(1) by redesignating subsection (f) as subsection 17
(g); and 18
(2) by inserting after subsection (e) the following: 19
‘‘(f) C
YBERSECURITYREPORTING.— 20
‘‘(1) N
OTIFICATION.— 21
‘‘(A) I
N GENERAL.—The program’s network 22
administrator receiving Federal funding pursu-23
ant to subsection (a) shall report to the Assistant 24
Secretary, in a manner that protects personal 25
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privacy, consistent with applicable Federal and 1
State privacy laws— 2
‘‘(i) any identified cybersecurity 3
vulnerabilities to the program within a rea-4
sonable amount of time after identification 5
of such a vulnerability; and 6
‘‘(ii) any identified cybersecurity inci-7
dents to the program within a reasonable 8
amount of time after identification of such 9
incident. 10
‘‘(B) L
OCAL AND REGIONAL CRISIS CEN -11
TERS.—Local and regional crisis centers partici-12
pating in the program shall report to the pro-13
gram’s network administrator identified under 14
subparagraph (A), in a manner that protects 15
personal privacy, consistent with applicable Fed-16
eral and State privacy laws— 17
‘‘(i) any identified cybersecurity 18
vulnerabilities to the program within a rea-19
sonable amount of time after identification 20
of such vulnerability; and 21
‘‘(ii) any identified cybersecurity inci-22
dents to the program within a reasonable 23
amount of time after identification of such 24
incident. 25
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‘‘(2) NOTIFICATION.—If the program’s network 1
administrator receiving funding pursuant to sub-2
section (a) discovers, or is informed by a local or re-3
gional crisis center pursuant to paragraph (1)(B) of, 4
a cybersecurity vulnerability or incident, within a 5
reasonable amount of time after such discovery or re-6
ceipt of information, such entity shall report the vul-7
nerability or incident to the Assistant Secretary. 8
‘‘(3) C
LARIFICATION.— 9
‘‘(A) O
VERSIGHT.— 10
‘‘(i) L
OCAL AND REGIONAL CRISIS CEN -11
TERS.—Except as provided in clause (ii), 12
local and regional crisis centers partici-13
pating in the program shall oversee all tech-14
nology each center employs in the provision 15
of services as a participant in the program. 16
‘‘(ii) N
ETWORK ADMINISTRATOR .—The 17
program’s network administrator receiving 18
Federal funding pursuant to subsection (a) 19
shall oversee the technology each crisis cen-20
ter employs in the provision of services as 21
a participant in the program if such over-22
sight responsibilities are established in the 23
applicable network participation agreement. 24
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‘‘(B) SUPPLEMENT, NOT SUPPLANT.—The 1
cybersecurity incident reporting requirements 2
under this subsection shall supplement, and not 3
supplant, cybersecurity incident reporting re-4
quirements under other provisions of applicable 5
Federal law that are in effect on the date of the 6
enactment of the SUPPORT for Patients and 7
Communities Reauthorization Act.’’. 8
(c) S
TUDY.—Not later than 180 days after the date 9
of the enactment of this Act, the Comptroller General of the 10
United States shall— 11
(1) conduct and complete a study that evaluates 12
cybersecurity risks and vulnerabilities associated with 13
the 9–8–8 National Suicide Prevention Lifeline; and 14
(2) submit a report of the findings of such study 15
to the Committee on Health, Education, Labor, and 16
Pensions of the Senate and the Committee on Energy 17
and Commerce of the House of Representatives. 18
SEC. 113. BRUCE’S LAW. 19
(a) Y
OUTHPREVENTION AND RECOVERY.—Section 20
7102(c) of the SUPPORT for Patients and Communities 21
Act (42 U.S.C. 290bb–7a(c)) is amended— 22
(1) in paragraph (3)(A)(i), by inserting ‘‘, which 23
may include strategies to increase education and 24
awareness of the potency and dangers of synthetic 25
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opioids (including drugs contaminated with fentanyl) 1
and, as appropriate, other emerging drug use or mis-2
use issues’’ before the semicolon; and 3
(2) in paragraph (4)(A), by inserting ‘‘and 4
strategies to increase education and awareness of the 5
potency and dangers of synthetic opioids (including 6
drugs contaminated with fentanyl) and, as appro-7
priate, emerging drug use or misuse issues’’ before the 8
semicolon. 9
(b) I
NTERDEPARTMENTAL SUBSTANCEUSEDIS-10
ORDERSCOORDINATINGCOMMITTEE.—Section 7022 of the 11
SUPPORT for Patients and Communities Act (42 U.S.C. 12
290aa note) is amended— 13
(1) by striking subsection (g) and inserting the 14
following: 15
‘‘(g) W
ORKINGGROUPS.— 16
‘‘(1) I
N GENERAL.—The Committee may estab-17
lish working groups for purposes of carrying out the 18
duties described in subsection (e). Any such working 19
group shall be composed of members of the Committee 20
(or the designees of such members) and may hold such 21
meetings as are necessary to enable the working group 22
to carry out the duties delegated to the working 23
group. 24
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‘‘(2) ADDITIONAL FEDERAL INTERAGENCY WORK 1
GROUP ON FENTANYL CONTAMINATION OF ILLEGAL 2
DRUGS.— 3
‘‘(A) E
STABLISHMENT.—The Secretary, act-4
ing through the Committee, shall establish a Fed-5
eral Interagency Work Group on Fentanyl Con-6
tamination of Illegal Drugs (referred to in this 7
paragraph as the ‘Work Group’), consisting of 8
representatives from relevant Federal depart-9
ments and agencies on the Committee. 10
‘‘(B) C
ONSULTATION.—The Work Group 11
shall consult with relevant stakeholders and sub-12
ject matter experts, including— 13
‘‘(i) State, Tribal, and local subject 14
matter experts in reducing, preventing, and 15
responding to drug overdose caused by 16
fentanyl contamination of illicit drugs; and 17
‘‘(ii) family members of both adults 18
and youth who have overdosed by fentanyl- 19
contaminated illicit drugs. 20
‘‘(C) D
UTIES.—The Work Group shall— 21
‘‘(i) examine Federal efforts to reduce 22
and prevent drug overdose by fentanyl-con-23
taminated illicit drugs; 24
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‘‘(ii) identify strategies to improve 1
State, Tribal, and local responses to over-2
dose by fentanyl-contaminated illicit drugs; 3
‘‘(iii) coordinate with the Secretary, as 4
appropriate, in carrying out activities to 5
raise public awareness of synthetic opioids 6
and other emerging drug use and misuse 7
issues; 8
‘‘(iv) make recommendations to Con-9
gress for improving Federal programs, in-10
cluding with respect to the coordination of 11
efforts across such programs; and 12
‘‘(v) make recommendations for edu-13
cating youth on the potency and dangers of 14
drugs contaminated by fentanyl. 15
‘‘(D) A
NNUAL REPORT TO SECRETARY .—The 16
Work Group shall annually prepare and submit 17
to the Secretary, the Committee on Health, Edu-18
cation, Labor, and Pensions of the Senate, and 19
the Committee on Education and the Workforce 20
of the House of Representatives, a report on the 21
activities carried out by the Work Group under 22
subparagraph (C), including recommendations to 23
reduce and prevent drug overdose by fentanyl 24
contamination of illegal drugs, in all popu-25
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lations, and specifically among youth at risk for 1
substance misuse.’’; and 2
(2) by striking subsection (i) and inserting the 3
following: 4
‘‘(i) S
UNSET.—The Committee shall terminate on Sep-5
tember 30, 2028.’’. 6
SEC. 114. GUIDANCE ON AT-HOME DRUG DISPOSAL SYS-7
TEMS. 8
(a) I
NGENERAL.—Not later than one year after the 9
date of enactment of this Act, the Secretary of Health and 10
Human Services (referred to in this section as the ‘‘Sec-11
retary’’), in consultation with the Administrator of the 12
Drug Enforcement Administration, shall publish guidance 13
to facilitate the use of at-home safe disposal systems for ap-14
plicable drugs, including for such at-home safe disposal sys-15
tems that the Secretary may require as a part of a risk 16
evaluation and mitigation strategy under section 505–1 of 17
the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 355– 18
1). 19
(b) C
ONTENTS.—The guidance under subsection (a) 20
shall include— 21
(1) recommended standards for effective at-home 22
drug disposal systems to meet applicable statutory or 23
regulatory requirements enforced by the Food and 24
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Drug Administration and, as appropriate, the Drug 1
Enforcement Administration; 2
(2) recommended information to include as in-3
structions for use to disseminate with at-home drug 4
disposal systems; 5
(3) best practices and educational tools to sup-6
port the use of an at-home drug disposal system; and 7
(4) recommended use of licensed health providers 8
for the dissemination of education, instruction, and 9
at-home drug disposal systems. 10
SEC. 115. REVIEW OF OPIOID DRUGS AND ACTIONS. 11
Not later than one year after the date of enactment 12
of this Act, the Secretary of Health and Human Services 13
(referred to in this section as the ‘‘Secretary’’) shall publish 14
on the website of the Food and Drug Administration (re-15
ferred to in this section as the ‘‘FDA’’) a report that out-16
lines a plan for completing a review of opioid analgesic 17
drugs that are approved under section 505 of the Federal 18
Food, Drug, and Cosmetic Act (21 U.S.C. 355) that con-19
siders the public health effects of such opioid drugs as part 20
of the benefit-risk assessment, and that addresses the activi-21
ties of the FDA that relate to increasing the development 22
of non-addictive medical products intended to treat pain 23
or addiction. Such report shall include— 24
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(1) an opportunity for public input concerning 1
the regulation by the FDA of opioid analgesic drugs, 2
including scientific evidence that relates to conditions 3
of use, safety, or benefit-risk assessment (including 4
consideration of the public health effects) of such 5
opioid drugs; 6
(2) an update on the actions taken by the FDA 7
to review the effectiveness, safety, benefit-risk profile 8
(which may include public health effects), and use of 9
approved opioid analgesic drugs; 10
(3) a timeline for an assessment of the potential 11
need, as appropriate, for labeling changes, revised or 12
additional postmarketing requirements, enforcement 13
actions, or withdrawals for opioid analgesic drugs; 14
(4) an overview of the steps that the FDA has 15
taken to support the development and approval of 16
non-addictive medical products intended to treat pain 17
or addiction, and actions planned to further support 18
the development and approval of such products; and 19
(5) an overview of the consideration by the FDA 20
of clinical trial methodologies for analgesic drugs, in-21
cluding the enriched enrollment randomized with-22
drawal methodology, and the benefits and drawbacks 23
associated with different trial methodologies for such 24
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drugs, incorporating any public input received under 1
paragraph (1). 2
SEC. 116. CONSIDERATION OF ENRICHED ENROLLMENT 3
RANDOMIZED WITHDRAWAL METHODOLOGY. 4
(a) I
NGENERAL.—Not later than 2 years after the 5
date of enactment of this Act, the Secretary of Health and 6
Human Services (referred to in this section as the ‘‘Sec-7
retary’’), acting through the Commissioner of Food and 8
Drugs, shall convene a meeting of the Anesthetic and An-9
algesic Drug Products Advisory Committee and the Drug 10
Safety and Risk Management Advisory Committee of the 11
Food and Drug Administration to review the use of the en-12
riched enrollment randomized withdrawal methodology in 13
clinical trials of opioid analgesic drugs and consider and 14
make recommendations regarding the use of alternative 15
clinical study methodologies. In conducting such review, the 16
Secretary shall consider the report issued by the National 17
Academy of Sciences under subsection (c). 18
(b) P
RESENTATIONS.—If the Secretary allows for for-19
mal presentations in support of the use of the enriched en-20
rollment randomized withdrawal methodology at the meet-21
ing described in subsection (a), the Secretary shall also 22
allow for equal time at such meeting for presentations that 23
are critical of such methodology. 24
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(c) NASSTUDY ANDREPORT.—The Secretary shall 1
seek to enter into a contract with the National Academy 2
of Sciences under which the National Academy— 3
(1) conducts a study on the effectiveness of en-4
riched enrollment randomized withdrawal method-5
ology in demonstrating the efficacy of opioid analge-6
sic drugs in treating chronic pain; and 7
(2) not later than 1 year after the date of enact-8
ment of this Act, submits a report on such study to 9
the Secretary. 10
(d) R
EVIEW OFOPIOIDANALGESICDRUGS.—In con-11
nection with the meeting described in subsection (a), the 12
Anesthetic and Analgesic Drug Products Advisory Com-13
mittee and the Drug Safety and Risk Management Advisory 14
Committee of the Food and Drug Administration shall re-15
view the approved labeling and action package for approval 16
(as described in subsection (l)(2) of section 505 of the Fed-17
eral Food, Drug, and Cosmetic Act (21 U.S.C. 355)), on 18
all opioid analgesic drugs approved using enriched enroll-19
ment randomized withdrawal methodology under such sec-20
tion 505 as of the date of such meeting. The findings from 21
such review shall be made publicly available on a website 22
operated by the Secretary, acting through the Commissioner 23
of Food and Drugs. 24
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(e) DEFINITION OFOPIOIDANALGESICDRUG.—In this 1
section, the term ‘‘opioid analgesic drug’’ means a drug that 2
has a labeled indication approved by the Food and Drug 3
Administration to produce analgesia by acting upon the 4
body’s opioid receptors. 5
SEC. 117. APPROVAL OF NEW OPIOID ANALGESIC DRUGS. 6
Section 505(c) of the Federal Food, Drug, and Cos-7
metic Act (21 U.S.C. 355(c)) is amended by adding at the 8
end the following: 9
‘‘(6) Notwithstanding any other provision of this 10
section, in making a determination to approve or 11
deny an application submitted under subsection (b) 12
for an opioid analgesic drug, the Secretary may con-13
sider whether such drug provides a substantial im-14
provement, in terms of greater safety or greater effec-15
tiveness, or major contribution to patient care, com-16
pared to an approved opioid analgesic drug. For pur-17
poses of this paragraph, the term ‘opioid analgesic 18
drug’ means a drug that is approved under this sec-19
tion to produce analgesia by acting upon the body’s 20
opioid receptors.’’. 21
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SEC. 118. GUIDANCE ON DEVELOPING NON-ADDICTIVE MED-1
ICAL PRODUCTS TO TREAT PAIN OR ADDIC-2
TION. 3
Not later than 1 year after the date of enactment of 4
this Act, the Secretary of Health and Human Services shall 5
issue draft guidance under section 3001(b) of the SUP-6
PORT for Patients and Communities Act (21 U.S.C. 355 7
note) to address non-addictive analgesics for chronic pain, 8
including the information required to be included in guid-9
ance documents under paragraphs (1) through (4) of such 10
section 3001(b). 11
SEC. 119. NATIONAL CHRONIC PAIN INFORMATION SYSTEM. 12
Part P of title III of the Public Health Service Act 13
(42 U.S.C. 280g et seq.) is amended by adding at the end 14
the following: 15
‘‘SEC. 399V–8. CHRONIC PAIN RESEARCH. 16
‘‘(a) I
NGENERAL.—The Secretary, in consultation 17
with the Director of the Centers for Disease Control and 18
Prevention, the Director of the National Institutes of 19
Health, and other agencies as the Secretary determines ap-20
propriate, shall— 21
‘‘(1) utilize available Federal research data to 22
clarify the incidence and prevalence of chronic pain 23
from any source, including injuries, operations, and 24
diseases and conditions; 25
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‘‘(2) identify gaps in the available research data 1
and collect deidentified population research data 2
using medical claims and survey data to fill gaps in 3
available research data, such as— 4
‘‘(A) incidence and prevalence of specific 5
pain conditions; 6
‘‘(B) demographics and other information, 7
such as age, race, ethnicity, gender, and geo-8
graphic location; 9
‘‘(C) the incidence and prevalence of known 10
chronic pain conditions, as well as diseases and 11
conditions that include or lead to pain; 12
‘‘(D) risk factors that may be associated 13
with chronic pain conditions, such as genetic 14
and environmental risk factors and other infor-15
mation, as appropriate; 16
‘‘(E) diagnosis and progression markers; 17
‘‘(F) both direct and indirect costs of illness; 18
‘‘(G) the epidemiology of the conditions; 19
‘‘(H) the detection, management, and treat-20
ment of the conditions; 21
‘‘(I) the epidemiology, detection, manage-22
ment, and treatment of frequent secondary or co- 23
occurring conditions, such as depression, anx-24
iety, and substance use disorders; 25
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‘‘(J) the utilization of medical and social 1
services by patients with chronic pain condi-2
tions, including the direct health care costs of 3
pain treatment, both traditional and alternative, 4
and the indirect costs (such as missed work, pub-5
lic and private disability, and reduction in pro-6
ductivity); and 7
‘‘(K) the effectiveness of evidence-based 8
treatment approaches on chronic pain condi-9
tions; 10
‘‘(3) develop, in collaboration with individuals 11
and organizations with appropriate chronic pain ex-12
pertise, including patients or patient advocates, epi-13
demiologists, representatives of national voluntary 14
health associations, health information technology ex-15
perts, clinicians, and research scientists, standard 16
definitions and approaches for population research on 17
chronic pain to efficiently promote greater com-18
parability of data; and 19
‘‘(4) disseminate, pursuant to the public webpage 20
under subsection (b), and, as appropriate, to the pub-21
lic and to other Federal departments and agencies, 22
any findings, developed population research stand-23
ards, and available Federal data sources related to 24
chronic pain. 25
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‘‘(b) DISSEMINATION.—The Secretary, acting through 1
the Director of the Centers for Disease Control and Preven-2
tion, shall establish a public webpage, to be known as the 3
Chronic Pain Information Hub, that— 4
‘‘(1) aggregates and summarizes available Fed-5
eral data sources, indicators, and peer-reviewed re-6
search related to chronic pain; 7
‘‘(2) includes an up-to-date summary of com-8
plete, ongoing, and planned data collection and anal-9
ysis related to chronic pain that is conducted and 10
supported by the Centers for Disease Control and Pre-11
vention; and 12
‘‘(3) translates research findings into clinical 13
tools and resources, recommendations for closing re-14
search gaps, and recommendations for population re-15
search standards for researchers, with recommenda-16
tions updated annually to incorporate research find-17
ings from the prior year. 18
‘‘(c) C
ONFLICTS OFINTEREST.—If an individual or 19
organization that collaborates with the Secretary in car-20
rying out subsection (a) receives a payment or other trans-21
fer of value of a type described in section 22
1128G(a)(1)(A)(vi) of the Social Security Act from a man-23
ufacturer of a drug (including a biological product) or de-24
vice that would be required to be disclosed pursuant to sec-25
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tion 1128G(a)(1) of the Social Security Act, if the indi-1
vidual or organization were a covered recipient or if such 2
disclosure were required upon request of or by designation 3
on behalf of a covered recipient pursuant to such section, 4
the individual or organization shall disclose to the Sec-5
retary information regarding such payment or other trans-6
fer of value. The Secretary shall make such disclosures pub-7
licly available. 8
‘‘(d) R
EPORT.—Not later than 2 years after the date 9
of the enactment of the SUPPORT for Patients and Com-10
munities Reauthorization Act, the Secretary shall submit 11
a report to the Committee on Health, Education, Labor, 12
and Pensions of the Senate and the Committee on Energy 13
and Commerce of the House of Representatives concerning 14
the implementation of this section. Such report shall include 15
information on— 16
‘‘(1) the development and maintenance of the 17
Chronic Pain Information Hub; 18
‘‘(2) the information made available through the 19
Chronic Pain Information Hub; 20
‘‘(3) the data gaps identified, and planned efforts 21
to address such gaps; 22
‘‘(4) the process established for soliciting feedback 23
from collaborators; and 24
‘‘(5) feedback received from collaborators. 25
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‘‘(e) DEFINITION.—In this section, the term ‘chronic 1
pain’ means persistent or recurrent pain lasting longer 2
than 3 months. 3
‘‘(f) A
UTHORIZATION OFAPPROPRIATIONS.—To carry 4
out this section, there is authorized to be appropriated such 5
sums as may be necessary for each of fiscal years 2024 6
through 2028.’’. 7
SEC. 120. REQUIREMENTS FOR ELECTRONIC-PRESCRIBING 8
FOR CONTROLLED SUBSTANCES UNDER 9
GROUP HEALTH PLANS AND GROUP AND IN-10
DIVIDUAL HEALTH INSURANCE COVERAGE. 11
(a) P
UBLICHEALTHSERVICEACTAMENDMENT.— 12
Section 2799A–7 of the Public Health Service Act (42 13
U.S.C. 300gg–117) is amended by adding at the end the 14
following new subsection: 15
‘‘(d) R
EQUIREMENTS FOR ELECTRONIC-PRESCRIBING 16
FORCONTROLLEDSUBSTANCES.— 17
‘‘(1) I
N GENERAL.—Except as provided pursuant 18
to paragraph (2), for plan years beginning on or after 19
January 1, 2026, a group health plan and a health 20
insurance issuer offering group or individual health 21
insurance coverage, with respect to a participating 22
provider, as defined in section 2799–1(a)(3), shall 23
have in place policies, subject to paragraphs (4) and 24
(5), that require any prescription for a schedule II, 25
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III, IV, or V controlled substance (as defined by sec-1
tion 202 of the Controlled Substances Act) covered by 2
the plan or coverage that is transmitted by such a 3
participating provider for such a participant, bene-4
ficiary, or enrollee be electronically transmitted con-5
sistent with standards established under paragraph 6
(3) of section 1860D–4(e) of the Social Security Act, 7
under an electronic prescription drug program that 8
meets requirements that are substantially similar (as 9
jointly determined by the Secretary, the Secretary of 10
Labor, and the Secretary of the Treasury) to the re-11
quirements of paragraph (2) of such section 1860D– 12
4(e). 13
‘‘(2) E
XCEPTION FOR CERTAIN CIR -14
CUMSTANCES.—The Secretary, the Secretary of Labor, 15
and the Secretary of the Treasury shall jointly, 16
through rulemaking, specify circumstances and proc-17
esses by which the requirement under paragraph (1) 18
may be waived, with respect to a schedule II, III, IV, 19
or V controlled substance that is a prescription drug 20
covered by a group health plan or group or indi-21
vidual health insurance coverage offered by a health 22
insurance issuer, including in the case of— 23
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‘‘(A) a prescription issued when the partici-1
pating provider and dispensing pharmacy are 2
the same entity; 3
‘‘(B) a prescription issued that cannot be 4
transmitted electronically under the most re-5
cently implemented version of the National 6
Council for Prescription Drug Programs 7
SCRIPT Standard; 8
‘‘(C) a prescription issued by a partici-9
pating provider who received a waiver (which 10
may include a waiver obtained pursuant to sec-11
tion 1860D–4(e)(7)(B)(iii) of the Social Security 12
Act) or a renewal thereof for a period of time as 13
determined by the Secretary, the Secretary of 14
Labor, and the Secretary of the Treasury, not to 15
exceed one year, from the requirement to use elec-16
tronic prescribing due to demonstrated economic 17
hardship, technological limitations that are not 18
reasonably within the control of the partici-19
pating provider, or other exceptional cir-20
cumstance demonstrated by the participating 21
provider; 22
‘‘(D) a prescription issued by a partici-23
pating provider under circumstances in which, 24
notwithstanding the participating provider’s 25
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ability to submit a prescription electronically as 1
required by this subsection, such participating 2
provider reasonably determines that it would be 3
impractical for the individual involved to obtain 4
substances prescribed by electronic prescription 5
in a timely manner, and such delay would ad-6
versely impact the individual involved’s medical 7
condition involved; 8
‘‘(E) a prescription issued by a partici-9
pating provider prescribing a drug under a re-10
search protocol; 11
‘‘(F) a prescription issued by a partici-12
pating provider for a drug for which the Food 13
and Drug Administration requires a prescrip-14
tion to contain elements that are not able to be 15
included in electronic prescribing, such as a drug 16
with risk evaluation and mitigation strategies 17
that include elements to assure safe use; 18
‘‘(G) a prescription issued for an individual 19
who receives hospice care or for a resident of a 20
nursing facility (as defined in section 1919(a) of 21
the Social Security Act); 22
‘‘(H) a prescription issued under cir-23
cumstances in which electronic prescribing is not 24
available due to temporary technological or elec-25
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trical failure, as specified jointly by the Sec-1
retary, the Secretary of Labor, and the Secretary 2
of the Treasury through rulemaking; and 3
‘‘(I) a prescription issued by a partici-4
pating provider allowing for the dispensing of a 5
non-patient specific prescription pursuant to a 6
standing order, approved protocol for drug ther-7
apy, collaborative drug management, or com-8
prehensive medication management, in response 9
to a public health emergency or other cir-10
cumstances under which the participating pro-11
vider may issue a non-patient specific prescrip-12
tion. 13
‘‘(3) R
ULES OF CONSTRUCTION.— 14
‘‘(A) V
ERIFICATION.—Nothing in this sub-15
section shall be construed as requiring a dis-16
penser to verify that a participating provider, 17
with respect to a prescription for a schedule II, 18
III, IV, or V controlled substance that is a pre-19
scription drug covered by a group health plan or 20
group or individual health insurance coverage of-21
fered by a health insurance issuer, has a waiver 22
(or is otherwise exempt) under paragraph (2) 23
from the requirement under paragraph (1). 24
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‘‘(B) AUTHORITY TO DISPENSE .—Nothing 1
in this subsection shall be construed as affecting 2
the authority of a group health plan or group or 3
individual health insurance coverage offered by a 4
health insurance issuer to cover, or the authority 5
of a dispenser to continue to dispense, a pre-6
scription drug if the prescription for such drug 7
is an otherwise valid written, oral, or fax pre-8
scription that is consistent with applicable law. 9
‘‘(C) P
ATIENT CHOICE.—Nothing in this 10
subsection shall be construed as affecting the 11
ability of an individual who is a participant, 12
beneficiary, or enrollee of a group health plan or 13
group or individual health insurance coverage of-14
fered by a health insurance issuer and who is 15
prescribed a schedule II, III, IV, or V controlled 16
substance that is a prescription drug covered by 17
the plan or coverage to designate a particular 18
dispenser to dispense a prescribed controlled sub-19
stance to the extent consistent with the require-20
ments under this subsection. 21
‘‘(4) R
EGULATIONS ON POLICY REQUIRE -22
MENTS.—The Secretary, the Secretary of Labor, and 23
the Secretary of the Treasury shall promulgate regu-24
lations specifying requirements for the policies estab-25
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lished by group health plans and health insurance 1
issuers under paragraph (1). Such regulations shall 2
include requirements for— 3
‘‘(A) a uniform process by which plans and 4
issuers are required to set the e-prescribing re-5
quirements; 6
‘‘(B) a process by which plans and issuers 7
are required to grant waivers and exceptions to 8
participating providers pursuant to paragraph 9
(2); and 10
‘‘(C) a mechanism for plans and issuers to 11
recognize waivers issued to participating pro-12
viders under part D of title XVIII of the Social 13
Security Act, pursuant to paragraph (2)(C). 14
‘‘(5) P
ROHIBITIONS.—The policies established 15
pursuant to paragraph (1) by a group health plan or 16
health insurance issuer offering group or individual 17
health insurance coverage may not— 18
‘‘(A) require dispensers of a schedule II, III, 19
IV, or V controlled substance to confirm that the 20
prescription for the controlled substance was elec-21
tronically issued by a participating provider in 22
accordance with such policies, as described in 23
paragraph (1); 24
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‘‘(B) require dispensers of such controlled 1
substances to submit information or data beyond 2
what is otherwise required to process a prescrip-3
tion drug claim in order to confirm a partici-4
pating provider’s compliance with such policies; 5
‘‘(C) reject, deny, or recoup reimbursement 6
for a prescription drug claim based on the for-7
mat in which the prescription was issued; or 8
‘‘(D) require a participating provider to use 9
a specific vendor for electronic prescribing or a 10
specific electronic prescribing product or system. 11
‘‘(6) A
TTESTATION OF COMPLIANCE .—Beginning 12
on January 1, 2026, each group health plan and 13
health insurance issuer offering group or individual 14
health insurance coverage shall annually submit to 15
the Secretary, the Secretary of Labor, and the Sec-16
retary of the Treasury an attestation of compliance 17
with the requirements of this subsection. 18
‘‘(7) C
ONSULTATION REQUIREMENT FOR RULE -19
MAKING.—In promulgating regulations to carry out 20
this subsection, the Secretary, the Secretary of the 21
Labor, and the Secretary of the Treasury shall jointly 22
consult with dispensers of controlled substances, State 23
insurance regulators, and health care practitioners.’’. 24
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(b) EMPLOYEERETIREMENTINCOMESECURITYACT 1
OF1974 AMENDMENT.—Section 722 of the Employee Re-2
tirement Income Security Act of 1974 (29 U.S.C. 1185k) 3
is amended by adding at the end the following new sub-4
section: 5
‘‘(d) R
EQUIREMENTS FOR ELECTRONIC-PRESCRIBING 6
FORCONTROLLEDSUBSTANCES.— 7
‘‘(1) I
N GENERAL.—Except as provided pursuant 8
to paragraph (2), for plan years beginning on or after 9
January 1, 2026, a group health plan and a health 10
insurance issuer offering group health insurance cov-11
erage, with respect to a participating provider, as de-12
fined in section 716(a)(3), shall have in place poli-13
cies, subject to paragraphs (4) and (5), that require 14
any prescription for a schedule II, III, IV, or V con-15
trolled substance (as defined by section 202 of the 16
Controlled Substances Act) covered by the plan or cov-17
erage that is transmitted by such a participating pro-18
vider for such a participant or beneficiary be elec-19
tronically transmitted consistent with standards es-20
tablished under paragraph (3) of section 1860D–4(e) 21
of the Social Security Act, under an electronic pre-22
scription drug program that meets requirements that 23
are substantially similar (as jointly determined by 24
the Secretary, the Secretary of Health and Human 25
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Services, and the Secretary of the Treasury) to the re-1
quirements of paragraph (2) of such section 1860D– 2
4(e). 3
‘‘(2) E
XCEPTION FOR CERTAIN CIR -4
CUMSTANCES.—The Secretary, the Secretary of 5
Health and Human Services, and the Secretary of the 6
Treasury shall jointly, through rulemaking, specify 7
circumstances and processes by which the requirement 8
under paragraph (1) may be waived, with respect to 9
a schedule II, III, IV, or V controlled substance that 10
is a prescription drug covered by a group health plan 11
or group health insurance coverage offered by a health 12
insurance issuer, including in the case of— 13
‘‘(A) a prescription issued when the partici-14
pating provider and dispensing pharmacy are 15
the same entity; 16
‘‘(B) a prescription issued that cannot be 17
transmitted electronically under the most re-18
cently implemented version of the National 19
Council for Prescription Drug Programs 20
SCRIPT Standard; 21
‘‘(C) a prescription issued by a partici-22
pating provider who received a waiver (which 23
may include a waiver obtained pursuant to sec-24
tion 1860D–4(e)(7)(B)(iii) of the Social Security 25
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Act) or a renewal thereof for a period of time as 1
determined by the Secretary, the Secretary of 2
Health and Human Services, and the Secretary 3
of the Treasury, not to exceed one year, from the 4
requirement to use electronic prescribing due to 5
demonstrated economic hardship, technological 6
limitations that are not reasonably within the 7
control of the participating provider, or other ex-8
ceptional circumstance demonstrated by the par-9
ticipating provider; 10
‘‘(D) a prescription issued by a partici-11
pating provider under circumstances in which, 12
notwithstanding the participating provider’s 13
ability to submit a prescription electronically as 14
required by this subsection, such participating 15
provider reasonably determines that it would be 16
impractical for the individual involved to obtain 17
substances prescribed by electronic prescription 18
in a timely manner, and such delay would ad-19
versely impact the individual’s medical condi-20
tion involved; 21
‘‘(E) a prescription issued by a partici-22
pating provider prescribing a drug under a re-23
search protocol; 24
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‘‘(F) a prescription issued by a partici-1
pating provider for a drug for which the Food 2
and Drug Administration requires a prescrip-3
tion to contain elements that are not able to be 4
included in electronic prescribing, such as a drug 5
with risk evaluation and mitigation strategies 6
that include elements to assure safe use; 7
‘‘(G) a prescription issued for an individual 8
who receives hospice care or for a resident of a 9
nursing facility (as defined in section 1919(a) of 10
the Social Security Act); 11
‘‘(H) a prescription issued under cir-12
cumstances in which electronic prescribing is not 13
available due to temporary technological or elec-14
trical failure, as specified jointly by the Sec-15
retary, the Secretary of Health and Human 16
Services, and the Secretary of the Treasury 17
through rulemaking; and 18
‘‘(I) a prescription issued by a partici-19
pating provider allowing for the dispensing of a 20
non-patient specific prescription pursuant to a 21
standing order, approved protocol for drug ther-22
apy, collaborative drug management, or com-23
prehensive medication management, in response 24
to a public health emergency or other cir-25
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cumstances under which the participating pro-1
vider may issue a non-patient specific prescrip-2
tion. 3
‘‘(3) R
ULES OF CONSTRUCTION.— 4
‘‘(A) V
ERIFICATION.—Nothing in this sub-5
section shall be construed as requiring a dis-6
penser to verify that a participating provider, 7
with respect to a prescription for a schedule II, 8
III, IV, or V controlled substance that is a pre-9
scription drug covered by a group health plan or 10
group or individual health insurance coverage of-11
fered by a health insurance issuer, has a waiver 12
(or is otherwise exempt) under paragraph (2) 13
from the requirement under paragraph (1). 14
‘‘(B) A
UTHORITY TO DISPENSE .—Nothing 15
in this subsection shall be construed as affecting 16
the authority of a group health plan or group 17
health insurance coverage offered by a health in-18
surance issuer to cover, or the authority of a dis-19
penser to continue to dispense, a prescription 20
drug if the prescription for such drug is an oth-21
erwise valid written, oral, or fax prescription 22
that is consistent with applicable law. 23
‘‘(C) P
ATIENT CHOICE.—Nothing in this 24
subsection shall be construed as affecting the 25
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ability of an individual who is a participant or 1
beneficiary of a group health plan or group or 2
individual health insurance coverage offered by a 3
health insurance issuer and who is prescribed a 4
schedule II, III, IV, or V controlled substance 5
that is a prescription drug covered by the plan 6
or coverage to designate a particular dispenser to 7
dispense a prescribed controlled substance to the 8
extent consistent with the requirements under 9
this subsection. 10
‘‘(4) R
EGULATIONS ON POLICY REQUIRE -11
MENTS.—The Secretary, the Secretary of Health and 12
Human Services, and the Secretary of the Treasury 13
shall promulgate regulations specifying requirements 14
for the policies established by group health plans and 15
health insurance issuers under paragraph (1). Such 16
regulations shall include requirements for— 17
‘‘(A) a uniform process by which plans and 18
issuers are required to set the e-prescribing re-19
quirements; 20
‘‘(B) a process by which plans and issuers 21
are required to grant waivers and exceptions to 22
participating providers pursuant to paragraph 23
(2); and 24
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‘‘(C) a mechanism for plans and issuers to 1
recognize waivers issued to participating pro-2
viders under part D of title XVIII of the Social 3
Security Act, pursuant to paragraph (2)(C). 4
‘‘(5) P
ROHIBITIONS.—The policies established 5
pursuant to paragraph (1) by a group health plan or 6
health insurance issuer offering group health insur-7
ance coverage may not— 8
‘‘(A) require dispensers of a schedule II, III, 9
IV, or V controlled substance to confirm that the 10
prescription for the controlled substance was elec-11
tronically issued by a participating provider in 12
accordance with such policies, as described in 13
paragraph (1); 14
‘‘(B) require dispensers of such controlled 15
substances to submit information or data beyond 16
what is otherwise required to process a prescrip-17
tion drug claim in order to confirm a partici-18
pating provider’s compliance with such policies; 19
‘‘(C) reject, deny, or recoup reimbursement 20
for a prescription drug claim based on the for-21
mat in which the prescription was issued; or 22
‘‘(D) require a participating provider to use 23
a specific vendor for electronic prescribing or a 24
specific electronic prescribing product or system. 25
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‘‘(6) ATTESTATION OF COMPLIANCE .—Beginning 1
on January 1, 2026, each group health plan and 2
health insurance issuer offering group health insur-3
ance coverage shall annually submit to the Secretary, 4
the Secretary of Health and Human Services, and the 5
Secretary of the Treasury an attestation of compli-6
ance with the requirements of this subsection. 7
‘‘(7) C
ONSULTATION REQUIREMENT FOR RULE -8
MAKING.—In promulgating regulations to carry out 9
this subsection, the Secretary, the Secretary of Health 10
and Human Services, and the Secretary of the Treas-11
ury shall jointly consult with dispensers of controlled 12
substances, State insurance regulators, and health 13
care practitioners.’’. 14
(c) I
NTERNALREVENUECODE OF1986 AMEND-15
MENT.—Section 9822 of the Internal Revenue Code of 1986 16
is amended by adding at the end the following new sub-17
section: 18
‘‘(d) R
EQUIREMENTS FOR ELECTRONIC-PRESCRIBING 19
FORCONTROLLEDSUBSTANCES.— 20
‘‘(1) I
N GENERAL.—Except as provided pursuant 21
to paragraph (2), for plan years beginning on or after 22
January 1, 2026, a group health plan, with respect 23
to a participating provider, as defined in section 24
9816(a)(3), shall have in place policies, subject to 25
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paragraphs (4) and (5), that require any prescription 1
for a schedule II, III, IV, or V controlled substance 2
(as defined by section 202 of the Controlled Sub-3
stances Act) covered by the plan that is transmitted 4
by such a participating provider for such a partici-5
pant or beneficiary be electronically transmitted con-6
sistent with standards established under paragraph 7
(3) of section 1860D–4(e) of the Social Security Act, 8
under an electronic prescription drug program that 9
meets requirements that are substantially similar (as 10
jointly determined by the Secretary, the Secretary of 11
Health and Human Services, and the Secretary of 12
Labor) to the requirements of paragraph (2) of such 13
section 1860D–4(e). 14
‘‘(2) E
XCEPTION FOR CERTAIN CIR -15
CUMSTANCES.—The Secretary, the Secretary of 16
Health and Human Services, and the Secretary of 17
Labor shall jointly, through rulemaking, specify cir-18
cumstances and processes by which the requirement 19
under paragraph (1) may be waived, with respect to 20
a schedule II, III, IV, or V controlled substance that 21
is a prescription drug covered by a group health, in-22
cluding in the case of— 23
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‘‘(A) a prescription issued when the partici-1
pating provider and dispensing pharmacy are 2
the same entity; 3
‘‘(B) a prescription issued that cannot be 4
transmitted electronically under the most re-5
cently implemented version of the National 6
Council for Prescription Drug Programs 7
SCRIPT Standard; 8
‘‘(C) a prescription issued by a partici-9
pating provider who received a waiver (which 10
may include a waiver obtained pursuant to sec-11
tion 1860D–4(e)(7)(B)(iii) of the Social Security 12
Act) or a renewal thereof for a period of time as 13
determined by the Secretary, the Secretary of 14
Health and Human Services, and the Secretary 15
of Labor, not to exceed one year, from the re-16
quirement to use electronic prescribing due to 17
demonstrated economic hardship, technological 18
limitations that are not reasonably within the 19
control of the participating provider, or other ex-20
ceptional circumstance demonstrated by the par-21
ticipating provider; 22
‘‘(D) a prescription issued by a partici-23
pating provider under circumstances in which, 24
notwithstanding the participating provider’s 25
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ability to submit a prescription electronically as 1
required by this subsection, such participating 2
provider reasonably determines that it would be 3
impractical for the individual involved to obtain 4
substances prescribed by electronic prescription 5
in a timely manner, and such delay would ad-6
versely impact the individual’s medical condi-7
tion involved; 8
‘‘(E) a prescription issued by a partici-9
pating provider prescribing a drug under a re-10
search protocol; 11
‘‘(F) a prescription issued by a partici-12
pating provider for a drug for which the Food 13
and Drug Administration requires a prescrip-14
tion to contain elements that are not able to be 15
included in electronic prescribing, such as a drug 16
with risk evaluation and mitigation strategies 17
that include elements to assure safe use; 18
‘‘(G) a prescription issued for an individual 19
who receives hospice care or for a resident of a 20
nursing facility (as defined in section 1919(a) of 21
the Social Security Act); 22
‘‘(H) a prescription issued under cir-23
cumstances in which electronic prescribing is not 24
available due to temporary technological or elec-25
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trical failure, as specified jointly by the Sec-1
retary, the Secretary of Health and Human 2
Services, and the Secretary of Labor through 3
rulemaking; and 4
‘‘(I) a prescription issued by a partici-5
pating provider allowing for the dispensing of a 6
non-patient specific prescription pursuant to a 7
standing order, approved protocol for drug ther-8
apy, collaborative drug management, or com-9
prehensive medication management, in response 10
to a public health emergency or other cir-11
cumstances under which the participating pro-12
vider may issue a non-patient specific prescrip-13
tion. 14
‘‘(3) R
ULES OF CONSTRUCTION.— 15
‘‘(A) V
ERIFICATION.—Nothing in this sub-16
section shall be construed as requiring a dis-17
penser to verify that a participating provider, 18
with respect to a prescription for a schedule II, 19
III, IV, or V controlled substance that is a pre-20
scription drug covered by a group health plan, 21
has a waiver (or is otherwise exempt) under 22
paragraph (2) from the requirement under para-23
graph (1). 24
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‘‘(B) AUTHORITY TO DISPENSE .—Nothing 1
in this subsection shall be construed as affecting 2
the ability of a group health plan to cover, or the 3
ability of a dispenser to continue to dispense, a 4
prescription drug if the prescription for such 5
drug is an otherwise valid written, oral, or fax 6
prescription that is consistence with applicable 7
laws and regulations. 8
‘‘(C) P
ATIENT CHOICE.—Nothing in this 9
subsection shall be construed as affecting the 10
ability of an individual who is a participant or 11
beneficiary of a group health plan and who is 12
prescribed a schedule II, III, IV, or V controlled 13
substance that is a prescription drug covered by 14
the plan to designate a particular dispenser to 15
dispense a prescribed controlled substance to the 16
extent consistent with the requirements under 17
this subsection. 18
‘‘(4) R
EGULATIONS ON POLICY REQUIRE -19
MENTS.—The Secretary, the Secretary of Health and 20
Human Services, and the Secretary of Labor shall 21
promulgate regulations specifying requirements for 22
the policies established by group health plans under 23
paragraph (1). Such regulations shall include require-24
ments for— 25
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‘‘(A) a uniform process by which plans are 1
required to set the e-prescribing requirements; 2
‘‘(B) a process by which plans are required 3
to grant waivers and exceptions to participating 4
providers pursuant to paragraph (2); and 5
‘‘(C) a mechanism for plans to recognize 6
waivers issued to participating providers under 7
part D of title XVIII of the Public Health Serv-8
ice Act, pursuant to paragraph (2)(C). 9
‘‘(5) P
ROHIBITIONS.—The policies established 10
pursuant to paragraph (1) by a group health plan 11
may not— 12
‘‘(A) require dispensers of a schedule II, III, 13
IV, or V controlled substance to confirm that the 14
prescription for the controlled substance was elec-15
tronically issued by a participating provider in 16
accordance with such policies, as described in 17
paragraph (1); 18
‘‘(B) require dispensers of such controlled 19
substances to submit information or data beyond 20
what is otherwise required to process a prescrip-21
tion drug claim in order to confirm a partici-22
pating provider’s compliance with such policies; 23
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‘‘(C) reject, deny, or recoup reimbursement 1
for a prescription drug claim based on the for-2
mat in which the prescription was issued; or 3
‘‘(D) require a participating provider to use 4
a specific vendor for electronic prescribing or a 5
specific electronic prescribing product or system. 6
‘‘(6) A
TTESTATION OF COMPLIANCE .—Beginning 7
on January 1, 2026, each group health plan shall an-8
nually submit to the Secretary, the Secretary of 9
Health and Human Services, and the Secretary of 10
Labor an attestation of compliance with the require-11
ments of this subsection. 12
‘‘(7) C
ONSULTATION REQUIREMENT FOR RULE -13
MAKING.—In promulgating regulations to carry out 14
this subsection, the Secretary, the Secretary of Health 15
and Human Services, and the Secretary of Labor 16
shall jointly consult with dispensers of controlled sub-17
stances, State insurance regulators, and health care 18
practitioners.’’. 19
(d) U
PDATE OFBIOMETRICCOMPONENT OFMULTI-20
FACTORAUTHENTICATION.—Not later than 1 year after the 21
date of enactment of this Act, the Attorney General shall 22
finalize a regulation updating the requirements for the bio-23
metric component of multifactor authentication with re-24
spect to electronic prescriptions of controlled substances, as 25
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required under section 2003(c) of the SUPPORT for Pa-1
tients and Community Act (Public Law 115–271). 2
TITLE II—TREATMENT 3
SEC. 201. RESIDENTIAL TREATMENT PROGRAM FOR PREG-4
NANT AND POSTPARTUM WOMEN. 5
Section 508 of the Public Health Service Act (42 6
U.S.C. 290bb–1) is amended— 7
(1) in subsection (d)(11)(C), by striking ‘‘pro-8
viding health services’’ and inserting ‘‘providing 9
health care services’’; 10
(2) in subsection (g)— 11
(A) by inserting ‘‘a plan describing’’ after 12
‘‘will provide’’; and 13
(B) by adding at the end the following: 14
‘‘Such plan may include a description of how 15
such applicant will target outreach to women 16
disproportionately impacted by maternal sub-17
stance use disorder.’’; and 18
(3) in subsection (s), by striking ‘‘$29,931,000 19
for each of fiscal years 2019 through 2023’’ and in-20
serting ‘‘$38,931,000 for each of fiscal years 2024 21
through 2028’’. 22
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SEC. 202. LOAN REPAYMENT PROGRAM FOR SUBSTANCE 1
USE DISORDER TREATMENT WORKFORCE. 2
Section 781(j) of the Public Health Service Act (42 3
U.S.C. 295h(j)) is amended by striking ‘‘$25,000,000 for 4
each of fiscal years 2019 through 2023’’ and inserting 5
‘‘$50,000,000 for each of fiscal years 2024 through 2028’’. 6
SEC. 203. REGIONAL CENTERS OF EXCELLENCE IN SUB-7
STANCE USE DISORDER EDUCATION. 8
Section 551 of the Public Health Service Act (42 9
U.S.C. 290ee–6) is amended by striking subsection (f). 10
SEC. 204. MENTAL AND BEHAVIORAL HEALTH EDUCATION 11
AND TRAINING PROGRAM. 12
Section 756(f) of the Public Health Service Act (42 13
U.S.C. 294e–1(f)) is amended to read as follows: 14
‘‘(f) A
UTHORIZATION OFAPPROPRIATIONS.—To carry 15
out this section, there is authorized to be appropriated the 16
following: 17
‘‘(1) $50,000,000 for fiscal year 2024, to be allo-18
cated as follows: 19
‘‘(A) For grants described in subsection 20
(a)(1), $15,000,000. 21
‘‘(B) For grants described in subsection 22
(a)(2), $15,000,000. 23
‘‘(C) For grants described in subsection 24
(a)(3), $10,000,000. 25
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‘‘(D) For grants described in subsection 1
(a)(4), $10,000,000. 2
‘‘(2) $55,000,000 for fiscal year 2025, to be allo-3
cated as follows: 4
‘‘(A) For grants described in subsection 5
(a)(1), $16,500,000. 6
‘‘(B) For grants described in subsection 7
(a)(2), $16,500,000. 8
‘‘(C) For grants described in subsection 9
(a)(3), $11,000,000. 10
‘‘(D) For grants described in subsection 11
(a)(4), $11,000,000. 12
‘‘(3) $60,000,000 for fiscal year 2026, to be allo-13
cated as follows: 14
‘‘(A) For grants described in subsection 15
(a)(1), $18,000,000. 16
‘‘(B) For grants described in subsection 17
(a)(2), $18,000,000. 18
‘‘(C) For grants described in subsection 19
(a)(3), $12,000,000. 20
‘‘(D) For grants described in subsection 21
(a)(4), $12,000,000. 22
‘‘(4) $65,000,000 for fiscal year 2027, to be allo-23
cated as follows: 24
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‘‘(A) For grants described in subsection 1
(a)(1), $19,500,000. 2
‘‘(B) For grants described in subsection 3
(a)(2), $19,500,000. 4
‘‘(C) For grants described in subsection 5
(a)(3), $13,000,000. 6
‘‘(D) For grants described in subsection 7
(a)(4), $13,000,000. 8
‘‘(5) $75,000,000 for fiscal year 2028, to be allo-9
cated as follows: 10
‘‘(A) For grants described in subsection 11
(a)(1), $22,500,000. 12
‘‘(B) For grants described in subsection 13
(a)(2), $22,500,000. 14
‘‘(C) For grants described in subsection 15
(a)(3), $15,000,000. 16
‘‘(D) For grants described in subsection 17
(a)(4), $15,000,000.’’. 18
SEC. 205. GRANTS TO ENHANCE ACCESS TO SUBSTANCE 19
USE DISORDER TREATMENT. 20
Section 3203 of the SUPPORT for Patients and Com-21
munities Act (21 U.S.C. 823 note) is amended— 22
(1) by striking subsection (b); and 23
(2) by striking ‘‘I
NGENERAL—The Secretary’’ 24
and inserting the following: 25
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‘‘The Secretary’’. 1
SEC. 206. GRANTS TO IMPROVE TRAUMA SUPPORT SERV-2
ICES AND MENTAL HEALTH CARE FOR CHIL-3
DREN AND YOUTH IN EDUCATIONAL SET-4
TINGS. 5
Section 7134 of the SUPPORT for Patients and Com-6
munities Act (42 U.S.C. 280h–7) is amended— 7
(1) in subsection (a), by striking ‘‘tribal’’ and 8
inserting ‘‘Tribal’’; 9
(2) in subsection (c)— 10
(A) in paragraph (1), by inserting ‘‘early 11
intervention,’’ after ‘‘screening,’’; 12
(B) in paragraph (3)— 13
(i) in the matter preceding subpara-14
graph (A), by inserting ‘‘other staff,’’ after 15
‘‘support personnel,’’; and 16
(ii) in subparagraph (A), by striking 17
‘‘social and emotional learning’’ and insert-18
ing ‘‘developmentally appropriate prac-19
tices’’; and 20
(C) in paragraph (5), by inserting ‘‘reduce 21
stigma associated with mental health care and’’ 22
after ‘‘efforts to’’; 23
(3) in subsection (d)— 24
(A) in paragraph (4)— 25
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(i) in subparagraph (A), by striking ‘‘; 1
and’’ and inserting a semicolon; 2
(ii) in subparagraph (B)— 3
(I) by striking ‘‘tribal organiza-4
tions as appropriate, other school per-5
sonnel’’ and inserting ‘‘Tribal organi-6
zations as appropriate, other staff’’; 7
and 8
(II) by striking the period and in-9
serting ‘‘; and’’; and 10
(iii) by adding at the end the fol-11
lowing: 12
‘‘(C) parents and guardians will be in-13
formed of what trauma support services and 14
mental health care are available to their students 15
and what services and care their students receive, 16
in accordance with the parental consent require-17
ments under subsection (h)(2).’’; and 18
(B) by adding at the end the following: 19
‘‘(7) A plan for sustaining the program following 20
the end of the award period.’’; 21
(4) in subsection (f)(1), by inserting ‘‘, which 22
shall include a description of how the school obtains 23
consent from the student’s parent or guardian for the 24
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provision of trauma support services and mental 1
health care’’ after ‘‘this section’’; 2
(5) in subsection (g), by striking ‘‘tribal’’ and 3
inserting ‘‘Tribal’’; 4
(6) in subsection (h)— 5
(A) in the subsection heading, by inserting 6
‘‘; A
PPLICATION OFCERTAINPROVISIONS’’ after 7
‘‘C
ONSTRUCTION’’; 8
(B) by striking ‘‘tribal’’ each place it ap-9
pears and inserting ‘‘Tribal’’; 10
(C) by redesignating paragraphs (1) and 11
(2) as subparagraphs (A) and (B), respectively, 12
and adjusting the margins accordingly; 13
(D) by striking ‘‘Nothing in this section’’ 14
and inserting the following: 15
‘‘(1) I
N GENERAL.—Nothing in this section’’; and 16
(E) by adding at the end the following: 17
‘‘(2) A
PPLICATION OF PROVISIONS.— 18
‘‘(A) R
ULES.—Section 4001 of the Elemen-19
tary and Secondary Education Act of 1965 (not 20
including the exception under subsection 21
(a)(2)(B)(i) of such section) shall apply to an 22
entity receiving a grant, contract, or cooperative 23
agreement under this section in the same manner 24
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as such section 4001 applies to an entity receiv-1
ing funding under title IV of such Act. 2
‘‘(B) P
RIVACY PROTECTIONS.—Any edu-3
cation record of a student collected or main-4
tained under subsection (c)(4) shall have the pro-5
tections required for education records under sec-6
tion 444 of the General Education Provisions 7
Act.’’. 8
(7) in subsection (k)— 9
(A) by redesignating paragraphs (5) 10
through (11) as paragraphs (6) through (12), re-11
spectively; and 12
(B) by inserting after paragraph (4) the fol-13
lowing: 14
‘‘(5) O
THER STAFF.—The term ‘other staff’ has 15
the meaning given such term in section 8101 of the 16
Elementary and Secondary Education Act of 1965.’’; 17
and 18
(8) in subsection (l), by striking ‘‘2019 through 19
2023’’ and inserting ‘‘2024 through 2028’’. 20
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SEC. 207. DEVELOPMENT AND DISSEMINATION OF MODEL 1
TRAINING PROGRAMS FOR SUBSTANCE USE 2
DISORDER PATIENT RECORDS. 3
Section 7053 of the SUPPORT for Patients and Com-4
munities Act (42 U.S.C. 290dd–2 note) is amended by strik-5
ing subsection (e). 6
SEC. 208. TASK FORCE ON BEST PRACTICES FOR TRAUMA- 7
INFORMED IDENTIFICATION, REFERRAL, AND 8
SUPPORT. 9
Section 7132 of the SUPPORT for Patients and Com-10
munities Act (Public Law 115–271; 132 Stat. 4046) is 11
amended— 12
(1) in subsection (b)(1)— 13
(A) by redesignating subparagraph (CC) as 14
subparagraph (DD); and 15
(B) by inserting after subparagraph (BB) 16
the following: 17
‘‘(CC) The Administration for Community 18
Living.’’; 19
(2) in subsection (d)(1), in the matter preceding 20
subparagraph (A), by inserting ‘‘, developmental dis-21
ability service providers’’ before ‘‘, individuals who 22
are’’; and 23
(3) in subsection (i), by striking ‘‘2023’’ and in-24
serting ‘‘2028’’. 25
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SEC. 209. PROGRAM TO SUPPORT COORDINATION AND CON-1
TINUATION OF CARE FOR DRUG OVERDOSE 2
PATIENTS. 3
Section 7081 of the SUPPORT for Patients and Com-4
munities Act (42 U.S.C. 290dd–4) is amended by striking 5
subsection (f). 6
SEC. 210. REGULATIONS RELATING TO SPECIAL REGISTRA-7
TION FOR TELEMEDICINE. 8
Not later than 1 year after the date of enactment of 9
this Act, the Attorney General, in consultation with the Sec-10
retary of Health and Human Services, shall promulgate the 11
final regulations required under section 311(h)(2) of the 12
Controlled Substances Act (21 U.S.C. 831(h)(2)). 13
SEC. 211. MENTAL HEALTH PARITY. 14
(a) I
NGENERAL.—Not later than January 1, 2025, 15
the Inspector General of the Department of Labor, in co-16
ordination with the Inspector General of the Department 17
of Health and Human Services, shall report to the Com-18
mittee on Health, Education, Labor, and Pensions of the 19
Senate and the Committee on Energy and Commerce and 20
the Committee on Education and the Workforce of the 21
House of Representatives on the following: 22
(1) The non-quantitative treatment limit (re-23
ferred to in this section as ‘‘NQTL’’) requirements 24
with respect to mental health and substance use dis-25
order benefits under group health plans and health 26
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insurance issuers under section 2726(a)(8) of the Pub-1
lic Health Service Act (42 U.S.C. 300gg–26(a)(8)), 2
section 712(a)(8) of the Employee Retirement Income 3
Security Act of 1974 (29 U.S.C. 1185a(a)(8)), and 4
section 9812(a)(8) of the Internal Revenue Code of 5
1986 (referred to in this section as the ‘‘NQTL com-6
parative analysis requirements’’), and the require-7
ments for the Secretary of Health and Human Serv-8
ices, the Secretary of Labor, and the Secretary of the 9
Treasury to issue regulations, a compliance program 10
guide, and additional guidance documents and tools 11
providing guidance relating to mental health parity 12
requirements under section 2726(a) of the Public 13
Health Service Act (42 U.S.C. 300gg–26(a)), section 14
712(a) of the Employee Retirement Income Security 15
Act of 1974 (29 U.S.C. 1185a(a)), and section 16
9812(a) of the Internal Revenue Code of 1986. 17
(2) With respect to the NQTL comparative anal-18
ysis requirements described in paragraph (1), an 19
analysis of the actions taken by the Secretary of 20
Labor, the Secretary of the Treasury, and the Sec-21
retary of Health and Human Services to provide 22
guidance to ensure that group health plans and health 23
insurance issuers can fully comply with mental health 24
parity requirements under section 2726 of the Public 25
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Health Service Act (42 U.S.C. 300gg–26), section 712 1
of the Employee Retirement Income Security Act of 2
1974 (29 U.S.C. 1185a), and section 9812 of the In-3
ternal Revenue Code of 1986 and the NQTL compara-4
tive analysis requirements described in paragraph 5
(1), including an analysis of— 6
(A) the extent to which the Secretary of 7
Labor, the Secretary of the Treasury, and the 8
Secretary of Health and Human Services have 9
fulfilled the requirement under section 203(b) of 10
division BB of the Consolidated Appropriations 11
Act, 2021 (Public Law 116–260) to issue the spe-12
cific guidance and regulations pertaining to the 13
requirements for group health plans and health 14
insurance issuers to demonstrate compliance 15
with the NQTL comparative analysis require-16
ments; and 17
(B) whether sufficient guidance and exam-18
ples from the Department of Labor and Depart-19
ment of Health and Human Services, and the 20
Department of the Treasury exist to guide and 21
assist group health plans and health insurance 22
issuers in complying with the requirements to 23
demonstrate compliance with mental health par-24
ity NQTL comparative analysis requirements/ 25
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under such sections 2726(a)(8), 712(a)(8), and 1
9812(a)(8). 2
(3) A review of the enforcement processes of the 3
Department of Labor and the Department of Health 4
and Human Services to evaluate the consistency of 5
interpretation of the requirements under section 6
2726(a)(8) of the Public Health Service Act (42 7
U.S.C. 300gg–26(a)(8)), section 712(a)(8) of the Em-8
ployee Retirement Income Security Act of 1974 (29 9
U.S.C. 1185a(a)(8)), and section 9812(a)(8) of the In-10
ternal Revenue Code of 1986, in particular with re-11
spect to processes utilized for enforcement, actions or 12
inactions that constitute noncompliance, and avoid-13
ance among the agencies of duplication of enforce-14
ment, including an evaluation of compliance with sec-15
tion 104 of the Health Insurance Portability and Ac-16
countability Act of 1996 (Public Law 104–191). 17
(4) A review of the implementation, by the De-18
partment of Labor, Department of Health and 19
Human Services, and Department of the Treasury, of 20
mental health parity requirements under section 2726 21
of the Public Health Service Act (42 U.S.C. 300gg– 22
26), section 712 of the Employee Retirement Income 23
Security Act of 1974 (29 U.S.C. 1185a), and section 24
9812 of the Internal Revenue Code of 1986, including 25
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all such requirements in effect through the enactment 1
of the Mental Health Parity Act of 1996 (Public Law 2
104–204), the Paul Wellstone and Pete Domenici 3
Mental Health Parity and Addiction Equity Act of 4
2008 (Public Law 110–460), the 21st Century Cures 5
Act (Public Law 114–255), and the Consolidated Ap-6
propriations Act, 2023 (Public Law 117–328) (in-7
cluding any amendments made by such Acts), and in-8
cluding with respect to the timing of all actions, 9
delays of any actions, reasons for any such delays, 10
mandated requirements that were met only once but 11
not each time such requirements were mandated. 12
(b) D
EFINITIONS.—In this section, the terms ‘‘group 13
health plan’’ and ‘‘health insurance issuer’’ have the mean-14
ings given such terms in section 733 of the Employee Retire-15
ment Income Security Act of 1974 (29 U.S.C. 1191b). 16
SEC. 212. STATE GUIDANCE RELATED TO INDIVIDUALS 17
WITH SERIOUS MENTAL ILLNESS AND CHIL-18
DREN WITH SERIOUS EMOTIONAL DISTURB-19
ANCE. 20
(a) R
EVIEW OFUSE OFCERTAINFUNDING.—Not later 21
than 1 year after the date of enactment of this Act, the Sec-22
retary of Health and Human Services, acting through the 23
Assistant Secretary for Mental Health and Substance Use, 24
shall conduct a review of the use by States of funds made 25
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available under the Community Mental Health Services 1
Block Grant program under subpart I of part B of title 2
XIX of the Public Health Service Act (42 U.S.C. 300x et 3
seq.) for First Episode Psychosis activities. Such review 4
shall consider the following: 5
(1) How the States use funds for evidence-based 6
treatments and services, such as coordinated specialty 7
care, according to the standard of care for individuals 8
with early serious mental illness, including the com-9
prehensiveness of such treatments to include all as-10
pects of the recommended intervention. 11
(2) How State mental health departments coordi-12
nate with State Medicaid departments in the delivery 13
of the treatments and services described in paragraph 14
(1). 15
(3) The percentage of the State funding under 16
the block grant program that is applied toward early 17
serious mental illness, and funding in excess of, or 18
under, 10 percent of the amount of the grant, broken 19
down by State. 20
(4) The percentage of funds expended by States 21
through such block grant program specifically on 22
First Episode Psychosis, to the extent such informa-23
tion is available. 24
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(5) How many individuals are served by the ex-1
penditures described in paragraphs (3) and (4), on a 2
per-capita basis. 3
(6) How the funds are used to reach underserved 4
populations, including rural populations and racial 5
and ethnic minority populations. 6
(b) R
EPORT ANDGUIDANCE.— 7
(1) R
EPORT.—Not later than 6 months after the 8
completion of the review under subsection (a), the Sec-9
retary of Health and Human Services, acting through 10
the Assistant Secretary for Mental Health and Sub-11
stance Use, shall submit to the Committee on Appro-12
priations, the Committee on Health, Education, 13
Labor, and Pensions, and the Committee on Finance 14
of the Senate and to the Committee on Appropria-15
tions and the Committee on Energy and Commerce of 16
the House of Representatives a report on the findings 17
made as a result of the review conducted under sub-18
section (a). Such report shall include any rec-19
ommendations with respect to any changes to the 20
Community Mental Health Services Block Grant pro-21
gram under subpart I of part B of title XIX of the 22
Public Health Service Act (42 U.S.C. 300x et seq.), 23
including the set-aside required for First Episode 24
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Psychosis, that would facilitate improved outcomes for 1
the targeted population involved. 2
(2) G
UIDANCE.—Not later than 1 year after the 3
date on which the report is submitted under para-4
graph (1), the Secretary of Health and Human Serv-5
ices, acting through the Assistant Secretary for Men-6
tal Health and Substance Use, shall update the guid-7
ance provided to States under the Community Mental 8
Health Services Block Grant program based on the 9
findings and recommendations of the report. 10
(c) A
DDITIONALGUIDANCE.—The Director of the Na-11
tional Institute of Mental Health shall coordinate with the 12
Assistant Secretary for Mental Health and Substance Use 13
in providing guidance to State grantees and provider sub-14
grantees about research advances in the delivery of services 15
for First Episode Psychosis under the Community Mental 16
Health Services Block Grant program. 17
(d) G
UIDANCE FORSTATESRELATING TOHEALTH 18
C
ARESERVICES ANDINTERVENTIONS FOR INDIVIDUALS 19
W
ITHSERIOUSMENTALILLNESS ANDCHILDRENWITH 20
S
ERIOUSEMOTIONALDISTURBANCE.—Not later than 2 21
years after the date of enactment of this Act, the Assistant 22
Secretary for Mental Health and Substance Use, jointly 23
with the Administrator of the Centers for Medicare & Med-24
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icaid Services and the Director of the National Institute 1
of Mental Health— 2
(1) shall provide updated guidance to States con-3
cerning the manner in which Federal funding pro-4
vided to States through programs administered by 5
such agencies, including the Community Mental 6
Health Services Block Grant program under subpart 7
I of part B of title XIX of the Public Health Service 8
Act (42 U.S.C. 300x et seq.), may be coordinated to 9
provide evidence-based health care services such as co-10
ordinated specialty care to individuals with serious 11
mental illness and serious emotional disturbance, and 12
interventions for individuals with early serious men-13
tal illness, including First Episode Psychosis; and 14
(2) may streamline relevant State reporting re-15
quirements if such streamlining would result in mak-16
ing it easier for States to coordinate funding under 17
the programs described in paragraph (1) to improve 18
treatments for individuals with serious mental illness 19
and serious emotional disturbance. 20
SEC. 213. IMPROVING ACCESS TO ADDICTION MEDICINE 21
PROVIDERS. 22
Section 597 of the Public Health Service Act (42 23
U.S.C. 290ll) is amended— 24
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(1) in subsection (a)(1), by inserting ‘‘diag-1
nosis,’’ after ‘‘related to’’; and 2
(2) in subsection (b), by inserting ‘‘addiction 3
medicine,’’ after ‘‘psychiatry,’’. 4
SEC. 214. ROUNDTABLE ON USING HEALTH INFORMATION 5
TECHNOLOGY TO IMPROVE MENTAL HEALTH 6
AND SUBSTANCE USE CARE OUTCOMES. 7
(a) R
OUNDTABLE.—Not later than 180 days after the 8
date of enactment of this Act, the Office of the National 9
Coordinator for Health Information Technology shall con-10
vene a public roundtable to examine how the expanded use 11
of electronic health records among mental health and sub-12
stance use service providers can improve outcomes for pa-13
tients in mental health and substance use settings and how 14
best to increase electronic health record adoption among 15
such providers. 16
(b) P
ARTICIPANTS.—The National Coordinator for 17
Health Information Technology shall ensure that the par-18
ticipants in the roundtable under subsection (a) include 19
private and public sector stakeholders, including patients, 20
providers (including providers of inpatient services and 21
providers of outpatient services), and representatives of 22
payors, health information exchanges, professional associa-23
tions, health information technology vendors, health infor-24
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mation technology certification organizations, and State 1
and Federal agencies. 2
(c) R
EPORT.—Not later than 180 days after the con-3
clusion of the public stakeholder roundtable under sub-4
section (a), the Office of the National Coordinator for 5
Health Information Technology shall submit to the Com-6
mittee on Health, Education, Labor, and Pensions of the 7
Senate and the Committee on Energy and Commerce of the 8
House of Representatives a report outlining information 9
gathered from the roundtable under subsection (a). Such re-10
port shall include an examination of— 11
(1) recommendations from the roundtable par-12
ticipants; 13
(2) unique considerations for using electronic 14
health record systems in mental health and substance 15
use treatment settings; 16
(3) unique considerations for developers of health 17
information technology relating to certification of 18
electronic health records for use in mental health and 19
substance use treatment settings where the applicable 20
health information technology is not currently subject 21
to certification requirements; 22
(4) current usage of electronic health records by 23
mental health and substance use disorder service pro-24
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viders, and the scope and magnitude of such providers 1
that do not use electronic health record systems; 2
(5) examples of how electronic health record sys-3
tems enable coordinated care and care management; 4
(6) how electronic health record systems further 5
appropriate patient and provider access to secure, us-6
able electronic information exchange; 7
(7) how electronic health record systems can be 8
connected to or support existing systems, which may 9
include the 988 crisis line, mobile crisis response sys-10
tems, and co-responder programs, to facilitate 11
connectivity, response, and integrated care; 12
(8) any existing programs to support greater 13
adoption of electronic health record systems among 14
mental health and substance use service providers; 15
(9) any limitations to greater adoption of elec-16
tronic health record systems among mental health and 17
substance use service providers; 18
(10) the costs of adoption of electronic health 19
record systems by mental health and substance use 20
disorder service providers; and 21
(11) best practices implemented by States and by 22
other entities to support adoption of use of electronic 23
health records among mental health and substance use 24
disorder service providers. 25
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SEC. 215. PEER-TO-PEER MENTAL HEALTH SUPPORT. 1
(a) I
NGENERAL.—The Assistant Secretary for Mental 2
Health and Substance Use (referred to in this section as 3
the ‘‘Assistant Secretary’’), in consultation with the Sec-4
retary of Education, may, as appropriate and within a rel-5
evant existing program, carry out a pilot program and 6
make awards, on a competitive basis, to eligible entities to 7
support evidence-based mental health peer support activities 8
for students enrolled in secondary schools (as such term is 9
defined in section 8101 of the Elementary and Secondary 10
Education Act of 1965 (20 U.S.C. 7801)). 11
(b) E
LIGIBILITY.—To be eligible to receive an award 12
under this section, an entity shall— 13
(1) be a State, political subdivision of a State, 14
territory, or Indian Tribe or Tribal organization (as 15
such terms are defined in section 4 of the Indian Self- 16
Determination and Education Assistance Act (25 17
U.S.C. 5304)); and 18
(2) submit to the Assistant Secretary an applica-19
tion at such time, in such manner, and containing 20
such information as the Assistant Secretary may re-21
quire, including a description of how the entity will 22
measure and evaluate progress of the program in im-23
proving student mental health outcomes. 24
(c) U
SE OFAMOUNTS.— 25
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(1) IN GENERAL.—Subject to paragraph (2), an 1
eligible entity may use amounts provided under this 2
section to implement or operate evidence-based mental 3
health peer support activities in 1 or more secondary 4
schools (as such term is defined in section 8101 of the 5
Elementary and Secondary Education Act of 1965 6
(20 U.S.C. 7801)) within the jurisdiction of such eli-7
gible entity, which may include providing training, 8
as appropriate, to students, adult supervisors, and 9
other appropriate individuals to improve the early 10
identification of, response to, and recovery supports 11
for mental health and substance use challenges, reduce 12
associated risks, and promote resiliency. 13
(2) P
ROGRAM OVERSIGHT .—An eligible entity 14
shall ensure that mental health peer support activities 15
under paragraph (1) are overseen by a school-based 16
mental health professional. 17
(3) FERPA.—Any education records of the stu-18
dent collected or maintained under this section shall 19
have the protections provided in section 444 of the 20
General Education Provisions Act (20 U.S.C. 1232g). 21
(d) E
VALUATION; REPORT.— 22
(1) E
VALUATION.—The Assistant Secretary shall 23
carry out an evaluation to measure the efficacy of the 24
program under this section. The evaluation shall— 25
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(A) measure participation rates in mental 1
health peer support activities, including any as-2
sociated trends; 3
(B) describe the specific trainings provided, 4
or other activities carried out under the pilot 5
program; 6
(C) assess whether such mental health peer 7
support activities impacted mental health out-8
comes of participating students; and 9
(D) measure the effectiveness of the pilot 10
program in connecting students to professional 11
mental health services compared to other evi-12
dence-based strategies. 13
(2) R
EPORT.—The Assistant Secretary shall pre-14
pare and submit to the Committee on Health, Edu-15
cation, Labor, and Pensions of the Senate and the 16
Committees on Energy and Commerce and Education 17
and the Workforce of the House of Representatives a 18
report containing the results of the evaluation con-19
ducted under paragraph (1). 20
(e) T
ECHNICALASSISTANCE.—The Assistant Sec-21
retary, in coordination with the Secretary of Education, 22
shall provide technical assistance to eligible entities apply-23
ing for and receiving an award under this section, includ-24
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ing the identification and dissemination of best practices 1
for mental health peer support programs for students. 2
(f) R
ULE OFCONSTRUCTION.—Section 4001 of the Ele-3
mentary and Secondary Education Act of 1965 (20 U.S.C. 4
7101) shall apply to an entity receiving a grant, contract, 5
or cooperative agreement under this section in the same 6
manner as such section applies to an entity receiving fund-7
ing under title IV of such Act, except that section 8
4001(a)(2)(B)(i) of such Act shall not apply. 9
(g) S
UNSET.—This section shall terminate on Sep-10
tember 30, 2028. 11
SEC. 216. KID PROOF PILOT PROGRAM. 12
(a) I
NGENERAL.—The Assistant Secretary for Mental 13
Health and Substance Use (referred to in this section as 14
the ‘‘Assistant Secretary’’), may, as appropriate and within 15
a relevant existing program, carry out a pilot program and 16
make awards, on a competitive basis, to eligible entities to 17
prevent, or reduce the risk of, suicide and drug overdose 18
by children, adolescents, and young adults, including by ad-19
dressing the misuse of lethal means commonly used in over-20
dose or suicide. 21
(b) E
LIGIBILITY.—To be eligible to receive an award 22
under this section, an entity shall— 23
(1) be a State, political subdivision of a State, 24
territory, or Indian Tribe or Tribal organization (as 25
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such terms are defined in section 4 of the Indian Self- 1
Determination and Education Assistance Act (25 2
U.S.C. 5304)); and 3
(2) submit to the Assistant Secretary an applica-4
tion at such time, in such manner, and containing 5
such information as the Assistant Secretary may re-6
quire, including a description of the geographic loca-7
tion and settings in which such entity proposes to 8
carry out activities under such award and the dem-9
onstrated need of such geographic location and set-10
tings. 11
(c) U
SE OFFUNDS.—An eligible entity shall use 12
amounts provided under this section to implement evidence- 13
based practices to prevent, or reduce the risk of, overdose 14
and suicide among children, adolescents, and young adults, 15
including promoting education and awareness among par-16
ents or legal guardians on relevant best practices and pro-17
viding appropriate supplies to parents or legal guardians 18
to prevent, or reduce the risk of, the misuse of lethal means 19
commonly used in overdose or suicide. 20
(d) P
ARTNERSHIPS.—Recipients of funding under this 21
section may partner with health care facilities to carry out 22
activities under subsection (c). 23
(e) E
VALUATION; REPORT.— 24
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(1) EVALUATION.—Not later than 2 years after 1
the date on which awards under this section are first 2
issued, the Assistant Secretary shall carry out an 3
evaluation to measure the efficacy of the program 4
under this section. The evaluation shall include— 5
(A) a description of any specific education 6
and awareness activities carried out through the 7
pilot program under this section; 8
(B) the number and types of supplies pro-9
vided to parents or legal guardians to prevent, or 10
reduce the risk of, the misuse of lethal means 11
commonly used in overdose or suicide; and 12
(C) an assessment of the efficacy of the pilot 13
program in preventing, or reducing the risk of, 14
overdose and suicide. 15
(2) R
EPORT.—The Assistant Secretary shall pre-16
pare and submit to the Committee on Health, Edu-17
cation, Labor, and Pensions of the Senate and the 18
Committee on Energy and Commerce of the House of 19
Representatives a report containing the results of the 20
evaluation conducted under paragraph (1). 21
(f) S
UNSET.—This section shall terminate on Sep-22
tember 30, 2028. 23
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TITLE III—RECOVERY 1
SEC. 301. YOUTH PREVENTION AND RECOVERY. 2
Section 7102(c) of the SUPPORT for Patients and 3
Communities Act (42 U.S.C. 290bb–7a(c)) (as amended by 4
section 113(a)) is amended— 5
(1) in paragraph (2)— 6
(A) in subparagraph (A)— 7
(i) in clause (i)— 8
(I) by inserting ‘‘, or a consortia 9
of local educational agencies,’’ after ‘‘a 10
local educational agency’’; and 11
(II) by striking ‘‘high schools’’ 12
and inserting ‘‘secondary schools’’; and 13
(ii) in clause (vi), by striking ‘‘tribe, 14
or tribal’’ and inserting ‘‘Tribe, or Tribal’’; 15
(B) by amending subparagraph (E) to read 16
as follows: 17
‘‘(E) I
NDIAN TRIBE; TRIBAL ORGANIZA-18
TION.—The terms ‘Indian Tribe’ and ‘Tribal or-19
ganization’ have the meanings given such terms 20
in section 4 of the Indian Self-Determination 21
and Education Assistance Act (25 U.S.C. 22
5304).’’; 23
(C) by redesignating subparagraph (K) as 24
subparagraph (L); and 25
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(D) by inserting after subparagraph (J) the 1
following: 2
‘‘(K) S
ECONDARY SCHOOL.—The term ‘sec-3
ondary school’ has the meaning given such term 4
in section 8101 of the Elementary and Sec-5
ondary Education Act of 1965 (20 U.S.C. 6
7801).’’; 7
(2) in paragraph (3)(A), in the matter preceding 8
clause (i)— 9
(A) by striking ‘‘and abuse’’; and 10
(B) by inserting ‘‘at increased risk for sub-11
stance misuse’’ after ‘‘specific populations’’; 12
(3) in paragraph (4)— 13
(A) in the matter preceding subparagraph 14
(A), by striking ‘‘Indian tribes’’ and inserting 15
‘‘Indian Tribes’’; 16
(B) in subparagraph (A), by striking ‘‘and 17
abuse’’; and 18
(C) in subparagraph (B), by striking ‘‘peer 19
mentoring’’ and inserting ‘‘peer-to-peer support’’; 20
(4) in paragraph (5), by striking ‘‘tribal’’ and 21
inserting ‘‘Tribal’’; 22
(5) in paragraph (6)(A)— 23
(A) in clause (iv), by striking ‘‘; and’’ and 24
inserting a semicolon; and 25
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(B) by adding at the end the following: 1
‘‘(vi) a plan to sustain the activities 2
carried out under the grant program, after 3
the grant program has ended; and’’; 4
(6) in paragraph (8), by striking ‘‘2022’’ and in-5
serting ‘‘2027’’; and 6
(7) by amending paragraph (9) to read as fol-7
lows: 8
‘‘(9) A
UTHORIZATION OF APPROPRIATIONS .—To 9
carry out this subsection, there are authorized to be 10
appropriated $10,000,000 for fiscal year 2024, 11
$12,000,000 for fiscal year 2025, $14,000,000 for fis-12
cal year 2026, $16,000,000 for fiscal year 2027, and 13
$18,000,000 for fiscal year 2028.’’. 14
SEC. 302. COMPREHENSIVE OPIOID RECOVERY CENTERS. 15
Section 552 of the Public Health Service Act (42 16
U.S.C. 290ee–7) is amended— 17
(1) in subsection (d)(2)— 18
(A) in the matter preceding subparagraph 19
(A), by striking ‘‘and in such manner’’ and in-20
serting ‘‘, in such manner, and containing such 21
information and assurances’’; and 22
(B) in subparagraph (A), by striking ‘‘is 23
capable of coordinating with other entities to 24
carry out’’ and inserting ‘‘has the demonstrated 25
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capability to carry out, through referral or con-1
tractual arrangements’’; 2
(2) in subsection (h)— 3
(A) by redesignating paragraphs (1) 4
through (4) as subparagraphs (A) through (D), 5
respectively, and adjusting the margins accord-6
ingly; 7
(B) by striking ‘‘With respect to’’ and in-8
serting the following: 9
‘‘(1) I
N GENERAL.—With respect to’’; and 10
(C) by adding at the end the following: 11
‘‘(2) A
DDITIONAL REPORTING FOR CERTAIN ELI -12
GIBLE ENTITIES.—An entity carrying out activities 13
described in subsection (g) through referral or con-14
tractual arrangements shall include in the submis-15
sions required under paragraph (1) information re-16
lated to the status of such referrals or contractual ar-17
rangements, including an assessment of whether such 18
referrals or contractual arrangements are supporting 19
the ability of such entity to carry out such activi-20
ties.’’; and 21
(3) in subsection (j), by striking ‘‘2019 through 22
2023’’ and inserting ‘‘2024 through 2028’’. 23
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SEC. 303. BUILDING COMMUNITIES OF RECOVERY. 1
Section 547(f) of the Public Health Service Act (42 2
U.S.C. 290ee–2(f)) is amended by striking ‘‘$5,000,000 for 3
each of fiscal years 2019 through 2023’’ and inserting 4
‘‘$16,000,000 for each of fiscal years 2024 through 2028’’. 5
SEC. 304. PEER SUPPORT TECHNICAL ASSISTANCE CENTER. 6
Section 547A of the Public Health Service Act (42 7
U.S.C. 290ee–2a) is amended— 8
(1) in subsection (b)(4), by striking ‘‘building; 9
and’’ and inserting the following: ‘‘building, such 10
as— 11
‘‘(A) professional development of peer sup-12
port specialists; and 13
‘‘(B) making recovery support services 14
available in nonclinical settings; and’’; 15
(2) by redesignating subsections (d) and (e) as 16
subsections (e) and (f), respectively; 17
(3) by inserting after subsection (c) the fol-18
lowing: 19
‘‘(d) P
ILOTPROGRAM.— 20
‘‘(1) I
N GENERAL.—The Secretary shall carry 21
out a pilot program to establish one regional technical 22
assistance center (referred to in this subsection as the 23
‘Regional Center’) to assist the Center in carrying out 24
activities described in subsection (b) within the geo-25
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graphic region of such Regional Center in a manner 1
that is tailored to the needs of such region. 2
‘‘(2) E
VALUATION.—Not later than 4 years after 3
the date of enactment of the SUPPORT for Patients 4
and Communities Reauthorization Act, the Secretary 5
shall evaluate the activities of the Regional Center 6
and submit to the Committee on Health, Education, 7
Labor, and Pensions of the Senate and the Committee 8
on Energy and Commerce of the House of Representa-9
tives a report on the findings of such evaluation, in-10
cluding— 11
‘‘(A) a description of the distinct roles and 12
responsibilities of the Regional Center and the 13
Center; 14
‘‘(B) available information relating to the 15
outcomes of the pilot program under this sub-16
section, such as any impact the Regional Center 17
had on the operations and efficiency of the Cen-18
ter relating to requests for technical assistance 19
and support within the region of such Regional 20
Center; 21
‘‘(C) a description of any gaps or areas of 22
duplication relating to the activities of the Re-23
gional Center and the Center within such region; 24
and 25
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‘‘(D) recommendations relating to the modi-1
fication, expansion, or termination of the pilot 2
program under this subsection. 3
‘‘(3) T
ERMINATION.—This subsection shall termi-4
nate on September 30, 2028.’’; and 5
(4) in subsection (f), as so redesignated, by strik-6
ing ‘‘$1,000,000 for each of fiscal years 2019 through 7
2023’’ and inserting ‘‘$2,000,000 for each of fiscal 8
years 2024 through 2028’’. 9
SEC. 305. CAREER ACT. 10
(a) I
NGENERAL.—Section 7183 of the SUPPORT for 11
Patients and Communities Act (42 U.S.C. 290ee–8) is 12
amended— 13
(1) in the section heading, by inserting ‘‘; 14
TREATMENT, RECOVERY, AND WORKFORCE 15
SUPPORT GRANTS ’’ after ‘‘CAREER ACT’’; 16
(2) in subsection (b), by inserting ‘‘each’’ before 17
‘‘for a period’’; 18
(3) in subsection (c)— 19
(A) in paragraph (1), by striking ‘‘the rates 20
described in paragraph (2)’’ and inserting ‘‘the 21
average rates for calendar years 2018 through 22
2022 described in paragraph (2)’’; and 23
(B) by amending paragraph (2) to read as 24
follows: 25
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‘‘(2) RATES.—The rates described in this para-1
graph are the following: 2
‘‘(A) The highest age-adjusted average rates 3
of drug overdose deaths for calendar years 2018 4
through 2022 based on data from the Centers for 5
Disease Control and Prevention, including, if 6
necessary, provisional data for calendar year 7
2022. 8
‘‘(B) The highest average rates of unemploy-9
ment for calendar years 2018 through 2022 10
based on data provided by the Bureau of Labor 11
Statistics. 12
‘‘(C) The lowest average labor force partici-13
pation rates for calendar years 2018 through 14
2022 based on data provided by the Bureau of 15
Labor Statistics.’’; 16
(4) in subsection (g)— 17
(A) in each of paragraphs (1) and (3), by 18
redesignating subparagraphs (A) and (B) as 19
clauses (i) and (ii), respectively, and adjusting 20
the margins accordingly; 21
(B) by redesignating paragraphs (1) 22
through (3) as subparagraphs (A) through (C), 23
respectively, and adjusting the margins accord-24
ingly; 25
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(C) in the matter preceding subparagraph 1
(A) (as so redesignated), by striking ‘‘An entity’’ 2
and inserting the following: 3
‘‘(1) I
N GENERAL.—An entity’’; and 4
(D) by adding at the end the following: 5
‘‘(2) T
RANSPORTATION SERVICES.—An entity re-6
ceiving a grant under this section may use not more 7
than 5 percent of the funds for providing transpor-8
tation for individuals to participate in an activity 9
supported by a grant under this section, which trans-10
portation shall be to or from a place of work or a 11
place where the individual is receiving career and 12
technical education or job training services or receiv-13
ing services directly linked to treatment of or recovery 14
from a substance use disorder. 15
‘‘(3) L
IMITATION.—The Secretary may not re-16
quire an entity to, or give priority to an entity that 17
plans to, use the funds of a grant under this section 18
for activities that are not specified in this sub-19
section.’’; 20
(5) in subsection (i)(2), by inserting ‘‘, which 21
shall include employment and earnings outcomes de-22
scribed in subclauses (I) and (III) of section 23
116(b)(2)(A)(i) of the Workforce Innovation and Op-24
portunity Act (29 U.S.C. 3141(b)(2)(A)(i)) with re-25
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spect to the participation of such individuals with a 1
substance use disorder in programs and activities 2
funded by the grant under this section’’ after ‘‘sub-3
section (g)’’; 4
(6) in subsection (j)— 5
(A) in paragraph (1), by inserting ‘‘for 6
grants awarded prior to the date of enactment of 7
the SUPPORT for Patients and Communities 8
Reauthorization Act’’ after ‘‘grant period under 9
this section’’; and 10
(B) in paragraph (2)— 11
(i) in the matter preceding subpara-12
graph (A), by striking ‘‘2 years after sub-13
mitting the preliminary report required 14
under paragraph (1)’’ and inserting ‘‘Sep-15
tember 30, 2028’’; and 16
(ii) in subparagraph (A), by striking 17
‘‘(g)(3)’’ and inserting ‘‘(g)(1)(C)’’; and 18
(7) in subsection (k), by striking ‘‘$5,000,000 for 19
each of fiscal years 2019 through 2023’’ and inserting 20
‘‘$12,000,000 for each of fiscal years 2024 through 21
2028’’. 22
(b) C
LERICALAMENDMENT.—The table of contents in 23
section 1(b) of the SUPPORT for Patients and Commu-24
nities Act (Public Law 115–271; 132 Stat. 3894) is amend-25
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ed by striking the item relating to section 7183 and insert-1
ing the following: 2
‘‘Sec. 7183. CAREER Act; treatment, recovery, and workforce support grants.’’. 
SEC. 306. RESEARCH AND RECOMMENDATIONS ON CRIMI-
3
NAL BACKGROUND CHECK PROCESS FOR 4
PEER SUPPORT SPECIALISTS. 5
(a) I
NGENERAL.—The Secretary of Health and 6
Human Services (referred to in this section as the ‘‘Sec-7
retary’’), in coordination with the Attorney General, shall 8
develop a report on research and recommendations with re-9
spect to criminal background check processes for individuals 10
becoming peer support specialists. 11
(b) C
ONTENTS.—The report under subsection (a) shall 12
include— 13
(1) a summary of evidence-based research on the 14
effectiveness of peer support specialists in improving 15
the mental health and the substance use disorder re-16
covery of other individuals; 17
(2) a survey of each State’s laws (including reg-18
ulations) that contain criminal background check re-19
quirements for serving as a peer support specialist, 20
including— 21
(A) an analysis of criminal offenses that 22
are included in State laws (including regula-23
tions) that prevent individuals from earning a 24
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peer support specialist certification or from 1
practicing as a peer support specialist; 2
(B) an analysis of requirements (if any) 3
under the State plan under title XIX of the So-4
cial Security Act (42 U.S.C. 1396 et seq.) or 5
under a waiver of such plan relating to back-6
ground checks for providers participating under 7
such plan or waiver and the extent to which any 8
such requirements differ from similar require-9
ments imposed under State law (including regu-10
lations); 11
(C) an analysis of requirements (if any) of 12
any State receiving a grant under part B of title 13
XIX of the Public Health Service Act (42 U.S.C. 14
300x et seq.) relating to background checks for 15
providers participating in a program under, or 16
otherwise providing services supported by, such 17
grant; 18
(D) a review of State laws (including regu-19
lations) that provide exemptions from prohibi-20
tions regarding certification or practice of peer 21
support specialists; and 22
(E) an indication of each State that has 23
gone through the process of amending or other-24
wise changing criminal background check laws 25
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(including regulations) for the certification and 1
practice of peer support specialists; and 2
(3) recommendations to States on criminal back-3
ground check processes that would reduce barriers to 4
becoming certified as peer support specialists. 5
(c) A
VAILABILITY.—Not later than 1 year after the 6
date of enactment of this Act, the Secretary shall— 7
(1) post the report required under subsection (a) 8
on the publicly accessible internet website of the Sub-9
stance Abuse and Mental Health Services Administra-10
tion; and 11
(2) distribute such report to— 12
(A) State agencies responsible for certifi-13
cation of peer support specialists; 14
(B) the Centers for Medicare & Medicaid 15
Services; 16
(C) State agencies responsible for carrying 17
out a State plan under title XIX of the Social 18
Security Act or under a waiver of such plan; 19
and 20
(D) State agencies responsible for carrying 21
out a grant under part B of title XIX of the 22
Public Health Service Act (42 U.S.C. 300x et 23
seq.). 24
(d) D
EFINITION OFPEERSUPPORTSPECIALIST.— 25
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(1) IN GENERAL.—In this section, the term ‘‘peer 1
support specialist’’ means an individual— 2
(A)(i) who has lived experience of recovery 3
from a mental health condition or substance use 4
disorder and who specializes in supporting indi-5
viduals with mental health conditions or sub-6
stance use disorders; or 7
(ii) who has lived experience as a parent or 8
caregiver of an individual with a mental health 9
condition or substance use disorder and who spe-10
cializes in supporting families navigating men-11
tal health or substance use service systems; and 12
(B) who is certified as qualified to furnish 13
peer support services, as described in paragraph 14
(2), under a process that is determined by the 15
State in which such individual furnishes such 16
services or determined appropriate by the Sec-17
retary. 18
(2) P
EER SUPPORT SERVICES.—The services de-19
scribed in this paragraph shall be consistent with the 20
National Practice Guidelines for Peer Supporters 21
issued by the National Association of Peer Supporters 22
(or a successor publication) and inclusive of the Core 23
Competencies for Peer Workers in Behavioral Health 24
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Services of the Substance Abuse and Mental Health 1
Services Administration. 2
SEC. 307. OFFICE OF RECOVERY. 3
(a) I
NGENERAL.—There is established, within the 4
Substance Abuse and Mental Health Services Administra-5
tion, an Office of Recovery (referred to in this section as 6
the ‘‘Office’’). 7
(b) R
ESPONSIBILITIES.—The Office shall, taking into 8
account the perspectives of individuals with demonstrated 9
experience in mental health or substance use disorder recov-10
ery— 11
(1) identify new and emerging challenges related 12
to the provision of recovery support services; 13
(2) support technical assistance, data analysis, 14
and evaluation functions in order to assist States, 15
local governmental entities, Indian Tribes, and Tribal 16
organizations in implementing and strengthening re-17
covery support services, consistent with the needs of 18
such States, local governmental entities, Indian 19
Tribes, and Tribal organizations; and 20
(3) ensure coordination of efforts to identify, dis-21
seminate, and evaluate best practices related to— 22
(A) improving the capacity of, and access 23
to, recovery support services; and 24
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(B) supporting the training, education, pro-1
fessional development, and retention of peer sup-2
port specialists. 3
(c) R
EPORT.—Not later than 4 years after the date of 4
enactment of this Act, the Assistant Secretary for Mental 5
Health and Substance Use shall submit to the Committee 6
on Health, Education, Labor, and Pensions of the Senate 7
and the Committee on Energy and Commerce of the House 8
of Representatives a report on the activities conducted by 9
the Office, including— 10
(1) a description of the specific roles and respon-11
sibilities of the Office; 12
(2) a description of the relationship between the 13
Office and other relevant components or programs of 14
the Substance Abuse and Mental Health Services Ad-15
ministration; 16
(3) the identification of any gaps in the activi-17
ties of the Substance Abuse and Mental Health Serv-18
ices Administration or challenges in coordination be-19
tween the Office and such relevant components or pro-20
grams of such agency; and 21
(4) recommendations related to the continued op-22
erations of the Office. 23
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SEC. 308. REVIEW OF GRANTS.GOV. 1
(a) I
NGENERAL.—Not later than 1 year after the date 2
of enactment of this Act, the Secretary of Health and 3
Human Services (referred to in this section as the ‘‘Sec-4
retary’’) shall convene a public meeting for purposes of im-5
proving awareness of, and access to, information related to 6
current and future Federal funding opportunities, includ-7
ing Federal funding opportunities related to mental health 8
and substance use disorder programs. 9
(b) T
OPICS.—The public meeting under subsection (a) 10
shall include— 11
(1) opportunities to improve the utility and 12
functionality of relevant internet websites maintained 13
by the Secretary, such as Grants.gov; 14
(2) other models for displaying and dissemi-15
nating information related to Federal funding oppor-16
tunities, such as interactive dashboards; and 17
(3) strategies to improve the ability of entities to 18
apply for Federal funding opportunities, including 19
entities that have not traditionally applied for pro-20
grams administered by the Secretary. 21
(c) W
EBSITEIMPROVEMENTS.—The Secretary shall 22
implement improvements to Grants.gov based on stake-23
holder feedback received at the public meeting under sub-24
section (a). 25
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(d) REPORT.—Not later than 1 year after the date on 1
which the public meeting under subsection (a) is convened, 2
the Secretary shall submit to the Committee on Health, 3
Education, Labor, and Pensions of the Senate and the Com-4
mittee on Energy and Commerce of the House of Represent-5
atives a report summarizing the findings of such meeting, 6
including how the Secretary has taken into account the feed-7
back received through such meeting and implemented im-8
provements to relevant internet websites maintained by the 9
Secretary and strategies to improve awareness of Federal 10
funding opportunities. 11
TITLE IV—TECHNICAL 12
AMENDMENTS 13
SEC. 401. DELIVERY OF A CONTROLLED SUBSTANCE BY A 14
PHARMACY TO AN ADMINISTERING PRACTI-15
TIONER. 16
Section 309A(a) of the Controlled Substances Act (21 17
U.S.C. 829a(a)) is amended by striking paragraph (2) and 18
inserting the following: 19
‘‘(2) the controlled substance is a drug in sched-20
ule III, IV, or V to be administered— 21
‘‘(A) by injection or implantation for the 22
purpose of maintenance or detoxification treat-23
ment; or 24
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‘‘(B) intranasally, subject to risk evaluation 1
and mitigation strategy pursuant to section 2
505–1 of the Federal Food, Drug, and Cosmetic 3
Act (21 U.S.C. 355–1), with post-administration 4
monitoring by a health care professional;’’. 5
SEC. 402. TECHNICAL CORRECTION ON CONTROLLED SUB-6
STANCES DISPENSING. 7
Effective as if included in the enactment of Public Law 8
117–328— 9
(1) section 1252(a) of division FF of Public Law 10
117–328 (136 Stat. 5681) is amended, in the matter 11
being inserted into section 302(e) of the Controlled 12
Substances Act, by striking ‘‘303(g)’’ and inserting 13
‘‘303(h)’’; 14
(2) section 1262 of division FF of Public Law 15
117–328 (136 Stat. 5681) is amended— 16
(A) in subsection (a)— 17
(i) in the matter preceding paragraph 18
(1), by striking ‘‘303(g)’’ and inserting 19
‘‘303(h)’’; 20
(ii) in the matter being stricken by 21
subsection (a)(2), by striking ‘‘(g)(1)’’ and 22
inserting ‘‘(h)(1)’’; and 23
(iii) in the matter being inserted by 24
subsection (a)(2), by striking ‘‘(g) Practi-25
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tioners’’ and inserting ‘‘(h) Practitioners’’; 1
and 2
(B) in subsection (b)— 3
(i) in the matter being stricken by 4
paragraph (1), by striking ‘‘303(g)(1)’’ and 5
inserting ‘‘303(h)(1)’’; 6
(ii) in the matter being inserted by 7
paragraph (1), by striking ‘‘303(g)’’ and in-8
serting ‘‘303(h)’’; 9
(iii) in the matter being stricken by 10
paragraph (2)(A), by striking ‘‘303(g)(2)’’ 11
and inserting ‘‘303(h)(2)’’; 12
(iv) in the matter being stricken by 13
paragraph (3), by striking ‘‘303(g)(2)(B)’’ 14
and inserting ‘‘303(h)(2)(B)’’; 15
(v) in the matter being stricken by 16
paragraph (5), by striking ‘‘303(g)’’ and in-17
serting ‘‘303(h)’’; and 18
(vi) in the matter being stricken by 19
paragraph (6), by striking ‘‘303(g)’’ and in-20
serting ‘‘303(h)’’; and 21
(3) section 1263(b) of division FF of Public Law 22
117–328 (136 Stat. 5685) is amended— 23
(A) by striking ‘‘303(g)(2)’’ and inserting 24
‘‘303(h)(2)’’; and 25
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(B) by striking ‘‘(21 U.S.C. 823(g)(2))’’ and 1
inserting ‘‘(21 U.S.C. 823(h)(2))’’. 2
SEC. 403. REQUIRED TRAINING FOR PRESCRIBERS OF CON-3
TROLLED SUBSTANCES. 4
(a) I
NGENERAL.—Section 303 of the Controlled Sub-5
stances Act (21 U.S.C. 823) is amended— 6
(1) by redesignating the second subsection des-7
ignated as subsection (l) as subsection (m); and 8
(2) in subsection (m)(1), as so redesignated— 9
(A) in subparagraph (A)— 10
(i) in clause (iv)— 11
(I) in subclause (I)— 12
(aa) by inserting ‘‘the Amer-13
ican Academy of Family Physi-14
cians, the American Podiatric 15
Medical Association, the Academy 16
of General Dentistry, the Amer-17
ican Optometric Association,’’ be-18
fore ‘‘or any other organization’’; 19
(bb) by striking ‘‘or the Com-20
mission’’ and inserting ‘‘the Com-21
mission’’; and 22
(cc) by inserting ‘‘, or the 23
Council on Podiatric Medical 24
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Education’’ before the semicolon 1
at the end; and 2
(II) in subclause (III), by insert-3
ing ‘‘or the American Academy of 4
Family Physicians’’ after ‘‘Associa-5
tion’’; and 6
(ii) in clause (v), in the matter pre-7
ceding subclause (I)— 8
(I) by striking ‘‘osteopathic medi-9
cine, dental surgery’’ and inserting 10
‘‘osteopathic medicine, podiatric medi-11
cine, dental surgery’’; and 12
(II) by striking ‘‘or dental medi-13
cine curriculum’’ and inserting ‘‘or 14
dental or podiatric medicine cur-15
riculum’’; and 16
(B) in subparagraph (B)— 17
(i) in clause (i)— 18
(I) by inserting ‘‘the American 19
Pharmacists Association, the Accredi-20
tation Council on Pharmacy Edu-21
cation, the American Psychiatric 22
Nurses Association, the American 23
Academy of Nursing, the American 24
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Academy of Family Physicians,’’ before 1
‘‘or any other organization’’; and 2
(II) by inserting ‘‘, the American 3
Academy of Family Physicians,’’ before 4
‘‘or the Accreditation Council’’; and 5
(ii) in clause (ii)— 6
(I) by striking ‘‘or accredited 7
school’’ and inserting ‘‘, an accredited 8
school’’; and 9
(II) by inserting ‘‘, or an accred-10
ited school of pharmacy’’ before ‘‘in the 11
United States’’. 12
(b) E
FFECTIVEDATE.—The amendment made by sub-13
section (a) shall take effect as if enacted on December 29, 14
2022. 15
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319 
118
TH
CONGRESS 
2
D
S
ESSION
 
S. 3393 A BILL 
To reauthorize the SUPPORT for Patients and 
Communities Act, and for other purposes. 
F
EBRUARY
1, 2024 
Reported with an amendment 
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