1 | 1 | | I |
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2 | 2 | | 119THCONGRESS |
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3 | 3 | | 1 |
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4 | 4 | | STSESSION H. R. 2483 |
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5 | 5 | | To reauthorize certain programs that provide for opioid use disorder |
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6 | 6 | | prevention, treatment, and recovery, and for other purposes. |
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7 | 7 | | IN THE HOUSE OF REPRESENTATIVES |
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8 | 8 | | MARCH31, 2025 |
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9 | 9 | | Mr. G |
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10 | 10 | | UTHRIE(for himself and Ms. PETTERSEN) introduced the following bill; |
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11 | 11 | | which was referred to the Committee on Energy and Commerce, and in |
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12 | 12 | | addition to the Committees on Education and Workforce, the Judiciary, |
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13 | 13 | | and Financial Services, for a period to be subsequently determined by the |
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14 | 14 | | Speaker, in each case for consideration of such provisions as fall within |
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15 | 15 | | the jurisdiction of the committee concerned |
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16 | 16 | | A BILL |
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17 | 17 | | To reauthorize certain programs that provide for opioid use |
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18 | 18 | | disorder prevention, treatment, and recovery, and for |
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19 | 19 | | other purposes. |
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20 | 20 | | Be it enacted by the Senate and House of Representa-1 |
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21 | 21 | | tives of the United States of America in Congress assembled, 2 |
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22 | 22 | | SECTION 1. SHORT TITLE; TABLE OF CONTENTS. 3 |
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23 | 23 | | (a) S |
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24 | 24 | | HORTTITLE.—This Act may be cited as the 4 |
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25 | 25 | | ‘‘SUPPORT for Patients and Communities Reauthoriza-5 |
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26 | 26 | | tion Act of 2025’’. 6 |
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27 | 27 | | (b) T |
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28 | 28 | | ABLE OFCONTENTS.—The table of contents for 7 |
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29 | 29 | | this Act is as follows: 8 |
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31 | 31 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB 2 |
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32 | 32 | | •HR 2483 IH |
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33 | 33 | | Sec. 1. Short title; table of contents. |
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34 | 34 | | TITLE I—PREVENTION |
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35 | 35 | | Sec. 101. Prenatal and postnatal health. |
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36 | 36 | | Sec. 102. Monitoring and education regarding infections associated with illicit |
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37 | 37 | | drug use and other risk factors. |
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38 | 38 | | Sec. 103. Preventing overdoses of controlled substances. |
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39 | 39 | | Sec. 104. Support for individuals and families impacted by fetal alcohol spec- |
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40 | 40 | | trum disorder. |
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41 | 41 | | Sec. 105. Promoting state choice in PDMP systems. |
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42 | 42 | | Sec. 106. First responder training program. |
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43 | 43 | | Sec. 107. Donald J. Cohen National Child Traumatic Stress Initiative. |
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44 | 44 | | Sec. 108. Protecting suicide prevention lifeline from cybersecurity incidents. |
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45 | 45 | | Sec. 109. Monitoring and reporting of child, youth, and adult trauma. |
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46 | 46 | | Sec. 110. Bruce’s law. |
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47 | 47 | | Sec. 111. Guidance on at-home drug disposal systems. |
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48 | 48 | | Sec. 112. Assessment of opioid drugs and actions. |
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49 | 49 | | Sec. 113. Grant program for State and Tribal response to opioid use disorders. |
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50 | 50 | | TITLE II—TREATMENT |
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51 | 51 | | Sec. 201. Residential treatment program for pregnant and postpartum women. |
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52 | 52 | | Sec. 202. Improving access to addiction medicine providers. |
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53 | 53 | | Sec. 203. Mental and behavioral health education and training grants. |
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54 | 54 | | Sec. 204. Loan repayment program for substance use disorder treatment work- |
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55 | 55 | | force. |
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56 | 56 | | Sec. 205. Development and dissemination of model training programs for sub- |
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57 | 57 | | stance use disorder patient records. |
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58 | 58 | | Sec. 206. Task force on best practices for trauma-informed identification, refer- |
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59 | 59 | | ral, and support. |
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60 | 60 | | Sec. 207. Grants to enhance access to substance use disorder treatment. |
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61 | 61 | | Sec. 208. State guidance related to individuals with serious mental illness and |
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62 | 62 | | children with serious emotional disturbance. |
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63 | 63 | | Sec. 209. Reviewing the scheduling of approved products containing a combina- |
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64 | 64 | | tion of buprenorphine and naloxone. |
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65 | 65 | | TITLE III—RECOVERY |
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66 | 66 | | Sec. 301. Building communities of recovery. |
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67 | 67 | | Sec. 302. Peer support technical assistance center. |
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68 | 68 | | Sec. 303. Comprehensive opioid recovery centers. |
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69 | 69 | | Sec. 304. Youth prevention and recovery. |
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70 | 70 | | Sec. 305. CAREER Act. |
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71 | 71 | | Sec. 306. Addressing economic and workforce impacts of the opioid crisis. |
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72 | 72 | | TITLE IV—MISCELLANEOUS MATTERS |
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73 | 73 | | Sec. 401. Delivery of a controlled substance by a pharmacy to a prescribing |
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74 | 74 | | practitioner. |
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75 | 75 | | Sec. 402. Required training for prescribers of controlled substances. |
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77 | 77 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB 3 |
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78 | 78 | | •HR 2483 IH |
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79 | 79 | | TITLE I—PREVENTION 1 |
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80 | 80 | | SEC. 101. PRENATAL AND POSTNATAL HEALTH. 2 |
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81 | 81 | | Section 317L(d) of the Public Health Service Act (42 3 |
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82 | 82 | | U.S.C. 247b–13(d)) is amended by striking ‘‘such sums 4 |
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83 | 83 | | as may be necessary for each of the fiscal years 2019 5 |
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84 | 84 | | through 2023’’ and inserting ‘‘$4,250,000 for each of fis-6 |
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85 | 85 | | cal years 2026 through 2030’’. 7 |
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86 | 86 | | SEC. 102. MONITORING AND EDUCATION REGARDING IN-8 |
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87 | 87 | | FECTIONS ASSOCIATED WITH ILLICIT DRUG 9 |
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88 | 88 | | USE AND OTHER RISK FACTORS. 10 |
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89 | 89 | | Section 317N(d) of the Public Health Service Act (42 11 |
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90 | 90 | | U.S.C. 247b–15(d)) is amended by striking ‘‘fiscal years 12 |
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91 | 91 | | 2019 through 2023’’ and inserting ‘‘fiscal years 2026 13 |
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92 | 92 | | through 2030’’. 14 |
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93 | 93 | | SEC. 103. PREVENTING OVERDOSES OF CONTROLLED SUB-15 |
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94 | 94 | | STANCES. 16 |
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95 | 95 | | (a) I |
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96 | 96 | | NGENERAL.—Section 392A of the Public 17 |
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97 | 97 | | Health Service Act (42 U.S.C. 280b–1) is amended— 18 |
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98 | 98 | | (1) in subsection (a)(2)— 19 |
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99 | 99 | | (A) in subparagraph (C), by inserting ‘‘and 20 |
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100 | 100 | | associated risks’’ before the period at the end; 21 |
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101 | 101 | | and 22 |
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102 | 102 | | (B) in subparagraph (D), by striking 23 |
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103 | 103 | | ‘‘opioids’’ and inserting ‘‘substances causing 24 |
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104 | 104 | | overdose’’; and 25 |
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107 | 107 | | •HR 2483 IH |
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108 | 108 | | (2) in subsection (b)(2)— 1 |
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109 | 109 | | (A) in subparagraph (B), by inserting ‘‘, 2 |
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110 | 110 | | and associated risk factors,’’ after ‘‘such 3 |
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111 | 111 | | overdoses’’; 4 |
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112 | 112 | | (B) in subparagraph (C), by striking ‘‘cod-5 |
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113 | 113 | | ing’’ and inserting ‘‘monitoring and identi-6 |
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114 | 114 | | fying’’; 7 |
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115 | 115 | | (C) in subparagraph (E)— 8 |
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116 | 116 | | (i) by inserting a comma after ‘‘public 9 |
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117 | 117 | | health laboratories’’; and 10 |
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118 | 118 | | (ii) by inserting ‘‘and other emerging 11 |
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119 | 119 | | substances related’’ after ‘‘analogues’’; and 12 |
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120 | 120 | | (D) in subparagraph (F), by inserting 13 |
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121 | 121 | | ‘‘and associated risk factors’’ after ‘‘overdoses’’. 14 |
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122 | 122 | | (b) A |
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123 | 123 | | DDITIONALGRANTS.—Section 392A(a)(3) of 15 |
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124 | 124 | | the Public Health Service Act (42 U.S.C. 280b–1(a)(3)) 16 |
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125 | 125 | | is amended— 17 |
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126 | 126 | | (1) in the matter preceding subparagraph (A), 18 |
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127 | 127 | | by striking ‘‘and Indian Tribes—’’ and inserting 19 |
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128 | 128 | | ‘‘and Indian Tribes for the following purposes:’’; 20 |
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129 | 129 | | (2) by amending subparagraph (A) to read as 21 |
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130 | 130 | | follows: 22 |
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131 | 131 | | ‘‘(A) To carry out innovative projects for 23 |
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132 | 132 | | grantees to detect, identify, and rapidly respond 24 |
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133 | 133 | | to controlled substance misuse, abuse, and 25 |
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136 | 136 | | •HR 2483 IH |
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137 | 137 | | overdoses, and associated risk factors, including 1 |
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138 | 138 | | changes in patterns of such controlled sub-2 |
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139 | 139 | | stance use. Such projects may include the use 3 |
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140 | 140 | | of innovative, evidence-based strategies for de-4 |
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141 | 141 | | tecting such patterns, such as wastewater sur-5 |
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142 | 142 | | veillance, if proven to support actionable pre-6 |
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143 | 143 | | vention strategies, in a manner consistent with 7 |
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144 | 144 | | applicable Federal and State privacy laws.’’; 8 |
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145 | 145 | | and 9 |
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146 | 146 | | (3) in subparagraph (B), by striking ‘‘for any’’ 10 |
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147 | 147 | | and inserting ‘‘For any’’. 11 |
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148 | 148 | | (c) A |
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149 | 149 | | UTHORIZATION OF APPROPRIATIONS.—Section 12 |
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150 | 150 | | 392A(e) of the Public Health Service Act (42 U.S.C. 13 |
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151 | 151 | | 280b–1(e)) is amended by striking ‘‘$496,000,000 for 14 |
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152 | 152 | | each of fiscal years 2019 through 2023’’ and inserting 15 |
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153 | 153 | | ‘‘$505,579,000 for each of fiscal years 2026 through 16 |
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154 | 154 | | 2030’’. 17 |
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155 | 155 | | SEC. 104. SUPPORT FOR INDIVIDUALS AND FAMILIES IM-18 |
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156 | 156 | | PACTED BY FETAL ALCOHOL SPECTRUM DIS-19 |
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157 | 157 | | ORDER. 20 |
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158 | 158 | | (a) I |
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159 | 159 | | NGENERAL.—Part O of title III of the Public 21 |
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160 | 160 | | Health Service Act (42 U.S.C. 280f et seq.) is amended 22 |
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161 | 161 | | to read as follows: 23 |
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164 | 164 | | •HR 2483 IH |
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165 | 165 | | ‘‘PART O—FETAL ALCOHOL SPECTRUM DIS-1 |
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166 | 166 | | ORDER PREVENTION AND SERVICES PRO-2 |
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167 | 167 | | GRAM 3 |
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168 | 168 | | ‘‘SEC. 399H. FETAL ALCOHOL SPECTRUM DISORDERS PRE-4 |
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169 | 169 | | VENTION, INTERVENTION, AND SERVICES DE-5 |
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170 | 170 | | LIVERY PROGRAM. 6 |
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171 | 171 | | ‘‘(a) I |
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172 | 172 | | NGENERAL.—The Secretary shall establish or 7 |
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173 | 173 | | continue activities to support a comprehensive fetal alcohol 8 |
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174 | 174 | | spectrum disorders (referred to in this section as ‘FASD’) 9 |
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175 | 175 | | education, prevention, identification, intervention, and 10 |
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176 | 176 | | services delivery program, which may include— 11 |
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177 | 177 | | ‘‘(1) an education and public awareness pro-12 |
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178 | 178 | | gram to support, conduct, and evaluate the effective-13 |
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179 | 179 | | ness of— 14 |
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180 | 180 | | ‘‘(A) educational programs targeting 15 |
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181 | 181 | | health professions schools, social and other sup-16 |
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182 | 182 | | portive services, educators and counselors and 17 |
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183 | 183 | | other service providers in all phases of child-18 |
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184 | 184 | | hood development, and other relevant service 19 |
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185 | 185 | | providers, concerning the prevention, identifica-20 |
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186 | 186 | | tion, and provision of services for infants, chil-21 |
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187 | 187 | | dren, adolescents and adults with FASD; 22 |
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188 | 188 | | ‘‘(B) strategies to educate school-age chil-23 |
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189 | 189 | | dren, including pregnant and high-risk youth, 24 |
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190 | 190 | | concerning FASD; 25 |
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193 | 193 | | •HR 2483 IH |
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194 | 194 | | ‘‘(C) public and community awareness pro-1 |
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195 | 195 | | grams concerning FASD; and 2 |
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196 | 196 | | ‘‘(D) strategies to coordinate information 3 |
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197 | 197 | | and services across affected community agen-4 |
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198 | 198 | | cies, including agencies providing social services 5 |
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199 | 199 | | such as foster care, adoption, and social work, 6 |
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200 | 200 | | agencies providing health services, and agencies 7 |
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201 | 201 | | involved in education, vocational training and 8 |
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202 | 202 | | civil and criminal justice; 9 |
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203 | 203 | | ‘‘(2) supporting and conducting research on 10 |
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204 | 204 | | FASD, as appropriate, including to— 11 |
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205 | 205 | | ‘‘(A) develop appropriate medical diag-12 |
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206 | 206 | | nostic methods for identifying FASD; and 13 |
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207 | 207 | | ‘‘(B) develop effective culturally and lin-14 |
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208 | 208 | | guistically appropriate evidence-based or evi-15 |
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209 | 209 | | dence-informed interventions and appropriate 16 |
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210 | 210 | | supports for preventing prenatal alcohol expo-17 |
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211 | 211 | | sure, which may co-occur with exposure to other 18 |
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212 | 212 | | substances; 19 |
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213 | 213 | | ‘‘(3) building State and Tribal capacity for the 20 |
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214 | 214 | | identification, treatment, and support of individuals 21 |
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215 | 215 | | with FASD and their families, which may include— 22 |
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216 | 216 | | ‘‘(A) utilizing and adapting existing Fed-23 |
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217 | 217 | | eral, State, or Tribal programs to include 24 |
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220 | 220 | | •HR 2483 IH |
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221 | 221 | | FASD identification and FASD-informed sup-1 |
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222 | 222 | | port; 2 |
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223 | 223 | | ‘‘(B) developing and expanding screening 3 |
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224 | 224 | | and diagnostic capacity for FASD; 4 |
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225 | 225 | | ‘‘(C) developing, implementing, and evalu-5 |
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226 | 226 | | ating targeted FASD-informed intervention 6 |
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227 | 227 | | programs for FASD; 7 |
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228 | 228 | | ‘‘(D) providing training with respect to 8 |
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229 | 229 | | FASD for professionals across relevant sectors; 9 |
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230 | 230 | | and 10 |
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231 | 231 | | ‘‘(E) disseminating information about 11 |
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232 | 232 | | FASD and support services to affected individ-12 |
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233 | 233 | | uals and their families; and 13 |
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234 | 234 | | ‘‘(4) an applied research program concerning 14 |
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235 | 235 | | intervention and prevention to support and conduct 15 |
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236 | 236 | | service demonstration projects, clinical studies and 16 |
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237 | 237 | | other research models providing advocacy, edu-17 |
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238 | 238 | | cational and vocational training, counseling, medical 18 |
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239 | 239 | | and mental health, and other supportive services, as 19 |
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240 | 240 | | well as models that integrate and coordinate such 20 |
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241 | 241 | | services, that are aimed at the unique challenges fac-21 |
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242 | 242 | | ing individuals with fetal alcohol spectrum disorder 22 |
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243 | 243 | | or fetal alcohol effect and their families. 23 |
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244 | 244 | | ‘‘(b) G |
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245 | 245 | | RANTS ANDTECHNICALASSISTANCE.— 24 |
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248 | 248 | | •HR 2483 IH |
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249 | 249 | | ‘‘(1) IN GENERAL.—The Secretary may award 1 |
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250 | 250 | | grants, cooperative agreements and contracts and 2 |
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251 | 251 | | provide technical assistance to eligible entities to 3 |
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252 | 252 | | carry out subsection (a). 4 |
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253 | 253 | | ‘‘(2) E |
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254 | 254 | | LIGIBLE ENTITIES.—To be eligible to re-5 |
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255 | 255 | | ceive a grant, or enter into a cooperative agreement 6 |
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256 | 256 | | or contract, under this section, an entity shall— 7 |
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257 | 257 | | ‘‘(A) be a State, Indian Tribe or Tribal or-8 |
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258 | 258 | | ganization, local government, scientific or aca-9 |
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259 | 259 | | demic institution, or nonprofit organization; 10 |
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260 | 260 | | and 11 |
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261 | 261 | | ‘‘(B) prepare and submit to the Secretary 12 |
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262 | 262 | | an application at such time, in such manner, 13 |
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263 | 263 | | and containing such information as the Sec-14 |
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264 | 264 | | retary may require, including a description of 15 |
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265 | 265 | | the activities that the entity intends to carry 16 |
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266 | 266 | | out using amounts received under this section. 17 |
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267 | 267 | | ‘‘(3) A |
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268 | 268 | | DDITIONAL APPLICATION CONTENTS .— 18 |
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269 | 269 | | The Secretary may require that an eligible entity in-19 |
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270 | 270 | | clude in the application submitted under paragraph 20 |
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271 | 271 | | (2)(B)— 21 |
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272 | 272 | | ‘‘(A) a designation of an individual to 22 |
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273 | 273 | | serve as a FASD State or Tribal coordinator of 23 |
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274 | 274 | | activities such eligible entity proposes to carry 24 |
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277 | 277 | | •HR 2483 IH |
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278 | 278 | | out through a grant, cooperative agreement, or 1 |
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279 | 279 | | contract under this section; and 2 |
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280 | 280 | | ‘‘(B) a description of an advisory com-3 |
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281 | 281 | | mittee the entity will establish to provide guid-4 |
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282 | 282 | | ance for the entity on developing and imple-5 |
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283 | 283 | | menting a statewide or Tribal strategic plan to 6 |
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284 | 284 | | prevent FASD and provide for the identifica-7 |
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285 | 285 | | tion, treatment, and support of individuals with 8 |
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286 | 286 | | FASD and their families. 9 |
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287 | 287 | | ‘‘(c) D |
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288 | 288 | | EFINITION OFFASD-INFORMED.—For pur-10 |
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289 | 289 | | poses of this section, the term ‘FASD-informed’, with re-11 |
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290 | 290 | | spect to support or an intervention program, means that 12 |
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291 | 291 | | such support or intervention program uses culturally and 13 |
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292 | 292 | | linguistically informed evidence-based or practice-based 14 |
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293 | 293 | | interventions and appropriate resources to support an im-15 |
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294 | 294 | | proved quality of life for an individual with FASD and 16 |
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295 | 295 | | the family of such individual. 17 |
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296 | 296 | | ‘‘SEC. 399I. STRENGTHENING CAPACITY AND EDUCATION 18 |
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297 | 297 | | FOR FETAL ALCOHOL SPECTRUM DIS-19 |
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298 | 298 | | ORDERS. 20 |
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299 | 299 | | ‘‘(a) I |
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300 | 300 | | NGENERAL.—The Secretary shall award 21 |
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301 | 301 | | grants, contracts, or cooperative agreements, as the Sec-22 |
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302 | 302 | | retary determines appropriate, to public or nonprofit pri-23 |
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303 | 303 | | vate entities with demonstrated expertise in the field of 24 |
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304 | 304 | | fetal alcohol spectrum disorders (referred to in this section 25 |
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307 | 307 | | •HR 2483 IH |
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308 | 308 | | as ‘FASD’). Such awards shall be for the purposes of 1 |
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309 | 309 | | building local, Tribal, State, and nationwide capacities to 2 |
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310 | 310 | | prevent the occurrence of FASD by carrying out the pro-3 |
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311 | 311 | | grams described in subsection (b). 4 |
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312 | 312 | | ‘‘(b) P |
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313 | 313 | | ROGRAMS.—An entity receiving an award 5 |
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314 | 314 | | under subsection (a) may use such award for the following 6 |
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315 | 315 | | purposes: 7 |
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316 | 316 | | ‘‘(1) Developing and supporting public edu-8 |
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317 | 317 | | cation and outreach activities to raise public aware-9 |
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318 | 318 | | ness of the risks associated with alcohol consumption 10 |
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319 | 319 | | during pregnancy. 11 |
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320 | 320 | | ‘‘(2) Acting as a clearinghouse for evidence- 12 |
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321 | 321 | | based resources on FASD prevention, identification, 13 |
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322 | 322 | | and culturally and linguistically appropriate best 14 |
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323 | 323 | | practices to help inform systems of care for individ-15 |
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324 | 324 | | uals with FASD across their lifespan. 16 |
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325 | 325 | | ‘‘(3) Increasing awareness and understanding 17 |
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326 | 326 | | of efficacious, evidence-based screening tools and 18 |
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327 | 327 | | culturally and linguistically appropriate evidence- 19 |
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328 | 328 | | based intervention services and best practices, which 20 |
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329 | 329 | | may include improving the capacity for State, Trib-21 |
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330 | 330 | | al, and local affiliates. 22 |
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331 | 331 | | ‘‘(4) Providing technical assistance to recipients 23 |
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332 | 332 | | of grants, cooperative agreements, or contracts 24 |
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333 | 333 | | under section 399H, as appropriate. 25 |
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336 | 336 | | •HR 2483 IH |
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337 | 337 | | ‘‘(c) APPLICATION.—To be eligible for a grant, con-1 |
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338 | 338 | | tract, or cooperative agreement under this section, an enti-2 |
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339 | 339 | | ty shall submit to the Secretary an application at such 3 |
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340 | 340 | | time, in such manner, and containing such information as 4 |
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341 | 341 | | the Secretary may require. 5 |
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342 | 342 | | ‘‘(d) S |
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343 | 343 | | UBCONTRACTING.—A public or private non-6 |
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344 | 344 | | profit entity may carry out the following activities required 7 |
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345 | 345 | | under this section through contracts or cooperative agree-8 |
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346 | 346 | | ments with other public and private nonprofit entities with 9 |
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347 | 347 | | demonstrated expertise in FASD: 10 |
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348 | 348 | | ‘‘(1) Resource development and dissemination. 11 |
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349 | 349 | | ‘‘(2) Intervention services. 12 |
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350 | 350 | | ‘‘(3) Training and technical assistance. 13 |
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351 | 351 | | ‘‘SEC. 399J. AUTHORIZATION OF APPROPRIATIONS. 14 |
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352 | 352 | | ‘‘There are authorized to be appropriated to carry out 15 |
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353 | 353 | | this part $12,500,000 for each of fiscal years 2026 16 |
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354 | 354 | | through 2030.’’. 17 |
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355 | 355 | | (b) R |
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356 | 356 | | EPORT.—Not later than 4 years after the date 18 |
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357 | 357 | | of enactment of this Act, and every year thereafter, the 19 |
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358 | 358 | | Secretary of Health and Human Services shall prepare 20 |
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359 | 359 | | and submit to the Committee on Health, Education, 21 |
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360 | 360 | | Labor, and Pensions of the Senate and the Committee on 22 |
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361 | 361 | | Energy and Commerce of the House of Representatives 23 |
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362 | 362 | | a report containing— 24 |
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364 | 364 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB 13 |
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365 | 365 | | •HR 2483 IH |
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366 | 366 | | (1) a review of the activities carried out pursu-1 |
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367 | 367 | | ant to sections 399H and 399I of the Public Health 2 |
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368 | 368 | | Service Act, as amended, to advance public edu-3 |
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369 | 369 | | cation and awareness of fetal alcohol spectrum dis-4 |
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370 | 370 | | orders (referred to in this section as ‘‘FASD’’); 5 |
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371 | 371 | | (2) a description of— 6 |
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372 | 372 | | (A) the activities carried out pursuant to 7 |
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373 | 373 | | such sections 399H and 399I to identify, pre-8 |
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374 | 374 | | vent, and treat FASD; and 9 |
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375 | 375 | | (B) methods used to evaluate the outcomes 10 |
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376 | 376 | | of such activities; and 11 |
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377 | 377 | | (3) an assessment of activities carried out pur-12 |
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378 | 378 | | suant to such sections 399H and 399I to support in-13 |
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379 | 379 | | dividuals with FASD. 14 |
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380 | 380 | | SEC. 105. PROMOTING STATE CHOICE IN PDMP SYSTEMS. 15 |
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381 | 381 | | Section 399O(h) of the Public Health Service Act (42 16 |
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382 | 382 | | U.S.C. 280g–3(h)) is amended by adding at the end the 17 |
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383 | 383 | | following: 18 |
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384 | 384 | | ‘‘(5) P |
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385 | 385 | | ROMOTING STATE CHOICE .—Nothing in 19 |
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386 | 386 | | this section shall be construed to authorize the Sec-20 |
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387 | 387 | | retary to require States to use a specific vendor or 21 |
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388 | 388 | | a specific interoperability connection other than to 22 |
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389 | 389 | | align with nationally recognized, consensus-based 23 |
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390 | 390 | | open standards, such as in accordance with sections 24 |
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391 | 391 | | 3001 and 3004.’’. 25 |
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393 | 393 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB 14 |
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394 | 394 | | •HR 2483 IH |
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395 | 395 | | SEC. 106. FIRST RESPONDER TRAINING PROGRAM. 1 |
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396 | 396 | | Section 546 of the Public Health Service Act (42 2 |
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397 | 397 | | U.S.C. 290ee–1) is amended— 3 |
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398 | 398 | | (1) in subsection (a), by striking ‘‘tribes and 4 |
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399 | 399 | | tribal’’ and inserting ‘‘Tribes and Tribal’’; 5 |
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400 | 400 | | (2) in subsections (a), (c), and (d)— 6 |
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401 | 401 | | (A) by striking ‘‘approved or cleared’’ each 7 |
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402 | 402 | | place it appears and inserting ‘‘approved, 8 |
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403 | 403 | | cleared, or otherwise legally marketed’’; and 9 |
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404 | 404 | | (B) by striking ‘‘opioid’’ each place it ap-10 |
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405 | 405 | | pears; 11 |
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406 | 406 | | (3) in subsection (f)— 12 |
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407 | 407 | | (A) by striking ‘‘approved or cleared’’ each 13 |
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408 | 408 | | place it appears and inserting ‘‘approved, 14 |
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409 | 409 | | cleared, or otherwise legally marketed’’; 15 |
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410 | 410 | | (B) in paragraph (1), by striking ‘‘opioid’’; 16 |
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411 | 411 | | (C) in paragraph (2)— 17 |
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412 | 412 | | (i) by striking ‘‘opioid and heroin’’ 18 |
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413 | 413 | | and inserting ‘‘opioid, heroin, and other 19 |
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414 | 414 | | drug’’; and 20 |
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415 | 415 | | (ii) by striking ‘‘opioid overdose’’ and 21 |
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416 | 416 | | inserting ‘‘overdose’’; and 22 |
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417 | 417 | | (D) in paragraph (3), by striking ‘‘opioid 23 |
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418 | 418 | | and heroin’’; and 24 |
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419 | 419 | | (4) in subsection (h), by striking ‘‘$36,000,000 25 |
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420 | 420 | | for each of fiscal years 2019 through 2023’’ and in-26 |
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422 | 422 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB 15 |
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423 | 423 | | •HR 2483 IH |
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424 | 424 | | serting ‘‘$57,000,000 for each of fiscal years 2026 1 |
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425 | 425 | | through 2030’’. 2 |
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426 | 426 | | SEC. 107. DONALD J. COHEN NATIONAL CHILD TRAUMATIC 3 |
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427 | 427 | | STRESS INITIATIVE. 4 |
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428 | 428 | | (a) T |
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429 | 429 | | ECHNICALAMENDMENT.—The second part G of 5 |
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430 | 430 | | title V of the Public Health Service Act (42 U.S.C. 290kk 6 |
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431 | 431 | | et seq.), as added by section 144 of the Community Re-7 |
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432 | 432 | | newal Tax Relief Act (Public Law 106–554), is amend-8 |
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433 | 433 | | ed— 9 |
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434 | 434 | | (1) by redesignating such part as part J; and 10 |
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435 | 435 | | (2) by redesignating sections 581 through 584 11 |
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436 | 436 | | as sections 596 through 596C, respectively. 12 |
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437 | 437 | | (b) I |
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438 | 438 | | NGENERAL.—Section 582 of the Public Health 13 |
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439 | 439 | | Service Act (42 U.S.C. 290hh–1) is amended— 14 |
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440 | 440 | | (1) in the section heading, by striking ‘‘ |
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441 | 441 | | VIO-15 |
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442 | 442 | | LENCE RELATED STRESS ’’ and inserting ‘‘TRAU-16 |
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443 | 443 | | MATIC EVENTS ’’; 17 |
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444 | 444 | | (2) in subsection (a)— 18 |
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445 | 445 | | (A) in the matter preceding paragraph (1), 19 |
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446 | 446 | | by striking ‘‘tribes and tribal’’ and inserting 20 |
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447 | 447 | | ‘‘Tribes and Tribal’’; and 21 |
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448 | 448 | | (B) in paragraph (2), by inserting ‘‘and 22 |
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449 | 449 | | dissemination’’ after ‘‘the development’’; 23 |
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450 | 450 | | (3) in subsection (b), by inserting ‘‘and dissemi-24 |
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451 | 451 | | nation’’ after ‘‘the development’’; 25 |
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454 | 454 | | •HR 2483 IH |
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455 | 455 | | (4) in subsection (d)— 1 |
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456 | 456 | | (A) by striking ‘‘The NCTSI’’ and insert-2 |
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457 | 457 | | ing the following: 3 |
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458 | 458 | | ‘‘(1) C |
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459 | 459 | | OORDINATING CENTER .—The NCTSI’’; 4 |
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460 | 460 | | and 5 |
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461 | 461 | | (B) by adding at the end the following: 6 |
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462 | 462 | | ‘‘(2) NCTSI |
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463 | 463 | | GRANTEES.—In carrying out sub-7 |
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464 | 464 | | section (a)(2), NCTSI grantees shall develop 8 |
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465 | 465 | | trainings and other resources, as applicable and ap-9 |
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466 | 466 | | propriate, to support implementation of the evi-10 |
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467 | 467 | | dence-based practices developed and disseminated 11 |
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468 | 468 | | under such subsection.’’; 12 |
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469 | 469 | | (5) in subsection (e)— 13 |
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470 | 470 | | (A) by redesignating paragraphs (1) and 14 |
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471 | 471 | | (2) as subparagraphs (A) and (B), respectively, 15 |
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472 | 472 | | and adjusting the margins accordingly; 16 |
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473 | 473 | | (B) in subparagraph (A), as so redesig-17 |
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474 | 474 | | nated, by inserting ‘‘and implementation’’ after 18 |
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475 | 475 | | ‘‘the dissemination’’; 19 |
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476 | 476 | | (C) by striking ‘‘The NCTSI’’ and insert-20 |
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477 | 477 | | ing the following: 21 |
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478 | 478 | | ‘‘(1) C |
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479 | 479 | | OORDINATING CENTER .—The NCTSI’’; 22 |
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480 | 480 | | and 23 |
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481 | 481 | | (D) by adding at the end the following: 24 |
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484 | 484 | | •HR 2483 IH |
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485 | 485 | | ‘‘(2) NCTSI GRANTEES.—NCTSI grantees 1 |
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486 | 486 | | shall, as appropriate, collaborate with other such 2 |
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487 | 487 | | grantees, the NCTSI coordinating center, and the 3 |
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488 | 488 | | Secretary in carrying out subsections (a)(2) and 4 |
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489 | 489 | | (d)(2).’’; 5 |
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490 | 490 | | (6) by amending subsection (h) to read as fol-6 |
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491 | 491 | | lows: 7 |
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492 | 492 | | ‘‘(h) A |
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493 | 493 | | PPLICATION ANDEVALUATION.—To be eligible 8 |
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494 | 494 | | to receive a grant, contract, or cooperative agreement 9 |
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495 | 495 | | under subsection (a), a public or nonprofit private entity 10 |
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496 | 496 | | or an Indian Tribe or Tribal organization shall submit to 11 |
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497 | 497 | | the Secretary an application at such time, in such manner, 12 |
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498 | 498 | | and containing such information and assurances as the 13 |
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499 | 499 | | Secretary may require, including— 14 |
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500 | 500 | | ‘‘(1) a plan for the evaluation of the activities 15 |
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501 | 501 | | funded under the grant, contract, or agreement, in-16 |
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502 | 502 | | cluding both process and outcomes evaluation, and 17 |
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503 | 503 | | the submission of an evaluation at the end of the 18 |
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504 | 504 | | project period; and 19 |
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505 | 505 | | ‘‘(2) a description of how such entity, Indian 20 |
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506 | 506 | | Tribe, or Tribal organization will support efforts led 21 |
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507 | 507 | | by the Secretary or the NCTSI coordinating center, 22 |
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508 | 508 | | as applicable, to evaluate activities carried out under 23 |
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509 | 509 | | this section.’’; and 24 |
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512 | 512 | | •HR 2483 IH |
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513 | 513 | | (7) by amending subsection (j) to read as fol-1 |
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514 | 514 | | lows: 2 |
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515 | 515 | | ‘‘(j) A |
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516 | 516 | | UTHORIZATION OF APPROPRIATIONS.—There 3 |
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517 | 517 | | is authorized to be appropriated to carry out this section— 4 |
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518 | 518 | | ‘‘(1) $98,887,000 for fiscal year 2026; 5 |
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519 | 519 | | ‘‘(2) $98,887,000 for fiscal year 2027; 6 |
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520 | 520 | | ‘‘(3) $98,887,000 for fiscal year 2028; 7 |
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521 | 521 | | ‘‘(4) $100,000,000 for fiscal year 2029; and 8 |
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522 | 522 | | ‘‘(5) $100,000,000 for fiscal year 2030.’’. 9 |
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523 | 523 | | SEC. 108. PROTECTING SUICIDE PREVENTION LIFELINE 10 |
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524 | 524 | | FROM CYBERSECURITY INCIDENTS. 11 |
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525 | 525 | | (a) N |
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526 | 526 | | ATIONALSUICIDEPREVENTIONLIFELINEPRO-12 |
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527 | 527 | | GRAM.—Section 520E–3(b) of the Public Health Service 13 |
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528 | 528 | | Act (42 U.S.C. 290bb–36c(b)) is amended— 14 |
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529 | 529 | | (1) in paragraph (4), by striking ‘‘and’’ at the 15 |
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530 | 530 | | end; 16 |
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531 | 531 | | (2) in paragraph (5), by striking the period at 17 |
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532 | 532 | | the end and inserting ‘‘; and’’; and 18 |
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533 | 533 | | (3) by adding at the end the following: 19 |
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534 | 534 | | ‘‘(6) taking such steps as may be necessary to 20 |
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535 | 535 | | ensure the suicide prevention hotline is protected 21 |
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536 | 536 | | from cybersecurity incidents and eliminates known 22 |
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537 | 537 | | cybersecurity vulnerabilities.’’. 23 |
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538 | 538 | | (b) R |
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539 | 539 | | EPORTING.—Section 520E–3 of the Public 24 |
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540 | 540 | | Health Service Act (42 U.S.C. 290bb–36c) is amended— 25 |
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542 | 542 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB 19 |
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543 | 543 | | •HR 2483 IH |
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544 | 544 | | (1) by redesignating subsection (f) as sub-1 |
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545 | 545 | | section (g); and 2 |
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546 | 546 | | (2) by inserting after subsection (e) the fol-3 |
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547 | 547 | | lowing: 4 |
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548 | 548 | | ‘‘(f) C |
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549 | 549 | | YBERSECURITYREPORTING.— 5 |
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550 | 550 | | ‘‘(1) N |
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551 | 551 | | OTIFICATION.— 6 |
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552 | 552 | | ‘‘(A) I |
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553 | 553 | | N GENERAL.—The program’s net-7 |
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554 | 554 | | work administrator receiving Federal funding 8 |
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555 | 555 | | pursuant to subsection (a) shall report to the 9 |
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556 | 556 | | Assistant Secretary, in a manner that protects 10 |
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557 | 557 | | personal privacy, consistent with applicable 11 |
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558 | 558 | | Federal and State privacy laws— 12 |
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559 | 559 | | ‘‘(i) any identified cybersecurity 13 |
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560 | 560 | | vulnerabilities to the program within a rea-14 |
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561 | 561 | | sonable amount of time after identification 15 |
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562 | 562 | | of such a vulnerability; and 16 |
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563 | 563 | | ‘‘(ii) any identified cybersecurity inci-17 |
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564 | 564 | | dents to the program within a reasonable 18 |
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565 | 565 | | amount of time after identification of such 19 |
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566 | 566 | | incident. 20 |
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567 | 567 | | ‘‘(B) L |
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568 | 568 | | OCAL AND REGIONAL CRISIS CEN -21 |
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569 | 569 | | TERS.—Local and regional crisis centers par-22 |
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570 | 570 | | ticipating in the program shall report to the 23 |
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571 | 571 | | program’s network administrator identified 24 |
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572 | 572 | | under subparagraph (A), in a manner that pro-25 |
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573 | 573 | | VerDate Sep 11 2014 02:36 Apr 01, 2025 Jkt 059200 PO 00000 Frm 00019 Fmt 6652 Sfmt 6201 E:\BILLS\H2483.IH H2483 |
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574 | 574 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB 20 |
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575 | 575 | | •HR 2483 IH |
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576 | 576 | | tects personal privacy, consistent with applica-1 |
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577 | 577 | | ble Federal and State privacy laws— 2 |
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578 | 578 | | ‘‘(i) any identified cybersecurity 3 |
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579 | 579 | | vulnerabilities to the program within a rea-4 |
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580 | 580 | | sonable amount of time after identification 5 |
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581 | 581 | | of such vulnerability; and 6 |
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582 | 582 | | ‘‘(ii) any identified cybersecurity inci-7 |
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583 | 583 | | dents to the program within a reasonable 8 |
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584 | 584 | | amount of time after identification of such 9 |
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585 | 585 | | incident. 10 |
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586 | 586 | | ‘‘(2) N |
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587 | 587 | | OTIFICATION.—If the program’s network 11 |
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588 | 588 | | administrator receiving funding pursuant to sub-12 |
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589 | 589 | | section (a) discovers, or is informed by a local or re-13 |
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590 | 590 | | gional crisis center pursuant to paragraph (1)(B) of, 14 |
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591 | 591 | | a cybersecurity vulnerability or incident, within a 15 |
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592 | 592 | | reasonable amount of time after such discovery or 16 |
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593 | 593 | | receipt of information, such entity shall report the 17 |
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594 | 594 | | vulnerability or incident to the Assistant Secretary. 18 |
---|
595 | 595 | | ‘‘(3) C |
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596 | 596 | | LARIFICATION.— 19 |
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597 | 597 | | ‘‘(A) O |
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598 | 598 | | VERSIGHT.— 20 |
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599 | 599 | | ‘‘(i) L |
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600 | 600 | | OCAL AND REGIONAL CRISIS 21 |
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601 | 601 | | CENTERS.—Except as provided in clause 22 |
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602 | 602 | | (ii), local and regional crisis centers par-23 |
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603 | 603 | | ticipating in the program shall oversee all 24 |
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604 | 604 | | technology each center employs in the pro-25 |
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606 | 606 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB 21 |
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607 | 607 | | •HR 2483 IH |
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608 | 608 | | vision of services as a participant in the 1 |
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609 | 609 | | program. 2 |
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610 | 610 | | ‘‘(ii) N |
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611 | 611 | | ETWORK ADMINISTRATOR .— 3 |
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612 | 612 | | The program’s network administrator re-4 |
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613 | 613 | | ceiving Federal funding pursuant to sub-5 |
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614 | 614 | | section (a) shall oversee the technology 6 |
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615 | 615 | | each crisis center employs in the provision 7 |
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616 | 616 | | of services as a participant in the program 8 |
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617 | 617 | | if such oversight responsibilities are estab-9 |
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618 | 618 | | lished in the applicable network participa-10 |
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619 | 619 | | tion agreement. 11 |
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620 | 620 | | ‘‘(B) S |
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621 | 621 | | UPPLEMENT, NOT SUPPLANT.—The 12 |
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622 | 622 | | cybersecurity incident reporting requirements 13 |
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623 | 623 | | under this subsection shall supplement, and not 14 |
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624 | 624 | | supplant, cybersecurity incident reporting re-15 |
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625 | 625 | | quirements under other provisions of applicable 16 |
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626 | 626 | | Federal law that are in effect on the date of the 17 |
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627 | 627 | | enactment of the SUPPORT for Patients and 18 |
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628 | 628 | | Communities Reauthorization Act of 2025.’’. 19 |
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629 | 629 | | (c) S |
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630 | 630 | | TUDY.—Not later than 180 days after the date 20 |
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631 | 631 | | of the enactment of this Act, the Comptroller General of 21 |
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632 | 632 | | the United States shall— 22 |
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633 | 633 | | (1) conduct and complete a study that evaluates 23 |
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634 | 634 | | cybersecurity risks and vulnerabilities associated 24 |
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637 | 637 | | •HR 2483 IH |
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638 | 638 | | with the 9–8–8 National Suicide Prevention Lifeline; 1 |
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639 | 639 | | and 2 |
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640 | 640 | | (2) submit a report on the findings of such 3 |
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641 | 641 | | study to the Committee on Health, Education, 4 |
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642 | 642 | | Labor, and Pensions of the Senate and the Com-5 |
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643 | 643 | | mittee on Energy and Commerce of the House of 6 |
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644 | 644 | | Representatives. 7 |
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645 | 645 | | SEC. 109. MONITORING AND REPORTING OF CHILD, YOUTH, 8 |
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646 | 646 | | AND ADULT TRAUMA. 9 |
---|
647 | 647 | | Section 7131(e) of the SUPPORT for Patients and 10 |
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648 | 648 | | Communities Act (42 U.S.C. 242t(e)) is amended by strik-11 |
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649 | 649 | | ing ‘‘$2,000,000 for each of fiscal years 2019 through 12 |
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650 | 650 | | 2023’’ and inserting ‘‘$9,000,000 for each of fiscal years 13 |
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651 | 651 | | 2026 through 2030’’. 14 |
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652 | 652 | | SEC. 110. BRUCE’S LAW. 15 |
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653 | 653 | | (a) Y |
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654 | 654 | | OUTHPREVENTION AND RECOVERY.—Section 16 |
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655 | 655 | | 7102(c) of the SUPPORT for Patients and Communities 17 |
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656 | 656 | | Act (42 U.S.C. 290bb–7a(c)) is amended— 18 |
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657 | 657 | | (1) in paragraph (3)(A)(i), by inserting ‘‘, 19 |
---|
658 | 658 | | which may include strategies to increase education 20 |
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659 | 659 | | and awareness of the potency and dangers of syn-21 |
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660 | 660 | | thetic opioids (including drugs contaminated with 22 |
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661 | 661 | | fentanyl) and, as appropriate, other emerging drug 23 |
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662 | 662 | | use or misuse issues’’ before the semicolon; and 24 |
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663 | 663 | | VerDate Sep 11 2014 02:36 Apr 01, 2025 Jkt 059200 PO 00000 Frm 00022 Fmt 6652 Sfmt 6201 E:\BILLS\H2483.IH H2483 |
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664 | 664 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB 23 |
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665 | 665 | | •HR 2483 IH |
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666 | 666 | | (2) in paragraph (4)(A), by inserting ‘‘and 1 |
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667 | 667 | | strategies to increase education and awareness of 2 |
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668 | 668 | | the potency and dangers of synthetic opioids (includ-3 |
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669 | 669 | | ing drugs contaminated with fentanyl) and, as ap-4 |
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670 | 670 | | propriate, emerging drug use or misuse issues’’ be-5 |
---|
671 | 671 | | fore the semicolon. 6 |
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672 | 672 | | (b) I |
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673 | 673 | | NTERDEPARTMENTAL SUBSTANCEUSEDIS-7 |
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674 | 674 | | ORDERSCOORDINATINGCOMMITTEE.—Section 7022 of 8 |
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675 | 675 | | the SUPPORT for Patients and Communities Act (42 9 |
---|
676 | 676 | | U.S.C. 290aa note) is amended— 10 |
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677 | 677 | | (1) by striking subsection (g) and inserting the 11 |
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678 | 678 | | following: 12 |
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679 | 679 | | ‘‘(g) W |
---|
680 | 680 | | ORKINGGROUPS.— 13 |
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681 | 681 | | ‘‘(1) I |
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682 | 682 | | N GENERAL.—The Committee may estab-14 |
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683 | 683 | | lish working groups for purposes of carrying out the 15 |
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684 | 684 | | duties described in subsection (e). Any such working 16 |
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685 | 685 | | group shall be composed of members of the Com-17 |
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686 | 686 | | mittee (or the designees of such members) and may 18 |
---|
687 | 687 | | hold such meetings as are necessary to carry out the 19 |
---|
688 | 688 | | duties delegated to the working group. 20 |
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689 | 689 | | ‘‘(2) A |
---|
690 | 690 | | DDITIONAL FEDERAL INTERAGENCY 21 |
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691 | 691 | | WORK GROUP ON FENTANYL CONTAMINATION OF IL -22 |
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692 | 692 | | LEGAL DRUGS.— 23 |
---|
693 | 693 | | ‘‘(A) E |
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694 | 694 | | STABLISHMENT.—The Secretary, 24 |
---|
695 | 695 | | acting through the Committee, shall establish a 25 |
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696 | 696 | | VerDate Sep 11 2014 02:36 Apr 01, 2025 Jkt 059200 PO 00000 Frm 00023 Fmt 6652 Sfmt 6201 E:\BILLS\H2483.IH H2483 |
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697 | 697 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB 24 |
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698 | 698 | | •HR 2483 IH |
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699 | 699 | | Federal Interagency Work Group on Fentanyl 1 |
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700 | 700 | | Contamination of Illegal Drugs (referred to in 2 |
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701 | 701 | | this paragraph as the ‘Work Group’) consisting 3 |
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702 | 702 | | of representatives from relevant Federal depart-4 |
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703 | 703 | | ments and agencies on the Committee. 5 |
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704 | 704 | | ‘‘(B) C |
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705 | 705 | | ONSULTATION.—The Work Group 6 |
---|
706 | 706 | | shall consult with relevant stakeholders and 7 |
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707 | 707 | | subject matter experts, including— 8 |
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708 | 708 | | ‘‘(i) State, Tribal, and local subject 9 |
---|
709 | 709 | | matter experts in reducing, preventing, and 10 |
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710 | 710 | | responding to drug overdose caused by 11 |
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711 | 711 | | fentanyl contamination of illicit drugs; and 12 |
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712 | 712 | | ‘‘(ii) family members of both adults 13 |
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713 | 713 | | and youth who have overdosed by fentanyl 14 |
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714 | 714 | | contaminated illicit drugs. 15 |
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715 | 715 | | ‘‘(C) D |
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716 | 716 | | UTIES.—The Work Group shall— 16 |
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717 | 717 | | ‘‘(i) examine Federal efforts to reduce 17 |
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718 | 718 | | and prevent drug overdose by fentanyl-con-18 |
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719 | 719 | | taminated illicit drugs; 19 |
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720 | 720 | | ‘‘(ii) identify strategies to improve 20 |
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721 | 721 | | State, Tribal, and local responses to over-21 |
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722 | 722 | | dose by fentanyl-contaminated illicit drugs; 22 |
---|
723 | 723 | | ‘‘(iii) coordinate with the Secretary, as 23 |
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724 | 724 | | appropriate, in carrying out activities to 24 |
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725 | 725 | | raise public awareness of synthetic opioids 25 |
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728 | 728 | | •HR 2483 IH |
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729 | 729 | | and other emerging drug use and misuse 1 |
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730 | 730 | | issues; 2 |
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731 | 731 | | ‘‘(iv) make recommendations to Con-3 |
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732 | 732 | | gress for improving Federal programs, in-4 |
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733 | 733 | | cluding with respect to the coordination of 5 |
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734 | 734 | | efforts across such programs; and 6 |
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735 | 735 | | ‘‘(v) make recommendations for edu-7 |
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736 | 736 | | cating youth on the potency and dangers of 8 |
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737 | 737 | | drugs contaminated by fentanyl. 9 |
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738 | 738 | | ‘‘(D) A |
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739 | 739 | | NNUAL REPORT TO SECRETARY .— 10 |
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740 | 740 | | The Work Group shall annually prepare and 11 |
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741 | 741 | | submit to the Secretary, the Committee on 12 |
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742 | 742 | | Health, Education, Labor, and Pensions of the 13 |
---|
743 | 743 | | Senate, and the Committee on Energy and 14 |
---|
744 | 744 | | Commerce and the Committee on Education 15 |
---|
745 | 745 | | and Workforce of the House of Representatives, 16 |
---|
746 | 746 | | a report on the activities carried out by the 17 |
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747 | 747 | | Work Group under subparagraph (C), including 18 |
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748 | 748 | | recommendations to reduce and prevent drug 19 |
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749 | 749 | | overdose by fentanyl contamination of illegal 20 |
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750 | 750 | | drugs, in all populations, and specifically among 21 |
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751 | 751 | | youth at risk for substance misuse.’’; and 22 |
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752 | 752 | | (2) by striking subsection (i) and inserting the 23 |
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753 | 753 | | following: 24 |
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754 | 754 | | VerDate Sep 11 2014 02:36 Apr 01, 2025 Jkt 059200 PO 00000 Frm 00025 Fmt 6652 Sfmt 6201 E:\BILLS\H2483.IH H2483 |
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756 | 756 | | •HR 2483 IH |
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757 | 757 | | ‘‘(i) SUNSET.—The Committee shall terminate on 1 |
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758 | 758 | | September 30, 2030.’’. 2 |
---|
759 | 759 | | SEC. 111. GUIDANCE ON AT-HOME DRUG DISPOSAL SYS-3 |
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760 | 760 | | TEMS. 4 |
---|
761 | 761 | | (a) I |
---|
762 | 762 | | NGENERAL.—Not later than one year after the 5 |
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763 | 763 | | date of enactment of this Act, the Secretary of Health and 6 |
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764 | 764 | | Human Services, in consultation with the Administrator 7 |
---|
765 | 765 | | of the Drug Enforcement Administration, shall publish 8 |
---|
766 | 766 | | guidance to facilitate the use of at-home safe disposal sys-9 |
---|
767 | 767 | | tems for applicable drugs. 10 |
---|
768 | 768 | | (b) C |
---|
769 | 769 | | ONTENTS.—The guidance under subsection (a) 11 |
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770 | 770 | | shall include— 12 |
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771 | 771 | | (1) recommended standards for effective at- 13 |
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772 | 772 | | home drug disposal systems to meet applicable re-14 |
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773 | 773 | | quirements enforced by the Food and Drug Adminis-15 |
---|
774 | 774 | | tration; 16 |
---|
775 | 775 | | (2) recommended information to include as in-17 |
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776 | 776 | | structions for use to disseminate with at-home drug 18 |
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777 | 777 | | disposal systems; 19 |
---|
778 | 778 | | (3) best practices and educational tools to sup-20 |
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779 | 779 | | port the use of an at-home drug disposal system, as 21 |
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780 | 780 | | appropriate; and 22 |
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781 | 781 | | (4) recommended use of licensed health pro-23 |
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782 | 782 | | viders for the dissemination of education, instruc-24 |
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783 | 783 | | VerDate Sep 11 2014 02:36 Apr 01, 2025 Jkt 059200 PO 00000 Frm 00026 Fmt 6652 Sfmt 6201 E:\BILLS\H2483.IH H2483 |
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784 | 784 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB 27 |
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785 | 785 | | •HR 2483 IH |
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786 | 786 | | tion, and at-home drug disposal systems, as appro-1 |
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787 | 787 | | priate. 2 |
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788 | 788 | | SEC. 112. ASSESSMENT OF OPIOID DRUGS AND ACTIONS. 3 |
---|
789 | 789 | | (a) I |
---|
790 | 790 | | NGENERAL.—Not later than one year after the 4 |
---|
791 | 791 | | date of enactment of this Act, the Secretary of Health and 5 |
---|
792 | 792 | | Human Services (referred to in this section as the ‘‘Sec-6 |
---|
793 | 793 | | retary’’) shall publish on the website of the Food and 7 |
---|
794 | 794 | | Drug Administration (referred to in this section as the 8 |
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795 | 795 | | ‘‘FDA’’) a report that outlines a plan for assessing opioid 9 |
---|
796 | 796 | | analgesic drugs that are approved under section 505 of 10 |
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797 | 797 | | the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 11 |
---|
798 | 798 | | 355) that addresses the public health effects of such opioid 12 |
---|
799 | 799 | | analgesic drugs as part of the benefit-risk assessment and 13 |
---|
800 | 800 | | the activities of the FDA that relate to facilitating the de-14 |
---|
801 | 801 | | velopment of nonaddictive medical products intended to 15 |
---|
802 | 802 | | treat pain or addiction. Such report shall include— 16 |
---|
803 | 803 | | (1) an update on the actions taken by the FDA 17 |
---|
804 | 804 | | to consider the effectiveness, safety, benefit-risk pro-18 |
---|
805 | 805 | | file, and use of approved opioid analgesic drugs; 19 |
---|
806 | 806 | | (2) a timeline for an assessment of the potential 20 |
---|
807 | 807 | | need, as appropriate, for labeling changes, revised or 21 |
---|
808 | 808 | | additional postmarketing requirements, enforcement 22 |
---|
809 | 809 | | actions, or withdrawals for opioid analgesic drugs; 23 |
---|
810 | 810 | | (3) an overview of the steps that the FDA has 24 |
---|
811 | 811 | | taken to support the development and approval of 25 |
---|
812 | 812 | | VerDate Sep 11 2014 02:36 Apr 01, 2025 Jkt 059200 PO 00000 Frm 00027 Fmt 6652 Sfmt 6201 E:\BILLS\H2483.IH H2483 |
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814 | 814 | | •HR 2483 IH |
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815 | 815 | | nonaddictive medical products intended to treat pain 1 |
---|
816 | 816 | | or addiction, and actions planned to further support 2 |
---|
817 | 817 | | the development and approval of such products; and 3 |
---|
818 | 818 | | (4) an overview of the consideration by the 4 |
---|
819 | 819 | | FDA of clinical trial methodologies for analgesic 5 |
---|
820 | 820 | | drugs, including the enriched enrollment randomized 6 |
---|
821 | 821 | | withdrawal methodology, and the benefits and draw-7 |
---|
822 | 822 | | backs associated with different trial methodologies 8 |
---|
823 | 823 | | for such drugs, incorporating any public input re-9 |
---|
824 | 824 | | ceived under subsection (b). 10 |
---|
825 | 825 | | (b) P |
---|
826 | 826 | | UBLICINPUT.—In carrying out subsection (a), 11 |
---|
827 | 827 | | the Secretary shall provide an opportunity for public input 12 |
---|
828 | 828 | | concerning the regulation by the FDA of opioid analgesic 13 |
---|
829 | 829 | | drugs, including scientific evidence that relates to condi-14 |
---|
830 | 830 | | tions of use, safety, or benefit-risk assessment (including 15 |
---|
831 | 831 | | consideration of the public health effects) of such opioid 16 |
---|
832 | 832 | | analgesic drugs. 17 |
---|
833 | 833 | | SEC. 113. GRANT PROGRAM FOR STATE AND TRIBAL RE-18 |
---|
834 | 834 | | SPONSE TO OPIOID USE DISORDERS. 19 |
---|
835 | 835 | | The activities carried out pursuant to section 20 |
---|
836 | 836 | | 1003(b)(4)(A) of the 21st Century Cures Act (42 U.S.C. 21 |
---|
837 | 837 | | 290ee–3a(b)(4)(A)) may include facilitating access to 22 |
---|
838 | 838 | | products used to prevent overdose deaths by detecting the 23 |
---|
839 | 839 | | presence of one or more substances, such as fentanyl and 24 |
---|
840 | 840 | | xylazine test strips, to the extent the purchase and posses-25 |
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843 | 843 | | •HR 2483 IH |
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844 | 844 | | sion of such products is consistent with Federal and State 1 |
---|
845 | 845 | | law. 2 |
---|
846 | 846 | | TITLE II—TREATMENT 3 |
---|
847 | 847 | | SEC. 201. RESIDENTIAL TREATMENT PROGRAM FOR PREG-4 |
---|
848 | 848 | | NANT AND POSTPARTUM WOMEN. 5 |
---|
849 | 849 | | Section 508 of the Public Health Service Act (42 6 |
---|
850 | 850 | | U.S.C. 290bb–1) is amended— 7 |
---|
851 | 851 | | (1) in subsection (d)(11)(C), by striking ‘‘pro-8 |
---|
852 | 852 | | viding health services’’ and inserting ‘‘providing 9 |
---|
853 | 853 | | health care services’’; 10 |
---|
854 | 854 | | (2) in subsection (g)— 11 |
---|
855 | 855 | | (A) by inserting ‘‘a plan describing’’ after 12 |
---|
856 | 856 | | ‘‘will provide’’; and 13 |
---|
857 | 857 | | (B) by adding at the end the following: 14 |
---|
858 | 858 | | ‘‘Such plan may include a description of how 15 |
---|
859 | 859 | | such applicant will target outreach to women 16 |
---|
860 | 860 | | disproportionately impacted by maternal sub-17 |
---|
861 | 861 | | stance use disorder.’’; and 18 |
---|
862 | 862 | | (3) in subsection (s), by striking ‘‘$29,931,000 19 |
---|
863 | 863 | | for each of fiscal years 2019 through 2023’’ and in-20 |
---|
864 | 864 | | serting ‘‘$38,931,000 for each of fiscal years 2026 21 |
---|
865 | 865 | | through 2030’’. 22 |
---|
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868 | 868 | | •HR 2483 IH |
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869 | 869 | | SEC. 202. IMPROVING ACCESS TO ADDICTION MEDICINE 1 |
---|
870 | 870 | | PROVIDERS. 2 |
---|
871 | 871 | | Section 597 of the Public Health Service Act (42 3 |
---|
872 | 872 | | U.S.C. 290ll) is amended— 4 |
---|
873 | 873 | | (1) in subsection (a)(1), by inserting ‘‘diag-5 |
---|
874 | 874 | | nosis,’’ after ‘‘related to’’; and 6 |
---|
875 | 875 | | (2) in subsection (b), by inserting ‘‘addiction 7 |
---|
876 | 876 | | medicine,’’ after ‘‘psychiatry,’’. 8 |
---|
877 | 877 | | SEC. 203. MENTAL AND BEHAVIORAL HEALTH EDUCATION 9 |
---|
878 | 878 | | AND TRAINING GRANTS. 10 |
---|
879 | 879 | | Section 756(f) of the Public Health Service Act (42 11 |
---|
880 | 880 | | U.S.C. 294e–1(f)) is amended by striking ‘‘fiscal years 12 |
---|
881 | 881 | | 2023 through 2027’’ and inserting ‘‘fiscal years 2026 13 |
---|
882 | 882 | | through 2030’’. 14 |
---|
883 | 883 | | SEC. 204. LOAN REPAYMENT PROGRAM FOR SUBSTANCE 15 |
---|
884 | 884 | | USE DISORDER TREATMENT WORKFORCE. 16 |
---|
885 | 885 | | Section 781(j) of the Public Health Service Act (42 17 |
---|
886 | 886 | | U.S.C. 295h(j)) is amended by striking ‘‘$25,000,000 for 18 |
---|
887 | 887 | | each of fiscal years 2019 through 2023’’ and inserting 19 |
---|
888 | 888 | | ‘‘$40,000,000 for each of fiscal years 2026 through 20 |
---|
889 | 889 | | 2030’’. 21 |
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892 | 892 | | •HR 2483 IH |
---|
893 | 893 | | SEC. 205. DEVELOPMENT AND DISSEMINATION OF MODEL 1 |
---|
894 | 894 | | TRAINING PROGRAMS FOR SUBSTANCE USE 2 |
---|
895 | 895 | | DISORDER PATIENT RECORDS. 3 |
---|
896 | 896 | | Section 7053 of the SUPPORT for Patients and 4 |
---|
897 | 897 | | Communities Act (42 U.S.C. 290dd–2 note) is amended 5 |
---|
898 | 898 | | by striking subsection (e). 6 |
---|
899 | 899 | | SEC. 206. TASK FORCE ON BEST PRACTICES FOR TRAUMA- 7 |
---|
900 | 900 | | INFORMED IDENTIFICATION, REFERRAL, AND 8 |
---|
901 | 901 | | SUPPORT. 9 |
---|
902 | 902 | | Section 7132 of the SUPPORT for Patients and 10 |
---|
903 | 903 | | Communities Act (Public Law 115–271; 132 Stat. 4046) 11 |
---|
904 | 904 | | is amended— 12 |
---|
905 | 905 | | (1) in subsection (b)(1)— 13 |
---|
906 | 906 | | (A) by redesignating subparagraph (CC) as 14 |
---|
907 | 907 | | subparagraph (DD); and 15 |
---|
908 | 908 | | (B) by inserting after subparagraph (BB) 16 |
---|
909 | 909 | | the following: 17 |
---|
910 | 910 | | ‘‘(CC) The Administration for Community 18 |
---|
911 | 911 | | Living.’’; 19 |
---|
912 | 912 | | (2) in subsection (d)(1), in the matter pre-20 |
---|
913 | 913 | | ceding subparagraph (A), by inserting ‘‘, develop-21 |
---|
914 | 914 | | mental disability service providers’’ before ‘‘, individ-22 |
---|
915 | 915 | | uals who are’’; and 23 |
---|
916 | 916 | | (3) in subsection (i), by striking ‘‘2023’’ and in-24 |
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917 | 917 | | serting ‘‘2030’’. 25 |
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920 | 920 | | •HR 2483 IH |
---|
921 | 921 | | SEC. 207. GRANTS TO ENHANCE ACCESS TO SUBSTANCE 1 |
---|
922 | 922 | | USE DISORDER TREATMENT. 2 |
---|
923 | 923 | | Section 3203 of the SUPPORT for Patients and 3 |
---|
924 | 924 | | Communities Act (21 U.S.C. 823 note) is amended— 4 |
---|
925 | 925 | | (1) by striking subsection (b); and 5 |
---|
926 | 926 | | (2) by striking ‘‘(a) I |
---|
927 | 927 | | NGENERAL.—The Sec-6 |
---|
928 | 928 | | retary’’ and inserting the following: ‘‘The Sec-7 |
---|
929 | 929 | | retary’’. 8 |
---|
930 | 930 | | SEC. 208. STATE GUIDANCE RELATED TO INDIVIDUALS 9 |
---|
931 | 931 | | WITH SERIOUS MENTAL ILLNESS AND CHIL-10 |
---|
932 | 932 | | DREN WITH SERIOUS EMOTIONAL DISTURB-11 |
---|
933 | 933 | | ANCE. 12 |
---|
934 | 934 | | (a) R |
---|
935 | 935 | | EVIEW OFUSE OFCERTAINFUNDING.—Not 13 |
---|
936 | 936 | | later than 1 year after the date of enactment of this Act, 14 |
---|
937 | 937 | | the Secretary of Health and Human Services (referred to 15 |
---|
938 | 938 | | in this section as the ‘‘Secretary’’), acting through the As-16 |
---|
939 | 939 | | sistant Secretary for Mental Health and Substance Use, 17 |
---|
940 | 940 | | shall conduct a review of State use of funds made available 18 |
---|
941 | 941 | | under the Community Mental Health Services Block 19 |
---|
942 | 942 | | Grant program under subpart I of part B of title XIX 20 |
---|
943 | 943 | | of the Public Health Service Act (42 U.S.C. 300x et seq.) 21 |
---|
944 | 944 | | (referred to in this section as the ‘‘block grant program’’) 22 |
---|
945 | 945 | | for first episode psychosis activities. Such review shall con-23 |
---|
946 | 946 | | sider the following: 24 |
---|
947 | 947 | | (1) How States use funds for evidence-based 25 |
---|
948 | 948 | | treatments and services according to the standard of 26 |
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949 | 949 | | VerDate Sep 11 2014 02:36 Apr 01, 2025 Jkt 059200 PO 00000 Frm 00032 Fmt 6652 Sfmt 6201 E:\BILLS\H2483.IH H2483 |
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951 | 951 | | •HR 2483 IH |
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952 | 952 | | care for individuals with early serious mental illness 1 |
---|
953 | 953 | | and children with a serious emotional disturbance. 2 |
---|
954 | 954 | | (2) The percentages of the State funding under 3 |
---|
955 | 955 | | the block grant program expended on early serious 4 |
---|
956 | 956 | | mental illness and first episode psychosis, and the 5 |
---|
957 | 957 | | number of individuals served under such funds. 6 |
---|
958 | 958 | | (b) R |
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959 | 959 | | EPORT ANDGUIDANCE.— 7 |
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960 | 960 | | (1) R |
---|
961 | 961 | | EPORT.—Not later than 180 days after 8 |
---|
962 | 962 | | the completion of the review under subsection (a), 9 |
---|
963 | 963 | | the Secretary shall submit to the Committee on 10 |
---|
964 | 964 | | Health, Education, Labor, and Pensions and the 11 |
---|
965 | 965 | | Committee on Appropriations of the Senate and the 12 |
---|
966 | 966 | | Committee on Energy and Commerce and the Com-13 |
---|
967 | 967 | | mittee on Appropriations of the House of Represent-14 |
---|
968 | 968 | | atives a report describing— 15 |
---|
969 | 969 | | (A) the findings of the review under sub-16 |
---|
970 | 970 | | section (a); and 17 |
---|
971 | 971 | | (B) any recommendations for changes to 18 |
---|
972 | 972 | | the block grant program that would facilitate 19 |
---|
973 | 973 | | improved outcomes for individuals with serious 20 |
---|
974 | 974 | | mental illness and children with serious emo-21 |
---|
975 | 975 | | tional disturbance. 22 |
---|
976 | 976 | | (2) G |
---|
977 | 977 | | UIDANCE.—Not later than 1 year after 23 |
---|
978 | 978 | | the date on which the report is submitted under 24 |
---|
979 | 979 | | paragraph (1), the Secretary shall update the guid-25 |
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982 | 982 | | •HR 2483 IH |
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983 | 983 | | ance provided to States under the block grant pro-1 |
---|
984 | 984 | | gram on coordinated specialty care and other evi-2 |
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985 | 985 | | dence-based mental health care services for individ-3 |
---|
986 | 986 | | uals with serious mental illness and children with a 4 |
---|
987 | 987 | | serious emotional disturbance, based on the findings 5 |
---|
988 | 988 | | and recommendations of such report. 6 |
---|
989 | 989 | | SEC. 209. REVIEWING THE SCHEDULING OF APPROVED 7 |
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990 | 990 | | PRODUCTS CONTAINING A COMBINATION OF 8 |
---|
991 | 991 | | BUPRENORPHINE AND NALOXONE. 9 |
---|
992 | 992 | | (a) S |
---|
993 | 993 | | ECRETARY OFHHS.—The Secretary of Health 10 |
---|
994 | 994 | | and Human Services shall, consistent with the require-11 |
---|
995 | 995 | | ments and procedures set forth in sections 201 and 202 12 |
---|
996 | 996 | | of the Controlled Substances Act (21 U.S.C. 811, 812)— 13 |
---|
997 | 997 | | (1) review the relevant data pertaining to the 14 |
---|
998 | 998 | | scheduling of products containing a combination of 15 |
---|
999 | 999 | | buprenorphine and naloxone that have been ap-16 |
---|
1000 | 1000 | | proved under section 505 of the Federal Food, 17 |
---|
1001 | 1001 | | Drug, and Cosmetic Act (21 U.S.C. 355); and 18 |
---|
1002 | 1002 | | (2) if appropriate, request that the Attorney 19 |
---|
1003 | 1003 | | General initiate rulemaking proceedings to revise the 20 |
---|
1004 | 1004 | | schedules accordingly with respect to such products. 21 |
---|
1005 | 1005 | | (b) A |
---|
1006 | 1006 | | TTORNEYGENERAL.—The Attorney General 22 |
---|
1007 | 1007 | | shall review any request made by the Secretary of Health 23 |
---|
1008 | 1008 | | and Human Services under subsection (a)(2) and deter-24 |
---|
1009 | 1009 | | mine whether to initiate proceedings to revise the sched-25 |
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1012 | 1012 | | •HR 2483 IH |
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1013 | 1013 | | ules in accordance with the criteria set forth in sections 1 |
---|
1014 | 1014 | | 201 and 202 of the Controlled Substances Act (21 U.S.C. 2 |
---|
1015 | 1015 | | 811, 812). 3 |
---|
1016 | 1016 | | TITLE III—RECOVERY 4 |
---|
1017 | 1017 | | SEC. 301. BUILDING COMMUNITIES OF RECOVERY. 5 |
---|
1018 | 1018 | | Section 547(f) of the Public Health Service Act (42 6 |
---|
1019 | 1019 | | U.S.C. 290ee–2(f)) is amended by striking ‘‘$5,000,000 7 |
---|
1020 | 1020 | | for each of fiscal years 2019 through 2023’’ and inserting 8 |
---|
1021 | 1021 | | ‘‘$17,000,000 for each of fiscal years 2026 through 9 |
---|
1022 | 1022 | | 2030’’. 10 |
---|
1023 | 1023 | | SEC. 302. PEER SUPPORT TECHNICAL ASSISTANCE CEN-11 |
---|
1024 | 1024 | | TER. 12 |
---|
1025 | 1025 | | Section 547A of the Public Health Service Act (42 13 |
---|
1026 | 1026 | | U.S.C. 290ee–2a) is amended— 14 |
---|
1027 | 1027 | | (1) in subsection (b)(4), by striking ‘‘building; 15 |
---|
1028 | 1028 | | and’’ and inserting the following: ‘‘building, such 16 |
---|
1029 | 1029 | | as— 17 |
---|
1030 | 1030 | | ‘‘(A) professional development of peer sup-18 |
---|
1031 | 1031 | | port specialists; and 19 |
---|
1032 | 1032 | | ‘‘(B) making recovery support services 20 |
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1033 | 1033 | | available in nonclinical settings; and’’; 21 |
---|
1034 | 1034 | | (2) by redesignating subsections (d) and (e) as 22 |
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1035 | 1035 | | subsections (e) and (f), respectively; 23 |
---|
1036 | 1036 | | (3) by inserting after subsection (c) the fol-24 |
---|
1037 | 1037 | | lowing: 25 |
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1040 | 1040 | | •HR 2483 IH |
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1041 | 1041 | | ‘‘(d) REGIONALCENTERS.— 1 |
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1042 | 1042 | | ‘‘(1) I |
---|
1043 | 1043 | | N GENERAL.—The Secretary may estab-2 |
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1044 | 1044 | | lish one regional technical assistance center (referred 3 |
---|
1045 | 1045 | | to in this subsection as the ‘Regional Center’), with 4 |
---|
1046 | 1046 | | existing resources, to assist the Center in carrying 5 |
---|
1047 | 1047 | | out activities described in subsection (b) within the 6 |
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1048 | 1048 | | geographic region of such Regional Center in a man-7 |
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1049 | 1049 | | ner that is tailored to the needs of such region. 8 |
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1050 | 1050 | | ‘‘(2) E |
---|
1051 | 1051 | | VALUATION.—Not later than 4 years 9 |
---|
1052 | 1052 | | after the date of enactment of the SUPPORT for 10 |
---|
1053 | 1053 | | Patients and Communities Reauthorization Act of 11 |
---|
1054 | 1054 | | 2025, the Secretary shall evaluate the activities of 12 |
---|
1055 | 1055 | | the Regional Center and submit to the Committee 13 |
---|
1056 | 1056 | | on Health, Education, Labor, and Pensions of the 14 |
---|
1057 | 1057 | | Senate and the Committee on Energy and Com-15 |
---|
1058 | 1058 | | merce of the House of Representatives a report on 16 |
---|
1059 | 1059 | | the findings of such evaluation, including— 17 |
---|
1060 | 1060 | | ‘‘(A) a description of the distinct roles and 18 |
---|
1061 | 1061 | | responsibilities of the Regional Center and the 19 |
---|
1062 | 1062 | | Center; 20 |
---|
1063 | 1063 | | ‘‘(B) available information relating to the 21 |
---|
1064 | 1064 | | outcomes of the Regional Center under this 22 |
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1065 | 1065 | | subsection, such as any impact on the oper-23 |
---|
1066 | 1066 | | ations and efficiency of the Center relating to 24 |
---|
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1069 | 1069 | | •HR 2483 IH |
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1070 | 1070 | | requests for technical assistance and support 1 |
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1071 | 1071 | | within the region of such Regional Center; 2 |
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1072 | 1072 | | ‘‘(C) a description of any gaps or areas of 3 |
---|
1073 | 1073 | | duplication relating to the activities of the Re-4 |
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1074 | 1074 | | gional Center and the Center within such re-5 |
---|
1075 | 1075 | | gion; and 6 |
---|
1076 | 1076 | | ‘‘(D) recommendations relating to the 7 |
---|
1077 | 1077 | | modification, expansion, or termination of the 8 |
---|
1078 | 1078 | | Regional Center under this subsection. 9 |
---|
1079 | 1079 | | ‘‘(3) T |
---|
1080 | 1080 | | ERMINATION.—This subsection shall ter-10 |
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1081 | 1081 | | minate on September 30, 2030.’’; and 11 |
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1082 | 1082 | | (4) in subsection (f), as so redesignated, by 12 |
---|
1083 | 1083 | | striking ‘‘$1,000,000 for each of fiscal years 2019 13 |
---|
1084 | 1084 | | through 2023’’ and inserting ‘‘$2,000,000 for each 14 |
---|
1085 | 1085 | | of fiscal years 2026 through 2030’’. 15 |
---|
1086 | 1086 | | SEC. 303. COMPREHENSIVE OPIOID RECOVERY CENTERS. 16 |
---|
1087 | 1087 | | Section 552 of the Public Health Service Act (42 17 |
---|
1088 | 1088 | | U.S.C. 290ee–7) is amended— 18 |
---|
1089 | 1089 | | (1) in subsection (d)(2)— 19 |
---|
1090 | 1090 | | (A) in the matter preceding subparagraph 20 |
---|
1091 | 1091 | | (A), by striking ‘‘and in such manner’’ and in-21 |
---|
1092 | 1092 | | serting ‘‘, in such manner, and containing such 22 |
---|
1093 | 1093 | | information and assurances, including relevant 23 |
---|
1094 | 1094 | | documentation,’’; and 24 |
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1097 | 1097 | | •HR 2483 IH |
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1098 | 1098 | | (B) in subparagraph (A), by striking ‘‘is 1 |
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1099 | 1099 | | capable of coordinating with other entities to 2 |
---|
1100 | 1100 | | carry out’’ and inserting ‘‘has the demonstrated 3 |
---|
1101 | 1101 | | capability to carry out, through referral or con-4 |
---|
1102 | 1102 | | tractual arrangements’’; 5 |
---|
1103 | 1103 | | (2) in subsection (h)— 6 |
---|
1104 | 1104 | | (A) by redesignating paragraphs (1) 7 |
---|
1105 | 1105 | | through (4) as subparagraphs (A) through (D), 8 |
---|
1106 | 1106 | | respectively, and adjusting the margins accord-9 |
---|
1107 | 1107 | | ingly; 10 |
---|
1108 | 1108 | | (B) by striking ‘‘With respect to’’ and in-11 |
---|
1109 | 1109 | | serting the following: 12 |
---|
1110 | 1110 | | ‘‘(1) I |
---|
1111 | 1111 | | N GENERAL.—With respect to’’; and 13 |
---|
1112 | 1112 | | (C) by adding at the end the following: 14 |
---|
1113 | 1113 | | ‘‘(2) A |
---|
1114 | 1114 | | DDITIONAL REPORTING FOR CERTAIN EL -15 |
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1115 | 1115 | | IGIBLE ENTITIES.—An entity carrying out activities 16 |
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1116 | 1116 | | described in subsection (g) through referral or con-17 |
---|
1117 | 1117 | | tractual arrangements shall include in the submis-18 |
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1118 | 1118 | | sions required under paragraph (1) information re-19 |
---|
1119 | 1119 | | lated to the status of such referrals or contractual 20 |
---|
1120 | 1120 | | arrangements, including an assessment of whether 21 |
---|
1121 | 1121 | | such referrals or contractual arrangements are sup-22 |
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1122 | 1122 | | porting the ability of such entity to carry out such 23 |
---|
1123 | 1123 | | activities.’’; and 24 |
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1126 | 1126 | | •HR 2483 IH |
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1127 | 1127 | | (3) in subsection (j), by striking ‘‘2019 through 1 |
---|
1128 | 1128 | | 2023’’ and inserting ‘‘2026 through 2030’’. 2 |
---|
1129 | 1129 | | SEC. 304. YOUTH PREVENTION AND RECOVERY. 3 |
---|
1130 | 1130 | | Section 7102(c) of the SUPPORT for Patients and 4 |
---|
1131 | 1131 | | Communities Act (42 U.S.C. 290bb–7a(c)) (as amended 5 |
---|
1132 | 1132 | | by section 110(a)) is amended— 6 |
---|
1133 | 1133 | | (1) in paragraph (2)— 7 |
---|
1134 | 1134 | | (A) in subparagraph (A)— 8 |
---|
1135 | 1135 | | (i) in clause (i)— 9 |
---|
1136 | 1136 | | (I) by inserting ‘‘, or a consor-10 |
---|
1137 | 1137 | | tium of local educational agencies,’’ 11 |
---|
1138 | 1138 | | after ‘‘a local educational agency’’; 12 |
---|
1139 | 1139 | | and 13 |
---|
1140 | 1140 | | (II) by striking ‘‘high schools’’ 14 |
---|
1141 | 1141 | | and inserting ‘‘secondary schools’’; 15 |
---|
1142 | 1142 | | and 16 |
---|
1143 | 1143 | | (ii) in clause (vi), by striking ‘‘tribe, 17 |
---|
1144 | 1144 | | or tribal’’ and inserting ‘‘Tribe, or Tribal’’; 18 |
---|
1145 | 1145 | | (B) by amending subparagraph (E) to read 19 |
---|
1146 | 1146 | | as follows: 20 |
---|
1147 | 1147 | | ‘‘(E) I |
---|
1148 | 1148 | | NDIAN TRIBE; TRIBAL ORGANIZA-21 |
---|
1149 | 1149 | | TION.—The terms ‘Indian Tribe’ and ‘Tribal 22 |
---|
1150 | 1150 | | organization’ have the meanings given such 23 |
---|
1151 | 1151 | | terms in section 4 of the Indian Self-Deter-24 |
---|
1152 | 1152 | | VerDate Sep 11 2014 02:36 Apr 01, 2025 Jkt 059200 PO 00000 Frm 00039 Fmt 6652 Sfmt 6201 E:\BILLS\H2483.IH H2483 |
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1154 | 1154 | | •HR 2483 IH |
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1155 | 1155 | | mination and Education Assistance Act (25 1 |
---|
1156 | 1156 | | U.S.C. 5304).’’; 2 |
---|
1157 | 1157 | | (C) by redesignating subparagraph (K) as 3 |
---|
1158 | 1158 | | subparagraph (L); and 4 |
---|
1159 | 1159 | | (D) by inserting after subparagraph (J) 5 |
---|
1160 | 1160 | | the following: 6 |
---|
1161 | 1161 | | ‘‘(K) S |
---|
1162 | 1162 | | ECONDARY SCHOOL .—The term 7 |
---|
1163 | 1163 | | ‘secondary school’ has the meaning given such 8 |
---|
1164 | 1164 | | term in section 8101 of the Elementary and 9 |
---|
1165 | 1165 | | Secondary Education Act of 1965 (20 U.S.C. 10 |
---|
1166 | 1166 | | 7801).’’; 11 |
---|
1167 | 1167 | | (2) in paragraph (3)(A), in the matter pre-12 |
---|
1168 | 1168 | | ceding clause (i)— 13 |
---|
1169 | 1169 | | (A) by striking ‘‘and abuse’’; and 14 |
---|
1170 | 1170 | | (B) by inserting ‘‘at increased risk for sub-15 |
---|
1171 | 1171 | | stance misuse’’ after ‘‘specific populations’’; 16 |
---|
1172 | 1172 | | (3) in paragraph (4)— 17 |
---|
1173 | 1173 | | (A) in the matter preceding subparagraph 18 |
---|
1174 | 1174 | | (A), by striking ‘‘Indian tribes’’ and inserting 19 |
---|
1175 | 1175 | | ‘‘Indian Tribes’’; 20 |
---|
1176 | 1176 | | (B) in subparagraph (A), by striking ‘‘and 21 |
---|
1177 | 1177 | | abuse’’; and 22 |
---|
1178 | 1178 | | (C) in subparagraph (B), by striking ‘‘peer 23 |
---|
1179 | 1179 | | mentoring’’ and inserting ‘‘peer-to-peer sup-24 |
---|
1180 | 1180 | | port’’; 25 |
---|
1181 | 1181 | | VerDate Sep 11 2014 02:36 Apr 01, 2025 Jkt 059200 PO 00000 Frm 00040 Fmt 6652 Sfmt 6201 E:\BILLS\H2483.IH H2483 |
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1183 | 1183 | | •HR 2483 IH |
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1184 | 1184 | | (4) in paragraph (5), by striking ‘‘tribal’’ and 1 |
---|
1185 | 1185 | | inserting ‘‘Tribal’’; 2 |
---|
1186 | 1186 | | (5) in paragraph (6)(A)— 3 |
---|
1187 | 1187 | | (A) in clause (iv), by striking ‘‘; and’’ and 4 |
---|
1188 | 1188 | | inserting a semicolon; and 5 |
---|
1189 | 1189 | | (B) by adding at the end the following: 6 |
---|
1190 | 1190 | | ‘‘(vi) a plan to sustain the activities 7 |
---|
1191 | 1191 | | carried out under the grant program, after 8 |
---|
1192 | 1192 | | the grant program has ended; and’’; 9 |
---|
1193 | 1193 | | (6) in paragraph (8), by striking ‘‘2022’’ and 10 |
---|
1194 | 1194 | | inserting ‘‘2028’’; and 11 |
---|
1195 | 1195 | | (7) by amending paragraph (9) to read as fol-12 |
---|
1196 | 1196 | | lows: 13 |
---|
1197 | 1197 | | ‘‘(9) A |
---|
1198 | 1198 | | UTHORIZATION OF APPROPRIATIONS .— 14 |
---|
1199 | 1199 | | To carry out this subsection, there are authorized to 15 |
---|
1200 | 1200 | | be appropriated— 16 |
---|
1201 | 1201 | | ‘‘(A) $10,000,000 for fiscal year 2026; 17 |
---|
1202 | 1202 | | ‘‘(B) $12,000,000 for fiscal year 2027; 18 |
---|
1203 | 1203 | | ‘‘(C) $13,000,000 for fiscal year 2028; 19 |
---|
1204 | 1204 | | ‘‘(D) $14,000,000 for fiscal year 2029; 20 |
---|
1205 | 1205 | | and 21 |
---|
1206 | 1206 | | ‘‘(E) $15,000,000 for fiscal year 2030.’’. 22 |
---|
1207 | 1207 | | VerDate Sep 11 2014 02:36 Apr 01, 2025 Jkt 059200 PO 00000 Frm 00041 Fmt 6652 Sfmt 6201 E:\BILLS\H2483.IH H2483 |
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1209 | 1209 | | •HR 2483 IH |
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1210 | 1210 | | SEC. 305. CAREER ACT. 1 |
---|
1211 | 1211 | | (a) I |
---|
1212 | 1212 | | NGENERAL.—Section 7183 of the SUPPORT 2 |
---|
1213 | 1213 | | for Patients and Communities Act (42 U.S.C. 290ee–8) 3 |
---|
1214 | 1214 | | is amended— 4 |
---|
1215 | 1215 | | (1) in the section heading, by inserting ‘‘; 5 |
---|
1216 | 1216 | | TREATMENT , RECOVERY, AND WORKFORCE 6 |
---|
1217 | 1217 | | SUPPORT GRANTS ’’ after ‘‘CAREER ACT’’; 7 |
---|
1218 | 1218 | | (2) in subsection (b), by inserting ‘‘each’’ before 8 |
---|
1219 | 1219 | | ‘‘for a period’’; 9 |
---|
1220 | 1220 | | (3) in subsection (c)— 10 |
---|
1221 | 1221 | | (A) in paragraph (1), by striking ‘‘the 11 |
---|
1222 | 1222 | | rates described in paragraph (2)’’ and inserting 12 |
---|
1223 | 1223 | | ‘‘the average rates for calendar years 2018 13 |
---|
1224 | 1224 | | through 2022 described in paragraph (2)’’; and 14 |
---|
1225 | 1225 | | (B) by amending paragraph (2) to read as 15 |
---|
1226 | 1226 | | follows: 16 |
---|
1227 | 1227 | | ‘‘(2) R |
---|
1228 | 1228 | | ATES.—The rates described in this para-17 |
---|
1229 | 1229 | | graph are the following: 18 |
---|
1230 | 1230 | | ‘‘(A) The highest age-adjusted average 19 |
---|
1231 | 1231 | | rates of drug overdose deaths for calendar years 20 |
---|
1232 | 1232 | | 2018 through 2022 based on data from the 21 |
---|
1233 | 1233 | | Centers for Disease Control and Prevention, in-22 |
---|
1234 | 1234 | | cluding, if necessary, provisional data for cal-23 |
---|
1235 | 1235 | | endar year 2022. 24 |
---|
1236 | 1236 | | ‘‘(B) The highest average rates of unem-25 |
---|
1237 | 1237 | | ployment for calendar years 2018 through 2022 26 |
---|
1238 | 1238 | | VerDate Sep 11 2014 02:36 Apr 01, 2025 Jkt 059200 PO 00000 Frm 00042 Fmt 6652 Sfmt 6201 E:\BILLS\H2483.IH H2483 |
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1240 | 1240 | | •HR 2483 IH |
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1241 | 1241 | | based on data provided by the Bureau of Labor 1 |
---|
1242 | 1242 | | Statistics. 2 |
---|
1243 | 1243 | | ‘‘(C) The lowest average labor force par-3 |
---|
1244 | 1244 | | ticipation rates for calendar years 2018 through 4 |
---|
1245 | 1245 | | 2022 based on data provided by the Bureau of 5 |
---|
1246 | 1246 | | Labor Statistics.’’; 6 |
---|
1247 | 1247 | | (4) in subsection (g)— 7 |
---|
1248 | 1248 | | (A) in each of paragraphs (1) and (3), by 8 |
---|
1249 | 1249 | | redesignating subparagraphs (A) and (B) as 9 |
---|
1250 | 1250 | | clauses (i) and (ii), respectively, and adjusting 10 |
---|
1251 | 1251 | | the margins accordingly; 11 |
---|
1252 | 1252 | | (B) by redesignating paragraphs (1) 12 |
---|
1253 | 1253 | | through (3) as subparagraphs (A) through (C), 13 |
---|
1254 | 1254 | | respectively, and adjusting the margins accord-14 |
---|
1255 | 1255 | | ingly; 15 |
---|
1256 | 1256 | | (C) in the matter preceding subparagraph 16 |
---|
1257 | 1257 | | (A) (as so redesignated), by striking ‘‘An enti-17 |
---|
1258 | 1258 | | ty’’ and inserting the following: 18 |
---|
1259 | 1259 | | ‘‘(1) I |
---|
1260 | 1260 | | N GENERAL.—An entity’’; and 19 |
---|
1261 | 1261 | | (D) by adding at the end the following: 20 |
---|
1262 | 1262 | | ‘‘(2) T |
---|
1263 | 1263 | | RANSPORTATION SERVICES .—An entity 21 |
---|
1264 | 1264 | | receiving a grant under this section may use not 22 |
---|
1265 | 1265 | | more than 5 percent of the funds for providing 23 |
---|
1266 | 1266 | | transportation for individuals to participate in an ac-24 |
---|
1267 | 1267 | | tivity supported by a grant under this section, which 25 |
---|
1268 | 1268 | | VerDate Sep 11 2014 02:36 Apr 01, 2025 Jkt 059200 PO 00000 Frm 00043 Fmt 6652 Sfmt 6201 E:\BILLS\H2483.IH H2483 |
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1270 | 1270 | | •HR 2483 IH |
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1271 | 1271 | | transportation shall be to or from a place of work 1 |
---|
1272 | 1272 | | or a place where the individual is receiving voca-2 |
---|
1273 | 1273 | | tional education or job training services or receiving 3 |
---|
1274 | 1274 | | services directly linked to treatment of or recovery 4 |
---|
1275 | 1275 | | from a substance use disorder. 5 |
---|
1276 | 1276 | | ‘‘(3) L |
---|
1277 | 1277 | | IMITATION.—The Secretary may not re-6 |
---|
1278 | 1278 | | quire an entity to, or give priority to an entity that 7 |
---|
1279 | 1279 | | plans to, use the funds of a grant under this section 8 |
---|
1280 | 1280 | | for activities that are not specified in this sub-9 |
---|
1281 | 1281 | | section.’’; 10 |
---|
1282 | 1282 | | (5) in subsection (i)(2), by inserting ‘‘, which 11 |
---|
1283 | 1283 | | shall include employment and earnings outcomes de-12 |
---|
1284 | 1284 | | scribed in subclauses (I) and (III) of section 13 |
---|
1285 | 1285 | | 116(b)(2)(A)(i) of the Workforce Innovation and 14 |
---|
1286 | 1286 | | Opportunity Act (29 U.S.C. 3141(b)(2)(A)(i)) with 15 |
---|
1287 | 1287 | | respect to the participation of such individuals with 16 |
---|
1288 | 1288 | | a substance use disorder in programs and activities 17 |
---|
1289 | 1289 | | funded by the grant under this section’’ after ‘‘sub-18 |
---|
1290 | 1290 | | section (g)’’; 19 |
---|
1291 | 1291 | | (6) in subsection (j)— 20 |
---|
1292 | 1292 | | (A) in paragraph (1), by inserting ‘‘for 21 |
---|
1293 | 1293 | | grants awarded prior to the date of enactment 22 |
---|
1294 | 1294 | | of the SUPPORT for Patients and Commu-23 |
---|
1295 | 1295 | | nities Reauthorization Act of 2025’’ after 24 |
---|
1296 | 1296 | | ‘‘grant period under this section’’; and 25 |
---|
1297 | 1297 | | VerDate Sep 11 2014 02:36 Apr 01, 2025 Jkt 059200 PO 00000 Frm 00044 Fmt 6652 Sfmt 6201 E:\BILLS\H2483.IH H2483 |
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1299 | 1299 | | •HR 2483 IH |
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1300 | 1300 | | (B) in paragraph (2)— 1 |
---|
1301 | 1301 | | (i) in the matter preceding subpara-2 |
---|
1302 | 1302 | | graph (A), by striking ‘‘2 years after sub-3 |
---|
1303 | 1303 | | mitting the preliminary report required 4 |
---|
1304 | 1304 | | under paragraph (1)’’ and inserting ‘‘Sep-5 |
---|
1305 | 1305 | | tember 30, 2030’’; and 6 |
---|
1306 | 1306 | | (ii) in subparagraph (A), by striking 7 |
---|
1307 | 1307 | | ‘‘(g)(3)’’ and inserting ‘‘(g)(1)(C)’’; and 8 |
---|
1308 | 1308 | | (7) in subsection (k), by striking ‘‘$5,000,000 9 |
---|
1309 | 1309 | | for each of fiscal years 2019 through 2023’’ and in-10 |
---|
1310 | 1310 | | serting ‘‘$12,000,000 for each of fiscal years 2026 11 |
---|
1311 | 1311 | | through 2030’’. 12 |
---|
1312 | 1312 | | (b) R |
---|
1313 | 1313 | | EAUTHORIZATION OF THE CAREER ACT; RE-13 |
---|
1314 | 1314 | | COVERYHOUSINGPILOTPROGRAM.— 14 |
---|
1315 | 1315 | | (1) I |
---|
1316 | 1316 | | N GENERAL.—Section 8071 of the SUP-15 |
---|
1317 | 1317 | | PORT for Patients and Communities Act (42 16 |
---|
1318 | 1318 | | U.S.C. 5301 note; Public Law 115–271) is amend-17 |
---|
1319 | 1319 | | ed— 18 |
---|
1320 | 1320 | | (A) by striking the section heading and in-19 |
---|
1321 | 1321 | | serting ‘‘ |
---|
1322 | 1322 | | CAREER ACT; RECOVERY HOUSING 20 |
---|
1323 | 1323 | | PILOT PROGRAM ’’; 21 |
---|
1324 | 1324 | | (B) in subsection (a), by striking ‘‘through 22 |
---|
1325 | 1325 | | 2023’’ and inserting ‘‘through 2030’’; 23 |
---|
1326 | 1326 | | (C) in subsection (b)— 24 |
---|
1327 | 1327 | | VerDate Sep 11 2014 02:36 Apr 01, 2025 Jkt 059200 PO 00000 Frm 00045 Fmt 6652 Sfmt 6201 E:\BILLS\H2483.IH H2483 |
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1329 | 1329 | | •HR 2483 IH |
---|
1330 | 1330 | | (i) in paragraph (1), by striking ‘‘not 1 |
---|
1331 | 1331 | | later than 60 days after the date of enact-2 |
---|
1332 | 1332 | | ment of this Act’’ and inserting ‘‘not later 3 |
---|
1333 | 1333 | | than 60 days after the date of enactment 4 |
---|
1334 | 1334 | | of the SUPPORT for Patients and Com-5 |
---|
1335 | 1335 | | munities Reauthorization Act of 2025’’; 6 |
---|
1336 | 1336 | | and 7 |
---|
1337 | 1337 | | (ii) in paragraph (2)(B)(i)— 8 |
---|
1338 | 1338 | | (I) in subclause (I)— 9 |
---|
1339 | 1339 | | (aa) by striking ‘‘for cal-10 |
---|
1340 | 1340 | | endar years 2013 through 2017’’; 11 |
---|
1341 | 1341 | | and 12 |
---|
1342 | 1342 | | (bb) by inserting ‘‘for cal-13 |
---|
1343 | 1343 | | endar years 2018 through 2022’’ 14 |
---|
1344 | 1344 | | after ‘‘rates of unemployment’’; 15 |
---|
1345 | 1345 | | (II) in subclause (II)— 16 |
---|
1346 | 1346 | | (aa) by striking ‘‘for cal-17 |
---|
1347 | 1347 | | endar years 2013 through 2017’’; 18 |
---|
1348 | 1348 | | and 19 |
---|
1349 | 1349 | | (bb) by inserting ‘‘for cal-20 |
---|
1350 | 1350 | | endar years 2018 through 2022’’ 21 |
---|
1351 | 1351 | | after ‘‘participation rates’’; and 22 |
---|
1352 | 1352 | | (III) by striking subclause (III) 23 |
---|
1353 | 1353 | | and inserting the following: 24 |
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1354 | 1354 | | VerDate Sep 11 2014 02:36 Apr 01, 2025 Jkt 059200 PO 00000 Frm 00046 Fmt 6652 Sfmt 6201 E:\BILLS\H2483.IH H2483 |
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1355 | 1355 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB 47 |
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1356 | 1356 | | •HR 2483 IH |
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1357 | 1357 | | ‘‘(III) The highest age-adjusted 1 |
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1358 | 1358 | | average rates of drug overdose deaths 2 |
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1359 | 1359 | | for calendar years 2018 through 2022 3 |
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1360 | 1360 | | based on data from the Centers for 4 |
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1361 | 1361 | | Disease Control and Prevention, in-5 |
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1362 | 1362 | | cluding, if necessary, provisional data 6 |
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1363 | 1363 | | for calendar year 2022.’’; and 7 |
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1364 | 1364 | | (D) in subsection (f), by striking ‘‘For the 8 |
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1365 | 1365 | | 2-year period following the date of enactment of 9 |
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1366 | 1366 | | this Act, the’’ and inserting ‘‘The’’. 10 |
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1367 | 1367 | | (2) C |
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1368 | 1368 | | ONFORMING AMENDMENT .—Subtitle F of 11 |
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1369 | 1369 | | title VIII of the SUPPORT for Patients and Com-12 |
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1370 | 1370 | | munities Act (Public Law 115–271; 132 Stat. 4095) 13 |
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1371 | 1371 | | is amended by striking the subtitle heading and in-14 |
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1372 | 1372 | | serting the following: ‘‘Subtitle F—CAREER 15 |
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1373 | 1373 | | Act; Recovery Housing Pilot Program ’’ . 16 |
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1374 | 1374 | | (c) C |
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1375 | 1375 | | LERICALAMENDMENTS.—The table of contents 17 |
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1376 | 1376 | | in section 1(b) of the SUPPORT for Patients and Com-18 |
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1377 | 1377 | | munities Act (Public Law 115–271; 132 Stat. 3894) is 19 |
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1378 | 1378 | | amended— 20 |
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1379 | 1379 | | (1) by striking the item relating to section 7183 21 |
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1380 | 1380 | | and inserting the following: 22 |
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1381 | 1381 | | ‘‘Sec. 7183. CAREER Act; treatment, recovery, and workforce support |
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1382 | 1382 | | grants.’’; |
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1383 | 1383 | | VerDate Sep 11 2014 02:36 Apr 01, 2025 Jkt 059200 PO 00000 Frm 00047 Fmt 6652 Sfmt 6211 E:\BILLS\H2483.IH H2483 |
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1384 | 1384 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB 48 |
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1385 | 1385 | | •HR 2483 IH |
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1386 | 1386 | | (2) by striking the item relating to subtitle F 1 |
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1387 | 1387 | | of title VIII and inserting the following: 2 |
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1388 | 1388 | | ‘‘Subtitle F—CAREER Act; Recovery Housing Pilot Program’’; and |
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1389 | 1389 | | (3) by striking the item relating to section 8071 3 |
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1390 | 1390 | | and inserting the following: 4 |
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1391 | 1391 | | ‘‘Sec. 8071. CAREER Act; Recovery Housing Pilot Program.’’. |
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1392 | 1392 | | SEC. 306. ADDRESSING ECONOMIC AND WORKFORCE IM- |
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1393 | 1393 | | 5 |
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1394 | 1394 | | PACTS OF THE OPIOID CRISIS. 6 |
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1395 | 1395 | | Section 8041(g)(1) of the SUPPORT for Patients 7 |
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1396 | 1396 | | and Communities Act (29 U.S.C. 3225a(g)(1)) is amended 8 |
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1397 | 1397 | | by striking ‘‘2023’’ and inserting ‘‘2030’’. 9 |
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1398 | 1398 | | TITLE IV—MISCELLANEOUS 10 |
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1399 | 1399 | | MATTERS 11 |
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1400 | 1400 | | SEC. 401. DELIVERY OF A CONTROLLED SUBSTANCE BY A 12 |
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1401 | 1401 | | PHARMACY TO A PRESCRIBING PRACTI-13 |
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1402 | 1402 | | TIONER. 14 |
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1403 | 1403 | | Section 309A(a) of the Controlled Substances Act 15 |
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1404 | 1404 | | (21 U.S.C. 829a(a)) is amended by striking paragraph (2) 16 |
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1405 | 1405 | | and inserting the following: 17 |
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1406 | 1406 | | ‘‘(2) the controlled substance is a drug in 18 |
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1407 | 1407 | | schedule III, IV, or V to be administered— 19 |
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1408 | 1408 | | ‘‘(A) by injection or implantation for the 20 |
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1409 | 1409 | | purpose of maintenance or detoxification treat-21 |
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1410 | 1410 | | ment; or 22 |
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1411 | 1411 | | ‘‘(B) subject to a risk evaluation and miti-23 |
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1412 | 1412 | | gation strategy pursuant to section 505–1 of 24 |
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1413 | 1413 | | VerDate Sep 11 2014 02:36 Apr 01, 2025 Jkt 059200 PO 00000 Frm 00048 Fmt 6652 Sfmt 6201 E:\BILLS\H2483.IH H2483 |
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1414 | 1414 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB 49 |
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1415 | 1415 | | •HR 2483 IH |
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1416 | 1416 | | the Federal Food, Drug, and Cosmetic Act (21 1 |
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1417 | 1417 | | U.S.C. 355–1) that includes elements to assure 2 |
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1418 | 1418 | | safe use of the drug described in subsection 3 |
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1419 | 1419 | | (f)(3)(E) of such section, including a require-4 |
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1420 | 1420 | | ment for post-administration monitoring by a 5 |
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1421 | 1421 | | health care provider;’’. 6 |
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1422 | 1422 | | SEC. 402. REQUIRED TRAINING FOR PRESCRIBERS OF CON-7 |
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1423 | 1423 | | TROLLED SUBSTANCES. 8 |
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1424 | 1424 | | (a) I |
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1425 | 1425 | | NGENERAL.—Section 303 of the Controlled 9 |
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1426 | 1426 | | Substances Act (21 U.S.C. 823) is amended— 10 |
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1427 | 1427 | | (1) by redesignating the second subsection des-11 |
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1428 | 1428 | | ignated as subsection (l) as subsection (m); and 12 |
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1429 | 1429 | | (2) in subsection (m)(1), as so redesignated— 13 |
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1430 | 1430 | | (A) in subparagraph (A)— 14 |
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1431 | 1431 | | (i) in clause (iv)— 15 |
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1432 | 1432 | | (I) in subclause (I)— 16 |
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1433 | 1433 | | (aa) by inserting ‘‘the Amer-17 |
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1434 | 1434 | | ican Academy of Family Physi-18 |
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1435 | 1435 | | cians, the American Podiatric 19 |
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1436 | 1436 | | Medical Association, the Acad-20 |
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1437 | 1437 | | emy of General Dentistry, the 21 |
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1438 | 1438 | | American Optometric Associa-22 |
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1439 | 1439 | | tion,’’ before ‘‘or any other orga-23 |
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1440 | 1440 | | nization’’; 24 |
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1442 | 1442 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB 50 |
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1443 | 1443 | | •HR 2483 IH |
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1444 | 1444 | | (bb) by striking ‘‘or the 1 |
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1445 | 1445 | | Commission’’ and inserting ‘‘, the 2 |
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1446 | 1446 | | Commission’’; and 3 |
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1447 | 1447 | | (cc) by inserting ‘‘, or the 4 |
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1448 | 1448 | | Council on Podiatric Medical 5 |
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1449 | 1449 | | Education’’ before the semicolon 6 |
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1450 | 1450 | | at the end; and 7 |
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1451 | 1451 | | (II) in subclause (III), by insert-8 |
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1452 | 1452 | | ing ‘‘or the American Academy of 9 |
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1453 | 1453 | | Family Physicians’’ after ‘‘Associa-10 |
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1454 | 1454 | | tion’’; and 11 |
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1455 | 1455 | | (ii) in clause (v), in the matter pre-12 |
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1456 | 1456 | | ceding subclause (I)— 13 |
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1457 | 1457 | | (I) by striking ‘‘osteopathic medi-14 |
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1458 | 1458 | | cine, dental surgery’’ and inserting 15 |
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1459 | 1459 | | ‘‘osteopathic medicine, podiatric medi-16 |
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1460 | 1460 | | cine, dental surgery’’; and 17 |
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1461 | 1461 | | (II) by striking ‘‘or dental medi-18 |
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1462 | 1462 | | cine curriculum’’ and inserting ‘‘or 19 |
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1463 | 1463 | | dental or podiatric medicine cur-20 |
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1464 | 1464 | | riculum’’; and 21 |
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1465 | 1465 | | (B) in subparagraph (B)— 22 |
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1466 | 1466 | | (i) in clause (i)— 23 |
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1467 | 1467 | | (I) by inserting ‘‘the American 24 |
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1468 | 1468 | | Pharmacists Association, the Accredi-25 |
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1471 | 1471 | | •HR 2483 IH |
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1472 | 1472 | | tation Council on Pharmacy Edu-1 |
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1473 | 1473 | | cation, the American Psychiatric 2 |
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1474 | 1474 | | Nurses Association, the American 3 |
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1475 | 1475 | | Academy of Nursing, the American 4 |
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1476 | 1476 | | Academy of Family Physicians,’’ be-5 |
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1477 | 1477 | | fore ‘‘or any other organization’’; and 6 |
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1478 | 1478 | | (II) by inserting ‘‘, the American 7 |
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1479 | 1479 | | Academy of Family Physicians,’’ be-8 |
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1480 | 1480 | | fore ‘‘or the Accreditation Council’’; 9 |
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1481 | 1481 | | and 10 |
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1482 | 1482 | | (ii) in clause (ii)— 11 |
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1483 | 1483 | | (I) by striking ‘‘or accredited 12 |
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1484 | 1484 | | school’’ and inserting ‘‘, an accredited 13 |
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1485 | 1485 | | school’’; and 14 |
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1486 | 1486 | | (II) by inserting ‘‘, or an accred-15 |
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1487 | 1487 | | ited school of pharmacy’’ before ‘‘in 16 |
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1488 | 1488 | | the United States’’. 17 |
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1489 | 1489 | | (b) E |
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1490 | 1490 | | FFECTIVEDATE.—The amendment made by 18 |
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1491 | 1491 | | subsection (a) shall take effect as if enacted on December 19 |
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1492 | 1492 | | 29, 2022. 20 |
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1493 | 1493 | | Æ |
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