| 1 | 1 | | II |
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| 2 | 2 | | 119THCONGRESS |
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| 3 | 3 | | 1 |
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| 4 | 4 | | STSESSION S. 690 |
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| 5 | 5 | | To combat the fentanyl crisis. |
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| 6 | 6 | | IN THE SENATE OF THE UNITED STATES |
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| 7 | 7 | | FEBRUARY24, 2025 |
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| 8 | 8 | | Mr. S |
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| 9 | 9 | | COTTof Florida introduced the following bill; which was read twice and |
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| 10 | 10 | | referred to the Committee on Health, Education, Labor, and Pensions |
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| 11 | 11 | | A BILL |
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| 12 | 12 | | To combat the fentanyl crisis. |
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| 13 | 13 | | Be it enacted by the Senate and House of Representa-1 |
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| 14 | 14 | | tives of the United States of America in Congress assembled, 2 |
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| 15 | 15 | | SECTION 1. SHORT TITLE. 3 |
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| 16 | 16 | | This Act may be cited as the ‘‘Overdose Response Ac-4 |
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| 17 | 17 | | tion Data for Actionable Reforms Act’’ or the ‘‘Overdose 5 |
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| 18 | 18 | | RADAR Act’’. 6 |
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| 19 | 19 | | SEC. 2. ACCURATE DATA ON OPIOID-RELATED OVERDOSES. 7 |
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| 20 | 20 | | Part D of title V of the Public Health Service Act 8 |
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| 21 | 21 | | (42 U.S.C. 290dd et seq.) is amended by adding at the 9 |
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| 22 | 22 | | end the following: 10 |
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| 24 | 24 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB 2 |
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| 25 | 25 | | •S 690 IS |
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| 26 | 26 | | ‘‘SEC. 554. ACCURATE DATA ON OPIOID-RELATED 1 |
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| 27 | 27 | | OVERDOSES. 2 |
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| 28 | 28 | | ‘‘The Secretary may award grants to States, terri-3 |
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| 29 | 29 | | tories, and localities to support improved data and surveil-4 |
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| 30 | 30 | | lance on opioid-related overdoses, including for activities 5 |
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| 31 | 31 | | to improve postmortem toxicology testing, data linkage 6 |
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| 32 | 32 | | across data systems throughout the United States, elec-7 |
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| 33 | 33 | | tronic death reporting, or the comprehensiveness of data 8 |
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| 34 | 34 | | on fatal and nonfatal opioid-related overdoses.’’. 9 |
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| 35 | 35 | | SEC. 3. OFFICE OF NATIONAL DRUG CONTROL POLICY RE-10 |
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| 36 | 36 | | FORM. 11 |
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| 37 | 37 | | (a) S |
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| 38 | 38 | | ENSE OFCONGRESS.—It is the sense of Con-12 |
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| 39 | 39 | | gress that— 13 |
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| 40 | 40 | | (1) the Director of the Office of National Drug 14 |
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| 41 | 41 | | Control Policy shall be a Cabinet-level position; and 15 |
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| 42 | 42 | | (2) nothing in this section shall affect the re-16 |
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| 43 | 43 | | porting structure of agencies with drug enforcement 17 |
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| 44 | 44 | | responsibilities. 18 |
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| 45 | 45 | | (b) R |
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| 46 | 46 | | EQUIREMENTS.—The Office of National Drug 19 |
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| 47 | 47 | | Control Policy shall— 20 |
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| 48 | 48 | | (1) document strategies for ensuring prevention 21 |
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| 49 | 49 | | of duplicating services and grant funding within Na-22 |
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| 50 | 50 | | tional Drug Control Program agencies; 23 |
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| 51 | 51 | | (2) collaborate with the National Center for 24 |
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| 52 | 52 | | Health Statistics and the National Forensic Labora-25 |
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| 53 | 53 | | tory Information System, including by working with 26 |
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| 56 | 56 | | •S 690 IS |
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| 57 | 57 | | the Department of Justice to create national stand-1 |
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| 58 | 58 | | ards for the submission of data to ensure uniformity 2 |
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| 59 | 59 | | across the United States, including data from cases 3 |
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| 60 | 60 | | in which the defendant pleads guilty; and 4 |
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| 61 | 61 | | (3) issue guidance that States and localities 5 |
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| 62 | 62 | | should record overdose deaths as homicides if there 6 |
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| 63 | 63 | | is sufficient evidence that the overdose was not self- 7 |
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| 64 | 64 | | induced and intentional. 8 |
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| 65 | 65 | | (c) I |
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| 66 | 66 | | NTERAGENCY COORDINATINGCOUNCIL.—The 9 |
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| 67 | 67 | | Office of National Drug Control Policy, the Department 10 |
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| 68 | 68 | | of Justice, the Department of Health and Human Serv-11 |
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| 69 | 69 | | ices, and other National Drug Control Program agencies 12 |
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| 70 | 70 | | shall coordinate to limit duplication and ensure uniform 13 |
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| 71 | 71 | | reporting standards and improve relationships between the 14 |
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| 72 | 72 | | agencies. 15 |
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| 73 | 73 | | (d) C |
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| 74 | 74 | | ONGRESSIONALREVIEWACT.—If the Office of 16 |
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| 75 | 75 | | National Drug Control Policy does not certify that a final 17 |
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| 76 | 76 | | rule made by a National Drug Control Program partici-18 |
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| 77 | 77 | | pant is consistent with the National Drug Control Policy, 19 |
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| 78 | 78 | | the rule shall be deemed to be submitted under section 20 |
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| 79 | 79 | | 801(a)(1) of title 5, United States Code. 21 |
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| 80 | 80 | | (e) R |
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| 81 | 81 | | EPROGRAMMING AND TRANSFERREQUESTS.— 22 |
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| 82 | 82 | | Section 704(c)(4)(A) of the Office of National Drug Con-23 |
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| 83 | 83 | | trol Policy Reauthorization Act of 1998 (21 U.S.C. 24 |
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| 86 | 86 | | •S 690 IS |
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| 87 | 87 | | 1703(c)(4)(A)) is amended by striking ‘‘deemed ap-1 |
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| 88 | 88 | | proved’’ and inserting ‘‘deemed denied’’. 2 |
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| 89 | 89 | | SEC. 4. STATE OPIOID RESPONSE GRANTS. 3 |
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| 90 | 90 | | Section 1003 of the 21st Century Cures Act (42 4 |
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| 91 | 91 | | U.S.C. 290ee–3a) is amended— 5 |
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| 92 | 92 | | (1) in subsection (f)— 6 |
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| 93 | 93 | | (A) in paragraph (2), by striking ‘‘; and’’ 7 |
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| 94 | 94 | | and inserting a semicolon; 8 |
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| 95 | 95 | | (B) in paragraph (3), by striking the pe-9 |
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| 96 | 96 | | riod and inserting ‘‘; and’’; and 10 |
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| 97 | 97 | | (C) by adding at the end the following: 11 |
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| 98 | 98 | | ‘‘(4) an assessment of the challenges of such re-12 |
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| 99 | 99 | | cipients in addressing opioid misuse and use dis-13 |
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| 100 | 100 | | orders and, as applicable and appropriate, stimulant 14 |
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| 101 | 101 | | misuse and use disorders, accounting for variations 15 |
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| 102 | 102 | | in implementation of the grant funds.’’; and 16 |
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| 103 | 103 | | (2) in subsection (g)— 17 |
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| 104 | 104 | | (A) in the subsection heading, by inserting 18 |
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| 105 | 105 | | ‘‘ |
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| 106 | 106 | | ANDBESTPRACTICES’’ after ‘‘TECHNICAL 19 |
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| 107 | 107 | | A |
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| 108 | 108 | | SSISTANCE’’; 20 |
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| 109 | 109 | | (B) by striking ‘‘with technical assistance’’ 21 |
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| 110 | 110 | | and inserting ‘‘with— 22 |
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| 111 | 111 | | ‘‘(1) technical assistance’’; and 23 |
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| 112 | 112 | | (C) by striking the period at the end and 24 |
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| 113 | 113 | | inserting ‘‘; and’’; and 25 |
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| 116 | 116 | | •S 690 IS |
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| 117 | 117 | | (D) by adding at the end the following: 1 |
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| 118 | 118 | | ‘‘(2) best practices on how to address opioid-re-2 |
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| 119 | 119 | | lated overdoses.’’. 3 |
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| 120 | 120 | | SEC. 5. WASTEWATER PILOT PROGRAM. 4 |
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| 121 | 121 | | The Director of the Centers for Disease Control and 5 |
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| 122 | 122 | | Prevention, in collaboration with the Attorney General, 6 |
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| 123 | 123 | | shall carry out a 3-year pilot program to award grants 7 |
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| 124 | 124 | | on a competitive basis to municipal wastewater treatment 8 |
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| 125 | 125 | | facilities in order to conduct wastewater analysis to deter-9 |
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| 126 | 126 | | mine the prevalence of certain illicit substances, such as 10 |
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| 127 | 127 | | fentanyl or xylazine, as determined by the Director, in col-11 |
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| 128 | 128 | | laboration with the Attorney General, in the communities 12 |
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| 129 | 129 | | served by such facilities. 13 |
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| 130 | 130 | | SEC. 6. GRANTS FOR REDUCING OPIOID OVERDOSE 14 |
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| 131 | 131 | | DEATHS. 15 |
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| 132 | 132 | | (a) U |
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| 133 | 133 | | SE OFFUNDS.—Section 544(c) of the Public 16 |
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| 134 | 134 | | Health Service Act (42 U.S.C. 290dd–3(c)) is amended— 17 |
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| 135 | 135 | | (1) in paragraph (1), by inserting ‘‘or admin-18 |
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| 136 | 136 | | istering’’ after ‘‘prescribing’’; and 19 |
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| 137 | 137 | | (2) in paragraph (2), by inserting ‘‘or on the 20 |
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| 138 | 138 | | administration of’’ after ‘‘prescribing of’’. 21 |
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| 139 | 139 | | (b) A |
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| 140 | 140 | | UTHORIZATION OF APPROPRIATIONS.—Section 22 |
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| 141 | 141 | | 544(g) of the Public Health Service Act (42 U.S.C. 23 |
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| 142 | 142 | | 290dd–3(g)) is amended by striking ‘‘to carry out this sec-24 |
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| 146 | 146 | | tion’’ and inserting ‘‘to carry out this section and section 1 |
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| 147 | 147 | | 544A’’. 2 |
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| 148 | 148 | | SEC. 7. GRANTS FOR REDUCING OPIOID OVERDOSE 3 |
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| 149 | 149 | | DEATHS IN ELEMENTARY AND SECONDARY 4 |
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| 150 | 150 | | SCHOOLS. 5 |
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| 151 | 151 | | Title V of the Public Health Service Act is amended 6 |
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| 152 | 152 | | by inserting after section 544 of such Act (42 U.S.C. 7 |
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| 153 | 153 | | 290dd–3) the following: 8 |
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| 154 | 154 | | ‘‘SEC. 544A. REDUCING OPIOID OVERDOSE DEATHS IN ELE-9 |
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| 155 | 155 | | MENTARY AND SECONDARY SCHOOLS. 10 |
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| 156 | 156 | | ‘‘(a) I |
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| 157 | 157 | | NGENERAL.—The Secretary may award grants 11 |
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| 158 | 158 | | to eligible entities to provide for the administration, at 12 |
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| 159 | 159 | | public and private elementary and secondary schools under 13 |
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| 160 | 160 | | the jurisdiction of the eligible entity, of drugs and devices 14 |
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| 161 | 161 | | for emergency treatment of known or suspected opioid 15 |
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| 162 | 162 | | overdose. 16 |
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| 163 | 163 | | ‘‘(b) A |
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| 164 | 164 | | PPLICATIONS.—To seek a grant under this sec-17 |
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| 165 | 165 | | tion, an eligible entity shall submit to the Secretary an 18 |
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| 166 | 166 | | application at such time, in such manner, and con-19 |
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| 167 | 167 | | taining— 20 |
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| 168 | 168 | | ‘‘(1) the information required under section 21 |
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| 169 | 169 | | 544(b); 22 |
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| 170 | 170 | | ‘‘(2) the certifications specified in subsection 23 |
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| 171 | 171 | | (c); and 24 |
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| 175 | 175 | | ‘‘(3) such other information as the Secretary 1 |
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| 176 | 176 | | shall require. 2 |
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| 177 | 177 | | ‘‘(c) C |
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| 178 | 178 | | ERTIFICATIONS.—The certifications specified 3 |
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| 179 | 179 | | in this subsection, with respect to each elementary school 4 |
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| 180 | 180 | | and secondary school under the jurisdiction of the eligible 5 |
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| 181 | 181 | | entity, are the following: 6 |
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| 182 | 182 | | ‘‘(1) The school has in place a program under 7 |
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| 183 | 183 | | which the school will permit trained personnel of the 8 |
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| 184 | 184 | | school to administer drugs or devices for purposes of 9 |
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| 185 | 185 | | providing emergency treatment of known or sus-10 |
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| 186 | 186 | | pected opioid overdose. 11 |
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| 187 | 187 | | ‘‘(2) The school will maintain a supply of such 12 |
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| 188 | 188 | | drugs and devices in a location that is easily acces-13 |
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| 189 | 189 | | sible to trained personnel of the school for the pur-14 |
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| 190 | 190 | | pose of administering such drugs and devices. 15 |
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| 191 | 191 | | ‘‘(3) The school has in place a plan for having 16 |
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| 192 | 192 | | on the premises of the school during all operating 17 |
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| 193 | 193 | | hours one or more individuals who are such trained 18 |
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| 194 | 194 | | personnel. 19 |
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| 195 | 195 | | ‘‘(4) The State attorney general of the State in 20 |
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| 196 | 196 | | which the school is located certifies that the State— 21 |
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| 197 | 197 | | ‘‘(A) has reviewed any applicable civil li-22 |
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| 198 | 198 | | ability protection law to determine the applica-23 |
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| 199 | 199 | | tion of such law with regard to elementary and 24 |
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| 200 | 200 | | secondary school trained personnel who may ad-25 |
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| 204 | 204 | | minister drugs and devices for emergency treat-1 |
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| 205 | 205 | | ment in the case of a known or suspected opioid 2 |
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| 206 | 206 | | overdose; and 3 |
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| 207 | 207 | | ‘‘(B) has concluded that such law provides 4 |
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| 208 | 208 | | adequate civil liability protection applicable to 5 |
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| 209 | 209 | | such trained personnel. 6 |
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| 210 | 210 | | ‘‘(d) D |
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| 211 | 211 | | EFINITIONS.—In this section: 7 |
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| 212 | 212 | | ‘‘(1) The term ‘civil liability protection law’ 8 |
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| 213 | 213 | | means a State law offering legal protection to indi-9 |
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| 214 | 214 | | viduals who give aid in an emergency to an indi-10 |
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| 215 | 215 | | vidual who is ill, in peril, or otherwise incapacitated. 11 |
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| 216 | 216 | | ‘‘(2) The term ‘eligible entity’ has the meaning 12 |
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| 217 | 217 | | given such term in section 544(a)(2). 13 |
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| 218 | 218 | | ‘‘(3) The term ‘trained personnel’, with respect 14 |
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| 219 | 219 | | to an elementary or secondary school, means an in-15 |
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| 220 | 220 | | dividual— 16 |
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| 221 | 221 | | ‘‘(A) who is a school nurse or other indi-17 |
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| 222 | 222 | | vidual designated by the principal or other ap-18 |
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| 223 | 223 | | propriate administrative staff of the school to 19 |
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| 224 | 224 | | administer drugs or devices for emergency 20 |
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| 225 | 225 | | treatment in the case of a known or suspected 21 |
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| 226 | 226 | | opioid overdose; 22 |
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| 227 | 227 | | ‘‘(B) who has received training in the ad-23 |
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| 228 | 228 | | ministration of such drugs or devices; and 24 |
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| 232 | 232 | | ‘‘(C) whose training in the administration 1 |
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| 233 | 233 | | of such drugs or devices meets appropriate 2 |
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| 234 | 234 | | medical standards and has been documented by 3 |
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| 235 | 235 | | appropriate administrative staff of the school.’’. 4 |
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| 236 | 236 | | SEC. 8. FENTANYL TEST STRIPS. 5 |
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| 237 | 237 | | Section 422(f) of the Controlled Substances Act (21 6 |
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| 238 | 238 | | U.S.C. 862(f)) is amended— 7 |
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| 239 | 239 | | (1) in paragraph (1), by striking ‘‘or’’ at the 8 |
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| 240 | 240 | | end; 9 |
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| 241 | 241 | | (2) in paragraph (2), by striking the period at 10 |
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| 242 | 242 | | the end and inserting ‘‘; or’’; and 11 |
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| 243 | 243 | | (3) by adding at the end the following: 12 |
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| 244 | 244 | | ‘‘(3) fentanyl test strips.’’. 13 |
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| 245 | 245 | | Æ |
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