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42 U.S.C. § 290ee–3State demonstration grants for comprehensive opioid abuse response

submitted 82 years ago by Pub. L. 114-198 to r/title-42-THE-PUBLIC-HEALTH-AND-WELFARE · 1,134 words · no verdicts yet

in plain englishAI-generated · not legal advice

The Secretary gives states grants to build a comprehensive plan against opioid abuse. Plans can include education, prescription drug monitoring, treatment expansion, overdose prevention, and public awareness. States get priority for things like liability protection for responders and strong prescription monitoring practices.

(a) Definitions (1) "Dispenser" has the meaning given in 21 U.S.C. § 802. (2) "Prescriber" means a dispenser who prescribes a controlled substance, or that dispenser's agent. (3) "Prescriber of a schedule II, III, or IV controlled substance" does not include a prescriber who dispenses the substance on the premises where dispensed, in a hospital emergency room during a short supply, for a certified opioid treatment program, or in other situations the Secretary determines. (4) "Schedule II, III, or IV controlled substance" means a controlled substance listed on schedule II, III, or IV of 21 U.S.C. § 812(c). (b) Grants for comprehensive opioid abuse response (1) In general The Secretary must award grants to states, and combinations of states, to implement an integrated opioid abuse response initiative. (2) Purposes A grantee state's comprehensive response plan may include: (A) education for residents, medical students, and prescribers on prescribing guidelines, the state's prescription drug monitoring program, and overdose prevention; (B) establishing, maintaining, or improving a prescription drug monitoring program, which may include data sharing with other states and access for all state-authorized prescribers; (C) developing, implementing, or expanding prescription drug and opioid addiction treatment — including medication-assisted treatment and behavioral health therapy, screening people in treatment for hepatitis C and HIV, and recovery support programs at schools; (D) efforts to prevent overdose death from opioid abuse or prescription medication addiction; and (E) educating the public, providers, patients, and others on the dangers of opioid abuse, safe disposal of prescription medications, and early warning signs of opioid use disorders. (3) Application A state applies to the Secretary in the required form and with required information. (4) Use of funds A grantee state must use the grant for the cost — including technical assistance, training, and administration — of carrying out its comprehensive response plan. (5) Priority considerations The Secretary gives priority to a state that: (A) provides civil liability protection for first responders, health professionals, and family members trained in giving overdose-reversal drugs, and whose attorney general certifies having reviewed the applicable liability law and concluded it provides adequate protection; (B) has a process letting incarcerated individuals enroll, while incarcerated, in services and benefits needed to continue treatment after release; (C) ensures capability for data sharing with other states, such as through a prescription monitoring hub; (D) ensures its prescription drug monitoring database is regularly updated; (E) ensures its monitoring program notifies prescribers and dispensers when overuse or misuse is suspected; and (F) has statutes or policies that maximize use of prescription drug monitoring programs by authorized prescribers. (6) Evaluation When evaluating the program under section 701 of the Comprehensive Addiction and Recovery Act of 2016, the Secretary must report on a state's legislation or policies for maximizing use of prescription drug monitoring programs, and on the incidence of opioid use disorders and overdose deaths in that state. (7) States with local prescription drug monitoring programs (A) If a state lacks a prescription drug monitoring program, a county or other local government within it that has one is treated as a state for this section, including grant eligibility. (B) That county or local government must submit a plan for ensuring it can share data with other counties, local governments, and states. (c) Authorization of funding Congress authorized $5,000,000 for each of fiscal years 2017 through 2021.
the actual law source: uscode.house.gov ↗public domain
(a) Definitions

In this section:

(1) Dispenser

The term “dispenser” has the meaning given the term in section 802 of title 21.

(2) Prescriber

The term “prescriber” means a dispenser who prescribes a controlled substance, or the agent of such a dispenser.

(3) Prescriber of a schedule II, III, or IV controlled substance

The term “prescriber of a schedule II, III, or IV controlled substance” does not include a prescriber of a schedule II, III, or IV controlled substance that dispenses the substance—

(A)

for use on the premises on which the substance is dispensed;

(B)

in a hospital emergency room, when the substance is in short supply;

(C)

for a certified opioid treatment program; or

(D)

in other situations as the Secretary may reasonably determine.

(4) Schedule II, III, or IV controlled substance

The term “schedule II, III, or IV controlled substance” means a controlled substance that is listed on schedule II, schedule III, or schedule IV of section 812(c) of title 21.

(b) Grants for comprehensive opioid abuse response
(1) In general

The Secretary shall award grants to States, and combinations of States, to implement an integrated opioid abuse response initiative.

(2) Purposes

A State receiving a grant under this section shall establish a comprehensive response plan to opioid abuse, which may include—

(A)

education efforts around opioid use, treatment, and addiction recovery, including education of residents, medical students, and physicians and other prescribers of schedule II, III, or IV controlled substances on relevant prescribing guidelines, the prescription drug monitoring program of the State described in subparagraph (B), and overdose prevention methods;

(B)

establishing, maintaining, or improving a comprehensive prescription drug monitoring program to track dispensing of schedule II, III, or IV controlled substances, which may—

(i)

provide for data sharing with other States; and

(ii)

allow all individuals authorized by the State to write prescriptions for schedule II, III, or IV controlled substances to access the prescription drug monitoring program of the State;

(C)

developing, implementing, or expanding prescription drug and opioid addiction treatment programs by—

(i)

expanding the availability of treatment for prescription drug and opioid addiction, including medication-assisted treatment and behavioral health therapy, as appropriate;

(ii)

developing, implementing, or expanding screening for individuals in treatment for prescription drug and opioid addiction for hepatitis C and HIV, and treating or referring those individuals if clinically appropriate; or

(iii)

developing, implementing, or expanding recovery support services and programs at high schools or institutions of higher education;

(D)

developing, implementing, and expanding efforts to prevent overdose death from opioid abuse or addiction to prescription medications and opioids; and

(E)

advancing the education and awareness of the public, providers, patients, consumers, and other appropriate entities regarding the dangers of opioid abuse, safe disposal of prescription medications, and detection of early warning signs of opioid use disorders.

(3) Application

A State seeking a grant under this section shall submit to the Secretary an application in such form, and containing such information, as the Secretary may reasonably require.

(4) Use of funds

A State that receives a grant under this section shall use the grant for the cost, including the cost for technical assistance, training, and administration expenses, of carrying out an integrated opioid abuse response initiative as outlined by the State’s comprehensive response plan to opioid abuse established under paragraph (2).

(5) Priority considerations

In awarding grants under this section, the Secretary shall, as appropriate, give priority to a State that—

(A)
(i)

provides civil liability protection for first responders, health professionals, and family members who have received appropriate training in administering a drug or device approved or cleared under the Federal Food, Drug, and Cosmetic Act [21 U.S.C. 301 et seq.] for emergency treatment of known or suspected opioid overdose; and

(ii)

submits to the Secretary a certification by the attorney general of the State that the attorney general has—

(I)

reviewed any applicable civil liability protection law to determine the applicability of the law with respect to first responders, health care professionals, family members, and other individuals who—

(aa)

have received appropriate training in administering a drug or device approved or cleared under the Federal Food, Drug, and Cosmetic Act for emergency treatment of known or suspected opioid overdose; and

(bb)

may administer a drug or device approved or cleared under the Federal Food, Drug, and Cosmetic Act for emergency treatment of known or suspected opioid overdose; and

(II)

concluded that the law described in subclause (I) provides adequate civil liability protection applicable to such persons;

(B)

has a process for enrollment in services and benefits necessary by criminal justice agencies to initiate or continue treatment in the community, under which an individual who is incarcerated may, while incarcerated, enroll in services and benefits that are necessary for the individual to continue treatment upon release from incarceration;

(C)

ensures the capability of data sharing with other States, where applicable, such as by making data available to a prescription monitoring hub;

(D)

ensures that data recorded in the prescription drug monitoring program database of the State are regularly updated, to the extent possible;

(E)

ensures that the prescription drug monitoring program of the State notifies prescribers and dispensers of schedule II, III, or IV controlled substances when overuse or misuse of such controlled substances by patients is suspected; and

(F)

has in effect one or more statutes or implements policies that maximize use of prescription drug monitoring programs by individuals authorized by the State to prescribe schedule II, III, or IV controlled substances.

(6) Evaluation

In conducting an evaluation of the program under this section pursuant to section 701 of the Comprehensive Addiction and Recovery Act of 2016, with respect to a State, the Secretary shall report on State legislation or policies related to maximizing the use of prescription drug monitoring programs and the incidence of opioid use disorders and overdose deaths in such State.

(7) States with local prescription drug monitoring programs
(A) In general

In the case of a State that does not have a prescription drug monitoring program, a county or other unit of local government within the State that has a prescription drug monitoring program shall be treated as a State for purposes of this section, including for purposes of eligibility for grants under paragraph (1).

(B) Plan for interoperability

In submitting an application to the Secretary under paragraph (3), a county or other unit of local government shall submit a plan outlining the methods such county or unit of local government shall use to ensure the capability of data sharing with other counties and units of local government within the state 1 and with other States, as applicable.

(c) Authorization of funding

For the purpose of carrying out this section, there are authorized to be appropriated $5,000,000 for each of fiscal years 2017 through 2021.

Source credit: (July 1, 1944, ch. 373, title V, § 548, as added Pub. L. 114–198, title VI, § 601, July 22, 2016, 130 Stat. 732.)

history & why it existsrecord from the source credit
  • 1944Enacted · Pub. L. 114-198 · 130 Stat. 732

A history note hasn’t been published yet. The record shows enactment by Pub. L. 114-198 on 1944-07-01.

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