Sec. 1. Short title; table of contents

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This Act may be cited as the . Opioid Crisis Response Act of 2018 The table of contents for this Act is as follows: Sec. 1. Short title; table of contents. TITLE I—Opioid Crisis Response Act Sec. 1001. Definitions. Subtitle A—Reauthorization of Cures Funding Sec. 1101. State response to the opioid abuse crisis. Subtitle B—Research and Innovation Sec. 1201. Advancing cutting-edge research. Sec. 1202. Pain research. Sec. 1203. Report on synthetic drug use. Subtitle C—Medical Products and Controlled Substances Safety Sec. 1301.

Clarifying FDA regulation of non-addictive pain products. Sec. 1302. Clarifying FDA packaging authorities. Sec. 1303. Strengthening FDA and CBP coordination and capacity. Sec. 1304. Clarifying FDA post-market authorities. Sec. 1305. Restricting entrance of illicit drugs. Sec. 1306. First responder training. Sec. 1307. Disposal of controlled substances of hospice patients. Sec. 1308. GAO study and report on hospice safe drug management. Sec. 1309. Delivery of a controlled substance by a pharmacy to be administered by injection or implantation.

Subtitle D—Treatment and Recovery Sec. 1401. Comprehensive opioid recovery centers. Sec. 1402. Program to support coordination and continuation of care for drug overdose patients. Sec. 1403. Alternatives to opioids. Sec. 1404. Building communities of recovery. Sec. 1405. Peer support technical assistance center. Sec. 1406. Medication-assisted treatment for recovery from addiction. Sec. 1407. Grant program. Sec. 1408. Allowing for more flexibility with respect to medication-assisted treatment for opioid use disorders.

Sec. 1409. National recovery housing best practices. Sec. 1410. Addressing economic and workforce impacts of the opioid crisis. Sec. 1411. Career Act. Sec. 1412. Pilot program to help individuals in recovery from a substance use disorder become stably housed. Sec. 1413. Youth prevention and recovery. Sec. 1414. Plans of safe care. Sec. 1415. Regulations relating to special registration for telemedicine. Sec. 1416. National Health Service Corps behavioral and mental health professionals providing obligated service in schools and other community-based settings.

Sec. 1417. Loan repayment for substance use disorder treatment providers. Sec. 1418. Protecting moms and infants. Sec. 1419. Early interventions for pregnant women and infants. Sec. 1420. Report on investigations regarding parity in mental health and substance use disorder benefits. Subtitle E—Prevention Sec. 1501. Study on prescribing limits. Sec. 1502. Programs for health care workforce. Sec. 1503. Education and awareness campaigns. Sec. 1504. Enhanced controlled substance overdoses data collection, analysis, and dissemination.

Sec. 1505. Preventing overdoses of controlled substances. Sec. 1506. CDC surveillance and data collection for child, youth, and adult trauma. Sec. 1507. Reauthorization of NASPER. Sec. 1508. Jessie’s law. Sec. 1509. Development and dissemination of model training programs for substance use disorder patient records. Sec. 1510. Communication with families during emergencies. Sec. 1511. Prenatal and postnatal health. Sec. 1512. Surveillance and education regarding infections associated with illicit drug use and other risk factors.

Sec. 1513. Task force to develop best practices for trauma-informed identification, referral, and support. Sec. 1514. Grants to improve trauma support services and mental health care for children and youth in educational settings. Sec. 1515. National Child Traumatic Stress Initiative. Sec. 1516. National milestones to measure success in curtailing the opioid crisis. TITLE II—Finance Sec. 2001. Short title. Subtitle A—Medicare Sec. 2101. Medicare opioid safety education. Sec. 2102.

Expanding the use of telehealth services for the treatment of opioid use disorder and other substance use disorders. Sec. 2103. Comprehensive screenings for seniors. Sec. 2104. Every prescription conveyed securely. Sec. 2105. Standardizing electronic prior authorization for safe prescribing. Sec. 2106. Strengthening partnerships to prevent opioid abuse. Sec. 2107. Commit to opioid medical prescriber accountability and safety for seniors. Sec. 2108. Fighting the opioid epidemic with sunshine.

Sec. 2109. Demonstration testing coverage of certain services furnished by opioid treatment programs. Sec. 2110. Encouraging appropriate prescribing under Medicare for victims of opioid overdose. Sec. 2111. Automatic escalation to external review under a Medicare part D drug management program for at-risk beneficiaries. Sec. 2112. Testing of incentive payments for behavioral health providers for adoption and use of certified electronic health record technology. Sec. 2113. Medicare Improvement Fund.

Subtitle B—Medicaid Sec. 2201. Caring recovery for infants and babies. Sec. 2202. Peer support enhancement and evaluation review. Sec. 2203. Medicaid substance use disorder treatment via telehealth. Sec. 2204. Enhancing patient access to non-opioid treatment options. Sec. 2205. Assessing barriers to opioid use disorder treatment. Sec. 2206. Help for moms and babies. Sec. 2207. Securing flexibility to treat substance use disorders. Sec. 2208. MACPAC study and report on MAT utilization controls under State Medicaid programs.

Sec. 2209. Opioid addiction treatment programs enhancement. Sec. 2210. Better data sharing to combat the opioid crisis. Sec. 2211. Mandatory reporting with respect to adult behavioral health measures. Sec. 2212. Report on innovative State initiatives and strategies to provide housing-related services and supports to individuals struggling with substance use disorders under Medicaid. Sec. 2213. Technical assistance and support for innovative State strategies to provide housing-related supports under Medicaid.

Subtitle C—Human Services Sec. 2301. Supporting family-focused residential treatment. Sec. 2302. Improving recovery and reunifying families. Sec. 2303. Building capacity for family-focused residential treatment. Subtitle D—Synthetics Trafficking and Overdose Prevention Sec. 2401. Short title. Sec. 2402. Customs fees. Sec. 2403. Mandatory advance electronic information for postal shipments. Sec. 2404. International postal agreements. Sec. 2405. Cost recoupment. Sec. 2406. Development of technology to detect illicit narcotics.

Sec. 2407. Civil penalties for postal shipments. Sec. 2408. Report on violations of arrival, reporting, entry, and clearance requirements and falsity or lack of manifest. Sec. 2409. Effective date; regulations. TITLE III—Judiciary Subtitle A—Access to Increased Drug Disposal Sec. 3101. Short title. Sec. 3102. Definitions. Sec. 3103. Authority to make grants. Sec. 3104. Application. Sec. 3105. Use of grant funds. Sec. 3106. Eligibility for grant. Sec. 3107. Duration of grants.

Sec. 3108. Accountability and oversight. Sec. 3109. Duration of program. Sec. 3110. Authorization of appropriations. Subtitle B—Using Data To Prevent Opioid Diversion Sec. 3201. Short title. Sec. 3202. Purpose. Sec. 3203. Amendments. Sec. 3204. Report. Subtitle C—Substance Abuse Prevention Sec. 3301. Short title. Sec. 3302. Reauthorization of the Office of National Drug Control Policy. Sec. 3303. Reauthorization of the Drug-Free Communities Program. Sec. 3304. Reauthorization of the National Community Anti-Drug Coalition Institute.

Sec. 3305. Reauthorization of the High-Intensity Drug Trafficking Area Program. Sec. 3306. Reauthorization of drug court program. Sec. 3307. Drug court training and technical assistance. Sec. 3308. Drug overdose response strategy. Sec. 3309. Protecting law enforcement officers from accidental exposure. Sec. 3310. COPS Anti-Meth Program. Sec. 3311. COPS anti-heroin task force program. Sec. 3312. Comprehensive Addiction and Recovery Act education and awareness. Sec. 3313. Protecting children with addicted parents.

Sec. 3314. Reimbursement of substance use disorder treatment professionals. Sec. 3315. Sobriety Treatment and Recovery Teams (START). Sec. 3316. Provider education. Sec. 3317. Demand reduction. Sec. 3318. Anti-drug media campaign. Sec. 3319. Technical corrections to the office of national drug control policy reauthorization act of 1998. Subtitle D—Synthetic Abuse and Labeling of Toxic Substances Sec. 3401. Short title. Sec. 3402. Controlled substance analogues. Subtitle E—Opioid Quota Reform Sec. 3501.

Short title. Sec. 3502. Strengthening considerations for DEA opioid quotas. Subtitle F—Preventing Drug Diversion Sec. 3601. Short title. Sec. 3602. Improvements to prevent drug diversion. Subtitle G—Sense of Congress Sec. 3701. Sense of Congress. TITLE IV—Commerce Subtitle A—Fighting Opioid Abuse in Transportation Sec. 4101. Short title. Sec. 4102. Rail mechanical employee controlled substances and alcohol testing. Sec. 4103. Rail yardmaster controlled substances and alcohol testing.

Sec. 4104. Department of Transportation public drug and alcohol testing database. Sec. 4105. GAO report on Department of Transportation’s collection and use of drug and alcohol testing data. Sec. 4106. Transportation Workplace Drug and Alcohol Testing Program; addition of fentanyl. Sec. 4107. Status reports on hair testing guidelines. Sec. 4108. Mandatory Guidelines for Federal Workplace Drug Testing Programs Using Oral Fluid. Sec. 4109. Electronic recordkeeping. Sec. 4110. Status reports on Commercial Driver's License Drug and Alcohol Clearinghouse.

Subtitle B—Opioid Addiction Recovery Fraud Prevention Sec. 4201. Short title. Sec. 4202. Definitions. Sec. 4203. False or misleading representations with respect to opioid treatment programs and products.