I 

114TH CONGRESS 

2D SESSION H. R. 4586 

To amend the Public Health Service Act to authorize grants to States for 

developing standing orders and educating health care professionals regarding the dispensing of opioid overdose reversal medication without 

person-specific prescriptions, and for other purposes. 

IN THE HOUSE OF REPRESENTATIVES 

FEBRUARY 23, 2016 

Mr. DOLD (for himself and Ms. CLARK of Massachusetts) introduced the 

following bill; which was referred to the Committee on Energy and Commerce 

A BILL 

To amend the Public Health Service Act to authorize grants 

to States for developing standing orders and educating 

health care professionals regarding the dispensing of 

opioid overdose reversal medication without person-specific prescriptions, and for other purposes. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as ‘‘Lali’s Law’’. 


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1 SEC. 2. OPIOID OVERDOSE REVERSAL MEDICATION ACCESS 

2 AND EDUCATION GRANT PROGRAMS. 

3 Part B of title III of the Public Health Service Act 

4 is amended by inserting after section 317T of such Act 

5 (42 U.S.C. 247b–22) the following: 

6 ‘‘SEC. 317U. OPIOID OVERDOSE REVERSAL MEDICATION AC7 CESS AND EDUCATION GRANT PROGRAMS. 

8 ‘‘(a) GRANTS TO STATES.—The Secretary, acting 

9 through the Director of the Centers for Disease Control 

10 and Prevention, may make grants to States for— 

11 ‘‘(1) developing standing orders for pharmacies 

12 regarding opioid overdose reversal medication; 

13 ‘‘(2) encouraging pharmacies to dispense opioid 

14 overdose reversal medication pursuant to a standing 

15 order; 

16 ‘‘(3) implementing guidelines and best practices 

17 for persons authorized to prescribe medication re18 garding— 

19 ‘‘(A) prescribing opioids for the treatment 

20 of chronic pain; 

21 ‘‘(B) co-prescribing opioid overdose rever22 sal medication with opioids; and 

23 ‘‘(C) discussing the purpose and adminis24 tration of opioid overdose reversal medication 

25 with patients; 


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1 ‘‘(4) developing or adapting training materials 

2 and methods for persons authorized to prescribe or 

3 dispense medication to use in educating the public 

4 regarding— 

5 ‘‘(A) when and how to administer opioid 

6 overdose reversal medication; and 

7 ‘‘(B) steps to be taken after administering 

8 opioid overdose reversal medication; and 

9 ‘‘(5) educating the public regarding— 

10 ‘‘(A) the public health benefits of opioid 

11 overdose reversal medication; and 

12 ‘‘(B) the availability of opioid overdose re13 versal medication without a person-specific pre14 scription. 

15 ‘‘(b) CERTAIN REQUIREMENT.—A grant may be 

16 made under this section only if the State involved has au17 thorized standing orders regarding opioid overdose rever18 sal medication. 

19 ‘‘(c) PREFERENCE IN MAKING GRANTS.—In making 

20 grants under this section, the Secretary shall give pref21 erence to States that— 

22 ‘‘(1) have not issued standing orders regarding 

23 opioid overdose reversal medication; 

24 ‘‘(2) authorize standing orders that permit com25 munity-based organizations, substance abuse proVerDate Sep 11 2014 02:03 Feb 24, 2016 Jkt 059200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6201 E:\BILLS\H4586.IH H4586

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1 grams, or other nonprofit entities to acquire, dis2 pense, or administer opioid overdose reversal medica3 tion; 

4 ‘‘(3) authorize standing orders that permit po5 lice, fire, or emergency medical services agencies to 

6 acquire and administer opioid overdose reversal 

7 medication; 

8 ‘‘(4) have a higher per capita rate of opioid 

9 overdoses than other applicant States; or 

10 ‘‘(5) meet any other criteria deemed appro11 priate by the Secretary. 

12 ‘‘(d) GRANT TERMS.— 

13 ‘‘(1) NUMBER.—A State may not receive more 

14 than 1 grant under this section. 

15 ‘‘(2) PERIOD.—A grant under this section shall 

16 be for a period of 3 years. 

17 ‘‘(3) AMOUNT.—A grant under this section may 

18 not exceed $500,000. 

19 ‘‘(4) LIMITATION.—A State may use not more 

20 than 20 percent of a grant under this section for 

21 educating the public pursuant to subsection (a)(5). 

22 ‘‘(e) APPLICATIONS.—To be eligible to receive a grant 

23 under this section, a State shall submit an application to 

24 the Secretary in such form and manner and containing 


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1 such information as the Secretary may require, including 

2 detailed proposed expenditures of grant funds. 

3 ‘‘(f) REPORTING.—Not later than 3 months after the 

4 Secretary disburses the first grant payment to any State 

5 under this section and every 6 months thereafter for 3 

6 years, such State shall submit a report to the Secretary 

7 that includes the following: 

8 ‘‘(1) The name and ZIP Code of each pharmacy 

9 in the State that dispenses opioid overdose reversal 

10 medication under a standing order. 

11 ‘‘(2) The total number of opioid overdose rever12 sal medication doses dispensed by each such phar13 macy, specifying how many were dispensed with or 

14 without a person-specific prescription. 

15 ‘‘(3) The number of pharmacists in the State 

16 who have participated in training pursuant to sub17 section (a)(4). 

18 ‘‘(g) DEFINITIONS.—In this section: 

19 ‘‘(1) OPIOID OVERDOSE REVERSAL MEDICA20 TION.—The term ‘opioid overdose reversal medica21 tion’ means any drug, including naloxone, that— 

22 ‘‘(A) blocks opioids from attaching to, but 

23 does not itself activate, opioid receptors; or 

24 ‘‘(B) inhibits the effects of opioids on 

25 opioid receptors. 


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1 ‘‘(2) STANDING ORDER.—The term ‘standing 

2 order’ means a document prepared by a person au3 thorized to prescribe medication that permits an4 other person to acquire, dispense, or administer 

5 medication without a person-specific prescription. 

6 ‘‘(h) AUTHORIZATION OF APPROPRIATIONS.— 

7 ‘‘(1) IN GENERAL.—To carry out this section, 

8 there is authorized to be appropriated $10,815,000 

9 for the period of fiscal years 2016 through 2019. 

10 ‘‘(2) ADMINISTRATIVE COSTS.—Not more than 

11 3 percent of the amounts made available to carry 

12 out this section may be used by the Secretary for 

13 administrative expenses of carrying out this sec14 tion.’’. 

Æ 


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