IIB 

114TH CONGRESS 

2D SESSION H. R. 4586 

IN THE SENATE OF THE UNITED STATES 

MAY 16, 2016 

Received; read twice and referred to the Committee on Health, Education, 

Labor, and Pensions 

AN ACT 

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, 


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1 SECTION 1. SHORT TITLE. 

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

3 SEC. 2. OPIOID OVERDOSE REVERSAL MEDICATION ACCESS 

4 AND EDUCATION GRANT PROGRAMS. 

5 (a) TECHNICAL CLARIFICATION.—Effective as if in6 cluded in the enactment of the Children’s Health Act of 

7 2000 (Public Law 106–310), section 3405(a) of such Act 

8 (114 Stat. 1221) is amended by striking ‘‘Part E of title 

9 III’’ and inserting ‘‘Part E of title III of the Public Health 

10 Service Act’’. 

11 (b) AMENDMENT.—Title III of the Public Health 

12 Service Act is amended by inserting after part D of such 

13 title (42 U.S.C. 254b et seq.) the following new part E: 

14 ‘‘PART E—OPIOID USE DISORDER 

15 ‘‘SEC. 341. OPIOID OVERDOSE REVERSAL MEDICATION AC16 CESS AND EDUCATION GRANT PROGRAMS. 

17 ‘‘(a) GRANTS TO STATES.—The Secretary may make 

18 grants to States for— 

19 ‘‘(1) developing standing orders for pharmacies 

20 regarding opioid overdose reversal medication; 

21 ‘‘(2) encouraging pharmacies to dispense opioid 

22 overdose reversal medication pursuant to a standing 

23 order; 

24 ‘‘(3) implementing best practices for persons 

25 authorized to prescribe medication regarding— 


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1 ‘‘(A) prescribing opioids for the treatment 

2 of chronic pain; 

3 ‘‘(B) co-prescribing opioid overdose rever4 sal medication with opioids; and 

5 ‘‘(C) discussing the purpose and adminis6 tration of opioid overdose reversal medication 

7 with patients; 

8 ‘‘(4) developing or adapting training materials 

9 and methods for persons authorized to prescribe or 

10 dispense medication to use in educating the public 

11 regarding— 

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

13 overdose reversal medication; and 

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

15 opioid overdose reversal medication; and 

16 ‘‘(5) educating the public regarding— 

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

18 overdose reversal medication; and 

19 ‘‘(B) the availability of opioid overdose re20 versal medication without a person-specific pre21 scription. 

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

23 made under this section only if the State involved has au24 thorized standing orders regarding opioid overdose rever25 sal medication. 


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

2 grants under this section, the Secretary shall give pref3 erence to States that— 

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

5 opioid overdose reversal medication; 

6 ‘‘(2) authorize standing orders that permit com7 munity-based organizations, substance abuse pro8 grams, or other nonprofit entities to acquire, dis9 pense, or administer opioid overdose reversal medica10 tion; 

11 ‘‘(3) authorize standing orders that permit po12 lice, fire, or emergency medical services agencies to 

13 acquire and administer opioid overdose reversal 

14 medication; 

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

16 overdoses than other applicant States; or 

17 ‘‘(5) meet any other criteria deemed appro18 priate by the Secretary. 

19 ‘‘(d) GRANT TERMS.— 

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

21 than one grant under this section. 

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

23 be for a period of 3 years. 

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

25 not exceed $500,000. 


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

2 than 20 percent of a grant under this section for 

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

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

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

6 the Secretary in such form and manner and containing 

7 such information as the Secretary may require, including 

8 detailed proposed expenditures of grant funds. 

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

10 Secretary disburses the first grant payment to any State 

11 under this section and every 6 months thereafter for 3 

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

13 that includes the following: 

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

15 in the State that dispenses opioid overdose reversal 

16 medication under a standing order. 

17 ‘‘(2) The total number of opioid overdose rever18 sal medication doses dispensed by each such phar19 macy, specifying how many were dispensed with or 

20 without a person-specific prescription. 

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

22 who have participated in training pursuant to sub23 section (a)(4). 

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


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1 ‘‘(1) OPIOID OVERDOSE REVERSAL MEDICA2 TION.—The term ‘opioid overdose reversal medica3 tion’ means any drug, including naloxone, that— 

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

5 does not itself activate, opioid receptors; or 

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

7 opioid receptors. 

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

9 order’ means a document prepared by a person au10 thorized to prescribe medication that permits an11 other person to acquire, dispense, or administer 

12 medication without a person-specific prescription. 

13 ‘‘(h) AUTHORIZATION OF APPROPRIATIONS.— 

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

15 there is authorized to be appropriated $5,000,000 

16 for the period of fiscal years 2017 through 2019. 

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

18 3 percent of the amounts made available to carry 

19 out this section may be used by the Secretary for 

20 administrative expenses of carrying out this sec21 tion.’’. 

22 SEC. 3. CUT-GO COMPLIANCE. 

23 Subsection (f) of section 319D of the Public Health 

24 Service Act (42 U.S.C. 247d–4) is amended by inserting 

25 before the period at the end the following: ‘‘(except such 


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1 dollar amount shall be reduced by $5,000,000 for fiscal 

2 year 2017)’’. 

Passed the House of Representatives May 12, 2016. 

Attest: KAREN L. HAAS, 

Clerk. 


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