59–006 

114TH CONGRESS REPORT " ! HOUSE OF REPRESENTATIVES 2d Session 114–558 

JOHN THOMAS DECKER ACT OF 2016 

MAY 10, 2016.—Committed to the Committee of the Whole House on the State of 

the Union and ordered to be printed 

Mr. UPTON, from the Committee on Energy and Commerce, 

submitted the following 

R E P O R T 

[To accompany H.R. 4969] 

[Including cost estimate of the Congressional Budget Office] 

The Committee on Energy and Commerce, to whom was referred 

the bill (H.R. 4969) to amend the Public Health Service Act to direct the Centers for Disease Control and Prevention to provide for 

informational materials to educate and prevent addiction in teenagers and adolescents who are injured playing youth sports and 

subsequently prescribed an opioid, having considered the same, report favorably thereon with an amendment and recommend that 

the bill as amended do pass. 

CONTENTS 

Page 

Purpose and Summary ............................................................................................ 2 

Background and Need for Legislation .................................................................... 2 

Hearings ................................................................................................................... 2 

Committee Consideration ........................................................................................ 3 

Committee Votes ...................................................................................................... 3 

Committee Oversight Findings ............................................................................... 3 

Statement of General Performance Goals and Objectives .................................... 3 

New Budget Authority, Entitlement Authority, and Tax Expenditures ............. 3 

Earmark, Limited Tax Benefits, and Limited Tariff Benefits ............................. 3 

Committee Cost Estimate ....................................................................................... 3 

Congressional Budget Office Estimate ................................................................... 3 

Federal Mandates Statement ................................................................................. 4 

Duplication of Federal Programs ............................................................................ 4 

Disclosure of Directed Rule Makings ..................................................................... 5 

Advisory Committee Statement .............................................................................. 5 

Applicability to Legislative Branch ........................................................................ 5 

Section-by-Section Analysis of the Legislation ...................................................... 5 

Changes in Existing Law Made by the Bill, as Reported ..................................... 5 

The amendment is as follows: 


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Strike all after the enacting clause and insert the following: 

SECTION 1. SHORT TITLE. 

This Act may be cited as the ‘‘John Thomas Decker Act of 2016’’. 

SEC. 2. INFORMATION MATERIALS AND RESOURCES TO PREVENT ADDICTION RELATED TO 

YOUTH SPORTS INJURIES. 

(a) TECHNICAL CLARIFICATION.—Effective as if included in the enactment of the 

Children’s Health Act of 2000 (Public Law 106–310), section 3405(a) of such Act 

(114 Stat. 1221) is amended by striking ‘‘Part E of title III’’ and inserting ‘‘Part E 

of title III of the Public Health Service Act’’. 

(b) AMENDMENT.—Title III of the Public Health Service Act is amended by inserting after part D of such title (42 U.S.C. 254b et seq.) the following new part E: 

‘‘PART E—OPIOID USE DISORDER 

‘‘SEC. 341. INFORMATION MATERIALS AND RESOURCES TO PREVENT ADDICTION RELATED TO 

YOUTH SPORTS INJURIES. 

‘‘(a) REPORT.—The Secretary shall— 

‘‘(1) not later than 24 months after the date of the enactment of this section, 

make publicly available a report determining the extent to which informational 

materials and resources described in subsection (b) are available to teenagers 

and adolescents who play youth sports, families of such teenagers and adolescents, nurses, youth sports groups, and relevant health care provider groups; 

and 

‘‘(2) for purposes of educating and preventing addiction in teenagers and adolescents who are injured playing youth sports and are subsequently prescribed 

an opioid, not later than 12 months after such report is made publicly available 

and taking into consideration the findings of such report, develop and, in coordination with youth sports groups, disseminate informational materials and resources described in subsection (b) for teenagers and adolescents who play 

youth sports, families of such teenagers and adolescents, nurses, youth sports 

groups, and relevant health care provider groups. 

‘‘(b) MATERIALS AND RESOURCES DESCRIBED.—For purposes of this section, the informational materials and resources described in this subsection are informational 

materials and resources with respect to youth sports injuries for which opioids are 

potentially prescribed and subsequently potentially lead to addiction, including materials and resources focused on the dangers of opioid use and misuse, treatment 

options for such injuries that do not involve the use of opioids, and how to seek 

treatment for addiction. 

‘‘(c) NO ADDITIONAL FUNDS.—No additional funds are authorized to be appropriated for the purpose of carrying out this section. This section shall be carried out 

using amounts otherwise available for such purpose.’’. 

PURPOSE AND SUMMARY

H.R. 4969, the ‘‘John Thomas Decker Act of 2016,’’ was introduced by Rep. Patrick Meehan (R–PA) on April 15, 2016. 

BACKGROUND AND NEED FOR LEGISLATION

The legislation amends the Public Health Service Act (PHSA) to 

direct the Department of Health and Human Services (HHS) to 

study what information and resources are available to youth athletes and their families regarding the dangers of opioid use and 

abuse, non-opioid treatment options, and how to seek addiction 

treatment. HHS would then be required to report its findings and 

work with stakeholders to disseminate resources to students, parents, and those involved in treating a sports-related injury. 

HEARINGS

The Committee on Energy and Commerce has not held hearings 

on the legislation. 


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COMMITTEE CONSIDERATION

On April 20, 2016 the Subcommittee on Health met in open 

markup session and forwarded H.R. 4969, as amended, to the full 

Committee by a voice vote. On April 26, 27, and 28, 2016, the full 

Committee on Energy and Commerce met in open markup session 

and ordered H.R. 4969 reported to the House, as amended, by a 

voice vote. 

COMMITTEE VOTES

Clause 3(b) of rule XIII of the Rules of the House of Representatives requires the Committee to list the record votes on the motion 

to report legislation and amendments thereto. There were no 

record votes taken in connection with ordering H.R. 4969 reported. 

COMMITTEE OVERSIGHT FINDINGS

Pursuant to clause 3(c)(1) of rule XIII of the Rules of the House 

of Representatives, the Committee has not held hearings on this 

legislation. 

STATEMENT OF GENERAL PERFORMANCE GOALS AND OBJECTIVES

The goal of the legislation is to help educate youth athletes and 

their families on the dangers of opioid addiction. 

NEW BUDGET AUTHORITY, ENTITLEMENT AUTHORITY, AND TAX

EXPENDITURES

In compliance with clause 3(c)(2) of rule XIII of the Rules of the 

House of Representatives, the Committee finds that H.R. 4969, 

would result in no new or increased budget authority, entitlement 

authority, or tax expenditures or revenues. 

EARMARK, LIMITED TAX BENEFITS, AND LIMITED TARIFF BENEFITS

In compliance with clause 9(e), 9(f), and 9(g) of rule XXI of the 

Rules of the House of Representatives, the Committee finds that 

H.R. 4969 contains no earmarks, limited tax benefits, or limited 

tariff benefits. 

COMMITTEE COST ESTIMATE

The Committee adopts as its own the cost estimate prepared by 

the Director of the Congressional Budget Office pursuant to section 

402 of the Congressional Budget Act of 1974. 

CONGRESSIONAL BUDGET OFFICE ESTIMATE

Pursuant to clause 3(c)(3) of rule XIII of the Rules of the House 

of Representatives, the following is the cost estimate provided by 

the Congressional Budget Office pursuant to section 402 of the 

Congressional Budget Act of 1974: 


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U.S. CONGRESS, CONGRESSIONAL BUDGET OFFICE, Washington, DC, May 9, 2016. 

Hon. FRED UPTON, 

Chairman, Committee on Energy and Commerce, 

House of Representatives, Washington, DC. 

DEAR MR. CHAIRMAN: The Congressional Budget Office has prepared the enclosed cost estimate for H.R. 4969, the John Thomas 

Decker Act of 2016. 

If you wish further details on this estimate, we will be pleased 

to provide them. The CBO staff contact is Rebecca Yip. 

Sincerely, 

KEITH HALL. 

Enclosure. 

H.R. 4969—John Thomas Decker Act of 2016 

H.R. 4969 would direct the Secretary of Health and Human Services (HHS) to develop and disseminate educational materials to 

teens and adolescents who play youth sports and may be prescribed 

opioids following a sports injury. These materials would include information regarding the dangers of opioid use and misuse, the different treatment options for sport injuries, and how to obtain treatment for opioid addiction. In addition, the bill would require the 

Centers for Disease Control and Prevention to produce a report on 

the availability of this information. CBO estimates that implementing H.R. 4969 would cost $2 million over the 2017–2021 period, assuming the availability of appropriated funds. 

Under current law, HHS develops and disseminates educational 

materials regarding opioid addiction. The bill would require the 

agency to build upon current activities by developing materials 

with a focus on youth sports. Based on historical spending for similar activities, CBO estimates that implementing this provision 

would cost $2 million over the 2017–2021 period, primarily for additional staff and other administrative costs. 

Because direct spending or revenues would not be affected, payas-you-go procedures do not apply. CBO estimates that enacting 

H.R. 4969 would not increase net direct spending or on-budget deficits in any of the four consecutive 10-year periods beginning in 

2027. 

H.R. 4969 contains no intergovernmental or private-sector mandates as defined in the Unfunded Mandates Reform Act and would 

impose no costs on state, local, or tribal governments. 

The CBO staff contact for this estimate is Rebecca Yip. The estimate was approved by Holly Harvey, Deputy Assistant Director for 

Budget Analysis. 

FEDERAL MANDATES STATEMENT

The Committee adopts as its own the estimate of Federal mandates prepared by the Director of the Congressional Budget Office 

pursuant to section 423 of the Unfunded Mandates Reform Act. 

DUPLICATION OF FEDERAL PROGRAMS

No provision of H.R. 4969 establishes or reauthorizes a program 

of the Federal Government known to be duplicative of another FedVerDate Sep 11 2014 06:07 May 11, 2016 Jkt 059006 PO 00000 Frm 00004 Fmt 6659 Sfmt 6602 E:\HR\OC\HR558.XXX HR558

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eral program, a program that was included in any report from the 

Government Accountability Office to Congress pursuant to section 

21 of Public Law 111–139, or a program related to a program identified in the most recent Catalog of Federal Domestic Assistance. 

DISCLOSURE OF DIRECTED RULE MAKINGS

The Committee estimates that enacting H.R. 4969 specifically directs to be completed 0 rule makings within the meaning of 5 

U.S.C. 551. 

ADVISORY COMMITTEE STATEMENT

No advisory committees within the meaning of section 5(b) of the 

Federal Advisory Committee Act were created by this legislation. 

APPLICABILITY TO LEGISLATIVE BRANCH

The Committee finds that the legislation does not relate to the 

terms and conditions of employment or access to public services or 

accommodations within the meaning of section 102(b)(3) of the Congressional Accountability Act. 

SECTION-BY-SECTION ANALYSIS OF THE LEGISLATION

Section 1. Short title 

Section 1 states that the legislation may be cited as the ‘‘John 

Thomas Decker Act of 2016.’’ 

Section 2. Information materials and resources to prevent addiction 

related to youth sports injuries 

Section 2 amends the PHSA by adding Section 393E. The new 

section would require the Secretary of HHS to issue a report on determining the extent to which opioid addiction informational materials and resources are available to teenagers and adolescents who 

play youth sports. No later than 12 months after the report is 

made public, the Secretary shall disseminate informational materials and resources for youth sport participants and their families 

while taking into account the report’s findings. 

CHANGES IN EXISTING LAW MADE BY THE BILL, AS REPORTED

In compliance with clause 3(e) of rule XIII of the Rules of the 

House of Representatives, changes in existing law made by the bill, 

as reported, are shown as follows (existing law proposed to be omitted is enclosed in black brackets, new matter is printed in italic, 

and existing law in which no change is proposed is shown in 

roman): 

CHILDREN’S HEALTH ACT OF 2000 

* * * * * * * 

DIVISION B—YOUTH DRUG AND 

MENTAL HEALTH SERVICES 

* * * * * * * 


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TITLE XXXIV—PROVISIONS RELATING 

TO FLEXIBILITY AND ACCOUNTABILITY 

* * * * * * * 

SEC. 3405. REPEAL OF OBSOLETE ADDICT REFERRAL PROVISIONS. 

(a) REPEAL OF OBSOLETE PUBLIC HEALTH SERVICE ACT AUTHORITIES.—øPart E of title III¿ Part E of title III of the Public Health 

Service Act (42 U.S.C. 257 et seq.) is repealed. 

(b) REPEAL OF OBSOLETE NARA AUTHORITIES.—Titles III and IV 

of the Narcotic Addict Rehabilitation Act of 1966 (Public Law 89- 

793) are repealed. 

(c) REPEAL OF OBSOLETE TITLE 28 AUTHORITIES.— 

(1) IN GENERAL.— Chapter 175 of title 28, United States 

Code, is repealed. 

(2) TABLE OF CONTENTS.— The table of contents to part VI 

of title 28, United States Code, is amended by striking the 

items relating to chapter 175. 

* * * * * * * 

PUBLIC HEALTH SERVICE ACT 

* * * * * * * 

TITLE III—GENERAL POWERS AND DUTIES OF PUBLIC 

HEALTH SERVICE 

* * * * * * * 

øPART E—NARCOTIC ADDICTS AND OTHER DRUG ABUSERS

øCARE AND TREATMENT

øSEC. 341. (a) The Surgeon General is authorized to provide for 

the confinement, care, protection, treatment, and discipline of persons addicted to the use of habit-forming narcotic drugs who are 

civilly committed to treatment under the Narcotic Addict Rehabilitation Act of 1966, addicts and other persons with drug abuse and 

drug dependence problems who voluntarily submit themselves for 

treatment, and addicts convicted of offenses against the United 

States, including persons convicted by general courts-martial and 

consular courts. Such care and treatment shall be provided at hospitals of the Service especially equipped for the accommodation of 

such patients or elsewhere where authorized under other provisions of law, and shall be designed to rehabilitate such persons, to 

restore them to health, and, where necessary, to train them to be 

self-supporting and self-reliant; but nothing in this section or in 

this part shall be construed to limit the authority of the Surgeon 

General under other provisions of law to provide for the conditional 

release of patients and for aftercare under supervision. In carrying 

out this subsection, the Secretary shall establish in each hospital 

and other appropriate medical facility of the Service a treatment 

and rehabilitation program for drug addicts and other persons with 

drug abuse and drug dependence problems who are in the area 

served by such hospital or other facility; except that the requireVerDate Sep 11 2014 06:07 May 11, 2016 Jkt 059006 PO 00000 Frm 00006 Fmt 6659 Sfmt 6602 E:\HR\OC\HR558.XXX HR558

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ment of this sentence shall not apply in the case of any such hospital or other facility with respect to which the Secretary determines that there is not sufficient need for such a program in such 

hospital or other facility. 

ø(b) Upon the admittance to, and departure from, a hospital of 

the Service of a person who voluntarily submitted himself for treatment pursuant to the provisions of this section, and who at the 

time of his admittance to such hospital was a resident of the District of Columbia, the Surgeon General shall furnish to the Commissioners of the District of Columbia or their designated agent, 

the name, address, and such other pertinent information as may be 

useful in the rehabilitation to society of such person. 

ø(c) The Secretary may enter into agreements with the Secretary 

of Veterans Affairs, the Secretary of Defense, and the head of any 

other department or agency of the Government under which agreements hospitals and other appropriate medical facilities of the 

Service may be used in treatment and rehabilitation programs provided by such department or agency for drug addicts and other persons with drug abuse and other drug dependence problems who are 

in areas served by such hospitals or other facilities. 

øEMPLOYMENT OF ADDICTS OR OTHER PERSONS WITH DRUG ABUSE

AND DRUG DEPENDENCE PROBLEMS

øSEC. 342. Narcotic addicts or other persons with drug abuse and 

drug dependence problems in hospitals of the Service designated 

for their care shall be employed in such manner and under such 

conditions as the Surgeon General may direct. In such hospitals 

the Surgeon General may, in his discretion, establish industries, 

plants, factories, or shops for the production and manufacture of 

articles, commodities, and supplies for the United States Government. The Secretary of the Treasury may require any Government 

department, establishment, or other institution, for whom appropriations are made directly or indirectly by the Congress of the 

United States, to purchase at current market prices, as determined 

by him or his authorized representative, such of the articles, commodities, or supplies so produced or manufactured as meet their 

specifications; and the Surgeon General shall provide for payment 

to the inmates or their dependents of such pecuniary earnings as 

he may deem proper. The Secretary shall establish a working-capital fund for such industries, plants, factories, and shops out of any 

funds appropriated for Public Health Service hospitals at which addicts or other persons with drug abuse and drug dependence problems are treated and cared for; and such fund shall be available for 

the purchase, repair, or replacement of machinery or equipment, 

for the purchase of raw materials and supplies, for the purchase of 

uniforms and other distinctive wearing apparel of employees in the 

performance of their official duties, and for the employment of necessary civilian officers and employees. The Surgeon General may 

provide for the disposal of products of the industrial activities conducted pursuant to this section, and the proceeds of any sales 

thereof shall be covered into the Treasury of the United States to 

the credit of the working-capital fund. 


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øCONVICTS

øSEC. 343. (a) The authority vested with the power to designate 

the place of confinement of a prisoner shall transfer to hospitals of 

the Service especially equipped for the accommodation of addicts or 

other persons with drug abuse and drug dependence problems, if 

accommodations are available, all addicts or other persons with 

drug abuse and drug dependence problems who have been or are 

hereafter sentenced to confinement, or who are now or shall hereafter be confined, in any penal, correctional, disciplinary, or reformatory institution of the United States, including those addicts or 

other persons with drug abuse and drug dependence problems convicted of offenses against the United States who are confined in 

State and Territorial prisons, penitentiaries, and reformatories, except that no addict or other person with a drug abuse or other drug 

dependence problem shall be transferred to a hospital of the Service who, in the opinion of the officer authorized to direct the transfer, is not a proper subject for confinement in such an institution 

either because of the nature of the crime he has committed or because of his apparent incorrigibility. The authority vested with the 

power to designate the place of confinement of a prisoner shall 

transfer from a hospital of the Service to the institution from which 

he was received, or to such other institution as may be designated 

by the proper authority, any addict or other person with a drug 

abuse or other drug dependence problem whose presence at a hospital of the Service is detrimental to the well-being of the hospital 

or who does not continue to be a narcotic addict or other person 

with a drug abuse or other drug dependence problem. All transfers 

of such prisoners to or from a hospital of the Service shall be accompanied by necessary attendants as directed by the officer in 

charge of such hospital and the actual and necessary expenses incident to such transfers shall be paid from the appropriation for the 

maintenance of such Service hospital except to the extent that 

other Federal agencies are authorized or required by law to pay expenses incident to such transfers. When sentence is pronounced 

against any person whom the prosecuting officer believes to be an 

addict or other person with a drug abuse or other drug dependence 

problem such officer shall report to the authority vested with the 

power to designate the place of confinement, the name of such person, the reasons for his belief, all pertinent facts bearing on such 

addiction, drug abuse, or drug dependence and the nature of the 

offense committed. Whenever an alien addict or other person with 

a drug abuse or other drug dependence problem transferred to a 

Service hospital pursuant to this subsection is entitled to his discharge but is subject to deportation, in lieu of being returned to the 

penal institution from which he came he shall be deported by the 

authority vested by law with power over deportation. 

ø(c) Not later than one month prior to the expiration of the sentence of any addict or other person with a drug abuse or other drug 

dependence problem confined in a Service hospital, he shall be examined by the Surgeon General or his authorized representative. 

If the Surgeon General believes the person to be discharged is still 

an addict or other person with a drug abuse or other drug dependence problem and that he may by further treatment in a Service 

hospital be cured of his addiction, drug abuse, or drug dependence 


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the addict or other person with a drug abuse or other drug dependence problem shall be informed, in accordance with regulations, of 

the advisability of his submitting himself to further treatment. The 

addict or other person with a drug abuse or other drug dependence 

problem may then apply in writing to the Surgeon General for further treatment in a Service hospital for a period not exceeding the 

maximum length of time considered necessary by the Surgeon General. Upon approval of the application by the Surgeon General or 

his authorized agent, the addict or other person with a drug abuse 

or other drug dependence problem may be given such further treatment as is necessary to cure him of his addiction, drug abuse, or 

drug dependence. 

ø(d) Every person convicted of an offense against the United 

States, upon discharge, or upon release on parole or supervised release from a hospital of the Service, shall be furnished with the 

gratuities and transportation authorized by law to be furnished to 

prisoners upon release from a penal, correctional, disciplinary, or 

reformatory institution. 

ø(e) Any court of the United States having the power to suspend 

the imposition or execution of sentence and to place a defendant on 

probation under any existing laws may impose as one of the conditions of such probation that the defendant, if an addict, or other 

person with a drug abuse or other drug dependence problem shall 

submit himself for treatment at a hospital of the Service especially 

equipped for the accommodation of addicts or other persons with 

drug abuse and drug dependence problems until discharged therefrom as cured and that he shall be admitted thereto for such purpose. Upon the discharge of any such probationer from a hospital 

of the Service, he shall be furnished with the gratuities and transportation authorized by law to be furnished to prisoners upon release from a penal, correctional, disciplinary, or reformatory institution. The actual and necessary expense incident to transporting 

such probationer to such hospital and to furnishing such transportation and gratuities shall be paid from the appropriation for the 

maintenance of such hospital except to the extent that other Federal agencies are authorized or required by law to pay the cost of 

such transportation: Provided, That where existing law vests a discretion in any officer as to the place to which transportation shall 

be furnished or as to the amount of clothing and gratuities to be 

furnished, such discretion shall be exercised by the Surgeon General with respect to addicts or other persons with drug abuse and 

drug dependence problems discharged from hospitals of the Service. 

øVOLUNTARY PATIENTS

øSEC. 344. (a) Any addict, or other person with a drug abuse or 

other drug dependence problem whether or not he shall have been 

convicted of an offense against the United States, may apply to the 

Surgeon General for admission to a hospital of the Service especially equipped for the accommodation of addicts or other persons 

with drug abuse and drug dependence problems. 

ø(b) Any applicant shall be examined by the Surgeon General 

who shall determine whether the applicant is an addict, or other 

person with a drug abuse or other drug dependence problem 

whether by treatment in a hospital of the Service he may probably 

be cured of his addiction, drug abuse, or drug dependence and the 


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estimated length of time necessary to effect his cure. The Surgeon 

General may, in his discretion, admit the applicant to a Service 

hospital. No such addict or other person with drug abuse or other 

drug dependence problem shall be admitted unless he agrees to 

submit to treatment for the maximum amount of time estimated by 

the Surgeon General to be necessary to effect a cure, and unless 

suitable accommodations are available after all eligible addicts or 

other persons with drug abuse and drug dependence problems convicted of offenses against the United States have been admitted. 

Any such addict or other person with a drug abuse or other drug 

dependence problem may be required to pay for his subsistence, 

care, and treatment at rates fixed by the Surgeon General and 

amounts so paid shall be covered into the Treasury of the United 

States to the credit of the appropriation from which the expenditure for his subsistence, care, and treatment was made. Appropriations available for the care and treatment of addicts or other persons with drug abuse and drug dependence problems admitted to 

a hospital of the Service under this section shall be available, subject to regulations, for paying the cost of transportation to any 

place within the continental United States, including subsistence 

allowance while traveling, for any indigent addict or other person 

with a drug abuse or other drug dependence problem who is discharged as cured. 

ø(c) Any addict or other person with a drug abuse or other drug 

dependence problem admitted for treatment under this section, including any addict, or other person with a drug abuse or other drug 

dependence problem not convicted of an offense, who voluntarily 

submits himself for treatment, may be confined in a hospital of the 

Service for a period not exceeding the maximum amount of time estimated by the Surgeon General as necessary to effect a cure of the 

addiction, drug abuse, or drug dependence or until such time as he 

ceases to be an addict or other person with a drug abuse or other 

drug dependence problem. 

ø(d) Any addict or other person with a drug abuse or other drug 

dependence problem admitted for treatment under this section 

shall not thereby forfeit or abridge any of his rights as a citizen of 

the United States; nor shall such admission or treatment be used 

against him in any proceeding in any court; and the record of his 

voluntary commitment shall, except as otherwise provided by this 

Act, be confidential and shall not be divulged. 

øPERSONS COMMITTED FROM DISTRICT OF COLUMBIA

øSEC. 345. (a) The Surgeon General is authorized to admit for 

care and treatment in any hospital of the Service suitably equipped 

therefor, and thereafter to transfer between hospitals of the Service 

in accordance with section 321(b), any addict who is committed, 

under the provisions of the Act of June 24, 1953 (Public Law 76, 

Eighty-third Congress), to the Service or to a hospital thereof for 

care and treatment and who the Surgeon General determines is a 

proper subject for care and treatment. No such addict shall be admitted unless (1) committed prior to July 1, 1958; and (2) at the 

time of commitment, the number of persons in hospitals of the 

Service who have been admitted pursuant to this subsection is less 

than 100; and (3) suitable accommodations are available after all 


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eligible addicts convicted of offenses against the United States have 

been admitted. 

ø(b) Any person admitted to a hospital of the Service pursuant 

to subsection (a) shall be discharged therefrom (1) upon order of 

the Superior Court of the District of Columbia, or (2) when he is 

found by the Surgeon General to be cured and rehabilitated. When 

any such person is so discharged, the Surgeon General shall give 

notice thereof to the Superior Court of the District of Columbia and 

shall deliver such person to such court for such further action as 

such court may deem necessary and proper under the provisions of 

the Act of June 24, 1953 (Public Law 76, Eighty-third Congress). 

ø(c) With respect to the detention, transfer, parole, or discharge 

of any person committed to a hospital of the Service in accordance 

with subsection (a), the Surgeon General and the officer in charge 

of the hospital, in addition to authority otherwise vested in them, 

shall have such authority as may be conferred upon them, respectively, by the order of the committing court. 

ø(d) The cost of providing care and treatment for persons admitted to a hospital of the Service pursuant to subsection (a) shall be 

a charge upon the District of Columbia and shall be paid by the 

District of Columbia to the Public Health Service, either in advance 

or otherwise, as may be determined by the Surgeon General. Such 

cost may be determined for each addict or on the basis of rates established for all or particular classes of patients, and shall include 

the cost of transportation to and from facilities of the Public Health 

Service. Moneys so paid to the Public Health Service shall be covered into the Treasury of the United States as miscellaneous receipts. Appropriations available for the care and treatment of addicts admitted to a hospital of the Service under this section shall 

be available, subject to regulations, for paying the cost of transportation to the District of Columbia, including subsistence allowance 

while traveling, for any such addict who is discharged. 

øPENALTIES

øSEC. 346. (a) Any person not authorized by law or by the Surgeon General who introduces or attempts to introduce into or upon 

the grounds of any hospital of the Service at which addicts or other 

persons with drug abuse and drug dependence problems are treated and cared for, any habit-forming narcotic drug, or substance 

controlled under the Controlled Substances Act, weapon, or any 

other contraband article or thing, or any contraband letter or message intended to be received by an inmate thereof, shall be guilty 

of a felony and, upon conviction thereof, shall be punished by imprisonment for not more than ten years. 

ø(b) It shall be unlawful for any person properly committed 

thereto to escape or attempt to escape from a hospital of the Service at which addicts or other persons with drug abuse and drug dependence problems are treated and cared for, and any such person 

upon apprehension and conviction in a United States court shall be 

punished by imprisonment for not more than five years, such sentence to begin upon the expiration of the sentence for which such 

person was originally confined. 

ø(c) Any person who procures the escape of any person admitted 

to a hospital of the Service at which addicts or other persons with 

drug abuse and drug dependence problems are treated and cared 


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for, or who advises, connives at, aids, or assists in such escape, or 

who conceals any such inmate after such escape, shall be punished 

upon conviction in a United States court by imprisonment in the 

penitentiary for not more than three years. 

øRELEASE OF PATIENTS

øSEC. 347. For purposes of this Act, an individual shall be 

deemed cured of his addiction, drug abuse, or drug dependence, 

and rehabilitated if the Surgeon General determines that he has 

received the maximum benefits of treatment and care by the Service for his addiction, drug abuse, or drug dependence, or if the Surgeon General determines that his further treatment and care for 

such purpose would be detrimental to the interests of the Service.¿ 

PART E—OPIOID USE DISORDER 

SEC. 341. INFORMATION MATERIALS AND RESOURCES TO PREVENT 

ADDICTION RELATED TO YOUTH SPORTS INJURIES. 

(a) REPORT.—The Secretary shall— 

(1) not later than 24 months after the date of the enactment 

of this section, make publicly available a report determining the 

extent to which informational materials and resources described 

in subsection (b) are available to teenagers and adolescents who 

play youth sports, families of such teenagers and adolescents, 

nurses, youth sports groups, and relevant health care provider 

groups; and 

(2) for purposes of educating and preventing addiction in 

teenagers and adolescents who are injured playing youth sports 

and are subsequently prescribed an opioid, not later than 12 

months after such report is made publicly available and taking 

into consideration the findings of such report, develop and, in 

coordination with youth sports groups, disseminate informational materials and resources described in subsection (b) for 

teenagers and adolescents who play youth sports, families of 

such teenagers and adolescents, nurses, youth sports groups, 

and relevant health care provider groups. 

(b) MATERIALS AND RESOURCES DESCRIBED.—For purposes of this 

section, the informational materials and resources described in this 

subsection are informational materials and resources with respect to 

youth sports injuries for which opioids are potentially prescribed 

and subsequently potentially lead to addiction, including materials 

and resources focused on the dangers of opioid use and misuse, 

treatment options for such injuries that do not involve the use of 

opioids, and how to seek treatment for addiction. 

(c) NO ADDITIONAL FUNDS.—No additional funds are authorized 

to be appropriated for the purpose of carrying out this section. This 

section shall be carried out using amounts otherwise available for 

such purpose. 

* * * * * * * 

Æ 


smartinez on DSK3GLQ082PROD with REPORTS-HSE