I 

117TH CONGRESS 

1ST SESSION H. R. 2067 

To amend the Controlled Substances Act to require physicians and other 

prescribers of controlled substances to complete training on treating 

and managing patients with opioid and other substance use disorders, 

and for other purposes. 

IN THE HOUSE OF REPRESENTATIVES 

MARCH 18, 2021 

Mrs. TRAHAN (for herself, Mr. CARTER of Georgia, Mr. MCKINLEY, Ms. 

KUSTER, Mr. TRONE, and Mr. TONKO) introduced the following bill; 

which was referred to the Committee on Energy and Commerce, and in 

addition to the Committee on the Judiciary, for a period to be subsequently determined by the Speaker, in each case for consideration of such 

provisions as fall within the jurisdiction of the committee concerned 

A BILL 

To amend the Controlled Substances Act to require physicians and other prescribers of controlled substances to 

complete training on treating and managing patients 

with opioid and other substance use disorders, 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 the ‘‘Medication Access and 

3 Training Expansion Act of 2021’’ or the ‘‘MATE Act of 

4 2021’’. 

5 SEC. 2. REQUIRING PRESCRIBERS OF CONTROLLED SUB6 STANCES TO COMPLETE TRAINING ON 

7 TREATING AND MANAGING PATIENTS WITH 

8 OPIOID AND OTHER SUBSTANCE USE DIS9 ORDERS. 

10 Section 303 of the Controlled Substances Act (21 

11 U.S.C. 823) is amended by adding at the end the fol12 lowing: 

13 ‘‘(l) REQUIRED TRAINING FOR PRESCRIBERS ON

14 TREATING AND MANAGING PATIENTS WITH OPIOID AND

15 OTHER SUBSTANCE USE DISORDERS.— 

16 ‘‘(1) APPLICABILITY.—This subsection ap17 plies— 

18 ‘‘(A) with respect to any practitioner who 

19 is licensed under State law to prescribe con20 trolled substances and is not a veterinarian or 

21 a dentist; and 

22 ‘‘(B) beginning with the first registration 

23 or renewal of registration by the practitioner 

24 under this section occurring 180 or more days 

25 after the date of enactment of the Medication 

26 Access and Training Expansion Act of 2021. 


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1 ‘‘(2) TRAINING REQUIRED.—As a condition on 

2 registration under this section to dispense controlled 

3 substances in schedule II, III, IV, or V, the Attorney 

4 General shall require any practitioner described in 

5 paragraph (1)(A) to meet the following: 

6 ‘‘(A) If the practitioner is a physician, the 

7 practitioner must meet one or more of the fol8 lowing conditions: 

9 ‘‘(i) The physician holds a board cer10 tification in addiction psychiatry or addic11 tion medicine from the American Board of 

12 Medical Specialties. 

13 ‘‘(ii) The physician holds a board cer14 tification from the American Board of Ad15 diction Medicine. 

16 ‘‘(iii) The physician holds a board cer17 tification in addiction medicine from the 

18 American Osteopathic Association. 

19 ‘‘(iv) The physician has, with respect 

20 to the treatment and management of pa21 tients with opioid or other substance use 

22 disorders, completed not less than 8 hours 

23 of training (through classroom situations, 

24 seminars at professional society meetings, 


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1 electronic communications, or otherwise) 

2 that is provided by— 

3 ‘‘(I) the American Society of Ad4 diction Medicine, the American Acad5 emy of Addiction Psychiatry, the 

6 American Medical Association, the 

7 American Osteopathic Association, the 

8 American Psychiatric Association, or 

9 any other organization accredited by 

10 the Accreditation Council for Con11 tinuing Medical Education (commonly 

12 known as the ‘ACCME’); 

13 ‘‘(II) any organization accredited 

14 by a State medical society accreditor 

15 recognized by the ACCME; or 

16 ‘‘(III) any organization accred17 ited by the American Osteopathic As18 sociation to provide continuing med19 ical education. 

20 ‘‘(v) The physician graduated in good 

21 standing from an accredited school of 

22 allopathic medicine or osteopathic medicine 

23 in the United States during the 5-year pe24 riod immediately preceding the date on 

25 which the physician first registers or reVerDate Sep 11 2014 04:47 May 19, 2021 Jkt 019200 PO 00000 Frm 00004 Fmt 6652 Sfmt 6201 E:\BILLS\H2067.IH H2067

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1 news under this section and has success2 fully completed a comprehensive allopathic 

3 or osteopathic medicine curriculum or ac4 credited medical residency that included 

5 not less than 8 hours of training on treat6 ing and managing patients with opioid and 

7 other substance use disorders, including 

8 the appropriate clinical use of all drugs ap9 proved by the Food and Drug Administra10 tion for the treatment of a substance use 

11 disorder. 

12 ‘‘(B) If the practitioner is not a physician, 

13 the practitioner must meet one or more of the 

14 following conditions: 

15 ‘‘(i) Completed not fewer than 8 hours 

16 of training with respect to the treatment 

17 and management of patients with opioid or 

18 other substance use disorders (through 

19 classroom situations, seminars at profes20 sional society meetings, electronic commu21 nications, or otherwise) provided by the 

22 American Society of Addiction Medicine, 

23 the American Academy of Addiction Psy24 chiatry, the American Medical Association, 

25 the American Osteopathic Association, the 


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1 American Nurses Credentialing Center, the 

2 American Psychiatric Association, the 

3 American Association of Nurse Practi4 tioners, the American Academy of Physi5 cian Assistants, or any other organization 

6 that the Secretary determines is appro7 priate for purposes of this clause. 

8 ‘‘(ii) Graduated in good standing from 

9 an accredited physician assistant school or 

10 accredited school of advanced practice 

11 nursing in the United States during the 5- 

12 year period immediately preceding the date 

13 on which the practitioner first registers or 

14 renews under this section and has success15 fully completed a comprehensive physician 

16 assistant or advanced practice nursing cur17 riculum that included not less than 8 hours 

18 of training on treating and managing pa19 tients with opioid and other substance use 

20 disorders, including the appropriate clinical 

21 use of all drugs approved by the Food and 

22 Drug Administration for the treatment of 

23 a substance use disorder. 

24 ‘‘(3) ONE-TIME TRAINING.—The Attorney Gen25 eral shall not require any practitioner to complete 


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1 the training described in clause (iv) or (v) of para2 graph (2)(A) or clause (i) or (ii) of paragraph 

3 (2)(B) more than once. 

4 ‘‘(4) RULE OF CONSTRUCTION.—Nothing in 

5 this subsection shall be construed to prevent a prac6 titioner from using the same training both for pur7 poses of satisfying the registration requirement of 

8 this subsection and for other purposes, such as satis9 fying State licensing requirements.’’. 

10 SEC. 3. PRACTITIONER EDUCATION GRANT PROGRAM. 

11 Title V of the Public Health Service Act is amended 

12 by inserting after section 509 of such Act (42 U.S.C. 

13 290bb–2) the following: 

14 ‘‘SEC. 510. PRACTITIONER EDUCATION GRANT PROGRAM. 

15 ‘‘(a) IN GENERAL.—The Secretary shall carry out a 

16 program to award grants to eligible entities to expand the 

17 integration of substance use disorder education into the 

18 standard curriculum of relevant health care and health 

19 services education programs, thereby expanding the num20 ber of practitioners who deliver high-quality, evidence21 based substance use disorder treatment. 

22 ‘‘(b) ELIGIBLE ENTITIES.—To be eligible to receive 

23 a grant under this section, an entity shall be— 

24 ‘‘(1) a private nonprofit or public professional 

25 association representing health care professionals in 


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1 the field of medicine, physician assistants, nursing, 

2 social work, psychology, marriage and family ther3 apy, or health services administration; or 

4 ‘‘(2) a private nonprofit or public entity that is 

5 a university, college, or other professional school. 

6 ‘‘(c) AUTHORIZATION OF APPROPRIATIONS.—To 

7 carry out this section, there is authorized to be appro8 priated such sums as may be necessary for each of fiscal 

9 years 2022 through 2027.’’. 

Æ 


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