I 

118TH CONGRESS 

1ST SESSION H. R. 5625 

To establish education partnership programs between public schools and public health agencies to prevent the misuse and overdose of synthetic 

opioids by youth, and for other purposes. 

IN THE HOUSE OF REPRESENTATIVES 

SEPTEMBER 21, 2023 

Ms. BONAMICI (for herself, Mr. KILEY, Mrs. CHAVEZ-DEREMER, and Mr. 

NEGUSE) introduced the following bill; which was referred to the Committee on Education and the Workforce, and in addition to the Committee on Energy and Commerce, 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 establish education partnership programs between public 

schools and public health agencies to prevent the misuse 

and overdose of synthetic opioids by youth, 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; TABLE OF CONTENTS. 

4 (a) SHORT TITLE.—This Act may be cited as the 

5 ‘‘Fentanyl Awareness for Children and Teens in Schools 

6 Act’’ or the ‘‘FACTS Act’’. 


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1 (b) TABLE OF CONTENTS.—The table of contents for 

2 this Act is as follows: 

Sec. 1. Short title; table of contents. 

Sec. 2. Purposes. 

Sec. 3. Definitions. 

TITLE I—PARTNERSHIP GRANTS FOR LOCAL AND STATE 

EDUCATIONAL AGENCIES 

Sec. 101. Synthetic opioid misuse and overdose education, awareness, and prevention pilot program. 

Sec. 102. Authorization of appropriations; reservation. 

TITLE II—ESTABLISHMENT OF AN INTERAGENCY TASK FORCE 

Sec. 201. Interagency Task Force on Preventing Synthetic Opioid Misuse and 

Overdose Among Youth. 

Sec. 202. Rule of construction. 

TITLE III—AMENDMENTS TO THE ELEMENTARY AND 

SECONDARY EDUCATION ACT OF 1965 

Sec. 301. Professional development for school personnel. 

Sec. 302. Amendments to local educational agency plans. 

Sec. 303. Amendments to State educational agency plans. 

TITLE IV—AMENDMENTS TO DEPARTMENT OF EDUCATION DATA 

COLLECTION 

Sec. 401. Civil rights data collection on access to synthetic opioids. 

Sec. 402. National Center for Education Statistics School Crime and Safety 

Data. 

TITLE V—SCHOOL-BASED HEALTH CENTERS AND REPORTING 

Sec. 501. Naloxone in school-based health centers. 

Sec. 502. Amendments to the Monitoring the Future survey. 

Sec. 503. Youth Risk Behavior Survey. 

Sec. 504. Evaluation of the effectiveness and reach of the State Unintentional 

Drug Overdose Reporting System. 

3 SEC. 2. PURPOSES. 

4 The purposes of this Act are to— 

5 (1) establish education partnership programs 

6 between public schools and public health agencies to 

7 prevent the misuse of and overdose with synthetic 

8 opioids by youth; 


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1 (2) develop a whole-of-government approach to 

2 identify and disseminate best practices in education 

3 and prevention regarding the misuse of and overdose 

4 with synthetic opioids by youth; 

5 (3) increase opportunities for employees of ele6 mentary and secondary schools receiving Federal 

7 funds to receive professional development on the 

8 dangers of the misuse of and overdose with synthetic 

9 opioids by youth; and 

10 (4) improve the availability and usability of 

11 data regarding the proliferation of synthetic opioids. 

12 SEC. 3. DEFINITIONS. 

13 In this Act: 

14 (1) CLASSIFIED SCHOOL EMPLOYEE.—The term 

15 ‘‘classified school employee’’ means an employee of a 

16 State or of any political subdivision of a State, or an 

17 employee of a nonprofit organization, who works in 

18 any grade from prekindergarten through high school 

19 in any of the following occupational specialties: 

20 (A) Paraprofessional, including 

21 paraeducator services. 

22 (B) Clerical and administrative services. 

23 (C) Transportation services. 

24 (D) Food and nutrition services. 

25 (E) Custodial and maintenance services. 


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1 (F) Security services. 

2 (G) Health and student services. 

3 (H) Technical services. 

4 (I) Skilled trades. 

5 (2) EDUCATIONAL SERVICE AGENCY.—The 

6 term ‘‘educational service agency’’ has the meaning 

7 given the term in section 602 of the Individuals with 

8 Disabilities Education Act (20 U.S.C. 1401). 

9 (3) ESEA TERMS.—The terms ‘‘elementary 

10 school’’, ‘‘evidence-based’’, ‘‘local educational agen11 cy’’, ‘‘parent’’, ‘‘secondary school’’, ‘‘State’’, and 

12 ‘‘State educational agency’’ have the meanings given 

13 the terms in section 8101 of the Elementary and 

14 Secondary Education Act of 1965 (20 U.S.C. 7801). 

15 (4) SECRETARY.—The term ‘‘Secretary’’, unless 

16 otherwise specified, refers to the Secretary of Health 

17 and Human Services. 

18 (5) SYNTHETIC OPIOIDS.—The term ‘‘synthetic 

19 opioids’’ means substances, including fentanyl and 

20 any substituted derivative of fentanyl, that— 

21 (A) are synthesized in a laboratory; and 

22 (B) act on the same targets in the brain 

23 as natural opioids to produce analgesic effects. 


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1 TITLE I—PARTNERSHIP GRANTS 

2 FOR LOCAL AND STATE EDU3 CATIONAL AGENCIES 

4 SEC. 101. SYNTHETIC OPIOID MISUSE AND OVERDOSE EDU5 CATION, AWARENESS, AND PREVENTION 

6 PILOT PROGRAM. 

7 (a) IN GENERAL.—The Secretary, in consultation 

8 with the Secretary of Education, shall administer a pilot 

9 program to eligible partnerships to provide financial as10 sistance for the prevention of, treatment of, and recovery 

11 from, disorders stemming from the misuse of synthetic 

12 opioids by children, adolescents, and young adults. 

13 (b) DEFINITIONS.—In this section: 

14 (1) ELIGIBLE PARTNERSHIP.—The term ‘‘eligi15 ble partnership’’ means a partnership of— 

16 (A) a local educational agency, a State 

17 educational agency, a Bureau of Indian Edu18 cation school, an educational service agency, or 

19 a consortium of local educational agencies seek20 ing to establish or expand a program to reduce 

21 the misuse of synthetic opioids and establish re22 covery programs or services for children, adoles23 cents, and young adults; and 

24 (B) a State, local, territorial, or Tribal 

25 health agency or organization, a qualified nonVerDate Sep 11 2014 00:25 Sep 26, 2023 Jkt 039200 PO 00000 Frm 00005 Fmt 6652 Sfmt 6201 E:\BILLS\H5625.IH H5625

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1 governmental entity with appropriate expertise 

2 in providing substance use disorder education, 

3 prevention, and treatment services or programs 

4 for children, adolescents, or young adults, as 

5 defined by the Secretary, or a consortium of en6 tities that includes a State, local, territorial, or 

7 Tribal health agency or organization. 

8 (2) RECOVERY PROGRAM.—The term ‘‘recovery 

9 program’’ means a program— 

10 (A) to help children, adolescents, or young 

11 adults who are recovering from substance use 

12 disorders to initiate, stabilize, and maintain 

13 healthy and productive lives in the community; 

14 and 

15 (B) that includes peer-to-peer support de16 livered by individuals with lived experience in 

17 recovery, and communal activities to build re18 covery skills and supportive social networks. 

19 (c) PILOT PROGRAM AUTHORIZED.—The Secretary, 

20 in consultation with the Secretary of Education, shall 

21 award 3-year grants, on a competitive basis, to up to 25 

22 eligible partnerships to enable such partnerships to pre23 vent the misuse of synthetic opioids by children, adoles24 cents, and young adults. 


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1 (d) USE OF FUNDS.—An eligible partnership that re2 ceives a grant under this section shall use amounts made 

3 available through such grant for evidence-based activities, 

4 which may include any of the following: 

5 (1) Developing evidence-based materials for 

6 teachers to use as a component of classroom instruc7 tion, and sharing these materials with parents and 

8 families. 

9 (2) Designing evidence-based professional devel10 opment for teachers, school leaders, specialized in11 structional support personnel, classified school em12 ployees, and other school staff members. 

13 (3) Developing in- and out-of-school workshops 

14 and accessible and tailored content for students, 

15 families, and teachers to attain information about 

16 the misuse of synthetic opioids. 

17 (4) Creating efficient and effective multimedia 

18 communication campaigns, including through social 

19 media, to maximize outreach efforts to students, 

20 parents, and families. 

21 (5) Awarding contracts to nonprofit organiza22 tions— 

23 (A) specializing in substance misuse pre24 vention education efforts; 


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1 (B) with demonstrated success in reaching, 

2 engaging, and supporting local and State edu3 cational agencies, Bureau of Indian Education 

4 schools, and other schools; and 

5 (C) with expertise in designing recovery 

6 programs for synthetic opioid misuse and over7 dose prevention. 

8 (6) Establishing peer-to-peer counseling pro9 grams for students at secondary schools to support 

10 the work of school-based mental health professionals 

11 in preventing the misuse of synthetic opioids. 

12 (7) Other purposes as may be specified by the 

13 Secretary 

14 (e) APPLICATIONS AND ASSURANCES.—To seek a 

15 grant under this section, an eligible partnership shall sub16 mit an application to the Secretary at such time, in such 

17 manner, and containing such information as the Secretary 

18 may reasonably require, which shall include the following: 

19 (1) A description, containing qualitative and 

20 quantitative information, of the existing need for 

21 such a grant in the area proposed to be served 

22 through the grant, which description may include in23 formation on— 

24 (A) the rate of misuse of and overdoses at25 tributable to synthetic opioids among children, 


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1 adolescents, and young adults under the age of 

2 21; 

3 (B) if available, data indicating the trend 

4 of synthetic opioid misuse and overdoses among 

5 children, adolescents, and young adults under 

6 the age of 21 over the past 5 years; and 

7 (C) the availability of synthetic opioids. 

8 (2) A description of the initiatives, activities, or 

9 programs the eligible partnership will fund through 

10 the grant, including how such initiatives, activities, 

11 or programs will reduce the misuse of and overdoses 

12 attributable to synthetic opioids in the area proposed 

13 to be served through the grant. 

14 (3) A description of how the eligible partnership 

15 will establish a local interagency agreement to en16 sure adequate and effective collaboration among en17 tities in the partnership to carry out the initiatives, 

18 activities, or programs described in paragraph (2). 

19 (4) A description of how the initiatives, activi20 ties, or programs described in paragraph (2) will be 

21 linguistically appropriate and culturally responsive 

22 for students and families served by the eligible part23 nership. 

24 (5) A description of how the initiatives, activi25 ties, or programs described in paragraph (2) will 


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1 support students and families served by the eligible 

2 partnership in reversing individual and community3 wide effects of synthetic opioid misuse and 

4 overdoses. 

5 (6) An assurance that— 

6 (A) persons providing services through the 

7 grant awarded to the eligible partnership will be 

8 adequately trained to provide such services; and 

9 (B) teachers, school leaders, administra10 tors, specialized instructional support personnel, 

11 representatives of local Indian Tribes or Tribal 

12 organizations as appropriate, other school per13 sonnel, and parents or guardians of students 

14 participating in services funded through a grant 

15 under this section will be engaged in the design 

16 and implementation of the initiatives, activities, 

17 or programs described in paragraph (2). 

18 (7) A description of how the eligible partnership 

19 will support and integrate existing school, local edu20 cational agency, and State initiatives, activities, or 

21 programs with the initiatives, activities, or programs 

22 described in paragraph (2) to provide synthetic 

23 opioid misuse and overdose prevention services for 

24 students, as appropriate. 


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1 (f) PRIORITY.—In awarding grants under this sec2 tion, the Secretary shall give priority to eligible entities 

3 that have a higher rate of youth illicit drug use, including 

4 the use of fentanyl and other synthetic opioids. 

5 (g) DISTRIBUTION OF AWARDS.—Subject to sub6 section (f), the Secretary shall ensure that grants awarded 

7 under this section are equitably distributed among the 

8 geographical regions of the United States and among 

9 Tribal, urban, suburban, and rural populations. 

10 (h) SUPPLEMENT, NOT SUPPLANT.—Any services 

11 provided through initiatives, activities, or programs car12 ried out under this section shall supplement, not supplant, 

13 existing services to prevent the misuse by students of, and 

14 overdoses of students attributable to, synthetic opioids. 

15 (i) ACCOUNTABILITY.— 

16 (1) REVIEW.—In accordance with section 

17 102(b), the Secretary shall regularly review the ini18 tiatives, activities, or programs of eligible partner19 ships receiving a grant under this section to ensure 

20 that such partnerships are using the grant for the 

21 purposes for which it was provided. 

22 (2) NOTIFICATION OF REPORTS.—Not later 

23 than 90 days after the Secretary awards grants for 

24 the first year of the program under this section, the 

25 Secretary shall— 


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1 (A) require eligible partnerships receiving a 

2 grant under this section to submit reports, on 

3 an annual basis, detailing the initiatives, activi4 ties, or programs funded through such grant; 

5 and 

6 (B) notify such eligible partnerships of 

7 such reporting requirement. 

8 (3) TIMELINE OF REPORTS.—Each eligible 

9 partnership receiving a grant under this section shall 

10 submit the first report described in paragraph (2) to 

11 the Secretary not later than one year after receiving 

12 a grant under this section. 

13 (4) CONTENT OF REPORTS.—Each report re14 quired under paragraph (2) shall include, at min15 imum, the following information: 

16 (A) The effectiveness of the grant awarded 

17 under this section in reducing synthetic opioid 

18 misuse and overdose among the students served 

19 by the eligible partnership. 

20 (B) Details regarding the initiatives, activi21 ties, or programs funded through the grant and 

22 further details about any subgrants awarded by 

23 the eligible partnership to help carry out 

24 planned initiatives, activities, or programs. 


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1 (C) To the extent practicable, narrative 

2 statements from teachers, school leaders, spe3 cialized instructional support personnel, or 

4 other relevant stakeholders describing the proc5 ess of implementing the initiatives, activities, or 

6 programs developed through the grant. 

7 (D) If applicable, any challenges faced by 

8 the eligible partnership in reaching or engaging 

9 parents, students, teachers, school leaders, spe10 cialized instructional support personnel, and 

11 other relevant stakeholders with the initiatives, 

12 activities, or programs developed through the 

13 grant. 

14 (E) Any other information the Secretary 

15 may require. 

16 (5) SUBMISSION OF REPORTS.—Not later than 

17 180 days after receiving reports from eligible part18 nerships receiving a grant under this section, the 

19 Secretary shall submit such reports and a brief over20 view of the data and outcomes described in such re21 ports to the Committees on Education and the 

22 Workforce and Energy and Commerce of the House 

23 of Representatives and the Committee on Health, 

24 Education, Labor, and Pensions of the Senate. 


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1 (j) PUBLICATION OF PROGRAMS.—Each eligible part2 nership receiving a grant under this section shall— 

3 (1) post on the eligible partnership’s website 

4 the initiatives, activities, and programs supported 

5 through the grant; and 

6 (2) disseminate to families served by the eligible 

7 partnership, in widely accessible formats, content 

8 from and information about such initiatives, activi9 ties, and programs. 

10 (k) SHARING OF BEST PRACTICES.—The Secretary 

11 shall— 

12 (1) collect content from and information about 

13 all initiatives, activities, and programs developed by 

14 each eligible partnerships through a grant under this 

15 section; and 

16 (2) in conjunction with the Secretary of Edu17 cation, make such content and information publicly 

18 available and widely accessible. 

19 SEC. 102. AUTHORIZATION OF APPROPRIATIONS; RESERVA20 TION. 

21 (a) AUTHORIZATION.—There is authorized to be ap22 propriated to carry out section 101 $50,000,000 for each 

23 of fiscal years 2024 through 2026. 

24 (b) RESERVATION FOR EVALUATION AND TECH25 NICAL ASSISTANCE.—The Secretary may reserve not more 


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1 than 3 percent of the funds appropriated under subsection 

2 (a) for any fiscal year to— 

3 (1) conduct a rigorous, independent evaluation 

4 of the initiatives, activities, or programs funded 

5 under section 101; 

6 (2) provide technical assistance and share best 

7 practices with respect to initiatives, activities, or 

8 programs that are developed by eligible partnerships 

9 through grants under section 101; and 

10 (3) provide technical assistance to eligible part11 nerships applying for a grant under section 101, 

12 through the use of webinars, direct emails, mailed 

13 outreach, and other strategies designed to reach un14 derserved eligible partnerships, including eligible 

15 partnerships located in rural and remote areas. 

16 TITLE II—ESTABLISHMENT OF 

17 AN INTERAGENCY TASK FORCE 

18 SEC. 201. INTERAGENCY TASK FORCE ON PREVENTING 

19 SYNTHETIC OPIOID MISUSE AND OVERDOSE 

20 AMONG YOUTH. 

21 (a) ESTABLISHMENT.—Not later than 90 days after 

22 the date of enactment of this Act, the Secretary shall es23 tablish a task force, to be known as the Interagency Task 

24 Force on Preventing Opioid Misuse and Overdose Among 

25 Youth (in this section referred to as the ‘‘Task Force’’) 


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1 to identify, evaluate, and make recommendations to co2 ordinate and improve Federal responses to synthetic 

3 opioid overdose and misuse in youth. 

4 (b) MEMBERSHIP.—The membership of the Task 

5 Force shall include— 

6 (1) the officials serving under paragraphs (1) 

7 through (9) of subsection (c); and 

8 (2) the members serving under paragraphs 

9 (10), (11), and (12) of subsection (c), to be ap10 pointed by the Secretary. 

11 (c) COMPOSITION.—The Task Force shall be com12 posed of at least 12, but not more than 17, members as 

13 follows: 

14 (1) The Secretary of Health and Human Serv15 ices, who shall serve as Chair of the Task Force. 

16 (2) The Secretary of Education. 

17 (3) The Assistant Secretary for Mental Health 

18 and Substance Use. 

19 (4) The Assistant Secretary for Children and 

20 Families. 

21 (5) The Director of the Centers for Disease 

22 Control and Prevention. 

23 (6) The Assistant Secretary for Elementary and 

24 Secondary Education. 


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1 (7) The Director of the Agency for Health Re2 search and Quality. 

3 (8) The Surgeon General of the Public Health 

4 Service. 

5 (9) The Director of the National Institute of 

6 Mental Health of the National Institutes of Health. 

7 (10) At least two, and not more than three, 

8 non-Federal representatives who are parents of 

9 youth who died from an overdose of fentanyl or an10 other synthetic opioid. 

11 (11) At least one, and not more than two, non12 Federal representatives of one or more nationally 

13 recognized nonprofit organizations working to raise 

14 awareness about and prevent misuse of synthetic 

15 opioids by youth. 

16 (12) Such other Federal or non-Federal rep17 resentatives as determined by the Secretary. 

18 (d) DUTIES.—The Task Force shall— 

19 (1) develop and regularly update a report that 

20 identifies, analyzes, and evaluates the state of Fed21 eral, State, and local programs to address synthetic 

22 opioid misuse and overdose in youth, and identifies 

23 best practices including— 


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1 (A) a set of evidence-based, evidence-in2 formed, and promising practices with respect 

3 to— 

4 (i) prevention strategies for youth at 

5 risk of fentanyl and synthetic opioids mis6 use and overdose; 

7 (ii) the identification, screening, diag8 nosis, intervention, and treatment of youth 

9 affected by synthetic opioid misuse; 

10 (iii) the expeditious referral to, and 

11 implementation of, practices and supports 

12 that prevent and mitigate the effects of 

13 synthetic opioid misuse and overdose in 

14 youth; and 

15 (iv) community-based or 

16 multigenerational practices that support 

17 youth and families affected by synthetic 

18 opioid misuse and overdose; and 

19 (B) Federal and State programs and ac20 tivities to prevent, screen, diagnose, intervene, 

21 and treat synthetic opioid misuse and overdose 

22 in youth; and 

23 (2) develop and regularly update a national 

24 strategy for— 


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1 (A) youth synthetic opioid misuse and 

2 overdose prevention, taking into consideration 

3 the findings of the reports under paragraph (1); 

4 and 

5 (B) how the Task Force and Federal de6 partments and agencies represented on the 

7 Task Force will prioritize options for, and im8 plement a coordinated approach to, addressing 

9 synthetic opioid misuse and overdose. 

10 SEC. 202. RULE OF CONSTRUCTION. 

11 Nothing in this title shall be construed to limit or 

12 otherwise alter the authority of any of the Federal agen13 cies referred to in section 201(c) to carry out programs 

14 to reduce synthetic opioid overdose and misuse under 

15 other provisions of law. 

16 TITLE III—AMENDMENTS TO 

17 THE ELEMENTARY AND SEC18 ONDARY EDUCATION ACT OF 

19 1965 

20 SEC. 301. PROFESSIONAL DEVELOPMENT FOR SCHOOL 

21 PERSONNEL. 

22 Section 2101(c)(4)(B) of the Elementary and Sec23 ondary Education Act of 1965 (20 U.S.C. 6611(c)(4)(B)) 

24 is amended— 


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1 (1) by redesignating clauses (xvi) through (xxi) 

2 as clauses (xvii) through (xxii), respectively; and 

3 (2) by inserting after clause (xv) the following: 

4 ‘‘(xvi) Providing training for all school 

5 personnel, including teachers, principals, 

6 other school leaders, specialized instruc7 tional support personnel, paraprofessionals, 

8 counselors, and mental health profes9 sionals, regarding how to address and pre10 vent the misuse of synthetic opioids, in11 cluding fentanyl or any substituted deriva12 tive of fentanyl, among students.’’. 

13 SEC. 302. AMENDMENTS TO LOCAL EDUCATIONAL AGENCY 

14 PLANS. 

15 Section 1112(b) of the Elementary and Secondary 

16 Education Act of 1965 (20 U.S.C. 6312(b)) is amended— 

17 (1) in paragraph (12)(B), by striking ‘‘and’’ at 

18 the end; 

19 (2) by redesignating paragraph (13) as para20 graph (14); and 

21 (3) by inserting after paragraph (12) the fol22 lowing: 

23 ‘‘(13) how the local educational agency will en24 gage teachers and school leaders, in consultation 

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1 tors, public health officials, paraprofessionals, spe2 cialized instructional support personnel, school coun3 selors, and school psychologists, to address and pre4 vent the misuse of synthetic opioids, including 

5 fentanyl or any substituted derivative of fentanyl, 

6 among students; and’’. 

7 SEC. 303. AMENDMENTS TO STATE EDUCATIONAL AGENCY 

8 PLANS. 

9 Section 1111(g)(1) of the Elementary and Secondary 

10 Education Act of 1965 (20 U.S.C. 6311(g)(1)) is amend11 ed— 

12 (1) in subparagraph (F), by striking ‘‘and’’ at 

13 the end; 

14 (2) by redesignating subparagraph (G) as sub15 paragraph (H); and 

16 (3) by inserting after subparagraph (F) the fol17 lowing: 

18 ‘‘(G) how the State educational agency will 

19 provide support to local educational agencies re20 ceiving assistance under this part in addressing 

21 and preventing the misuse of synthetic opioids, 

22 including fentanyl or any substituted derivative 

23 of fentanyl, among students; and’’. 


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1 TITLE IV—AMENDMENTS TO DE2 PARTMENT OF EDUCATION 

3 DATA COLLECTION 

4 SEC. 401. CIVIL RIGHTS DATA COLLECTION ON ACCESS TO 

5 SYNTHETIC OPIOIDS. 

6 For each Civil Rights Data Collection (or any suc7 cessor to such data collection) required under section 

8 203(c)(1) of the Department of Education Organization 

9 Act (20 U.S.C. 3413(c)(1)) that is carried out on or after 

10 January 1, 2024, the Assistant Secretary for Civil Rights 

11 of the Department of Education shall include collection 

12 of data on the— 

13 (1) prevalence of fentanyl and other synthetic 

14 opioids in secondary schools receiving Federal finan15 cial assistance; and 

16 (2) suspensions, expulsions, and arrests of stu17 dents resulting from the use or possession of 

18 fentanyl and other synthetic opioids in secondary 

19 schools receiving Federal financial assistance. 

20 SEC. 402. NATIONAL CENTER FOR EDUCATION STATISTICS 

21 SCHOOL CRIME AND SAFETY DATA. 

22 Section 153(a)(1)(H) of the Education Sciences Re23 form Act of 2002 (20 U.S.C. 9543(a)(1)(H)) is amend24 ed— 

25 (1) in clause (ii), by striking ‘‘and’’ at the end; 


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1 (2) in clause (iii), by inserting ‘‘and’’ at the 

2 end; and 

3 (3) by adding at the end the following: 

4 ‘‘(iv) access to synthetic opioids, in5 cluding fentanyl, on school premises, and 

6 the effects of such substances on school 

7 safety and student health and well-being;’’. 

8 TITLE V—SCHOOL-BASED 

9 HEALTH CENTERS AND RE10 PORTING 

11 SEC. 501. NALOXONE IN SCHOOL-BASED HEALTH CENTERS. 

12 Section 399Z–1(f)(1)(A) of the Public Health Service 

13 Act (42 U.S.C. 280h–5(f)(1)(A)) is amended— 

14 (1) in clause (iv), by striking ‘‘and’’ at the end 

15 and inserting ‘‘or’’; and 

16 (2) by adding at the end the following: 

17 ‘‘(v) the purchase of naloxone to re18 verse the effects of opioid overdose, and 

19 the establishment of other programs to ad20 dress and prevent the misuse of synthetic 

21 opioids, including fentanyl or any sub22 stituted derivative of fentanyl; and’’. 


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1 SEC. 502. AMENDMENTS TO THE MONITORING THE FUTURE 

2 SURVEY. 

3 Beginning on January 1, 2024, the Director of the 

4 National Institute on Drug Abuse, in collaboration with 

5 the Secretary and the Director of the National Institutes 

6 of Health, shall require the survey funded by the National 

7 Institute on Drug Abuse and titled ‘‘Monitoring the Fu8 ture’’ to include— 

9 (1) indicators to measure the use of, perception 

10 of harm of, and access to counterfeit or synthetic 

11 opioids among youth; and 

12 (2) where applicable, indicators to measure the 

13 extent to which respondents are aware of the coun14 terfeit or synthetic nature of any opioids used or en15 countered by such respondents. 

16 SEC. 503. YOUTH RISK BEHAVIOR SURVEY. 

17 Beginning on January 1, 2024, the Director of the 

18 Centers for Disease Control and Prevention shall require 

19 the data collection survey for the Youth Risk Behavior 

20 Surveillance System to include— 

21 (1) questions related to the use of, awareness 

22 regarding, and exposure to counterfeit or synthetic 

23 opioids, including fentanyl; and 

24 (2) where applicable, indicators to measure the 

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1 terfeit or synthetic nature of any opioids used or en2 countered by such respondents. 

3 SEC. 504. EVALUATION OF THE EFFECTIVENESS AND 

4 REACH OF THE STATE UNINTENTIONAL 

5 DRUG OVERDOSE REPORTING SYSTEM. 

6 (a) EVALUATION.—Beginning on or after January 1, 

7 2024, the Director of the Centers for Disease Control and 

8 Prevention shall conduct an evaluation determining the ef9 fectiveness of the State Unintentional Drug Overdose Re10 porting System in collecting and reporting data regard11 ing— 

12 (1) specific synthetic opioids causing or contrib13 uting to overdose and death among children, adoles14 cents, and young adults; and 

15 (2) the extent to which children, adolescents, 

16 and young adults are aware of the counterfeit or 

17 synthetic nature of any opioids used or encountered 

18 by such children, adolescents, and young adults. 

19 (b) REPORTS.—Not later than 180 days after con20 cluding such evaluation, the Director of the Centers for 

21 Disease Control and Prevention shall develop and submit 

22 to the Committees on Energy and Commerce and Edu23 cation and the Workforce of the House of Representatives 

24 and the Committee on Health, Education, Labor, and 

25 Pensions of the Senate the findings of the evaluation and, 


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26 

•HR 5625 IH

1 if applicable, recommendations to improve the quality and 

2 availability of data described in subsection (a). 

3 (c) AUTHORIZATION OF APPROPRIATIONS.—There is 

4 authorized to be appropriated $250,000 for fiscal year 

5 2024 to carry out this section. 

Æ 


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