II 

115TH CONGRESS 

2D SESSION S. 2789 

To prevent substance abuse and reduce demand for illicit narcotics. 

IN THE SENATE OF THE UNITED STATES 

APRIL 26, 2018 

Mr. CORNYN (for himself and Mrs. FEINSTEIN) introduced the following bill; 

which was read twice and referred to the Committee on the Judiciary 

A BILL 

To prevent substance abuse and reduce demand for illicit 

narcotics. 

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 the ‘‘Substance Abuse Pre5 vention Act of 2018’’. 

6 SEC. 2. REAUTHORIZATION OF THE OFFICE OF NATIONAL 

7 DRUG CONTROL POLICY. 

8 (a) OFFICE OF NATIONAL DRUG CONTROL POLICY

9 REAUTHORIZATION ACT OF 1998.— 

10 (1) IN GENERAL.—The Office of National Drug 

11 Control Policy Reauthorization Act of 1998 (21 


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1 U.S.C. 1701 et seq.), as in effect on September 29, 

2 2003, and as amended by the laws described in 

3 paragraph (2), is revived and restored. 

4 (2) LAWS DESCRIBED.—The laws described in 

5 this paragraph are: 

6 (A) The Office of National Drug Control 

7 Policy Reauthorization Act of 2006 (Public 

8 Law 109–469; 125 Stat. 3502). 

9 (B) The Presidential Appointment Effi10 ciency and Streamlining Act of 2011 (Public 

11 Law 112–166; 126 Stat. 1283). 

12 (b) REAUTHORIZATION.—Section 715(a) of the Of13 fice of National Drug Control Policy Reauthorization Act 

14 of 1998 (21 U.S.C. 1712(a)) is amended by striking 

15 ‘‘2010’’ and inserting ‘‘2022’’. 

16 SEC. 3. REAUTHORIZATION OF THE DRUG-FREE COMMU17 NITIES PROGRAM. 

18 Section 1024 of the National Narcotics Leadership 

19 Act of 1988 (21 U.S.C. 1524(a)) is amended by striking 

20 subsections (a) and (b) and inserting the following: 

21 ‘‘(a) IN GENERAL.—There are authorized to be ap22 propriated to the Office of National Drug Control Policy 

23 to carry out this chapter $99,000,000 for each of fiscal 

24 years 2018 through 2022. 


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1 ‘‘(b) ADMINISTRATIVE COSTS.—Not more than 8 

2 percent of the funds appropriated to carry out this chapter 

3 may be used by the Office of National Drug Control Policy 

4 to pay administrative costs associated with the responsibil5 ities of the Office under this chapter.’’. 

6 SEC. 4. REAUTHORIZATION OF THE NATIONAL COMMUNITY 

7 ANTI-DRUG COALITION INSTITUTE. 

8 Section 4(c)(4) of Public Law 107–82 (21 U.S.C. 

9 1521 note) is amended by striking ‘‘2008 through 2012’’ 

10 and inserting ‘‘2018 through 2022’’. 

11 SEC. 5. REAUTHORIZATION OF THE HIGH-INTENSITY DRUG 

12 TRAFFICKING AREA PROGRAM. 

13 Section 707(p) of the Office of National Drug Con14 trol Policy Reauthorization Act of 1998 (21 U.S.C. 

15 1706(p)) is amended— 

16 (1) in paragraph (4), by striking ‘‘and’’ at the 

17 end; 

18 (2) in paragraph (5), by striking the period at 

19 the end and inserting ‘‘; and’’; and 

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

21 ‘‘(6) $280,000,000 for each of fiscal years 2018 

22 through 2022.’’. 

23 SEC. 6. REAUTHORIZATION OF DRUG COURT PROGRAM. 

24 Section 1001(a)(25)(A) of title I of the Omnibus 

25 Crime Control and Safe Streets Act of 1968 (34 U.S.C. 


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1 10261(a)(25)(A)) is amended by striking ‘‘Except as pro2 vided’’ and all that follows and inserting the following: 

3 ‘‘Except as provided in subparagraph (C), there are au4 thorized to be appropriated to carry out part EE 

5 $75,000,000 for each of fiscal years 2018 through 2022.’’. 

6 SEC. 7. DRUG COURT TRAINING AND TECHNICAL ASSIST7 ANCE. 

8 Section 1034 of the National Narcotics Leadership 

9 Act of 1988 (21 U.S.C. 1534) is amended by adding at 

10 the end the following— 

11 ‘‘(c) DRUG COURT TRAINING AND TECHNICAL AS12 SISTANCE PROGRAM.—Using funds appropriated to carry 

13 out this chapter, the Director may make grants to non14 profit organizations for the purpose of providing training 

15 and technical assistance to drug courts.’’. 

16 SEC. 8. DRUG OVERDOSE RESPONSE STRATEGY. 

17 Section 707 of the Office of National Drug Control 

18 Policy Reauthorization Act of 1998 (21 U.S.C. 1706) is 

19 amended by adding at the end the following: 

20 ‘‘(r) DRUG OVERDOSE RESPONSE STRATEGY IMPLE21 MENTATION.—The Director may use funds appropriated 

22 to carry out this section to implement a drug overdose re23 sponse strategy in high intensity drug trafficking areas on 

24 a nationwide basis by— 


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1 ‘‘(1) coordinating multi-disciplinary efforts to 

2 prevent, reduce, and respond to drug overdoses, in3 cluding the uniform reporting of fatal and non-fatal 

4 overdoses to public health and safety officials; 

5 ‘‘(2) increasing data sharing among public safe6 ty and public health officials concerning drug-related 

7 abuse trends, including new psychoactive substances, 

8 and related crime; and 

9 ‘‘(3) enabling collaborative deployment of pre10 vention, intervention, and enforcement resources to 

11 address substance use addiction and narcotics traf12 ficking.’’. 

13 SEC. 9. PROTECTING LAW ENFORCEMENT OFFICERS FROM 

14 ACCIDENTAL EXPOSURE. 

15 Section 707 of the Office of National Drug Control 

16 Policy Reauthorization Act of 1998 (21 U.S.C. 1706) is 

17 amended by adding at the end the following: 

18 ‘‘(s) SUPPLEMENTAL GRANTS.—The Director is au19 thorized to use not more than $10,000,000 of the amounts 

20 otherwise appropriated to carry out this section to provide 

21 supplemental competitive grants to high intensity drug 

22 trafficking areas that have experienced high seizures of 

23 fentanyl and new psychoactive substances for the purposes 

24 of— 


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1 ‘‘(1) purchasing portable equipment to test for 

2 fentanyl and other substances; 

3 ‘‘(2) training law enforcement officers and 

4 other first responders on best practices for handling 

5 fentanyl and other substances; and 

6 ‘‘(3) purchasing protective equipment, including 

7 overdose reversal drugs.’’. 

8 SEC. 10. DEA 360 STRATEGY. 

9 (a) IN GENERAL.—For each of fiscal years 2018 

10 through 2022, the Attorney General, acting through the 

11 Director of the Drug Enforcement Administration, and in 

12 coordination with the Director of the Office of National 

13 Drug Control Policy and the Secretary of Health and 

14 Human Services, may implement a DEA 360 Strategy in 

15 pilot cities across the United States as a response to grow16 ing demand for heroin and opioids in the United States. 

17 (b) PROGRAM GOALS.—The goals of the DEA 360 

18 Strategy authorized under subsection (a) shall be— 

19 (1) preventing the deadly cycle of drug abuse, 

20 including heroin and opioid abuse, by targeting drug 

21 trafficking organizations and street gangs respon22 sible for increasing the supply of narcotics in com23 munities; 


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1 (2) partnering with the healthcare community 

2 to raise awareness of the dangers of heroin abuse 

3 and prescription opioid abuse; and 

4 (3) strengthening community organizations that 

5 provide long-term assistance and support for the re6 duction of drug abuse in the community. 

7 (c) PROGRAM SPECIFICATIONS.—In carrying out the 

8 DEA 360 strategy authorized under subsection (a), the 

9 Attorney General shall— 

10 (1) issue an implementation strategy for each 

11 pilot city that is tailored to the unique drug abuse 

12 problems of the particular city, details specific meas13 ures that will be taken to address the problems, 

14 identifies key community partners, and sets specific 

15 objectives for success; 

16 (2) provide dedicated funding for coordinated 

17 law enforcement actions against drug trafficking or18 ganizations, involving Federal, State, and local law 

19 enforcement officials, including the United States 

20 Attorney’s office for the relevant district; 

21 (3) conduct diversion control enforcement ac22 tions against registrants with the Drug Enforcement 

23 Administration who are unlawfully distributing con24 trolled substances; 


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1 (4) create partnerships with pharmaceutical 

2 drug manufacturers, wholesalers, pharmacies, and 

3 medical practitioners to develop strategies that re4 duce heroin and opioid abuse, including specific ef5 forts to reduce demand for these substances; 

6 (5) increase resources for community partner7 ships with nongovernmental organizations that spe8 cialize in drug abuse prevention, awareness, or treat9 ment; and 

10 (6) conduct training and educational campaigns 

11 on best practices for reducing heroin and opioid 

12 abuse for governmental agencies and nongovern13 mental organizations in pilot cities. 

14 (d) REPORTS.—For each fiscal year in which the At15 torney General carries out the DEA 360 Strategy author16 ized under subsection (a) in a pilot city, the Attorney Gen17 eral shall issue a public report that details the results of 

18 the program in that particular city, including quantitative 

19 measures to show whether or not the program succeeded 

20 in achieving the objectives for success required under sub21 section (c)(1). 

22 (e) ADDITIONAL RESOURCES.—The Director of the 

23 Office of National Drug Control Policy and the Secretary 

24 of Health and Human Services may use funds otherwise 

25 appropriated for purposes consistent with this section to 


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1 assist in the implementation of the DEA 360 Strategy au2 thorized under subsection (a) in pilot cities. 

3 SEC. 11. COPS ANTI-METH PROGRAM. 

4 Section 1701 of the title I of the Omnibus Crime 

5 Control and Safe Streets Act of 1968 (34 U.S.C. 10381) 

6 is amended— 

7 (1) by redesignating subsection (k) as sub8 section (l); and 

9 (2) by inserting after subsection (j) the fol10 lowing: 

11 ‘‘(k) COPS ANTI-METH PROGRAM.—The Attorney 

12 General shall use amounts otherwise appropriated to carry 

13 out this section to make competitive grants, in amounts 

14 of not less than $1,000,000 for a fiscal year, to State law 

15 enforcement agencies with high seizures of precursor 

16 chemicals, finished methamphetamine, laboratories, and 

17 laboratory dump seizures for the purpose of locating or 

18 investigating illicit activities, such as precursor diversion, 

19 laboratories, or methamphetamine traffickers.’’. 

20 SEC. 12. COMPREHENSIVE ADDICTION AND RECOVERY ACT 

21 EDUCATION AND AWARENESS. 

22 (a) AMENDMENT TO CARA.—Section 102(a) of the 

23 Comprehensive Addiction and Recovery Act of 2016 (Pub24 lic Law 114–198; 130 Stat. 698) is amended by inserting 


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1 ‘‘including the Office of National Drug Control Policy,’’ 

2 after ‘‘agencies,’’. 

3 (b) USE OF FUNDS.—Subchapter I of chapter 2 of 

4 the National Narcotics Leadership Act of 1988 (21 U.S.C. 

5 1531 et seq.) is amended by adding at the end the fol6 lowing: 

7 ‘‘SEC. 1036. COMPREHENSIVE ADDICTION AND RECOVERY 

8 ACT EDUCATION AND AWARENESS. 

9 ‘‘The Director may use funds made available to carry 

10 out this chapter for the purpose of administering, partici11 pating in, or expanding awareness campaigns and preven12 tion efforts authorized under section 102 of the Com13 prehensive Addiction and Recovery Act of 2016 (Public 

14 Law 114–198; 130 Stat. 698).’’. 

15 SEC. 13. PROTECTING CHILDREN WITH ADDICTED PAR16 ENTS. 

17 Part D of title V of the Public Health Service Act 

18 (42 U.S.C. 290dd et seq.) is amended by adding at the 

19 end the following: 

20 ‘‘SEC. 550. PROTECTING CHILDREN WITH ADDICTED PAR21 ENTS. 

22 ‘‘(a) BEST PRACTICES.—The Secretary, acting 

23 through the Assistant Secretary for Mental Health and 

24 Substance Use and in cooperation with the Commissioner 

25 of the Administration on Children, Youth and Families, 


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1 shall collect and disseminate best practices for States re2 garding interventions and strategies to keep families af3 fected by substance use disorder together, when it can be 

4 done safely. Such best practices shall— 

5 ‘‘(1) utilize comprehensive family-centered ap6 proaches; 

7 ‘‘(2) ensure that families have access to drug 

8 screening, substance use treatment, medication-as9 sisted treatment approved by the Food and Drug 

10 Administration, and parental support; and 

11 ‘‘(3) build upon lessons learned from programs 

12 such as the Maternal, Infant, and Early Childhood 

13 Home Visiting programs under section 511 of the 

14 Social Security Act. 

15 ‘‘(b) GRANT PROGRAM.—The Secretary, acting 

16 through the Assistant Secretary for Mental Health and 

17 Substance Use, shall award grants for the development of 

18 programs and models designed to keep pregnant and post19 partum women who have a substance use disorder to20 gether with their newborns, including programs and mod21 els that provide for screenings of pregnant and post22 partum women for substance use disorders, treatment 

23 interventions, supportive housing, nonpharmacological 

24 interventions for children born with neonatal abstinence 


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1 syndrome, medication assisted treatment, and other recov2 ery supports.’’. 

3 SEC. 14. REIMBURSEMENT OF SUBSTANCE USE DISORDER 

4 TREATMENT PROFESSIONALS. 

5 (a) GAO REPORT.—Not later than January 1, 2020, 

6 the Comptroller General of the United States shall submit 

7 to Congress a report examining how substance use dis8 order services are reimbursed. 

9 (b) CMS RECOMMENDATIONS.—Not later than Janu10 ary 1, 2019, the Administrator of the Centers for Medi11 care & Medicaid Services shall examine how substance use 

12 disorder services are reimbursed and shall make rec13 ommendations to Congress (taking into consideration the 

14 findings made by the Comptroller General of the United 

15 States in the report required under subsection (a)) as to 

16 how to reimburse the treatment of substance use disorders 

17 at a higher rate in order to attract a more talented work 

18 force. 

19 (c) GRANTS TO STATES TO EXPLORE WAYS TO IN20 CREASE MEDICAID REIMBURSEMENT.—The Secretary of 

21 Health and Human Services is authorized to make grants 

22 to States for the purpose of exploring ways to increase 

23 reimbursement of substance use disorder services under 

24 the Medicaid program under title XIX of the Social Secu25 rity Act (42 U.S.C. 1396 et seq.). 


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1 (d) GRANTS TO STATES TO SUPPLEMENT MEDICAID

2 REIMBURSEMENT TO CREDENTIALED SUBSTANCE USE

3 DISORDER PROFESSIONALS.—The Secretary of Health 

4 and Human Services is authorized to make grants to 

5 States for the purpose of supplementing the reimburse6 ment paid to credentialed substance use disorder profes7 sionals (as defined by the Secretary) under the Medicaid 

8 program under title XIX of the Social Security Act (42 

9 U.S.C. 1396 et seq.). 

10 SEC. 15. TESTING EVIDENCE-BASED MOBILE APPLICATIONS 

11 FOR THE TREATMENT OF SUBSTANCE USE 

12 DISORDERS. 

13 Section 1115A(b)(2) of the Social Security Act (42 

14 U.S.C. 1315a(b)(2)) is amended— 

15 (1) in subparagraph (A), by adding at the end 

16 the following new sentence: ‘‘The models selected 

17 under this subparagraph shall include the model de18 scribed in subparagraph (D), which shall be imple19 mented by not later than January 1, 2020.’’; and 

20 (2) by adding at the end the following new sub21 paragraph: 

22 ‘‘(D) EVIDENCE-BASED MOBILE APPLICA23 TIONS FOR TREATMENT OF SUBSTANCE USE

24 DISORDERS.—The model described in this sub25 paragraph is a model to test the use of eviVerDate Sep 11 2014 23:00 May 04, 2018 Jkt 079200 PO 00000 Frm 00013 Fmt 6652 Sfmt 6201 E:\BILLS\S2789.IS S2789

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1 dence-based mobile applications for the treat2 ment of substance use disorders.’’. 

3 SEC. 16. MEDICARE HOSPITAL REQUIREMENT TO PROVIDE 

4 NALOXONE AS PART OF THE DISCHARGE 

5 PROTOCOL TO INDIVIDUALS BEING DIS6 CHARGED AFTER SUFFERING AN OPIOID 

7 OVERDOSE. 

8 (a) IN GENERAL.—Section 1866(a)(1) of the Social 

9 Security Act (42 U.S.C. 1395cc(a)(1)) is amended— 

10 (1) in subparagraph (X), by striking ‘‘and’’ at 

11 the end; 

12 (2) in subparagraph (Y), by striking the period 

13 at the end and inserting ‘‘, and’’; and 

14 (3) by inserting after subparagraph (Y), the fol15 lowing new subparagraph: 

16 ‘‘(Z) in the case of a hospital or critical access 

17 hospital, to provide naloxone and treatment referral 

18 options as part of the discharge protocol to individ19 uals being discharged after suffering an opioid over20 dose.’’. 

21 (b) EFFECTIVE DATE.—The amendments made by 

22 subsection (a) shall apply to contracts entered into or re23 newed on or after the date of the enactment of this Act. 


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1 SEC. 17. EDUCATIONAL OUTREACH AND ACCESS TO ABUSE2 DETERRENT OPIOIDS. 

3 (a) ACCESS TO ABUSE-DETERRENT OPIOIDS.— 

4 (1) ACCESS UNDER MEDICARE PART D.—Sec5 tion 1860D–4(c) of the Social Security Act (42 

6 U.S.C. 1395w–104(c)) is amended by adding at the 

7 end the following new paragraph: 

8 ‘‘(7) ACCESS TO ABUSE-DETERRENT OPIOIDS.— 

9 ‘‘(A) IN GENERAL.—The Secretary shall 

10 work with PDP sponsors of prescription drug 

11 plans to— 

12 ‘‘(i) ensure appropriate access to 

13 abuse-deterrent opioids on plan formu14 laries; 

15 ‘‘(ii) provide advanced abuse-deterrent 

16 opioid targeting (as determined by the Sec17 retary) for beneficiaries identified as at18 risk for opioid abuse under the drug man19 agement program under paragraph (5) or 

20 any other opioid risk management program 

21 established by the sponsor; and 

22 ‘‘(iii) encourage access to non-opioid 

23 alternatives when medically appropriate. 

24 ‘‘(B) PROHIBITION ON REQUIRING FAIL

25 FIRST SCHEMES.—The Secretary shall prohibit 

26 PDP sponsors from requiring fail first schemes, 


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1 also known as step therapy, with respect to 

2 abuse-deterrent opioids. 

3 ‘‘(C) ENCOURAGING EQUAL ACCESS.—The 

4 Secretary shall encourage plans to provide equal 

5 access to abuse-deterrent opioids on formulary 

6 tiers and patient cost-sharing. 

7 ‘‘(D) ABUSE-DETERRENT OPIOID DE8 FINED.—In this paragraph, the term ‘abuse-de9 terrent opioid’ means an abuse-deterrent formu10 lation of an opioid, as determined by the Sec11 retary.’’. 

12 (2) ACCESS UNDER PRIVATE HEALTH PLANS.— 

13 Subpart II of title XXVII of the Public Health Serv14 ice Act (42 U.S.C. 300gg–11 et seq.) is amended by 

15 adding at the end the following: 

16 ‘‘SEC. 2729. ACCESS TO ABUSE-DETERRENT OPIOIDS. 

17 ‘‘(a) IN GENERAL.—A group health plan and a health 

18 insurance issuer offering group or individual health insur19 ance coverage shall— 

20 ‘‘(1) ensure appropriate access to abuse-deter21 rent opioids as a prescription drug health benefit 

22 under such plan or coverage; 

23 ‘‘(2) provide advanced abuse-deterrent opioid 

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1 rollees in the plan or coverage who are identified as 

2 at-risk for opioid abuse; and 

3 ‘‘(3) encourage access to non-opioid alternatives 

4 when medically appropriate. 

5 ‘‘(b) PROHIBITION ON REQUIRING FAIL FIRST

6 SCHEMES.—The Secretary shall prohibit a group health 

7 plan and a health insurance issuer offering group or indi8 vidual health insurance coverage from requiring fail first 

9 schemes, also known as step therapy, with respect to 

10 abuse-deterrent opioids. 

11 ‘‘(c) ABUSE-DETERRENT OPIOID DEFINED.—In this 

12 section, the term ‘abuse-deterrent opioid’ means an abuse13 deterrent formulation of an opioid, as determined by the 

14 Secretary.’’. 

15 (3) EFFECTIVE DATE.—The amendments made 

16 by this subsection shall apply with respect to plan 

17 years beginning on or after January 1, 2019. 

18 (b) EDUCATIONAL OUTREACH.—The Secretary of 

19 Health and Human Services shall educate health insur20 ance issuers, Medicare Advantage plans under part C of 

21 title XVIII of the Social Security Act (42 U.S.C. 1395w– 

22 21 et seq.), and prescription drug plans under part D of 

23 such title (42 U.S.C. 1395w–101 et seq.) on opioid abuse 

24 prevention, including the use of abuse-deterrent opioids 


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1 (as such term is defined in section 2729 of the Public 

2 Health Service Act, as added by subsection (a)(2)). 

3 SEC. 18. GRANT PROGRAM TO PROVIDE SUPPORT FOR 

4 MEDICATION ASSISTED TREATMENT. 

5 (a) TRAINING GRANTS.—The Secretary of Health 

6 and Human Services shall award grants to States for the 

7 purpose of training non-physician health care profes8 sionals in the use of medication-assisted treatment ap9 proved by the Food and Drug Administration and related 

10 best practices. 

11 (b) REFERRAL SYSTEM GRANTS.—The Secretary of 

12 Health and Human Services shall award grants to States 

13 for the purpose of improving referral systems and ensur14 ing that such systems are current and accurate, in order 

15 to better enable practitioners to refer patients who are 

16 prescribed medication assisted treatment to cognitive ther17 apy. 

18 SEC. 19. SOBRIETY TREATMENT AND RECOVERY TEAMS 

19 (START). 

20 Title III of the Comprehensive Addiction and Recov21 ery Act of 2016 (Public Law 114–198; 130 Stat. 717) 

22 is amended by adding at the end the following: 

23 ‘‘SEC. 304. SOBRIETY TREATMENT AND RECOVERY TEAMS. 

24 ‘‘(a) IN GENERAL.—The Director of the Office of 

25 National Drug Control Policy, in coordination with the 


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1 Secretary of Health and Human Services, may make 

2 grants to States, units of local government, or tribal gov3 ernments to establish or expand Sobriety Treatment And 

4 Recovery Team (referred to in this section as ‘START’) 

5 programs to determine the effectiveness of pairing social 

6 workers and mentors with families that are struggling 

7 with substance abuse and child abuse or neglect in order 

8 to help provide peer support, intensive treatment, and 

9 child welfare services. 

10 ‘‘(b) ALLOWABLE USES.—A grant awarded under 

11 this section may be used for one or more of the following 

12 activities: 

13 ‘‘(1) Training eligible staff, including social 

14 workers, social services coordinators, child welfare 

15 specialists, substance use disorder treatment profes16 sionals, and mentors. 

17 ‘‘(2) Expanding access to substance use dis18 order treatment services and drug testing. 

19 ‘‘(3) Enhancing data sharing with law enforce20 ment agencies and child welfare agencies. 

21 ‘‘(4) Program evaluation. 

22 ‘‘(c) PROGRAM REQUIREMENTS.—A family may be 

23 eligible to participate in a START program that receives 

24 funding under this section only if— 


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1 ‘‘(1) there is a substantiated record or finding 

2 of child abuse or neglect within the family; and 

3 ‘‘(2) substance abuse was the primary reason 

4 for the record or finding described in paragraph (1). 

5 ‘‘(d) AUTHORIZATION OF APPROPRIATIONS.—For 

6 each of fiscal years 2018 through 2022, the Director of 

7 the Office of National Drug Control Policy, in consultation 

8 with the Secretary of Health and Human Services, is au9 thorized to award not more than $10,000,000 of amounts 

10 otherwise appropriated for comprehensive opioid abuse re11 duction activities for purposes of carrying out this sec12 tion.’’. 

13 SEC. 20. PROVIDER EDUCATION. 

14 Not later than 90 days after the date of enactment 

15 of this Act, the Attorney General, in consultation with the 

16 Secretary of Health and Human Services, shall complete 

17 the plan related to medical registration coordination re18 quired by Senate Report 114–239, which accompanied the 

19 Veterans Care Financial Protection Act of 2017 (Public 

20 Law 115–131; 132 Stat. 334), including through the 

21 issuance of necessary rules or regulations. 

Æ 


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