I 
118TH CONGRESS 
1ST SESSION H. R. 2804 
To amend the Controlled Substances Act with respect to the registration 
of opioid treatment programs to increase stakeholder input from relevant 
communities and to ensure such programs are treating patients in need, 
and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
APRIL 24, 2023 
Mr. ESPAILLAT introduced the following bill; which was referred to the Com-
mittee 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 juris-
diction of the committee concerned 
A BILL 
To amend the Controlled Substances Act with respect to 
the registration of opioid treatment programs to increase 
stakeholder input from relevant communities and to en-
sure such programs are treating patients in need, and 
for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Harm Reduction 
Through Community Engagement Act of 2023’’. 
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SEC. 2. OPIOID TREATMENT PROGRAM REGISTRATION RE-
QUIREMENTS. 
(a) IN GENERAL.—Paragraph (1) of section 303(h) 
of the Controlled Substances Act (21 U.S.C. 823(h)) is 
amended— 
(1) in subparagraph (B), by striking ‘‘and’’ at 
the end; 
(2) in subparagraph (C), by striking the period 
at the end and inserting ‘‘; and’’; and 
(3) by adding at the end the following: 
‘‘(D) if the Secretary determines that— 
‘‘(i) the applicant will address community 
impacts in accordance with paragraph (3); 
‘‘(ii) the treatment will not be provided 
within one-half mile of a public or private li-
censed day care center, a public or private ele-
mentary or secondary school, a learning center, 
a playground, or another drug treatment facil-
ity or program; 
‘‘(iii) the applicant justifies patient need 
for the treatment in the community involved; 
‘‘(iv) the applicant will actively promote 
the use of telehealth so as to minimize the need 
for patients to physically appear for treatment; 
‘‘(v) the applicant will designate a commu-
nity liaison responsible for developing and 
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maintaining cooperative relationships with local 
elected officials, local law enforcement, and 
local community-based organizations including 
nonprofit organizations that provide social serv-
ices; 
‘‘(vi) the applicant will work with a cus-
tomer relationship management system of the 
local government (or establish and operate a 
customer relationship management system if 
none exists) to track and report data on the 
number of service requests received by such sys-
tem pertaining to drug abuse and treatment in 
the community involved; and 
‘‘(vii) the applicant will report to the Sec-
retary treatment performance measurement 
data, including data concerning— 
‘‘(I) how many patients seek effective 
long-term addiction treatment; and 
‘‘(II) the effectiveness of the use of 
telehealth in patient treatment plans, in-
cluding how many patients are using tele-
health and the outcomes or progress of 
such patients.’’. 
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