SEC. 3. PROVIDING INFORMATION TO PRESCRIBERS IN 
CERTAIN FEDERAL HEALTH CARE AND MED-
ICAL FACILITIES ON BEST PRACTICES FOR 
PRESCRIBING OPIOID OVERDOSE REVERSAL 
DRUGS. 
(a) IN GENERAL.—Not later than 180 days after the 
date of enactment of this Act, the Secretary of Health and 
Human Services (in this section referred to as the ‘‘Sec-
retary’’) may, as appropriate, provide information to pre-
scribers within Federally qualified health centers (as de-
fined in paragraph (4) of section 1861(aa) of the Social 
Security Act (42 U.S.C. 1395x(aa))), and the health care 
facilities of the Indian Health Service, on best practices for 
prescribing opioid overdose reversal drugs, such as 
naloxone, for patients receiving chronic opioid therapy, pa-
tients being treated for opioid use disorders, and other pa-
tients that a provider identifies as having an elevated risk 
of overdose from heroin or prescription opioid therapies. 
(b) NOT ESTABLISHING A MEDICAL STANDARD OF 
CARE.—The information on best practices provided under 
this section shall not be construed as constituting or estab-
lishing a medical standard of care for prescribing opioid 
overdose reversal drugs, such as naloxone, for patients de-
scribed in subsection (a). 
(c) NO AUTHORIZATION OF ANY ADDITIONAL APPRO-
PRIATIONS.—The Secretary shall carry out this section 
VerDate Sep 11 2014 
01:16 May 11, 2016
Jkt 059200
PO 00000
Frm 00008
Fmt 6652
Sfmt 6203
E:\BILLS\H3680.RH
H3680
SSpencer on DSK4SPTVN1PROD with BILLS
through funds otherwise appropriated and nothing in this 
section shall be construed as authorizing the appropriations 
of additional funds to carry out this section. 
(d) ELEVATED RISK OF OVERDOSE DEFINED.—In this 
section, the term ‘‘elevated risk of overdose’’ has the meaning 
given such term by the Secretary, which— 
(1) may be based on the criteria provided in the 
Opioid Overdose Toolkit published by the Substance 
Abuse and Mental Health Services Administration 
(SAMHSA); and 
(2) may include patients on a first course opioid 
treatment, patients using extended-release and long- 
acting opioid analgesics, and patients with a res-
piratory disease or other co-morbidities. 
SEC. 4. AUTHORIZATION OF APPROPRIATIONS. 
There is authorized to be appropriated to carry out 
this Act $5,000,000 for the period of fiscal years 2017 
through 2021. 
SEC. 5. CUT-GO COMPLIANCE. 
Subsection (f) of section 319D of the Public Health 
Service Act (42 U.S.C. 247d–4) is amended by inserting 
before the period at the end the following: ‘‘(except such dol-
lar amount shall be reduced by $5,000,000 for fiscal year 
2018)’’. 
VerDate Sep 11 2014 
01:16 May 11, 2016
Jkt 059200
PO 00000
Frm 00009
Fmt 6652
Sfmt 6203
E:\BILLS\H3680.RH
H3680
SSpencer on DSK4SPTVN1PROD with BILLS
Union Calendar No. 427 
114TH CONGRESS 
2D SESSION 
H. R. 3680 
[Report No. 114–553] 
A BILL 
To provide for the Secretary of Health and Human 
Services to carry out a grant program for co-pre-
scribing opioid overdose reversal drugs. 
MAY 10, 2016 
Reported with an amendment, committed to the Com-
mittee of the Whole House on the State of the Union, 
and ordered to be printed 
VerDate Sep 11 2014 
01:16 May 11, 2016
Jkt 059200
PO 00000
Frm 00010
Fmt 6651
Sfmt 6651
E:\BILLS\H3680.RH
H3680
SSpencer on DSK4SPTVN1PROD with BILLS