(4) The requirements of Appendix 2 of title 5,
United States Code.
SEC. 402. INSTITUTES OF MEDICINE REPORT ON CON-
TROLLED SUBSTANCE REGULATION AND THE
USE OF PAIN MEDICATIONS.
(a) IN GENERAL.—The Secretary, acting through a
contract entered into with the Institute of Medicine, shall
review findings that have been developed through research
conducted concerning—
(1) the effects of controlled substance regula-
tion on patient access to effective care;
(2) factors, if any, that may contribute to the
underuse of pain medications, including opiods;
(3) the identification of State legal and regu-
latory barriers, if any, that may impact patient ac-
cess to medications used for pain and symptom man-
agement; and
(4) strategies to assure the aggressive use of
pain medications, including opiods, regardless of
health care setting.
(b) REPORT.—Not later than 18 months after the
date of enactment of this Act, the Secretary shall prepare
and submit to the appropriate committees of Congress a
report concerning the findings described in subsection (a).
SEC. 403. CONFERENCE ON PAIN RESEARCH AND CARE.
Not later than December 31, 2005, the Secretary,
acting through the National Institutes of Health, shall
convene a national conference to discuss the translation
of pain research into the delivery of health services includ-
ing mental health services to chronic pain patients and
those needing end-of-life care. The Secretary shall use un-
obligated amounts appropriated for the Department of
Health and Human Services to carry out this section.
TITLE V—DEMONSTRATION
PROJECTS
SEC. 501. PROVIDER PERFORMANCE STANDARDS FOR IM-
PROVEMENT IN PAIN AND SYMPTOM MAN-
AGEMENT.
(a) IN GENERAL.—The Secretary, acting through the
Health Resources Services Administration, shall award
grants for the establishment of not less than 5 demonstra-
tion projects to determine effective methods to measure
improvement in the skills, knowledge, and attitudes and
beliefs of health care personnel in pain and symptom man-
agement as such skill, knowledge, and attitudes and beliefs
apply to providing services to chronic pain patients and
those patients requiring pain and symptom management
at the end of life.
(b) EVALUATION.—Projects established under sub-
section (a) shall be evaluated to determine patient and
caregiver knowledge and attitudes toward pain and symp-
tom management.
(c) APPLICATION.—To be eligible to receive a grant
under subsection (a), an entity shall prepare and submit
to the Secretary an application at such time, in such man-
ner and containing such information as the Secretary may
require.
(d) TERMINATION.—A project established under sub-
section (a) shall terminate after the expiration of the 2-
year period beginning on the date on which such project
was established.
(e) AUTHORIZATION OF APPROPRIATIONS.—There is
authorized to be appropriated such sums as may be nec-
essary to carry out this section.
SEC. 502. END OF LIFE CARE DEMONSTRATION PROJECTS.
The Secretary, acting through the Health Resources
and Services Administration, shall—
(1) not later than January 1, 2004, carry out
not less than 5 demonstration and evaluation
projects that implement care models for individuals
at the end of life, at least one of which shall be de-
veloped to assist those individuals who are terminally
ill and have no family or extended support, and each
of which may be carried out in collaboration with do-
mestic and international entities to gain and share
knowledge and experience on end of life care;
(2) conduct 3 demonstration and evaluation ac-
tivities concerning the education and training of cli-
nicians in end of life care, and assist in the develop-
ment and distribution of accurate educational mate-
rials on both pain and symptom management and
end of life care;
(3) in awarding grants for the training of
health professionals, give priority to awarding grant
to entities that will provide training for health pro-
fessionals in pain and symptom management and in
end-of-life care at the undergraduate level;
(4) shall evaluate demonstration projects car-
ried out under this section within the 5-year period
beginning on the commencement of each such
project; and
(5) develop a strategy and make recommenda-
tions to Congress to ensure that the United States
health care system—
(A) has a meaningful, comprehensive, and
effective approach to meet the needs of individ-
uals and their caregivers as the patient ap-
proaches death; and
(B) integrates broader supportive services.
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