(b) COMMUNITY IMPACT CONSIDERATION.—Section 
303(h) of the Controlled Substances Act (21 U.S.C. 
823(h)) is amended by adding at the end the following: 
‘‘(3) COMMUNITY
IMPACT
CONSIDERATION.—For 
purposes of being determined to be qualified under para-
graph (1)(A), a practitioner seeking to become registered 
or maintain registration under paragraph (1) to dispense 
narcotic drugs to individuals for maintenance treatment 
or detoxification treatment shall comply with each of the 
following: 
‘‘(A) The practitioner shall— 
‘‘(i) conduct outreach to the community in-
volved concerning the practitioner’s treatment 
program; and 
‘‘(ii) in conducting such outreach, give no-
tice to community stakeholders including com-
munity boards, tenant associations, outpatient 
treatment centers, health care providers, com-
munity-based nonprofit organizations that pro-
vide opioid prevention and treatment services, 
and such other community stakeholders as may 
be determined by the Secretary. 
‘‘(B) The practitioner— 
‘‘(i) shall develop and implement a neigh-
borhood engagement plan that outlines the 
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practitioner’s engagement with stakeholders re-
ferred to in subparagraph (A)(ii) in the geo-
graphic location in which the opioid treatment 
program is located; and 
‘‘(ii) may include in such plan a descrip-
tion of the practitioner’s engagement with 
stakeholders, including homeowners associa-
tions, school administrators, neighboring busi-
nesses, community organizations, local councils, 
and law enforcement agencies. 
‘‘(C) The practitioner shall— 
‘‘(i) establish and maintain a community 
advisory board; and 
‘‘(ii) include in the membership of such 
board volunteers from various stakeholder 
groups who represent the positions of the com-
munity. 
‘‘(D) The practitioner— 
‘‘(i) shall develop and implement a commu-
nity relations plan to measure and minimize the 
negative impacts of the treatment program on 
the community; and 
‘‘(ii) may include in such plan— 
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‘‘(I) policies and procedures to resolve 
community problems, including loitering 
and the blocking of pedestrian pathways; 
‘‘(II) procedures to consider commu-
nity input and impact; and 
‘‘(III) a procedure to escalate and 
solve the quality-of-life issues in the sur-
rounding blocks such as open air drug 
trading, uncapped needles disposed in pub-
lic walkways, and open drug use.’’. 
(c) REPORTING TO CONGRESS.—Section 303(h) of 
the Controlled Substances Act (21 U.S.C. 823(h)), as 
amended, is further amended by adding at the end the 
following: 
‘‘(4) REPORTING TO CONGRESS.—Not later than 1 
year after the date of enactment of the Harm Reduction 
Through Community Engagement Act of 2023, and annu-
ally thereafter, the Secretary shall submit to the Congress 
a comprehensive report on community engagement and 
the maintenance of clinics in connection with maintenance 
treatment or detoxification treatment provided pursuant 
to this subsection, including— 
‘‘(A) treatment performance measurement data; 
‘‘(B) guidance on best practices for sustaining 
community engagement; and 
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‘‘(C) policy recommendations for sustaining 
community engagement.’’. 
Æ 
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