I 
114TH CONGRESS 
2D SESSION 
H. R. 4586 
To amend the Public Health Service Act to authorize grants to States for 
developing standing orders and educating health care professionals re-
garding the dispensing of opioid overdose reversal medication without 
person-specific prescriptions, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
FEBRUARY 23, 2016 
Mr. DOLD (for himself and Ms. CLARK of Massachusetts) introduced the 
following bill; which was referred to the Committee on Energy and Commerce 
A BILL 
To amend the Public Health Service Act to authorize grants 
to States for developing standing orders and educating 
health care professionals regarding the dispensing of 
opioid overdose reversal medication without person-spe-
cific prescriptions, 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 ‘‘Lali’s Law’’. 
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SEC. 2. OPIOID OVERDOSE REVERSAL MEDICATION ACCESS 
AND EDUCATION GRANT PROGRAMS. 
Part B of title III of the Public Health Service Act 
is amended by inserting after section 317T of such Act 
(42 U.S.C. 247b–22) the following: 
‘‘SEC. 317U. OPIOID OVERDOSE REVERSAL MEDICATION AC-
CESS AND EDUCATION GRANT PROGRAMS. 
‘‘(a) GRANTS
TO STATES.—The Secretary, acting 
through the Director of the Centers for Disease Control 
and Prevention, may make grants to States for— 
‘‘(1) developing standing orders for pharmacies 
regarding opioid overdose reversal medication; 
‘‘(2) encouraging pharmacies to dispense opioid 
overdose reversal medication pursuant to a standing 
order; 
‘‘(3) implementing guidelines and best practices 
for persons authorized to prescribe medication re-
garding— 
‘‘(A) prescribing opioids for the treatment 
of chronic pain; 
‘‘(B) co-prescribing opioid overdose rever-
sal medication with opioids; and 
‘‘(C) discussing the purpose and adminis-
tration of opioid overdose reversal medication 
with patients; 
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‘‘(4) developing or adapting training materials 
and methods for persons authorized to prescribe or 
dispense medication to use in educating the public 
regarding— 
‘‘(A) when and how to administer opioid 
overdose reversal medication; and 
‘‘(B) steps to be taken after administering 
opioid overdose reversal medication; and 
‘‘(5) educating the public regarding— 
‘‘(A) the public health benefits of opioid 
overdose reversal medication; and 
‘‘(B) the availability of opioid overdose re-
versal medication without a person-specific pre-
scription. 
‘‘(b) CERTAIN REQUIREMENT.—A grant may be 
made under this section only if the State involved has au-
thorized standing orders regarding opioid overdose rever-
sal medication. 
‘‘(c) PREFERENCE IN MAKING GRANTS.—In making 
grants under this section, the Secretary shall give pref-
erence to States that— 
‘‘(1) have not issued standing orders regarding 
opioid overdose reversal medication; 
‘‘(2) authorize standing orders that permit com-
munity-based organizations, substance abuse pro-
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grams, or other nonprofit entities to acquire, dis-
pense, or administer opioid overdose reversal medica-
tion; 
‘‘(3) authorize standing orders that permit po-
lice, fire, or emergency medical services agencies to 
acquire and administer opioid overdose reversal 
medication; 
‘‘(4) have a higher per capita rate of opioid 
overdoses than other applicant States; or 
‘‘(5) meet any other criteria deemed appro-
priate by the Secretary. 
‘‘(d) GRANT TERMS.— 
‘‘(1) NUMBER.—A State may not receive more 
than 1 grant under this section. 
‘‘(2) PERIOD.—A grant under this section shall 
be for a period of 3 years. 
‘‘(3) AMOUNT.—A grant under this section may 
not exceed $500,000. 
‘‘(4) LIMITATION.—A State may use not more 
than 20 percent of a grant under this section for 
educating the public pursuant to subsection (a)(5). 
‘‘(e) APPLICATIONS.—To be eligible to receive a grant 
under this section, a State shall submit an application to 
the Secretary in such form and manner and containing 
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such information as the Secretary may require, including 
detailed proposed expenditures of grant funds. 
‘‘(f) REPORTING.—Not later than 3 months after the 
Secretary disburses the first grant payment to any State 
under this section and every 6 months thereafter for 3 
years, such State shall submit a report to the Secretary 
that includes the following: 
‘‘(1) The name and ZIP Code of each pharmacy 
in the State that dispenses opioid overdose reversal 
medication under a standing order. 
‘‘(2) The total number of opioid overdose rever-
sal medication doses dispensed by each such phar-
macy, specifying how many were dispensed with or 
without a person-specific prescription. 
‘‘(3) The number of pharmacists in the State 
who have participated in training pursuant to sub-
section (a)(4). 
‘‘(g) DEFINITIONS.—In this section: 
‘‘(1) OPIOID
OVERDOSE
REVERSAL
MEDICA-
TION.—The term ‘opioid overdose reversal medica-
tion’ means any drug, including naloxone, that— 
‘‘(A) blocks opioids from attaching to, but 
does not itself activate, opioid receptors; or 
‘‘(B) inhibits the effects of opioids on 
opioid receptors. 
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‘‘(2) STANDING
ORDER.—The term ‘standing 
order’ means a document prepared by a person au-
thorized to prescribe medication that permits an-
other person to acquire, dispense, or administer 
medication without a person-specific prescription. 
‘‘(h) AUTHORIZATION OF APPROPRIATIONS.— 
‘‘(1) IN GENERAL.—To carry out this section, 
there is authorized to be appropriated $10,815,000 
for the period of fiscal years 2016 through 2019. 
‘‘(2) ADMINISTRATIVE COSTS.—Not more than 
3 percent of the amounts made available to carry 
out this section may be used by the Secretary for 
administrative expenses of carrying out this sec-
tion.’’. 
Æ 
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