I 
116TH CONGRESS 
1ST SESSION H. R. 4460 
To provide funding for programs and activities under the SUPPORT for 
Patients and Communities Act. 
IN THE HOUSE OF REPRESENTATIVES 
SEPTEMBER 24, 2019 
Ms. KUSTER of New Hampshire introduced the following bill; which was re-
ferred to the Committee on Energy and Commerce, and in addition to 
the Committees on Ways and Means, the Judiciary, Oversight and Re-
form, Education and Labor, and Financial Services, for a period to be 
subsequently determined by the Speaker, in each case for consideration 
of such provisions as fall within the jurisdiction of the committee con-
cerned 
A BILL 
To provide funding for programs and activities under the 
SUPPORT for Patients and Communities Act. 
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 ‘‘Turn the Tide Act’’. 
VerDate Sep 11 2014 
03:23 Sep 27, 2019
Jkt 089200
PO 00000
Frm 00001
Fmt 6652
Sfmt 6201
E:\BILLS\H4460.IH
H4460
pamtmann on DSKBC07HB2PROD with BILLS
SEC. 2. CONTROLLED SUBSTANCE PROVISIONS OF THE 
SUPPORT FOR PATIENTS AND COMMUNITIES 
ACT. 
(a) GRANTS TO ENHANCE ACCESS TO SUBSTANCE 
USE DISORDER TREATMENT.—Section 3203(b) of the 
Substance Use-Disorder Prevention that Promotes Opioid 
Recovery and Treatment for Patients and Communities 
Act (Public Law 115–271) is amended to read as follows: 
‘‘(b) APPROPRIATIONS.—For grants under subsection 
(a), there is authorized to be appropriated, and there is 
appropriated, out of any monies in the Treasury not other-
wise appropriated, $4,000,000 for each of fiscal years 
2020 through 2023.’’. 
(b) ACCESS TO INCREASED DRUG DISPOSAL.—Sec-
tion 3260 of the Substance Use-Disorder Prevention that 
Promotes Opioid Recovery and Treatment for Patients 
and Communities Act (Public Law 115–271) is amended 
to read as follows: 
‘‘SEC. 3260. APPROPRIATIONS. 
‘‘To carry out this chapter, there is authorized to be 
appropriated, and there is appropriated, out of any monies 
in the Treasury not otherwise appropriated, such sums as 
may be necessary for each fiscal year.’’. 
VerDate Sep 11 2014 
03:23 Sep 27, 2019
Jkt 089200
PO 00000
Frm 00002
Fmt 6652
Sfmt 6201
E:\BILLS\H4460.IH
H4460
pamtmann on DSKBC07HB2PROD with BILLS
SEC. 3. PUBLIC HEALTH PROVISIONS OF THE SUPPORT 
FOR PATIENTS AND COMMUNITIES ACT. 
(a) FIRST RESPONDER TRAINING.—Section 546(h) 
of the Public Health Service Act (42 U.S.C. 290ee–1(h)) 
is amended to read as follows: 
‘‘(h) APPROPRIATIONS.—To carry out this section, 
there is authorized to be appropriated, and there is appro-
priated, out of any monies in the Treasury not otherwise 
appropriated, $36,000,000 for each of fiscal years 2020 
through 2023.’’. 
(b) PUBLIC HEALTH LABORATORIES PILOT PRO-
GRAM.—Section 7011(d) of the Substance Use-Disorder 
Prevention that Promotes Opioid Recovery and Treatment 
for Patients and Communities Act (Public Law 115–271) 
is amended to read as follows: 
‘‘(d) APPROPRIATIONS.—To carry out this section, 
there is authorized to be appropriated, and there is appro-
priated, out of any monies in the Treasury not otherwise 
appropriated, $15,000,000 for each of fiscal years 2020 
through 2023.’’. 
(c) NATIONAL RECOVERY HOUSING BEST PRAC-
TICES.—Section 550(g) of the Public Health Service Act 
(42 U.S.C. 290ee–5(g)) is amended to read as follows: 
‘‘(g) APPROPRIATIONS.—To carry out this section, 
there is authorized to be appropriated, and there is appro-
priated, out of any monies in the Treasury not otherwise 
VerDate Sep 11 2014 
03:23 Sep 27, 2019
Jkt 089200
PO 00000
Frm 00003
Fmt 6652
Sfmt 6201
E:\BILLS\H4460.IH
H4460
pamtmann on DSKBC07HB2PROD with BILLS
appropriated, $3,000,000 for the period of fiscal years 
2020 through 2021.’’. 
(d) MODEL TRAINING PROGRAMS FOR SUBSTANCE 
USE DISORDER PATIENT RECORDS.—Section 7053(e) of 
the Substance Use-Disorder Prevention that Promotes 
Opioid Recovery and Treatment for Patients and Commu-
nities Act (Public Law 115–271) is amended to read as 
follows: 
‘‘(e) APPROPRIATIONS.—To carry out this section, 
there is authorized to be appropriated, and there is appro-
priated, out of any monies in the Treasury not otherwise 
appropriated— 
‘‘(1) $4,000,000 for fiscal years 2020; 
‘‘(2) $2,000,000 for each of fiscal year 2021; 
and 
‘‘(3) $1,000,000 for each of fiscal years 2022 
and 2023.’’. 
(e) RESIDENTIAL
TREATMENT
PROGRAMS
FOR 
PREGNANT AND POSTPARTUM WOMEN.—Section 508(s) 
of the Public Health Service Act (42 U.S.C. 290bb–1(s)) 
is amended by striking the first sentence and inserting the 
following: ‘‘To carry out this section, there is authorized 
to be appropriated, and there is appropriated, out of any 
monies in the Treasury not otherwise appropriated, 
$29,931,000 for each of fiscal years 2020 through 2023.’’. 
VerDate Sep 11 2014 
03:23 Sep 27, 2019
Jkt 089200
PO 00000
Frm 00004
Fmt 6652
Sfmt 6201
E:\BILLS\H4460.IH
H4460
pamtmann on DSKBC07HB2PROD with BILLS
(f) PRENATAL AND POSTNATAL HEALTH.—Section 
317L(d) of the Public Health Service Act (42 U.S.C. 
247b–13(d)) is amended to read as follows: 
‘‘(d) APPROPRIATIONS.—To carry out this section, 
there is authorized to be appropriated, and there is appro-
priated, out of any monies in the Treasury not otherwise 
appropriated, such sums as may be necessary for each of 
fiscal years 2020 through 2023.’’. 
(g) PROGRAM FOR EDUCATION AND TRAINING IN 
PAIN CARE.—Section 759(e) of the Public Health Service 
Act (42 U.S.C. 294i(e)) is amended to read as follows: 
‘‘(e) APPROPRIATIONS.—To carry out this section, 
there is authorized to be appropriated, and there is appro-
priated, out of any monies in the Treasury not otherwise 
appropriated, such sums as may be necessary for each of 
fiscal years 2020 through 2023. Amounts appropriated 
under this subsection shall remain available until ex-
pended.’’. 
(h) MENTAL AND BEHAVIORAL HEALTH EDUCATION 
AND TRAINING GRANTS.—Section 756(f) of the Public 
Health Service Act (42 U.S.C. 294e–1(f)) is amended to 
read as follows: 
‘‘(f) APPROPRIATIONS.—To carry out this section, 
there is authorized to be appropriated, and there is appro-
priated, out of any monies in the Treasury not otherwise 
VerDate Sep 11 2014 
03:23 Sep 27, 2019
Jkt 089200
PO 00000
Frm 00005
Fmt 6652
Sfmt 6201
E:\BILLS\H4460.IH
H4460
pamtmann on DSKBC07HB2PROD with BILLS
‘‘(e) APPROPRIATIONS.—To carry out this section, 
there is authorized to be appropriated, and there is appro-
priated, out of any monies in the Treasury not otherwise 
appropriated, $1,000,000 for each of fiscal years 2020 
through 2023.’’. 
(t) PREVENTING OVERDOSES OF CONTROLLED SUB-
STANCES.—Section 392A(d) of the Public Health Service 
Act (42 U.S.C. 280b–1(d)) is amended to read as follows: 
‘‘(d) APPROPRIATIONS.—To carry out this section, 
there is authorized to be appropriated, and there is appro-
priated, out of any monies in the Treasury not otherwise 
appropriated, $496,000,000 for each of fiscal years 2020 
through 2023.’’. 
(u) CAREER ACT.—Section 7183(k) of the Substance 
Use-Disorder Prevention that Promotes Opioid Recovery 
and Treatment for Patients and Communities Act (Public 
Law 115–271) is amended to read as follows: 
‘‘(k) APPROPRIATIONS.—To carry out this section, 
there is authorized to be appropriated, and there is appro-
priated, out of any monies in the Treasury not otherwise 
appropriated, $5,000,000 for each of fiscal years 2020 
through 2023.’’. 
VerDate Sep 11 2014 
03:23 Sep 27, 2019
Jkt 089200
PO 00000
Frm 00010
Fmt 6652
Sfmt 6201
E:\BILLS\H4460.IH
H4460
pamtmann on DSKBC07HB2PROD with BILLS
SEC. 4. HOUSING AND DEPARTMENT OF JUSTICE PROVI-
SIONS OF THE SUPPORT FOR PATIENTS AND 
COMMUNITIES ACT. 
(a) ASSISTANCE TO HELP INDIVIDUALS IN RECOV-
ERY FROM SUBSTANCE USE DISORDER BECOME STABLY 
HOUSED.—Section 8071(a) of the Substance Use-Dis-
order Prevention that Promotes Opioid Recovery and 
Treatment for Patients and Communities Act (Public Law 
115–271) is amended by inserting ‘‘, and there are appro-
priated, out of any monies in the Treasury not otherwise 
appropriated,’’ after ‘‘appropriated under this section’’. 
(b) BUILDING CAPACITY FOR FAMILY-FOCUSED RES-
IDENTIAL TREATMENT.—Section 8083(c) of the Sub-
stance Use-Disorder Prevention that Promotes Opioid Re-
covery and Treatment for Patients and Communities Act 
(Public Law 115–271) is amended to read as follows: 
‘‘(c) APPROPRIATIONS.—To carry out this section, 
there is authorized to be appropriated, and there is appro-
priated, out of any monies in the Treasury not otherwise 
appropriated, $20,000,000 for fiscal years 2020, which 
shall remain available through fiscal year 2023.’’. 
(c) COMPREHENSIVE OPIOID ABUSE GRANT PRO-
GRAM.—Section 1001(a)(27) of title I of the Omnibus 
Crime Control and Safe Streets Act of 1968 (34 U.S.C. 
10261(a)(27)) is amended to read as follows: 
VerDate Sep 11 2014 
03:23 Sep 27, 2019
Jkt 089200
PO 00000
Frm 00011
Fmt 6652
Sfmt 6201
E:\BILLS\H4460.IH
H4460
pamtmann on DSKBC07HB2PROD with BILLS
‘‘(27) To carry out part LL, there is authorized to 
be appropriated, and there is appropriated, out of any 
monies in the Treasury not otherwise appropriated, 
$500,000,000 for each of fiscal years 2020 through 
2023.’’. 
(d) OFFICE
OF NATIONAL DRUG CONTROL POL-
ICY.—Section 714 of the Office of National Drug Control 
Policy Reauthorization Act of 1998 (21 U.S.C. 1711) is 
amended to read as follows: 
‘‘SEC. 714. AUTHORIZATION OF APPROPRIATIONS; APPRO-
PRIATIONS. 
‘‘To carry out this title, except activities otherwise 
specified, there is authorized to be appropriated, and there 
is appropriated, out of any monies in the Treasury not 
otherwise appropriated, $50,000,000 for each of fiscal 
years 2020 through 2023, to remain available until ex-
pended.’’. 
(e) DRUG-FREE COMMUNITIES PROGRAM.—Section 
1024 of the Anti-Drug Abuse Act of 1988 (21 U.S.C. 
1524) is amended— 
(1) in the heading, by inserting ‘‘; APPRO-
PRIATIONS’’ after ‘‘AUTHORIZATION OF APPRO-
PRIATIONS’’; and 
(2) by striking subsection (a) and inserting the 
following: 
VerDate Sep 11 2014 
03:23 Sep 27, 2019
Jkt 089200
PO 00000
Frm 00012
Fmt 6652
Sfmt 6201
E:\BILLS\H4460.IH
H4460
pamtmann on DSKBC07HB2PROD with BILLS
‘‘(a) IN GENERAL.—To carry out this chapter, there 
is authorized to be appropriated to the Office of National 
Drug Control Policy, and there is appropriated, out of any 
monies in the Treasury not otherwise appropriated, 
$150,000,000 for each of fiscal years 2020 through 
2023.’’. 
(f) HIGH-INTENSITY DRUG TRAFFICKING AREA PRO-
GRAM.—Section 707(p) of the Office of National Drug 
Control Policy Reauthorization Act of 1988 (21 U.S.C. 
1706(p)) is amended— 
(1) by redesignating paragraphs (1) through 
(6) as subparagraphs (A) through (F), respectively, 
and adjusting the margins accordingly; 
(2) by striking ‘‘There is authorized’’ and in-
serting the following: 
‘‘(1) IN GENERAL.—There is authorized’’; 
(3) in paragraph (1), as so designated— 
(A) in subparagraph (E), as so redesig-
nated, by striking ‘‘each of’’; and 
(B) in subparagraph (F), as so redesig-
nated, by striking ‘‘each of fiscal years 2018 
through 2023’’ and inserting ‘‘fiscal year 
2018’’; and 
(4) by adding at the end the following: 
VerDate Sep 11 2014 
03:23 Sep 27, 2019
Jkt 089200
PO 00000
Frm 00013
Fmt 6652
Sfmt 6201
E:\BILLS\H4460.IH
H4460
pamtmann on DSKBC07HB2PROD with BILLS
‘‘(2) APPROPRIATIONS.—To carry out this sec-
tion, there is authorized to be appropriated to the 
Office of National Drug Control Policy, and there is 
appropriated, out of any monies in the Treasury not 
otherwise appropriated, $280,000,000 for each of 
fiscal years 2020 through 2023.’’. 
(g) 
DRUG
COURT
PROGRAM.—Section 
1001(a)(25)(A) of title I of the Omnibus Crime Control 
and 
Safe 
Streets 
Act 
of 
1968 
(34 
U.S.C. 
10261(a)(25)(A)) is amended to read as follows: 
‘‘(25)(A) Except as provided in subparagraph (C), to 
carry out part EE, there is authorized to be appropriated, 
and there is appropriated, out of any monies in the Treas-
ury not otherwise appropriated, $75,000,000 for each of 
fiscal years 2020 through 2023.’’. 
(h) DRUG COURT TRAINING AND TECHNICAL AS-
SISTANCE.—Section 705(e)(2) of the Office of National 
Drug Control Policy Reauthorization Act of 1988 (21 
U.S.C. 1704(e)(2)) is amended to read as follows: 
‘‘(2) AUTHORIZATION OF APPROPRIATIONS; AP-
PROPRIATIONS.—To carry out this subsection, there 
is authorized to be appropriated, and there is appro-
priated, out of any monies in the Treasury not oth-
erwise appropriated, $2,000,000 for each of fiscal 
years 2020 through 2023.’’. 
VerDate Sep 11 2014 
03:23 Sep 27, 2019
Jkt 089200
PO 00000
Frm 00014
Fmt 6652
Sfmt 6201
E:\BILLS\H4460.IH
H4460
pamtmann on DSKBC07HB2PROD with BILLS
(i) ADMINISTRATION OF THE OFFICE OF NATIONAL 
DRUG CONTROL POLICY.—Section 704(i)(2) of the Office 
of National Drug Control Policy Reauthorization Act of 
1998 (21 U.S.C. 1703(i)(2)) is amended to read as fol-
lows: 
‘‘(2) AUTHORIZATION OF APPROPRIATIONS; AP-
PROPRIATIONS.—To carry out this subsection, there 
is authorized to be appropriated, and there is appro-
priated, out of any monies in the Treasury not oth-
erwise appropriated, $1,250,000 for each of fiscal 
years 2020 through 2023.’’. 
(j) EMERGING THREATS COMMITTEE, PLAN, AND 
MEDIA CAMPAIGN.—Section 709(g) of the Office of Na-
tional Drug Control Policy Reauthorization Act of 1998 
(21 U.S.C. 1708(g)) is amended to read as follows: 
‘‘(g) AUTHORIZATION OF APPROPRIATIONS; APPRO-
PRIATIONS.—To carry out this section, there is authorized 
to be appropriated to the Office, and there is appropriated, 
out of any monies in the Treasury not otherwise appro-
priated, $25,000,000 for each of fiscal years 2020 through 
2023.’’. 
SEC. 5. BOLSTERING COMMITMENTS TO STATE GRANTS 
FOR SUBSTANCE USE DISORDER TREATMENT 
AND PREVENTION. 
(a) STATE OPIOID RESPONSE GRANTS.— 
VerDate Sep 11 2014 
03:23 Sep 27, 2019
Jkt 089200
PO 00000
Frm 00015
Fmt 6652
Sfmt 6201
E:\BILLS\H4460.IH
H4460
pamtmann on DSKBC07HB2PROD with BILLS
(1) IN GENERAL.—To carry out activities under 
section 1003 of the 21st Century Cures Act (42 
U.S.C. 290ee–3 note) relating to opioids by the 
State agency responsible for administering the sub-
stance abuse prevention and treatment block grant 
under subpart II of part B of title XIX of the Public 
Health Service Act (42 U.S.C. 300x–21 et seq.), 
there is authorized to be appropriated, and there is 
appropriated, $5,500,000,000 for each of fiscal 
years 2020 through 2024. 
(2) FLEXIBILITY IN USE OF FUNDS.—Section 
1003(b) of the 21st Century Cures Act (42 U.S.C. 
290ee–3 note) is amended by adding at the end the 
following: 
‘‘(3) FLEXIBILITY.—States and Indian tribes 
may use amounts provided under grants under this 
subsection to support substance use disorder treat-
ment care and related services regardless of whether 
the patient involved has a primary diagnosis of 
opioid use disorder, so long as the individual has a 
substance use disorder diagnosis. 
‘‘(4) RULE
OF
CONSTRUCTION.—Nothing in 
this subsection shall be construed to prohibit States 
from using grant funds under this subsection to allo-
VerDate Sep 11 2014 
03:23 Sep 27, 2019
Jkt 089200
PO 00000
Frm 00016
Fmt 6652
Sfmt 6201
E:\BILLS\H4460.IH
H4460
pamtmann on DSKBC07HB2PROD with BILLS
cate amounts to local governments to establish sub-
grantee awards in such localities.’’. 
(3) SUBSTANCE
ABUSE
PREVENTION
AND 
TREATMENT
BLOCK
GRANTS.—Section 1935(a) of 
the Public Health Service Act (42 U.S.C. 300x– 
35(a)) is amended to read as follows: 
‘‘(a) APPROPRIATIONS.—To carry out this subpart, 
subpart III, and section 505(d), there is authorized to be 
appropriated, and there is appropriated, out of any monies 
in 
the 
Treasury 
not 
otherwise 
appropriated, 
$3,000,000,000 for each of fiscal years 2020 through 
2024, and $2,500,000,000 for each of fiscal years 2025 
through 2029.’’. 
(b) REQUIREMENTS.—For the purposes of carrying 
out activities with amounts appropriated under this sec-
tion (and the amendment made by this section), the Sec-
retary of Health and Human Services shall ensure that 
the following requirements are complied with: 
(1) Of the amount appropriated for each fiscal 
year under subsection (a) (and the amendment made 
by such subsection), $50,000,000 shall be made 
available to Indian Tribes or tribal organizations. 
(2) Of such remaining amounts for each such 
fiscal year, 15 percent shall be made available to the 
VerDate Sep 11 2014 
03:23 Sep 27, 2019
Jkt 089200
PO 00000
Frm 00017
Fmt 6652
Sfmt 6201
E:\BILLS\H4460.IH
H4460
pamtmann on DSKBC07HB2PROD with BILLS
States with the highest mortality rate related to 
opioid use disorders. 
(3) Of the amount made available for each fis-
cal year under subsections (a)(1) for State Opioid 
Response Grants, not more than 2 percent of such 
amount shall be available for Federal administrative 
expenses, training, technical assistance, and evalua-
tion. 
(4) Of the amounts not reserved under para-
graphs (1) through (3), the Secretary shall make al-
locations to States, territories, and the District of 
Columbia according to a formula using national sur-
vey results that the Secretary determines are the 
most objective and reliable measure of drug use and 
drug-related deaths. 
(5) The formula methodology under paragraph 
(4) shall be submitted to the Committees on Appro-
priations of the House of Representatives and the 
Committee on Appropriations of the Senate not less 
than 15 days prior to publishing a Funding Oppor-
tunity Announcement. 
(6) The prevention and treatment activities 
funded through grants under this section may in-
clude education, treatment (including the provision 
of medication), behavioral health services for individ-
VerDate Sep 11 2014 
03:23 Sep 27, 2019
Jkt 089200
PO 00000
Frm 00018
Fmt 6652
Sfmt 6201
E:\BILLS\H4460.IH
H4460
pamtmann on DSKBC07HB2PROD with BILLS
uals in treatment programs, referral to treatment 
services, recovery support, and medical screening as-
sociated with such treatment. 
(7) Each State, including the District of Co-
lumbia, shall receive not less than $4,000,000 under 
grants under this section. 
(8) In addition to amounts appropriated under 
this section (and the amendment made by this sec-
tion), the following amounts shall be available under 
section 241 of the Public Health Service Act (42 
U.S.C. 238j): 
(A) $79,200,000 to carry out subpart II of 
part B of title XIX of the Public Health Service 
Act to fund section 1935(b) (42 U.S.C. 300x– 
35) (relating to technical assistance, national 
data, data collection and evaluation activities) 
and the total available under this Act for activi-
ties under such section 1935(b) shall not exceed 
5 percent of the amounts appropriated for such 
subpart II of part B of title XIX. 
(B) $2,000,000 to evaluate substance 
abuse treatment programs. 
(9) None of the funds provided for under sec-
tion 1921 of the Public Health Service Act (42 
U.S.C. 300x–21) or State Opioid Response Grants 
VerDate Sep 11 2014 
03:23 Sep 27, 2019
Jkt 089200
PO 00000
Frm 00019
Fmt 6652
Sfmt 6201
E:\BILLS\H4460.IH
H4460
pamtmann on DSKBC07HB2PROD with BILLS
under this section shall be subject to section 241 of 
such Act (42 U.S.C. 238j). 
SEC. 6. ELIMINATING INSURANCE BARRIERS TO MEDICA-
TION-ASSISTED TREATMENT. 
(a) LIMITATION ON USE OF UTILIZATION CONTROL 
POLICIES OR PROCEDURES FOR MEDICATION-ASSISTED 
TREATMENTS.—Subpart II of part A of title XXVII of 
the Public Health Service Act (42 U.S.C. 300gg–11 et 
seq.) is amended by adding at the end the following: 
‘‘SEC. 2729A. ELIMINATING BARRIERS TO MEDICATION-AS-
SISTED TREATMENT. 
‘‘A group health plan (other than a self-insured plan) 
or a health insurance issuer offering group or individual 
health insurance coverage shall not impose any utilization 
control policies or procedures (as defined by the Sec-
retary), including prior authorization requirements, with 
respect to medication-assisted treatment covered under 
the plan or coverage.’’. 
(b) NO PRIOR AUTHORIZATION OR OTHER UTILIZA-
TION RESTRICTIONS UNDER MEDICAID.— 
(1) PROHIBITION.—Section 1903(i) of the So-
cial Security Act (42 U.S.C. 1396b(i)) is amended 
by inserting after paragraph (8), the following: 
‘‘(9) with respect to any amount expended for 
medical assistance for medication-assisted treatment 
VerDate Sep 11 2014 
03:23 Sep 27, 2019
Jkt 089200
PO 00000
Frm 00020
Fmt 6652
Sfmt 6201
E:\BILLS\H4460.IH
H4460
pamtmann on DSKBC07HB2PROD with BILLS
(as defined in section 1905(ee)) if the State imposes 
any utilization control policies or procedures (as de-
fined by the Secretary), including any prior author-
ization requirements, with respect to the provision of 
such assistance; or’’. 
(2) 
CONFORMING
AMENDMENT.—Section 
1905(a)(29) of the Social Security Act (42 U.S.C. 
1396d(a)(29)) is amended by inserting ‘‘and section 
1903(i)(9)’’ after ‘‘subsection (ee)’’. 
(3) EFFECTIVE DATE.—The amendments made 
by this subsection take effect on October 1, 2019. 
SEC. 7. LIMITATIONS ON COST-SHARING FOR OPIOID OVER-
DOSE REVERSAL MEDICATIONS. 
(a) LIMITATIONS ON COST-SHARING.—Subpart II of 
part A of title XXVII of the Public Health Service Act 
(42 U.S.C. 300gg–11 et seq.), as amended by section 6, 
is further amended by adding at the end the following: 
‘‘SEC. 2729B. LIMITATIONS ON COST-SHARING FOR OPIOID 
OVERDOSE REVERSAL MEDICATIONS. 
‘‘(a) IN GENERAL.—A group health plan (other than 
a self-insured plan) or a health insurance issuer offering 
group or individual health insurance coverage shall not im-
pose any cost-sharing requirement under the plan or cov-
erage with respect to at least one brand or generic version 
of opioid overdose reversal drug. 
VerDate Sep 11 2014 
03:23 Sep 27, 2019
Jkt 089200
PO 00000
Frm 00021
Fmt 6652
Sfmt 6201
E:\BILLS\H4460.IH
H4460
pamtmann on DSKBC07HB2PROD with BILLS