I 
118TH CONGRESS 
1ST SESSION H. R. 3375 
To establish programs to address addiction and overdoses caused by illicit 
fentanyl and other opioids, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
MAY 16, 2023 
Ms. KUSTER (for herself, Ms. BLUNT ROCHESTER, Mr. BACON, Mr. TONKO, 
Mr. TRONE, Mr. PANETTA, Mrs. TRAHAN, Mr. ALLRED, Ms. CRAIG, Ms. 
PETTERSEN, Ms. BARRAGA´N, and Mr. NORCROSS) introduced the fol-
lowing bill; which was referred to the Committee on Energy and Com-
merce, and in addition to the Committee on the Judiciary, for a period 
to be subsequently determined by the Speaker, in each case for consider-
ation of such provisions as fall within the jurisdiction of the committee 
concerned 
A BILL 
To establish programs to address addiction and overdoses 
caused by illicit fentanyl and other opioids, 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; TABLE OF CONTENTS. 
(a) SHORT TITLE.—This Act may be cited as the 
‘‘Support, Treatment, and Overdoses Prevention of 
Fentanyl Overdoses Act of 2023’’ or the ‘‘STOP Fentanyl 
Overdoses Act of 2023’’. 
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(b) TABLE OF CONTENTS.—The table of contents for 
this Act is as follows: 
Sec. 1. Short title; table of contents. 
Sec. 2. Definitions. 
TITLE I—IMPROVING FENTANYL SURVEILLANCE 
Sec. 101. Enhanced drug surveillance. 
Sec. 102. Collection of overdose data. 
Sec. 103. Public health support for law enforcement. 
Sec. 104. Fentanyl detection. 
Sec. 105. Grants to improve public health surveillance in forensic laboratories. 
TITLE II—STEMMING THE SUPPLY OF FENTANYL 
Sec. 201. Report on countries that produce synthetic drugs. 
Sec. 202. GAO report on international mail and cargo screening. 
TITLE III—OVERDOSE PREVENTION AND SUBSTANCE USE 
DISORDER TREATMENT PROGRAMS 
Sec. 301. Opioid treatment education. 
Sec. 302. Study on naloxone access. 
Sec. 303. Increasing access to medication for opioid overdose reversal. 
Sec. 304. Grant program on harms of drug misuse. 
Sec. 305. Good Samaritan immunity. 
Sec. 306. Report on overdose prevention centers. 
Sec. 307. Prisons and substance use disorder treatment. 
SEC. 2. DEFINITIONS. 
In this Act, except as otherwise provided: 
(1) The term ‘‘Assistant Secretary’’ means the 
Assistant Secretary for Mental Health and Sub-
stance Use. 
(2) The term ‘‘Secretary’’ means the Secretary 
of Health and Human Services. 
(3) The term ‘‘fentanyl-related substance’’ has 
the 
meaning 
given 
the 
term 
in 
section 
1308.11(h)(30)(i) of title 21, Code of Federal Regu-
lations (or successor regulations). 
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TITLE I—IMPROVING FENTANYL 
SURVEILLANCE 
SEC. 101. ENHANCED DRUG SURVEILLANCE. 
(a) CDC SURVEILLANCE PROGRAM.—Title III of the 
Public Health Service Act (42 U.S.C. 241 et seq.) is 
amended by inserting after section 317V of such Act (42 
U.S.C. 247b–24) the following: 
‘‘SEC. 317W. ENHANCED DRUG SURVEILLANCE. 
‘‘(a) IN GENERAL.—The Secretary, acting through 
the Director of the Centers for Disease Control and Pre-
vention, shall enhance the Overdose Data to Action drug 
surveillance program of the Centers and other drug sur-
veillance programs by— 
‘‘(1) encouraging States, political subdivisions 
of States, and territories to participate; 
‘‘(2) increasing and accelerating the collection 
of data on fentanyl, fentanyl-related substances, 
other synthetic opioids, and new emerging drugs of 
use (including harmful adulterants of fentanyl such 
as xylazine), including the collection of related over-
dose data from medical examiners and drug treat-
ment admissions and information regarding drug 
seizures; and 
‘‘(3) utilizing available and emerging informa-
tion on fentanyl, fentanyl-related substances, other 
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synthetic opioids, and new emerging drugs of abuse, 
including information from— 
‘‘(A) the High Intensity Drug Trafficking 
Areas program; 
‘‘(B) the National Drug Early Warning 
System; 
‘‘(C) State and local public health authori-
ties; 
‘‘(D) Federal, State, and local public 
health laboratories; and 
‘‘(E) drug seizures by Federal, State, and 
local law enforcement agencies, including infor-
mation from the National Seizure System and 
the National Forensic Laboratory Information 
System of the Drug Enforcement Administra-
tion. 
‘‘(b) INFORMATION SHARING.—The Secretary, acting 
through the Director of the Centers for Disease Control 
and Prevention, shall publicly disseminate findings col-
lected through the Overdose Data to Action drug surveil-
lance program of the Centers for Disease Control and Pre-
vention. 
‘‘(c) 
DEFINITION.—In 
this 
section, 
the 
term 
‘fentanyl-related substance’ has the meaning given the 
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term in section 1308.11(h)(30)(i) of title 21, Code of Fed-
eral Regulations (or successor regulations).’’. 
(b) LAW ENFORCEMENT REPORTING.—Each Federal 
law enforcement agency shall report information on all 
drug seizures by that agency to the Drug Enforcement 
Administration for inclusion in the National Seizure Sys-
tem. 
(c) GAO REPORT.—Not later than 2 years after the 
date of enactment of this Act, the Comptroller General 
of the United States shall— 
(1) publish a report analyzing how Federal 
agencies can improve their collection, reporting, 
sharing, and analytic use of drug seizure data across 
Federal agencies and with State and local govern-
ments; and 
(2) include in such report an analysis of how 
well available data on drug seizures can measure 
progress toward reducing drug trafficking into and 
within the country, as outlined in strategies such as 
the National Drug Control Strategy of the Office of 
National Drug Control Policy. 
SEC. 102. COLLECTION OF OVERDOSE DATA. 
(a) IN GENERAL.—Not later than 2 years after the 
date of enactment of this Act, the Secretary shall com-
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mence a study on how to most efficiently track overdoses 
by type of drug, including fentanyl. 
(b) GRANT PROGRAM.— 
(1) IN
GENERAL.—Upon completion of the 
study under subsection (a), and taking into consider-
ation the results of such study, the Secretary shall 
award grants to States to facilitate the collection of 
data with respect to fentanyl-involved overdoses. 
(2) REQUIREMENT.—As a condition on receipt 
of a grant under this subsection, an applicant shall 
agree to share the data collected pursuant to the 
grant with the Centers for Disease Control and Pre-
vention. 
(3) PREFERENCE.—In awarding grants under 
this subsection, the Secretary shall give preference 
to applicants whose grant proposals demonstrate the 
greatest need for collecting timely and accurate data 
on overdoses. 
SEC. 103. PUBLIC HEALTH SUPPORT FOR LAW ENFORCE-
MENT. 
(a) SUPPORT FOR FENTANYL DETECTION AND HAN-
DLING.—The Secretary, in consultation with the Attorney 
General, shall carry out a program to provide to Federal, 
State, and local law enforcement agencies training on ac-
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curate information about fentanyl and how to detect and 
handle fentanyl. 
(b) EVIDENCE-BASED.—The program under sub-
section (a) shall comply with evidence-based guidelines, in-
cluding the ‘‘Fentanyl Safety Recommendations for First 
Responders’’ (or any successor guidelines) of the Office 
of National Drug Control Policy. 
SEC. 104. FENTANYL DETECTION. 
(a) TESTING OF CONTAMINANTS.—The Secretary, 
acting through the Assistant Secretary and in coordina-
tion with the Director of the Centers for Disease Control 
and Prevention, shall continue to improve efforts to en-
hance screening and identification of contaminants in 
drugs to prevent overdoses. 
(b) RESEARCH INTO TECHNOLOGIES.—The Sec-
retary shall conduct or support research for the develop-
ment or improvement of portable and affordable tech-
nologies related to checking drugs for fentanyl and 
fentanyl-related substances, including chemical screening 
device methods. 
SEC. 105. GRANTS TO IMPROVE PUBLIC HEALTH SURVEIL-
LANCE IN FORENSIC LABORATORIES. 
Title I of the Omnibus Crime Control and Safe 
Streets Act of 1968 (34 U.S.C. 10101 et seq.) is amended 
by adding at the end the following: 
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