691 
‘‘(D) $14,000,000 for fiscal year 2028; 
and 
‘‘(E) $15,000,000 for fiscal year 2029.’’. 
SEC. 545. CAREER ACT. 
(a) IN GENERAL.—Section 7183 of the SUPPORT 
for Patients and Communities Act (42 U.S.C. 290ee–8) 
is amended— 
(1) in the section heading, by inserting ‘‘; 
TREATMENT, 
RECOVERY, 
AND
WORKFORCE 
SUPPORT GRANTS’’ after ‘‘CAREER ACT’’; 
(2) in subsection (b), by inserting ‘‘each’’ before 
‘‘for a period’’; 
(3) in subsection (c)— 
(A) in paragraph (1), by striking ‘‘the 
rates described in paragraph (2)’’ and inserting 
‘‘the average rates for calendar years 2018 
through 2022 described in paragraph (2)’’; and 
(B) by amending paragraph (2) to read as 
follows: 
‘‘(2) RATES.—The rates described in this para-
graph are the following: 
‘‘(A) The highest age-adjusted average 
rates of drug overdose deaths for calendar years 
2018 through 2022 based on data from the 
Centers for Disease Control and Prevention, in-
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cluding, if necessary, provisional data for cal-
endar year 2022. 
‘‘(B) The highest average rates of unem-
ployment for calendar years 2018 through 2022 
based on data provided by the Bureau of Labor 
Statistics. 
‘‘(C) The lowest average labor force par-
ticipation rates for calendar years 2018 through 
2022 based on data provided by the Bureau of 
Labor Statistics.’’; 
(4) in subsection (g)— 
(A) in each of paragraphs (1) and (3), by 
redesignating subparagraphs (A) and (B) as 
clauses (i) and (ii), respectively, and adjusting 
the margins accordingly; 
(B) 
by 
redesignating 
paragraphs 
(1) 
through (3) as subparagraphs (A) through (C), 
respectively, and adjusting the margins accord-
ingly; 
(C) in the matter preceding subparagraph 
(A) (as so redesignated), by striking ‘‘An enti-
ty’’ and inserting the following: 
‘‘(1) IN GENERAL.—An entity’’; and 
(D) by adding at the end the following: 
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‘‘(2) TRANSPORTATION
SERVICES.—An entity 
receiving a grant under this section may use not 
more than 5 percent of the funds for providing 
transportation for individuals to participate in an ac-
tivity supported by a grant under this section, which 
transportation shall be to or from a place of work 
or a place where the individual is receiving voca-
tional education or job training services or receiving 
services directly linked to treatment of or recovery 
from a substance use disorder. 
‘‘(3) LIMITATION.—The Secretary may not re-
quire an entity to, or give priority to an entity that 
plans to, use the funds of a grant under this section 
for activities that are not specified in this sub-
section.’’; 
(5) in subsection (i)(2), by inserting ‘‘, which 
shall include employment and earnings outcomes de-
scribed in subclauses (I) and (III) of section 
116(b)(2)(A)(i) of the Workforce Innovation and 
Opportunity Act (29 U.S.C. 3141(b)(2)(A)(i)) with 
respect to the participation of such individuals with 
a substance use disorder in programs and activities 
funded by the grant under this section’’ after ‘‘sub-
section (g)’’; 
(6) in subsection (j)— 
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694 
(A) in paragraph (1), by inserting ‘‘for 
grants awarded prior to the date of enactment 
of the SUPPORT for Patients and Commu-
nities Reauthorization Act of 2024’’ after 
‘‘grant period under this section’’; and 
(B) in paragraph (2)— 
(i) in the matter preceding subpara-
graph (A), by striking ‘‘2 years after sub-
mitting the preliminary report required 
under paragraph (1)’’ and inserting ‘‘Sep-
tember 30, 2029’’; and 
(ii) in subparagraph (A), by striking 
‘‘(g)(3)’’ and inserting ‘‘(g)(1)(C)’’; and 
(7) in subsection (k), by striking ‘‘$5,000,000 
for each of fiscal years 2019 through 2023’’ and in-
serting ‘‘$12,000,000 for each of fiscal years 2025 
through 2029’’. 
(b) REAUTHORIZATION OF THE CAREER ACT; RE-
COVERY HOUSING PILOT PROGRAM.— 
(1) IN GENERAL.—Section 8071 of the SUP-
PORT for Patients and Communities Act (42 
U.S.C. 5301 note; Public Law 115–271) is amend-
ed— 
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(A) by striking the section heading and in-
serting ‘‘CAREER ACT; RECOVERY HOUSING 
PILOT PROGRAM’’; 
(B) in subsection (a), by striking ‘‘through 
2023’’ and inserting ‘‘through 2029’’; 
(C) in subsection (b)— 
(i) in paragraph (1), by striking ‘‘not 
later than 60 days after the date of enact-
ment of this Act’’ and inserting ‘‘not later 
than 60 days after the date of enactment 
of the SUPPORT for Patients and Com-
munities Reauthorization Act of 2024’’; 
and 
(ii) in paragraph (2)(B)(i)— 
(I) in subclause (I)— 
(aa) by striking ‘‘for cal-
endar years 2013 through 2017’’; 
and 
(bb) by inserting ‘‘for cal-
endar years 2018 through 2022’’ 
after ‘‘rates of unemployment’’; 
(II) in subclause (II)— 
(aa) by striking ‘‘for cal-
endar years 2013 through 2017’’; 
and 
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696 
(bb) by inserting ‘‘for cal-
endar years 2018 through 2022’’ 
after ‘‘participation rates’’; and 
(III) by striking subclause (III) 
and inserting the following: 
‘‘(III) The highest age-adjusted 
average rates of drug overdose deaths 
for calendar years 2018 through 2022 
based on data from the Centers for 
Disease Control and Prevention, in-
cluding, if necessary, provisional data 
for calendar year 2022.’’; and 
(D) in subsection (f), by striking ‘‘For the 
2-year period following the date of enactment of 
this Act, the’’ and inserting ‘‘The’’. 
(2) CONFORMING AMENDMENT.—Subtitle F of 
title VIII of the SUPPORT for Patients and Com-
munities Act (Public Law 115–271; 132 Stat. 4095) 
is amended by striking the subtitle heading and in-
serting the following: ‘‘Subtitle F—CAREER 
Act; Recovery Housing Pilot Program’’ . 
(c) CLERICAL AMENDMENTS.—The table of contents 
in section 1(b) of the SUPPORT for Patients and Com-
munities Act (Public Law 115–271; 132 Stat. 3894) is 
amended— 
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697 
(1) by striking the item relating to section 7183 
and inserting the following: 
‘‘Sec. 7183. CAREER Act; treatment, recovery, and workforce support 
grants.’’; 
(2) by striking the item relating to subtitle F 
of title VIII and inserting the following: 
‘‘Subtitle F—CAREER Act; Recovery Housing Pilot Program’’; and 
(3) by striking the item relating to section 8071 
and inserting the following: 
‘‘Sec. 8071. CAREER Act; Recovery Housing Pilot Program.’’. 
SEC. 546. ADDRESSING ECONOMIC AND WORKFORCE IM-
PACTS OF THE OPIOID CRISIS. 
Section 8041(g)(1) of the SUPPORT for Patients 
and Communities Act (29 U.S.C. 3225a(g)(1)) is amended 
by striking ‘‘2023’’ and inserting ‘‘2029’’. 
Subtitle D—Miscellaneous Matters 
SEC. 551. DELIVERY OF A CONTROLLED SUBSTANCE BY A 
PHARMACY 
TO 
A 
PRESCRIBING 
PRACTI-
TIONER. 
Section 309A(a) of the Controlled Substances Act 
(21 U.S.C. 829a(a)) is amended by striking paragraph (2) 
and inserting the following: 
‘‘(2) the controlled substance is a drug in 
schedule III, IV, or V to be administered— 
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698 
‘‘(A) by injection or implantation for the 
purpose of maintenance or detoxification treat-
ment; or 
‘‘(B) subject to a risk evaluation and miti-
gation strategy pursuant to section 505–1 of 
the Federal Food, Drug, and Cosmetic Act (21 
U.S.C. 355–1) that includes elements to assure 
safe use of the drug described in subsection 
(f)(3)(E) of such section, including a require-
ment for post-administration monitoring by a 
health care provider.’’. 
SEC. 552. TECHNICAL CORRECTION ON CONTROLLED SUB-
STANCES DISPENSING. 
Effective as if included in the enactment of Public 
Law 117–328— 
(1) section 1252(a) of division FF of Public 
Law 117–328 (136 Stat. 5681) is amended, in the 
matter being inserted into section 302(e) of the Con-
trolled Substances Act, by striking ‘‘303(g)’’ and in-
serting ‘‘303(h)’’; 
(2) section 1262 of division FF of Public Law 
117–328 (136 Stat. 5681) is amended— 
(A) in subsection (a)— 
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(i) in the matter preceding paragraph 
(1), by striking ‘‘303(g)’’ and inserting 
‘‘303(h)’’; 
(ii) in the matter being stricken by 
subsection (a)(2), by striking ‘‘(g)(1)’’ and 
inserting ‘‘(h)(1)’’; and 
(iii) in the matter being inserted by 
subsection (a)(2), by striking ‘‘(g) Practi-
tioners’’ and inserting ‘‘(h) Practitioners’’; 
and 
(B) in subsection (b)— 
(i) in the matter being stricken by 
paragraph (1), by striking ‘‘303(g)(1)’’ 
and inserting ‘‘303(h)(1)’’; 
(ii) in the matter being inserted by 
paragraph (1), by striking ‘‘303(g)’’ and 
inserting ‘‘303(h)’’; 
(iii) in the matter being stricken by 
paragraph (2)(A), by striking ‘‘303(g)(2)’’ 
and inserting ‘‘303(h)(2)’’; 
(iv) in the matter being stricken by 
paragraph (3), by striking ‘‘303(g)(2)(B)’’ 
and inserting ‘‘303(h)(2)(B)’’; 
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700 
(v) in the matter being stricken by 
paragraph (5), by striking ‘‘303(g)’’ and 
inserting ‘‘303(h)’’; and 
(vi) in the matter being stricken by 
paragraph (6), by striking ‘‘303(g)’’ and 
inserting ‘‘303(h)’’; and 
(3) section 1263(b) of division FF of Public 
Law 117–328 (136 Stat. 5685) is amended— 
(A) by striking ‘‘303(g)(2)’’ and inserting 
‘‘303(h)(2)’’; and 
(B) by striking ‘‘(21 U.S.C. 823(g)(2))’’ 
and inserting ‘‘(21 U.S.C. 823(h)(2))’’. 
SEC. 553. REQUIRED TRAINING FOR PRESCRIBERS OF CON-
TROLLED SUBSTANCES. 
(a) IN GENERAL.—Section 303 of the Controlled 
Substances Act (21 U.S.C. 823) is amended— 
(1) by redesignating the second subsection des-
ignated as subsection (l) as subsection (m); and 
(2) in subsection (m)(1), as so redesignated— 
(A) in subparagraph (A)— 
(i) in clause (iv)— 
(I) in subclause (I)— 
(aa) by inserting ‘‘the Amer-
ican Academy of Family Physi-
cians, the American Podiatric 
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701 
Medical Association, the Acad-
emy of General Dentistry, the 
American Optometric Associa-
tion,’’ before ‘‘or any other orga-
nization’’; 
(bb) by striking ‘‘or the 
Commission’’ and inserting ‘‘the 
Commission’’; and 
(cc) by inserting ‘‘, or the 
Council on Podiatric Medical 
Education’’ before the semicolon 
at the end; and 
(II) in subclause (III), by insert-
ing ‘‘or the American Academy of 
Family Physicians’’ after ‘‘Associa-
tion’’; and 
(ii) in clause (v), in the matter pre-
ceding subclause (I)— 
(I) by striking ‘‘osteopathic medi-
cine, dental surgery’’ and inserting 
‘‘osteopathic medicine, podiatric medi-
cine, dental surgery’’; and 
(II) by striking ‘‘or dental medi-
cine curriculum’’ and inserting ‘‘or 
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702 
dental or podiatric medicine cur-
riculum’’; and 
(B) in subparagraph (B)— 
(i) in clause (i)— 
(I) by inserting ‘‘the American 
Pharmacists Association, the Accredi-
tation Council on Pharmacy Edu-
cation, 
the 
American 
Psychiatric 
Nurses Association, the American 
Academy of Nursing, the American 
Academy of Family Physicians,’’ be-
fore ‘‘or any other organization’’; and 
(II) by inserting ‘‘, the American 
Academy of Family Physicians,’’ be-
fore ‘‘or the Accreditation Council’’; 
and 
(ii) in clause (ii)— 
(I) by striking ‘‘or accredited 
school’’ and inserting ‘‘, an accredited 
school’’; and 
(II) by inserting ‘‘, or an accred-
ited school of pharmacy’’ before ‘‘in 
the United States’’. 
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703 
(b) EFFECTIVE DATE.—The amendment made by 
subsection (a) shall take effect as if enacted on December 
29, 2022. 
SEC. 
554. 
EXTENSION 
OF 
TEMPORARY 
ORDER 
FOR 
FENTANYL-RELATED SUBSTANCES. 
Effective as if included in the enactment of the Tem-
porary Reauthorization and Study of the Emergency 
Scheduling of Fentanyl Analogues Act (Public Law 116– 
114), section 2 of such Act is amended by striking ‘‘De-
cember 31, 2024’’ and inserting ‘‘September 30, 2026’’. 
TITLE VI—PANDEMIC AND ALL- 
HAZARDS 
PREPAREDNESS 
AND RESPONSE 
SEC. 601. SHORT TITLE. 
This title may be cited as the ‘‘Pandemic and All- 
Hazards Preparedness and Response Act’’. 
Subtitle A—State and Local 
Readiness and Response 
SEC. 611. TEMPORARY REASSIGNMENT OF STATE AND 
LOCAL 
PERSONNEL 
DURING 
A 
PUBLIC 
HEALTH EMERGENCY. 
Section 319(e) of the Public Health Service Act (42 
U.S.C. 247d(e)) is amended— 
(1) in paragraph (1), by striking ‘‘tribal organi-
zation or such Governor or tribal organization’s des-
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704 
ignee’’ and inserting ‘‘Tribal organization or the des-
ignee of the Governor or Tribal organization, or the 
State or Tribal health official’’; 
(2) in paragraph (2)(B)— 
(A) in the matter preceding clause (i), by 
striking ‘‘tribal organization’’ and inserting 
‘‘Tribal organization, or the State or Tribal 
health official’’; and 
(B) in clause (v), by striking ‘‘tribal orga-
nization’’ and inserting ‘‘Tribal organization or 
State or Tribal health official’’; 
(3) in paragraph (6)— 
(A) in the matter preceding subparagraph 
(A)— 
(i) by striking ‘‘Reauthorization Act 
of 2013’’ and inserting ‘‘and Response 
Act’’; and 
(ii) by striking ‘‘appropriate commit-
tees of the Congress’’ and inserting ‘‘Com-
mittee on Health, Education, Labor, and 
Pensions of the Senate and the Committee 
on Energy and Commerce of the House of 
Representatives’’; and 
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(B) in subparagraph (A), by inserting ‘‘, 
including requests from State or Tribal health 
officials’’ before the semicolon; 
(4) in paragraph (7)(A), by striking ‘‘tribal or-
ganization’’ and inserting ‘‘Tribal organization’’; and 
(5) in paragraph (8), by striking ‘‘December 
31, 2024’’ and inserting ‘‘December 31, 2026’’. 
SEC. 612. PUBLIC HEALTH EMERGENCY PREPAREDNESS 
PROGRAM. 
Section 319C–1 of the Public Health Service Act (42 
U.S.C. 247d–3a) is amended— 
(1) in subsection (b)(2)— 
(A) in subparagraph (A)(ii), by striking 
‘‘influenza’’ and inserting ‘‘response planning’’; 
and 
(B) in subparagraph (H), by inserting ‘‘, 
such as community-based organizations, includ-
ing faith-based organizations, and other public 
and private entities’’ after ‘‘stakeholders’’; 
(2) in subsection (g)— 
(A) in paragraph (1), in the matter pre-
ceding subparagraph (A), by inserting ‘‘and the 
ability of each entity receiving an award under 
subsection (a) to respond to all-hazards 
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706 
threats’’ before the period at the end of the 
first sentence; 
(B) in paragraph (2)— 
(i) in the paragraph heading, by strik-
ing ‘‘INFLUENZA’’ and inserting ‘‘RE-
SPONSE’’; and 
(ii) in subparagraph (A)— 
(I) by striking ‘‘to pandemic in-
fluenza’’ and inserting ‘‘to a pathogen 
causing a pandemic, including pan-
demic influenza’’; and 
(II) by striking ‘‘such pandemic 
influenza’’ and inserting ‘‘such pan-
demic response’’; 
(C) in paragraph (5)— 
(i) in the paragraph heading, by strik-
ing ‘‘INFLUENZA’’ and inserting ‘‘PAN-
DEMIC RESPONSE’’; 
(ii) in the matter preceding subpara-
graph (A), by striking ‘‘2019’’ and insert-
ing ‘‘2026’’; 
(iii) in subparagraph (A), by striking 
‘‘2018’’ and inserting ‘‘2025’’; and 
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