(A) Model programs and materials for 
training health care providers (including physi-
cians, emergency medical personnel, psychia-
trists, psychologists, counselors, therapists, nurse 
practitioners, physician assistants, behavioral 
health facilities and clinics, care managers, and 
hospitals, including individuals such as general 
counsels or regulatory compliance staff who are 
responsible for establishing provider privacy 
policies) concerning the permitted uses and dis-
closures, consistent with the standards and regu-
lations governing the privacy and security of 
substance use disorder patient records promul-
gated by the Secretary under section 543 of the 
Public Health Service Act (42 U.S.C. 290dd–2), 
as amended by this section, for the confiden-
tiality of patient records. 
(B) Model programs and materials for 
training patients and their families regarding 
their rights to protect and obtain information 
under the standards and regulations described in 
subparagraph (A). 
(2) REQUIREMENTS.—The model programs and 
materials described in subparagraphs (A) and (B) of 
paragraph (1) shall address circumstances under 
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which disclosure of substance use disorder patient 
records is needed to— 
(A) facilitate communication between sub-
stance use disorder treatment providers and 
other health care providers to promote and pro-
vide the best possible integrated care; 
(B) avoid inappropriate prescribing that 
can lead to dangerous drug interactions, over-
dose, or relapse; and 
(C) notify and involve families and care-
givers when individuals experience an overdose. 
(3) PERIODIC UPDATES.—The Secretary shall— 
(A) periodically review and update the 
model programs and materials identified or de-
veloped under paragraph (1); and 
(B) disseminate such updated programs and 
materials to the individuals described in para-
graph (1)(A). 
(4) INPUT
OF
CERTAIN
ENTITIES.—In identi-
fying, reviewing, or updating the model programs 
and materials under this subsection, the Secretary 
shall solicit the input of relevant stakeholders. 
(l) RULES OF CONSTRUCTION.—Nothing in this Act or 
the amendments made by this Act shall be construed to 
limit— 
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pbinns on DSK79D2C42PROD with BILLS
(1) a patient’s right, as described in section 
164.522 of title 45, Code of Federal Regulations, or 
any successor regulation, to request a restriction on 
the use or disclosure of a record referred to in section 
543(a) of the Public Health Service Act (42 U.S.C. 
290dd–2(a)) for purposes of treatment, payment, or 
health care operations; or 
(2) a covered entity’s choice, as described in sec-
tion 164.506 of title 45, Code of Federal Regulations, 
or any successor regulation, to obtain the consent of 
the individual to use or disclose a record referred to 
in such section 543(a) to carry out treatment, pay-
ment, or health care operation. 
(m) SENSE OF CONGRESS.—It is the sense of the Con-
gress that— 
(1) patients have the right to request a restric-
tion on the use or disclosure of a record referred to 
in section 543(a) of the Public Health Service Act (42 
U.S.C. 290dd–2(a)) for treatment, payment, or health 
care operations; and 
(2) covered entities should make every reasonable 
effort to the extent feasible to comply with a patient’s 
request for a restriction regarding such use or disclo-
sure. 
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Union Calendar No. 559 
115TH CONGRESS 
2D SESSION 
H. R. 5795 
[Report No. 115–724] 
A BILL 
To amend the Public Health Service Act to protect 
the confidentiality of substance use disorder pa-
tient records. 
JUNE 12, 2018 
Reported with an amendment, committed to the Com-
mittee of the Whole House on the State of the Union, 
and ordered to be printed 
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