I 
117TH CONGRESS 
1ST SESSION H. R. 2067 
To amend the Controlled Substances Act to require physicians and other 
prescribers of controlled substances to complete training on treating 
and managing patients with opioid and other substance use disorders, 
and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
MARCH 18, 2021 
Mrs. TRAHAN (for herself, Mr. CARTER of Georgia, Mr. MCKINLEY, Ms. 
KUSTER, Mr. TRONE, and Mr. TONKO) introduced the following bill; 
which was referred to the Committee on Energy and Commerce, and in 
addition to the Committee on the Judiciary, for a period to be subse-
quently determined by the Speaker, in each case for consideration of such 
provisions as fall within the jurisdiction of the committee concerned 
A BILL 
To amend the Controlled Substances Act to require physi-
cians and other prescribers of controlled substances to 
complete training on treating and managing patients 
with opioid and other substance use disorders, and for 
other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
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SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Medication Access and 
Training Expansion Act of 2021’’ or the ‘‘MATE Act of 
2021’’. 
SEC. 2. REQUIRING PRESCRIBERS OF CONTROLLED SUB-
STANCES 
TO 
COMPLETE 
TRAINING 
ON 
TREATING AND MANAGING PATIENTS WITH 
OPIOID AND OTHER SUBSTANCE USE DIS-
ORDERS. 
Section 303 of the Controlled Substances Act (21 
U.S.C. 823) is amended by adding at the end the fol-
lowing: 
‘‘(l) REQUIRED TRAINING
FOR PRESCRIBERS
ON 
TREATING AND MANAGING PATIENTS WITH OPIOID AND 
OTHER SUBSTANCE USE DISORDERS.— 
‘‘(1) 
APPLICABILITY.—This 
subsection 
ap-
plies— 
‘‘(A) with respect to any practitioner who 
is licensed under State law to prescribe con-
trolled substances and is not a veterinarian or 
a dentist; and 
‘‘(B) beginning with the first registration 
or renewal of registration by the practitioner 
under this section occurring 180 or more days 
after the date of enactment of the Medication 
Access and Training Expansion Act of 2021. 
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‘‘(2) TRAINING REQUIRED.—As a condition on 
registration under this section to dispense controlled 
substances in schedule II, III, IV, or V, the Attorney 
General shall require any practitioner described in 
paragraph (1)(A) to meet the following: 
‘‘(A) If the practitioner is a physician, the 
practitioner must meet one or more of the fol-
lowing conditions: 
‘‘(i) The physician holds a board cer-
tification in addiction psychiatry or addic-
tion medicine from the American Board of 
Medical Specialties. 
‘‘(ii) The physician holds a board cer-
tification from the American Board of Ad-
diction Medicine. 
‘‘(iii) The physician holds a board cer-
tification in addiction medicine from the 
American Osteopathic Association. 
‘‘(iv) The physician has, with respect 
to the treatment and management of pa-
tients with opioid or other substance use 
disorders, completed not less than 8 hours 
of training (through classroom situations, 
seminars at professional society meetings, 
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news under this section and has success-
fully completed a comprehensive allopathic 
or osteopathic medicine curriculum or ac-
credited medical residency that included 
not less than 8 hours of training on treat-
ing and managing patients with opioid and 
other substance use disorders, including 
the appropriate clinical use of all drugs ap-
proved by the Food and Drug Administra-
tion for the treatment of a substance use 
disorder. 
‘‘(B) If the practitioner is not a physician, 
the practitioner must meet one or more of the 
following conditions: 
‘‘(i) Completed not fewer than 8 hours 
of training with respect to the treatment 
and management of patients with opioid or 
other substance use disorders (through 
classroom situations, seminars at profes-
sional society meetings, electronic commu-
nications, or otherwise) provided by the 
American Society of Addiction Medicine, 
the American Academy of Addiction Psy-
chiatry, the American Medical Association, 
the American Osteopathic Association, the 
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American Nurses Credentialing Center, the 
American 
Psychiatric 
Association, 
the 
American Association of Nurse Practi-
tioners, the American Academy of Physi-
cian Assistants, or any other organization 
that the Secretary determines is appro-
priate for purposes of this clause. 
‘‘(ii) Graduated in good standing from 
an accredited physician assistant school or 
accredited school of advanced practice 
nursing in the United States during the 5- 
year period immediately preceding the date 
on which the practitioner first registers or 
renews under this section and has success-
fully completed a comprehensive physician 
assistant or advanced practice nursing cur-
riculum that included not less than 8 hours 
of training on treating and managing pa-
tients with opioid and other substance use 
disorders, including the appropriate clinical 
use of all drugs approved by the Food and 
Drug Administration for the treatment of 
a substance use disorder. 
‘‘(3) ONE-TIME TRAINING.—The Attorney Gen-
eral shall not require any practitioner to complete 
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the training described in clause (iv) or (v) of para-
graph (2)(A) or clause (i) or (ii) of paragraph 
(2)(B) more than once. 
‘‘(4) RULE
OF
CONSTRUCTION.—Nothing in 
this subsection shall be construed to prevent a prac-
titioner from using the same training both for pur-
poses of satisfying the registration requirement of 
this subsection and for other purposes, such as satis-
fying State licensing requirements.’’. 
SEC. 3. PRACTITIONER EDUCATION GRANT PROGRAM. 
Title V of the Public Health Service Act is amended 
by inserting after section 509 of such Act (42 U.S.C. 
290bb–2) the following: 
‘‘SEC. 510. PRACTITIONER EDUCATION GRANT PROGRAM. 
‘‘(a) IN GENERAL.—The Secretary shall carry out a 
program to award grants to eligible entities to expand the 
integration of substance use disorder education into the 
standard curriculum of relevant health care and health 
services education programs, thereby expanding the num-
ber of practitioners who deliver high-quality, evidence- 
based substance use disorder treatment. 
‘‘(b) ELIGIBLE ENTITIES.—To be eligible to receive 
a grant under this section, an entity shall be— 
‘‘(1) a private nonprofit or public professional 
association representing health care professionals in 
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the field of medicine, physician assistants, nursing, 
social work, psychology, marriage and family ther-
apy, or health services administration; or 
‘‘(2) a private nonprofit or public entity that is 
a university, college, or other professional school. 
‘‘(c) AUTHORIZATION
OF
APPROPRIATIONS.—To 
carry out this section, there is authorized to be appro-
priated such sums as may be necessary for each of fiscal 
years 2022 through 2027.’’. 
Æ 
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