IV 
118TH CONGRESS 
1ST SESSION 
H. RES. 381 
Supporting the mission and goals of National Fentanyl Awareness Day in 
2023, including increasing individual and public awareness of the impact 
of fake or counterfeit fentanyl pills on families and young people. 
IN THE HOUSE OF REPRESENTATIVES 
MAY 9, 2023 
Mr. TRONE (for himself, Ms. KUSTER, Mrs. MCCLAIN, Mr. FITZPATRICK, Ms. 
SA´NCHEZ, 
Mrs. 
TRAHAN, 
Mr. 
BACON, 
Mr. 
NORCROSS, 
Mr. 
KRISHNAMOORTHI, Mr. CARTER of Louisiana, Mrs. LEE of Nevada, Mr. 
PANETTA, Mr. SORENSEN, Ms. DEAN of Pennsylvania, Mr. CARBAJAL, 
Mr. PAPPAS, Ms. PETTERSEN, and Mr. MOSKOWITZ) submitted the fol-
lowing resolution; which was referred to the Committee on Energy and 
Commerce, and in addition to the Committee on the Judiciary, for a pe-
riod to be subsequently determined by the Speaker, in each case for con-
sideration of such provisions as fall within the jurisdiction of the com-
mittee concerned 
RESOLUTION 
Supporting the mission and goals of National Fentanyl 
Awareness Day in 2023, including increasing individual 
and public awareness of the impact of fake or counterfeit 
fentanyl pills on families and young people. 
Whereas drug traffickers are mass-producing fake or counter-
feit pills and falsely marketing them as legitimate pre-
scription pills to deceive the people of the United States; 
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•HRES 381 IH 
Whereas many fake or counterfeit pills are made to look like 
prescription name-brand opioids, stimulants, or anxiety 
medications; 
Whereas drug traffickers are using fake or counterfeit pills 
to exploit the opioid crisis and prescription drug misuse; 
Whereas the Drug Enforcement Administration (referred to 
in this preamble as the ‘‘DEA’’) has observed a dramatic 
rise in the number of counterfeit pills containing not less 
than 2 milligrams of fentanyl, which is considered a 
deadly dose; 
Whereas 6 out of every 10 pills with fentanyl tested by the 
DEA contain a potentially lethal dose; 
Whereas counterfeit pills may also contain fentanyl-related 
substances and methamphetamine; 
Whereas the number of counterfeit pills with fentanyl seized 
by law enforcement agencies has increased by nearly 502 
percent since 2019; 
Whereas more than 50,000,000 counterfeit pills were seized 
within the last year, which represents 379,000,000 doses 
of illicit fentanyl; 
Whereas fake or counterfeit pills have been identified in all 
50 States, Puerto Rico, the Virgin Islands of the United 
States, and the District of Columbia; 
Whereas illicit fentanyl has also been detected in illicit drugs 
such as heroin, cocaine, and MDMA; 
Whereas, for the 12-month period ending in September 2022, 
more than 106,000 individuals in the United States died 
of drug-induced deaths, and over 70,000 of those deaths 
involved illicit fentanyl and other synthetic opioids; 
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•HRES 381 IH 
Whereas, over the last 20 years, drug-induced deaths among 
individuals 15 to 35 years of age have increased 6-fold, 
with overdoses topping 100,000 in 2021, largely driven 
by the increase in illicit fentanyl drugs; 
Whereas, for the 12-month period ending in June 2022, illicit 
fentanyl was involved in more deaths of individuals under 
50 years of age than any single other cause; 
Whereas fake counterfeit pills are easily accessible and often 
sold on social media and e-commerce platforms, making 
them accessible to teens and youth; 
Whereas illicit fentanyl is involved in more deaths of youths 
than all other drug types combined; 
Whereas, between 2019 and 2021, drug overdose and poi-
soning deaths for individuals 14 to 18 years of age in-
creased by 120 percent, a rate of increase which was 43 
percent higher than the national rate and higher than the 
rate for any other 5-year age group; 
Whereas, between 2019 and 2021, the involvement of illicit 
fentanyl in drug overdose and poisoning deaths for indi-
viduals 14 to 18 years of age increased by 232 percent, 
a rate of increase which was 94 percent higher than the 
national rate and higher than the rate for any other 5- 
year age group; 
Whereas, in 2021, illicit fentanyl was involved in 80 percent 
of drug-induced deaths of individuals between 14 and 23 
years of age, compared to 66 percent of drug-induced 
deaths of individuals of all ages; 
Whereas only 48 percent of youth and 36 percent of teens 
in the United States are aware that fentanyl is being 
used to create counterfeit pills; 
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•HRES 381 IH 
Whereas only 40 percent of youth and 31 percent of teens 
consider themselves knowledgeable about fentanyl; and 
Whereas, in 2021, there were over 70,000 reported overdose 
deaths due to illicit fentanyl: Now, therefore, be it 
Resolved, That the House of Representatives— 
(1) supports the recognition and goals of Na-
tional Fentanyl Awareness Day, which include in-
creasing individual and public awareness of the im-
pact of fake or counterfeit fentanyl pills on families 
and young people; 
(2) applauds the work of Federal, State, and 
local law enforcement agencies that work to combat 
the proliferation of counterfeit pills; 
(3) encourages the use of existing authorities to 
proactively stop and prevent the spread of illicit 
counterfeit pills; and 
(4) supports the designation of ‘‘National 
Fentanyl Awareness Day’’. 
Æ 
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