Preventing Overdoses and Saving Lives Act 2.0
Bill: H.R.7681 | Sponsor: Rep. Hill, J. French (R-AR)
Policy area: Health

Summary:
Preventing Overdoses and Saving Lives Act 2.0
This bill reauthorizes through FY2027, modifies eligibility for, and otherwise makes changes to grants for increasing access to emergency treatments to reverse opioid overdoses (e.g., naloxone).

To amend the Public Health Service Act to reauthorize certain programs 
       to reduce opioid overdose deaths, and for other purposes.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Preventing Overdoses and Saving 
Lives Act 2.0''.

SEC. 2. REAUTHORIZATION OF GRANTS FOR REDUCING OVERDOSE DEATHS.

    (a) Grants.--
            (1) Repeal of maximum grant amount.--Paragraph (2) of 
        section 544(a) of the Public Health Service Act (42 U.S.C. 
        290dd-3(a)) is hereby repealed.
            (2) Eligible entity; subgrants.--Section 544(a) of the 
        Public Health Service Act (42 U.S.C. 290dd-3(a)) is amended by 
        striking paragraph (3) and inserting the following:
            ``(2) Eligible entity.--For purposes of this section, the 
        term `eligible entity' means a State, Territory, locality, 
        Indian Tribe, Tribal organization, or Urban Indian 
        organization.
            ``(3) Subgrants.--For the purposes for which a grant is 
        awarded under this section, the eligible entity receiving the 
        grant may award subgrants to a Federally qualified health 
        center (as defined in section 1861(aa) of the Social Security 
        Act), an opioid treatment program (as defined in section 8.2 of 
        title 42, Code of Federal Regulations (or any successor 
        regulations)), any practitioner dispensing narcotic drugs 
        pursuant to section 303(g) of the Controlled Substances Act, or 
        any nonprofit organization that the Secretary deems 
        appropriate.''.
            (3) Prescribing.--Section 544(a)(4) of the Public Health 
        Service Act (42 U.S.C. 290dd-3(a)(4)) is amended--
                    (A) in subparagraph (A), by inserting ``, including 
                patients prescribed with both an opioid and a 
                benzodiazepine'' before the semicolon at the end; and
                    (B) in subparagraph (D), by striking ``drug 
                overdose'' and inserting ``substance overdose''.
            (4) Use of funds.--Paragraph (5) of section 544(c) of the 
        Public Health Service Act (42 U.S.C. 290dd-3(c)) is amended to 
        read as follows:
            ``(5) To establish protocols to connect patients who have 
        experienced an overdose with appropriate treatment, including 
        overdose reversal medications, medication assisted treatment, 
        and appropriate counseling and behavioral therapies.''.
            (5) Waiver.--Section 544 of the Public Health Service Act 
        (42 U.S.C. 290dd-3) is amended--
                    (A) by redesignating subsections (d) through (f) as 
                subsections (e) through (g), respectively;
                    (B) in subsection (f), as so redesignated, by 
                striking ``subsection (d)'' and inserting ``subsection 
                (e)''; and
                    (C) by inserting after subsection (c) the 
                following:
    ``(d) Waiver.--If the laws, regulations, or orders of a grantee 
under this section conflict in any respect with the requirements of the 
grant, the Secretary shall waive such requirements to the extent 
necessary to allow the grantee to carry out the activities described in 
subsection (c).''.
            (6) Authorization of appropriations.--Section 544(g) of the 
        Public Health Service Act (42 U.S.C. 290dd-3), as redesignated, 
        is amended by striking ``fiscal years 2017 through 2021'' and 
        inserting ``fiscal years 2023 through 2027''.
            (7) Technical amendment.--Section 544 of the Public Health 
        Service Act (42 U.S.C. 290dd-3), as amended, is further amended 
        by striking ``approved or cleared'' each place it appears and 
        inserting ``approved, cleared, or otherwise authorized''.
    (b) Improving Access to Overdose Treatment.--Paragraph (1) of 
section 107(b) of the Comprehensive Addiction and Recovery Act of 2016 
(Public Law 114-198) is amended--
            (1) in the matter preceding subparagraph (A), by striking 
        ``Not later than 180 days after the date of enactment of this 
        Act;'';
            (2) by amending subparagraph (A) to read as follows:
                    ``(A) The Secretary of Health and Human Services 
                may provide information to States, Territories, 
                localities, Indian Tribes, Tribal organizations, and 
                Urban Indian organizations on best practices for 
                prescribing or co-prescribing a drug or device 
                approved, cleared, or otherwise authorized under the 
                Federal Food, Drug, and Cosmetic Act (21 U.S.C. 301 et 
                seq.) for emergency treatment of known or suspected 
                opioid overdose, including for patients receiving 
                chronic opioid therapy and patients being treated for 
                opioid use disorders.''; and
            (3) in subparagraphs (B) and (C), by striking ``approved or 
        cleared'' and inserting ``approved, cleared, or otherwise 
        authorized''.

SEC. 3. REAUTHORIZATION OF OPIOID OVERDOSE REVERSAL MEDICATION ACCESS, 
              EDUCATION, AND CO-PRESCRIBING GRANT PROGRAMS.

    (a) Grants.--Section 545 of the Public Health Service Act (42 
U.S.C. 290ee) is amended--
            (1) in the section heading, by striking ``access, and 
        education grant programs'' and inserting ``access, education, 
        and co-prescribing grant programs'';
            (2) in the heading of subsection (a), by striking ``Grants 
        to States'' and inserting ``Grants'';
            (3) in subsection (a), by striking ``shall make grants to 
        States'' and inserting ``shall make grants to States, 
        Territories, localities, Indian Tribes, Tribal organizations, 
        and Urban Indian organizations'';
            (4) in subsection (a)(1), by striking ``implement 
        strategies for pharmacists to dispense a drug or device'' and 
        inserting ``implement strategies that increase access to drugs 
        or devices'';
            (5) by redesignating paragraphs (3) and (4) as paragraphs 
        (4) and (5), respectively; and
            (6) by inserting after paragraph (2) the following:
            ``(3) encourage health care providers to co-prescribe, as 
        appropriate, drugs or devices approved, cleared, or otherwise 
        authorized under the Federal Food, Drug, and Cosmetic Act for 
        emergency treatment of known or suspected opioid overdose;''.
    (b) Grant Period.--Section 545(d)(2) of the Public Health Service 
Act (42 U.S.C. 290ee(d)(2)) is amended by striking ``3 years'' and 
inserting ``5 years''.
    (c) Limitation.--Paragraph (3) of section 545(d) of the Public 
Health Service Act (42 U.S.C. 290ee(d)) is amended to read as follows:
            ``(3) Limitations.--A State--
                    ``(A) may use not more than 10 percent of a grant 
                under this section for educating the public pursuant to 
                subsection (a)(5); and
                    ``(B) shall use at least 20 percent of a grant 
                under this section to offset cost-sharing for 
                distribution and dispensing of drugs or devices 
                approved, cleared, or otherwise authorized under the 
                Federal Food, Drug, and Cosmetic Act for emergency 
                treatment of known or suspected opioid overdose.''.
    (d) Waiver.--Section 545 of the Public Health Service Act (42 
U.S.C. 290ee) is amended--
            (1) by redesignating subsections (f) through (h) as 
        subsections (g) through (i), respectively; and
            (2) by inserting after subsection (e) the following:
    ``(f) Waiver.--If the laws, regulations, or orders of an applicant 
for a grantee under this section conflict in any respect with the 
requirements of the grant, the Secretary shall waive such requirements 
to the extent necessary to allow the grantee to carry out the 
activities described in subsection (a).''.
    (e) Authorization of Appropriations.--Section 545(i)(1) of the 
Public Health Service Act, as redesignated, is amended by striking 
``fiscal years 2017 through 2019'' and inserting ``fiscal years 2023 
through 2027''.
    (f) Technical Amendment.--Section 545 of the Public Health Service 
Act (42 U.S.C. 290ee), as amended, is further amended by striking 
``approved or cleared'' each place it appears and inserting ``approved, 
cleared, or otherwise authorized''.
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