III 118th CONGRESS 2d Session S. RES. 692 IN THE SENATE OF THE UNITED STATES May 15, 2024 Mr. Grassley (for himself, Ms. Butler , Mr. Cramer , Mrs. Shaheen , Mr. Rubio , Ms. Cortez Masto , Mr. Daines , Mr. Blumenthal , Mr. Hagerty , Mr. Moran , Mr. Bennet , Mr. Hoeven , Mr. Brown , Ms. Rosen , Ms. Sinema , Mr. Casey , Ms. Baldwin , Mr. Whitehouse , Mr. Risch , Mr. Markey , Ms. Warren , Mr. Padilla , Mr. Kelly , Mr. King , Mr. Coons , Mr. Young , Mr. Merkley , Mr. Scott of Florida , Mr. Tester , Mrs. Blackburn , Ms. Hassan , Mr. Menendez , Mr. Warnock , Mrs. Britt , Ms. Klobuchar , Mr. Crapo , Mr. Manchin , Mrs. Capito , Mr. Sullivan , Mr. Graham , and Ms. Cantwell ) submitted the following resolution; which was considered and agreed to RESOLUTION Supporting the mission and goals of National Fentanyl Awareness Day in 2024, 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 counterfeit pills and falsely marketing them as legitimate prescription pills to deceive the people of the United States; 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 prescription drug misuse and the opioid crisis; 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 7 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 in 2023 was 79,500,000, up from 58,000,000 pills the year prior; Whereas, including the nearly 12,000 pounds of fentanyl powder seized in 2023, total fentanyl seizures are equivalent to more than 376,700,000 lethal doses of fentanyl; Whereas fake or counterfeit pills have been identified in all 50 States and the District of Columbia; Whereas illicit fentanyl has also been detected in illicit drugs such as heroin, cocaine, MDMA (ecstasy and molly), and methamphetamine; Whereas, for the 12-month period ending in November 2023, more than 109,000 individuals in the United States died of drug-induced deaths, and more than 76,000 of those deaths involved illicit fentanyl and other synthetic opioids; Whereas, over the last 20 years, drug-induced deaths among individuals 15 to 35 years of age have increased 5-fold, largely driven by the increase in illicit fentanyl drugs; Whereas, for the 12-month period ending in June 2023, illicit fentanyl was involved in more deaths of individuals 55 years of age and under 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 poisoning deaths for individuals 14 to 18 years of age increased by 128 percent, a rate of increase which was 77 percentage points higher than the national rate and higher than the rate for any other 5-year age group; Whereas, between 2019 and 2021, the number of deaths involving illicit fentanyl in drug overdose and poisoning deaths for individuals 14 to 18 years of age increased by 236 percent, a rate of increase which was 141 percentage points higher than the national rate and higher than the rate for any other 5-year age group over the age of 15; Whereas, since 2021, the annual number of drug overdose and poisoning deaths and those deaths involving illicit fentanyl in drug overdose and poisoning deaths for individuals 14 to 18 years of age has increased; Whereas, in the 12-month period ending June 2023, illicit fentanyl was involved in 81 percent of drug-induced deaths of individuals between 14 and 23 years of age, compared to 70 percent of drug-induced deaths of individuals of all ages; Whereas, at the end of 2022, only 48 percent of youth and 36 percent of teens in the United States were aware that fentanyl is being used to create counterfeit pills; Whereas, at the end of 2022, only 40 percent of youth and 31 percent of teens considered themselves knowledgeable about fentanyl; and Whereas, in 2022, there were 73,838 reported overdose deaths involving illicit fentanyl and other synthetic opioids: Now, therefore, be it

That the Senate— (1) supports the recognition and goals of National Fentanyl Awareness Day, which include increasing individual and public awareness of the impact 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) designates May 7, 2024, as National Fentanyl Awareness Day .