S. 799 — what changed

changed Strategy— Opioid prescription rates have risen dramatically over In carrying out subsection (a), the past several years. According Secretary shall develop a strategy to the Centers for Disease Control address gaps in research and Prevention, gaps, overlap, and duplication among Federal programs, including those identified in some States, there are as many as 96 to 143 prescriptions for opioids per 100 adults per year.findings made by reports of the Government Accountability Office. Such strategy shall address—

changed Report— In recent years, there has been a steady rise in Not later than 1 year after the number date of overdose deaths involving heroin. According enactment of this Act, the Secretary shall submit to the Centers for Disease Control Committee on Health, Education, Labor, and Prevention, Pensions of the death rate for heroin overdose doubled from 2010 to 2012.Senate and the Committee on Energy and Commerce of the House of Representatives a report concerning the findings of the review conducted under subsection (a) and the strategy developed under subsection (b).

changed In general— The Secretary of Health and Human Services (referred to in this Act as the “Secretary”), acting through the Director of the Agency for Healthcare Research and Quality (referred to in this section as the “Director”), shall conduct a study and develop recommendations for preventing and treating prenatal opioid abuse and neonatal abstinence syndrome, soliciting input from nongovernmental entities, use disorders, including organizations representing patients, health care providers, hospitals, other treatment facilities, and other entities, as appropriate.the effects of such disorders on infants. In carrying out this subsection the Secretary shall—

changed Report— Not later than 1 year 18 months after the date of enactment of this Act, the Director Secretary shall publish make available on the appropriate Internet Web site Website of the Agency for Healthcare Research Department of Health and Quality Human Services a report on the study and recommendations under subsection (a). Such report shall address each of the issues described in paragraphs (1) through (3) of subsection (c).

changed Contents— The study recommendations described in subsection (a) and the report under subsection (b) shall include—

changed a comprehensive assessment of existing research with respect to the prevention, identification, treatment, and long-term outcomes of neonatal abstinence syndrome, including the identification and treatment of pregnant women or women who may become pregnant who use opioids or other drugs;have opioid use disorders;

changed the causes of of, and risk factors for for, opioid use disorders among women of reproductive age, including pregnant women;

changed current practices in the health care system to respond to to, and treat treat, pregnant women with opioid use disorders and infants born with neonatal abstinence syndrome;affected by such disorders;

changed medically indicated use uses of opioids during pregnancy;

changed preventing, identifying, and treating neonatal abstinence syndrome in the effects of prenatal opioid use on infants;

changed treating pregnant women who are dependent on opioids; andhave opioid use disorders;

changed preventing opioid dependence use disorders among women of reproductive age, including pregnant women, who may be at risk of developing opioid dependence.use disorders; and

changed Strategy to close gaps in research and programming— In carrying out subsection (a), the Secretary shall develop a strategy providing technical assistance to address research support States and program gaps, including such gaps identified Federally recognized Indian Tribes in findings made by reports collecting information on neonatal abstinence syndrome through the utilization of existing surveillance systems and collaborating with States and Federally recognized Indian Tribes to improve the Government Accountability Office. Such strategy shall address—quality, consistency, and collection of such data; and

changed Report— Not later than 1 year after the date of enactment of this Act, the Secretary shall submit providing technical assistance to the Committee on Health, Education, Labor, and Pensions of the Senate and support States in implementing effective public health measures, such as disseminating information to educate the Committee on Energy public, health care providers, and Commerce of the House of Representatives a report other stakeholders on the findings of the review described in subsection (a) prenatal opioid use and the strategy developed under subsection (b).neonatal abstinence syndrome.