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114th Congress   }                                      {       Report
                        HOUSE OF REPRESENTATIVES
 2d Session      }                                      {      114-558

======================================================================



 
                     JOHN THOMAS DECKER ACT OF 2016

                                _______
                                

  May 10, 2016.--Committed to the Committee of the Whole House on the 
              State of the Union and ordered to be printed

                                _______
                                

  Mr. Upton, from the Committee on Energy and Commerce, submitted the 
                               following

                              R E P O R T

                        [To accompany H.R. 4969]

      [Including cost estimate of the Congressional Budget Office]

    The Committee on Energy and Commerce, to whom was referred 
the bill (H.R. 4969) to amend the Public Health Service Act to 
direct the Centers for Disease Control and Prevention to 
provide for informational materials to educate and prevent 
addiction in teenagers and adolescents who are injured playing 
youth sports and subsequently prescribed an opioid, having 
considered the same, report favorably thereon with an amendment 
and recommend that the bill as amended do pass.

                                CONTENTS

                                                                   Page
Purpose and Summary..............................................     2
Background and Need for Legislation..............................     2
Hearings.........................................................     2
Committee Consideration..........................................     3
Committee Votes..................................................     3
Committee Oversight Findings.....................................     3
Statement of General Performance Goals and Objectives............     3
New Budget Authority, Entitlement Authority, and Tax Expenditures     3
Earmark, Limited Tax Benefits, and Limited Tariff Benefits.......     3
Committee Cost Estimate..........................................     3
Congressional Budget Office Estimate.............................     3
Federal Mandates Statement.......................................     4
Duplication of Federal Programs..................................     4
Disclosure of Directed Rule Makings..............................     5
Advisory Committee Statement.....................................     5
Applicability to Legislative Branch..............................     5
Section-by-Section Analysis of the Legislation...................     5
Changes in Existing Law Made by the Bill, as Reported............     5

    The amendment is as follows:
  Strike all after the enacting clause and insert the 
following:

SECTION 1. SHORT TITLE.

  This Act may be cited as the ``John Thomas Decker Act of 2016''.

SEC. 2. INFORMATION MATERIALS AND RESOURCES TO PREVENT ADDICTION 
                    RELATED TO YOUTH SPORTS INJURIES.

  (a) Technical Clarification.--Effective as if included in the 
enactment of the Children's Health Act of 2000 (Public Law 106-310), 
section 3405(a) of such Act (114 Stat. 1221) is amended by striking 
``Part E of title III'' and inserting ``Part E of title III of the 
Public Health Service Act''.
  (b) Amendment.--Title III of the Public Health Service Act is amended 
by inserting after part D of such title (42 U.S.C. 254b et seq.) the 
following new part E:

                     ``PART E--OPIOID USE DISORDER

``SEC. 341. INFORMATION MATERIALS AND RESOURCES TO PREVENT ADDICTION 
                    RELATED TO YOUTH SPORTS INJURIES.

  ``(a) Report.--The Secretary shall--
          ``(1) not later than 24 months after the date of the 
        enactment of this section, make publicly available a report 
        determining the extent to which informational materials and 
        resources described in subsection (b) are available to 
        teenagers and adolescents who play youth sports, families of 
        such teenagers and adolescents, nurses, youth sports groups, 
        and relevant health care provider groups; and
          ``(2) for purposes of educating and preventing addiction in 
        teenagers and adolescents who are injured playing youth sports 
        and are subsequently prescribed an opioid, not later than 12 
        months after such report is made publicly available and taking 
        into consideration the findings of such report, develop and, in 
        coordination with youth sports groups, disseminate 
        informational materials and resources described in subsection 
        (b) for teenagers and adolescents who play youth sports, 
        families of such teenagers and adolescents, nurses, youth 
        sports groups, and relevant health care provider groups.
  ``(b) Materials and Resources Described.--For purposes of this 
section, the informational materials and resources described in this 
subsection are informational materials and resources with respect to 
youth sports injuries for which opioids are potentially prescribed and 
subsequently potentially lead to addiction, including materials and 
resources focused on the dangers of opioid use and misuse, treatment 
options for such injuries that do not involve the use of opioids, and 
how to seek treatment for addiction.
  ``(c) No Additional Funds.--No additional funds are authorized to be 
appropriated for the purpose of carrying out this section. This section 
shall be carried out using amounts otherwise available for such 
purpose.''.

                          Purpose and Summary

    H.R. 4969, the ``John Thomas Decker Act of 2016,'' was 
introduced by Rep. Patrick Meehan (R-PA) on April 15, 2016.

                  Background and Need for Legislation

    The legislation amends the Public Health Service Act (PHSA) 
to direct the Department of Health and Human Services (HHS) to 
study what information and resources are available to youth 
athletes and their families regarding the dangers of opioid use 
and abuse, non-opioid treatment options, and how to seek 
addiction treatment. HHS would then be required to report its 
findings and work with stakeholders to disseminate resources to 
students, parents, and those involved in treating a sports-
related injury.

                                Hearings

    The Committee on Energy and Commerce has not held hearings 
on the legislation.

                        Committee Consideration

    On April 20, 2016 the Subcommittee on Health met in open 
markup session and forwarded H.R. 4969, as amended, to the full 
Committee by a voice vote. On April 26, 27, and 28, 2016, the 
full Committee on Energy and Commerce met in open markup 
session and ordered H.R. 4969 reported to the House, as 
amended, by a voice vote.

                            Committee Votes

    Clause 3(b) of rule XIII of the Rules of the House of 
Representatives requires the Committee to list the record votes 
on the motion to report legislation and amendments thereto. 
There were no record votes taken in connection with ordering 
H.R. 4969 reported.

                      Committee Oversight Findings

    Pursuant to clause 3(c)(1) of rule XIII of the Rules of the 
House of Representatives, the Committee has not held hearings 
on this legislation.

         Statement of General Performance Goals and Objectives

    The goal of the legislation is to help educate youth 
athletes and their families on the dangers of opioid addiction.

   New Budget Authority, Entitlement Authority, and Tax Expenditures

    In compliance with clause 3(c)(2) of rule XIII of the Rules 
of the House of Representatives, the Committee finds that H.R. 
4969, would result in no new or increased budget authority, 
entitlement authority, or tax expenditures or revenues.

       Earmark, Limited Tax Benefits, and Limited Tariff Benefits

    In compliance with clause 9(e), 9(f), and 9(g) of rule XXI 
of the Rules of the House of Representatives, the Committee 
finds that H.R. 4969 contains no earmarks, limited tax 
benefits, or limited tariff benefits.

                        Committee Cost Estimate

    The Committee adopts as its own the cost estimate prepared 
by the Director of the Congressional Budget Office pursuant to 
section 402 of the Congressional Budget Act of 1974.

                  Congressional Budget Office Estimate

    Pursuant to clause 3(c)(3) of rule XIII of the Rules of the 
House of Representatives, the following is the cost estimate 
provided by the Congressional Budget Office pursuant to section 
402 of the Congressional Budget Act of 1974:

                                     U.S. Congress,
                               Congressional Budget Office,
                                       Washington, DC, May 9, 2016.
Hon. Fred Upton,
Chairman, Committee on Energy and Commerce,
House of Representatives, Washington, DC.
    Dear Mr. Chairman: The Congressional Budget Office has 
prepared the enclosed cost estimate for H.R. 4969, the John 
Thomas Decker Act of 2016.
    If you wish further details on this estimate, we will be 
pleased to provide them. The CBO staff contact is Rebecca Yip.
            Sincerely,
                                                        Keith Hall.
    Enclosure.

H.R. 4969--John Thomas Decker Act of 2016

    H.R. 4969 would direct the Secretary of Health and Human 
Services (HHS) to develop and disseminate educational materials 
to teens and adolescents who play youth sports and may be 
prescribed opioids following a sports injury. These materials 
would include information regarding the dangers of opioid use 
and misuse, the different treatment options for sport injuries, 
and how to obtain treatment for opioid addiction. In addition, 
the bill would require the Centers for Disease Control and 
Prevention to produce a report on the availability of this 
information. CBO estimates that implementing H.R. 4969 would 
cost $2 million over the 2017-2021 period, assuming the 
availability of appropriated funds.
    Under current law, HHS develops and disseminates 
educational materials regarding opioid addiction. The bill 
would require the agency to build upon current activities by 
developing materials with a focus on youth sports. Based on 
historical spending for similar activities, CBO estimates that 
implementing this provision would cost $2 million over the 
2017-2021 period, primarily for additional staff and other 
administrative costs.
    Because direct spending or revenues would not be affected, 
pay-as-you-go procedures do not apply. CBO estimates that 
enacting H.R. 4969 would not increase net direct spending or 
on-budget deficits in any of the four consecutive 10-year 
periods beginning in 2027.
    H.R. 4969 contains no intergovernmental or private-sector 
mandates as defined in the Unfunded Mandates Reform Act and 
would impose no costs on state, local, or tribal governments.
    The CBO staff contact for this estimate is Rebecca Yip. The 
estimate was approved by Holly Harvey, Deputy Assistant 
Director for Budget Analysis.

                       Federal Mandates Statement

    The Committee adopts as its own the estimate of Federal 
mandates prepared by the Director of the Congressional Budget 
Office pursuant to section 423 of the Unfunded Mandates Reform 
Act.

                    Duplication of Federal Programs

    No provision of H.R. 4969 establishes or reauthorizes a 
program of the Federal Government known to be duplicative of 
another Federal program, a program that was included in any 
report from the Government Accountability Office to Congress 
pursuant to section 21 of Public Law 111-139, or a program 
related to a program identified in the most recent Catalog of 
Federal Domestic Assistance.

                  Disclosure of Directed Rule Makings

    The Committee estimates that enacting H.R. 4969 
specifically directs to be completed 0 rule makings within the 
meaning of 5 U.S.C. 551.

                      Advisory Committee Statement

    No advisory committees within the meaning of section 5(b) 
of the Federal Advisory Committee Act were created by this 
legislation.

                  Applicability to Legislative Branch

    The Committee finds that the legislation does not relate to 
the terms and conditions of employment or access to public 
services or accommodations within the meaning of section 
102(b)(3) of the Congressional Accountability Act.

             Section-by-Section Analysis of the Legislation


Section 1. Short title

    Section 1 states that the legislation may be cited as the 
``John Thomas Decker Act of 2016.''

Section 2. Information materials and resources to prevent addiction 
        related to youth sports injuries

    Section 2 amends the PHSA by adding Section 393E. The new 
section would require the Secretary of HHS to issue a report on 
determining the extent to which opioid addiction informational 
materials and resources are available to teenagers and 
adolescents who play youth sports. No later than 12 months 
after the report is made public, the Secretary shall 
disseminate informational materials and resources for youth 
sport participants and their families while taking into account 
the report's findings.

         Changes in Existing Law Made by the Bill, as Reported

  In compliance with clause 3(e) of rule XIII of the Rules of 
the House of Representatives, changes in existing law made by 
the bill, as reported, are shown as follows (existing law 
proposed to be omitted is enclosed in black brackets, new 
matter is printed in italic, and existing law in which no 
change is proposed is shown in roman):

                     CHILDREN'S HEALTH ACT OF 2000




           *       *       *       *       *       *       *
DIVISION B--YOUTH DRUG AND MENTAL HEALTH SERVICES

           *       *       *       *       *       *       *


TITLE XXXIV--PROVISIONS RELATING TO FLEXIBILITY AND ACCOUNTABILITY

           *       *       *       *       *       *       *


SEC. 3405. REPEAL OF OBSOLETE ADDICT REFERRAL PROVISIONS.

  (a) Repeal of Obsolete Public Health Service Act 
Authorities.--[Part E of title III] Part E of title III of the 
Public Health Service Act (42 U.S.C. 257 et seq.) is repealed.
  (b) Repeal of Obsolete NARA Authorities.--Titles III and IV 
of the Narcotic Addict Rehabilitation Act of 1966 (Public Law 
89-793) are repealed.
  (c) Repeal of Obsolete Title 28 Authorities.--
          (1) In general.-- Chapter 175 of title 28, United 
        States Code, is repealed.
          (2) Table of contents.-- The table of contents to 
        part VI of title 28, United States Code, is amended by 
        striking the items relating to chapter 175.

           *       *       *       *       *       *       *

                              ----------                              


                       PUBLIC HEALTH SERVICE ACT




           *       *       *       *       *       *       *
TITLE III--GENERAL POWERS AND DUTIES OF PUBLIC HEALTH SERVICE

           *       *       *       *       *       *       *



            [Part E--Narcotic Addicts and Other Drug Abusers


                          [care and treatment

  [Sec. 341. (a) The Surgeon General is authorized to provide 
for the confinement, care, protection, treatment, and 
discipline of persons addicted to the use of habit-forming 
narcotic drugs who are civilly committed to treatment under the 
Narcotic Addict Rehabilitation Act of 1966, addicts and other 
persons with drug abuse and drug dependence problems who 
voluntarily submit themselves for treatment, and addicts 
convicted of offenses against the United States, including 
persons convicted by general courts-martial and consular 
courts. Such care and treatment shall be provided at hospitals 
of the Service especially equipped for the accommodation of 
such patients or elsewhere where authorized under other 
provisions of law, and shall be designed to rehabilitate such 
persons, to restore them to health, and, where necessary, to 
train them to be self-supporting and self-reliant; but nothing 
in this section or in this part shall be construed to limit the 
authority of the Surgeon General under other provisions of law 
to provide for the conditional release of patients and for 
aftercare under supervision. In carrying out this subsection, 
the Secretary shall establish in each hospital and other 
appropriate medical facility of the Service a treatment and 
rehabilitation program for drug addicts and other persons with 
drug abuse and drug dependence problems who are in the area 
served by such hospital or other facility; except that the 
requirement of this sentence shall not apply in the case of any 
such hospital or other facility with respect to which the 
Secretary determines that there is not sufficient need for such 
a program in such hospital or other facility.
  [(b) Upon the admittance to, and departure from, a hospital 
of the Service of a person who voluntarily submitted himself 
for treatment pursuant to the provisions of this section, and 
who at the time of his admittance to such hospital was a 
resident of the District of Columbia, the Surgeon General shall 
furnish to the Commissioners of the District of Columbia or 
their designated agent, the name, address, and such other 
pertinent information as may be useful in the rehabilitation to 
society of such person.
  [(c) The Secretary may enter into agreements with the 
Secretary of Veterans Affairs, the Secretary of Defense, and 
the head of any other department or agency of the Government 
under which agreements hospitals and other appropriate medical 
facilities of the Service may be used in treatment and 
rehabilitation programs provided by such department or agency 
for drug addicts and other persons with drug abuse and other 
drug dependence problems who are in areas served by such 
hospitals or other facilities.

   [employment of addicts or other persons with drug abuse and drug 
                          dependence problems

  [Sec. 342. Narcotic addicts or other persons with drug abuse 
and drug dependence problems in hospitals of the Service 
designated for their care shall be employed in such manner and 
under such conditions as the Surgeon General may direct. In 
such hospitals the Surgeon General may, in his discretion, 
establish industries, plants, factories, or shops for the 
production and manufacture of articles, commodities, and 
supplies for the United States Government. The Secretary of the 
Treasury may require any Government department, establishment, 
or other institution, for whom appropriations are made directly 
or indirectly by the Congress of the United States, to purchase 
at current market prices, as determined by him or his 
authorized representative, such of the articles, commodities, 
or supplies so produced or manufactured as meet their 
specifications; and the Surgeon General shall provide for 
payment to the inmates or their dependents of such pecuniary 
earnings as he may deem proper. The Secretary shall establish a 
working-capital fund for such industries, plants, factories, 
and shops out of any funds appropriated for Public Health 
Service hospitals at which addicts or other persons with drug 
abuse and drug dependence problems are treated and cared for; 
and such fund shall be available for the purchase, repair, or 
replacement of machinery or equipment, for the purchase of raw 
materials and supplies, for the purchase of uniforms and other 
distinctive wearing apparel of employees in the performance of 
their official duties, and for the employment of necessary 
civilian officers and employees. The Surgeon General may 
provide for the disposal of products of the industrial 
activities conducted pursuant to this section, and the proceeds 
of any sales thereof shall be covered into the Treasury of the 
United States to the credit of the working-capital fund.

                               [convicts

  [Sec. 343. (a) The authority vested with the power to 
designate the place of confinement of a prisoner shall transfer 
to hospitals of the Service especially equipped for the 
accommodation of addicts or other persons with drug abuse and 
drug dependence problems, if accommodations are available, all 
addicts or other persons with drug abuse and drug dependence 
problems who have been or are hereafter sentenced to 
confinement, or who are now or shall hereafter be confined, in 
any penal, correctional, disciplinary, or reformatory 
institution of the United States, including those addicts or 
other persons with drug abuse and drug dependence problems 
convicted of offenses against the United States who are 
confined in State and Territorial prisons, penitentiaries, and 
reformatories, except that no addict or other person with a 
drug abuse or other drug dependence problem shall be 
transferred to a hospital of the Service who, in the opinion of 
the officer authorized to direct the transfer, is not a proper 
subject for confinement in such an institution either because 
of the nature of the crime he has committed or because of his 
apparent incorrigibility. The authority vested with the power 
to designate the place of confinement of a prisoner shall 
transfer from a hospital of the Service to the institution from 
which he was received, or to such other institution as may be 
designated by the proper authority, any addict or other person 
with a drug abuse or other drug dependence problem whose 
presence at a hospital of the Service is detrimental to the 
well-being of the hospital or who does not continue to be a 
narcotic addict or other person with a drug abuse or other drug 
dependence problem. All transfers of such prisoners to or from 
a hospital of the Service shall be accompanied by necessary 
attendants as directed by the officer in charge of such 
hospital and the actual and necessary expenses incident to such 
transfers shall be paid from the appropriation for the 
maintenance of such Service hospital except to the extent that 
other Federal agencies are authorized or required by law to pay 
expenses incident to such transfers. When sentence is 
pronounced against any person whom the prosecuting officer 
believes to be an addict or other person with a drug abuse or 
other drug dependence problem such officer shall report to the 
authority vested with the power to designate the place of 
confinement, the name of such person, the reasons for his 
belief, all pertinent facts bearing on such addiction, drug 
abuse, or drug dependence and the nature of the offense 
committed. Whenever an alien addict or other person with a drug 
abuse or other drug dependence problem transferred to a Service 
hospital pursuant to this subsection is entitled to his 
discharge but is subject to deportation, in lieu of being 
returned to the penal institution from which he came he shall 
be deported by the authority vested by law with power over 
deportation.
  [(c) Not later than one month prior to the expiration of the 
sentence of any addict or other person with a drug abuse or 
other drug dependence problem confined in a Service hospital, 
he shall be examined by the Surgeon General or his authorized 
representative. If the Surgeon General believes the person to 
be discharged is still an addict or other person with a drug 
abuse or other drug dependence problem and that he may by 
further treatment in a Service hospital be cured of his 
addiction, drug abuse, or drug dependence the addict or other 
person with a drug abuse or other drug dependence problem shall 
be informed, in accordance with regulations, of the 
advisability of his submitting himself to further treatment. 
The addict or other person with a drug abuse or other drug 
dependence problem may then apply in writing to the Surgeon 
General for further treatment in a Service hospital for a 
period not exceeding the maximum length of time considered 
necessary by the Surgeon General. Upon approval of the 
application by the Surgeon General or his authorized agent, the 
addict or other person with a drug abuse or other drug 
dependence problem may be given such further treatment as is 
necessary to cure him of his addiction, drug abuse, or drug 
dependence.
  [(d) Every person convicted of an offense against the United 
States, upon discharge, or upon release on parole or supervised 
release from a hospital of the Service, shall be furnished with 
the gratuities and transportation authorized by law to be 
furnished to prisoners upon release from a penal, correctional, 
disciplinary, or reformatory institution.
  [(e) Any court of the United States having the power to 
suspend the imposition or execution of sentence and to place a 
defendant on probation under any existing laws may impose as 
one of the conditions of such probation that the defendant, if 
an addict, or other person with a drug abuse or other drug 
dependence problem shall submit himself for treatment at a 
hospital of the Service especially equipped for the 
accommodation of addicts or other persons with drug abuse and 
drug dependence problems until discharged therefrom as cured 
and that he shall be admitted thereto for such purpose. Upon 
the discharge of any such probationer from a hospital of the 
Service, he shall be furnished with the gratuities and 
transportation authorized by law to be furnished to prisoners 
upon release from a penal, correctional, disciplinary, or 
reformatory institution. The actual and necessary expense 
incident to transporting such probationer to such hospital and 
to furnishing such transportation and gratuities shall be paid 
from the appropriation for the maintenance of such hospital 
except to the extent that other Federal agencies are authorized 
or required by law to pay the cost of such transportation: 
Provided, That where existing law vests a discretion in any 
officer as to the place to which transportation shall be 
furnished or as to the amount of clothing and gratuities to be 
furnished, such discretion shall be exercised by the Surgeon 
General with respect to addicts or other persons with drug 
abuse and drug dependence problems discharged from hospitals of 
the Service.

                          [voluntary patients

  [Sec. 344. (a) Any addict, or other person with a drug abuse 
or other drug dependence problem whether or not he shall have 
been convicted of an offense against the United States, may 
apply to the Surgeon General for admission to a hospital of the 
Service especially equipped for the accommodation of addicts or 
other persons with drug abuse and drug dependence problems.
  [(b) Any applicant shall be examined by the Surgeon General 
who shall determine whether the applicant is an addict, or 
other person with a drug abuse or other drug dependence problem 
whether by treatment in a hospital of the Service he may 
probably be cured of his addiction, drug abuse, or drug 
dependence and the estimated length of time necessary to effect 
his cure. The Surgeon General may, in his discretion, admit the 
applicant to a Service hospital. No such addict or other person 
with drug abuse or other drug dependence problem shall be 
admitted unless he agrees to submit to treatment for the 
maximum amount of time estimated by the Surgeon General to be 
necessary to effect a cure, and unless suitable accommodations 
are available after all eligible addicts or other persons with 
drug abuse and drug dependence problems convicted of offenses 
against the United States have been admitted. Any such addict 
or other person with a drug abuse or other drug dependence 
problem may be required to pay for his subsistence, care, and 
treatment at rates fixed by the Surgeon General and amounts so 
paid shall be covered into the Treasury of the United States to 
the credit of the appropriation from which the expenditure for 
his subsistence, care, and treatment was made. Appropriations 
available for the care and treatment of addicts or other 
persons with drug abuse and drug dependence problems admitted 
to a hospital of the Service under this section shall be 
available, subject to regulations, for paying the cost of 
transportation to any place within the continental United 
States, including subsistence allowance while traveling, for 
any indigent addict or other person with a drug abuse or other 
drug dependence problem who is discharged as cured.
  [(c) Any addict or other person with a drug abuse or other 
drug dependence problem admitted for treatment under this 
section, including any addict, or other person with a drug 
abuse or other drug dependence problem not convicted of an 
offense, who voluntarily submits himself for treatment, may be 
confined in a hospital of the Service for a period not 
exceeding the maximum amount of time estimated by the Surgeon 
General as necessary to effect a cure of the addiction, drug 
abuse, or drug dependence or until such time as he ceases to be 
an addict or other person with a drug abuse or other drug 
dependence problem.
  [(d) Any addict or other person with a drug abuse or other 
drug dependence problem admitted for treatment under this 
section shall not thereby forfeit or abridge any of his rights 
as a citizen of the United States; nor shall such admission or 
treatment be used against him in any proceeding in any court; 
and the record of his voluntary commitment shall, except as 
otherwise provided by this Act, be confidential and shall not 
be divulged.

              [persons committed from district of columbia

  [Sec. 345. (a) The Surgeon General is authorized to admit for 
care and treatment in any hospital of the Service suitably 
equipped therefor, and thereafter to transfer between hospitals 
of the Service in accordance with section 321(b), any addict 
who is committed, under the provisions of the Act of June 24, 
1953 (Public Law 76, Eighty-third Congress), to the Service or 
to a hospital thereof for care and treatment and who the 
Surgeon General determines is a proper subject for care and 
treatment. No such addict shall be admitted unless (1) 
committed prior to July 1, 1958; and (2) at the time of 
commitment, the number of persons in hospitals of the Service 
who have been admitted pursuant to this subsection is less than 
100; and (3) suitable accommodations are available after all 
eligible addicts convicted of offenses against the United 
States have been admitted.
  [(b) Any person admitted to a hospital of the Service 
pursuant to subsection (a) shall be discharged therefrom (1) 
upon order of the Superior Court of the District of Columbia, 
or (2) when he is found by the Surgeon General to be cured and 
rehabilitated. When any such person is so discharged, the 
Surgeon General shall give notice thereof to the Superior Court 
of the District of Columbia and shall deliver such person to 
such court for such further action as such court may deem 
necessary and proper under the provisions of the Act of June 
24, 1953 (Public Law 76, Eighty-third Congress).
  [(c) With respect to the detention, transfer, parole, or 
discharge of any person committed to a hospital of the Service 
in accordance with subsection (a), the Surgeon General and the 
officer in charge of the hospital, in addition to authority 
otherwise vested in them, shall have such authority as may be 
conferred upon them, respectively, by the order of the 
committing court.
  [(d) The cost of providing care and treatment for persons 
admitted to a hospital of the Service pursuant to subsection 
(a) shall be a charge upon the District of Columbia and shall 
be paid by the District of Columbia to the Public Health 
Service, either in advance or otherwise, as may be determined 
by the Surgeon General. Such cost may be determined for each 
addict or on the basis of rates established for all or 
particular classes of patients, and shall include the cost of 
transportation to and from facilities of the Public Health 
Service. Moneys so paid to the Public Health Service shall be 
covered into the Treasury of the United States as miscellaneous 
receipts. Appropriations available for the care and treatment 
of addicts admitted to a hospital of the Service under this 
section shall be available, subject to regulations, for paying 
the cost of transportation to the District of Columbia, 
including subsistence allowance while traveling, for any such 
addict who is discharged.

                               [penalties

  [Sec. 346. (a) Any person not authorized by law or by the 
Surgeon General who introduces or attempts to introduce into or 
upon the grounds of any hospital of the Service at which 
addicts or other persons with drug abuse and drug dependence 
problems are treated and cared for, any habit-forming narcotic 
drug, or substance controlled under the Controlled Substances 
Act, weapon, or any other contraband article or thing, or any 
contraband letter or message intended to be received by an 
inmate thereof, shall be guilty of a felony and, upon 
conviction thereof, shall be punished by imprisonment for not 
more than ten years.
  [(b) It shall be unlawful for any person properly committed 
thereto to escape or attempt to escape from a hospital of the 
Service at which addicts or other persons with drug abuse and 
drug dependence problems are treated and cared for, and any 
such person upon apprehension and conviction in a United States 
court shall be punished by imprisonment for not more than five 
years, such sentence to begin upon the expiration of the 
sentence for which such person was originally confined.
  [(c) Any person who procures the escape of any person 
admitted to a hospital of the Service at which addicts or other 
persons with drug abuse and drug dependence problems are 
treated and cared for, or who advises, connives at, aids, or 
assists in such escape, or who conceals any such inmate after 
such escape, shall be punished upon conviction in a United 
States court by imprisonment in the penitentiary for not more 
than three years.

                          [release of patients

  [Sec. 347. For purposes of this Act, an individual shall be 
deemed cured of his addiction, drug abuse, or drug dependence, 
and rehabilitated if the Surgeon General determines that he has 
received the maximum benefits of treatment and care by the 
Service for his addiction, drug abuse, or drug dependence, or 
if the Surgeon General determines that his further treatment 
and care for such purpose would be detrimental to the interests 
of the Service.]

                      PART E--OPIOID USE DISORDER

SEC. 341. INFORMATION MATERIALS AND RESOURCES TO PREVENT ADDICTION 
                    RELATED TO YOUTH SPORTS INJURIES.

  (a) Report.--The Secretary shall--
          (1) not later than 24 months after the date of the 
        enactment of this section, make publicly available a 
        report determining the extent to which informational 
        materials and resources described in subsection (b) are 
        available to teenagers and adolescents who play youth 
        sports, families of such teenagers and adolescents, 
        nurses, youth sports groups, and relevant health care 
        provider groups; and
          (2) for purposes of educating and preventing 
        addiction in teenagers and adolescents who are injured 
        playing youth sports and are subsequently prescribed an 
        opioid, not later than 12 months after such report is 
        made publicly available and taking into consideration 
        the findings of such report, develop and, in 
        coordination with youth sports groups, disseminate 
        informational materials and resources described in 
        subsection (b) for teenagers and adolescents who play 
        youth sports, families of such teenagers and 
        adolescents, nurses, youth sports groups, and relevant 
        health care provider groups.
  (b) Materials and Resources Described.--For purposes of this 
section, the informational materials and resources described in 
this subsection are informational materials and resources with 
respect to youth sports injuries for which opioids are 
potentially prescribed and subsequently potentially lead to 
addiction, including materials and resources focused on the 
dangers of opioid use and misuse, treatment options for such 
injuries that do not involve the use of opioids, and how to 
seek treatment for addiction.
  (c) No Additional Funds.--No additional funds are authorized 
to be appropriated for the purpose of carrying out this 
section. This section shall be carried out using amounts 
otherwise available for such purpose.

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