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Synthetic Opioid Danger Awareness Act (Cong. Rec., Nov. 30, 2021)

Summary

Page H6693 of the House section of the Congressional Record for November 30, 2021, under the heading Synthetic Opioid Danger Awareness Act. Mr. Pallone moves on the act, whose text requires an independent evaluation beginning 2 years after enactment and every 2 years thereafter, with baseline measures and benchmarks. A speaker says the Centers for Disease Control and Prevention estimated that over 100,000 people died of drug overdoses from April 2020 to April 2021, exacerbated by the COVID-19 pandemic. Another speaker supports H.R. 3743, Supporting the Foundation for the National Institutes of Health.

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“Synthetic Opioid Danger Awareness Act (Cong. Rec., Nov. 30, 2021).” Original at www.govinfo.gov. Archived at Pandemic Darlings, https://pandemicdarlings.com/source-documents/crec-crec-2021-11-30-crec-2021-11-30-pt1-pgh6693-78888df0e4/, SHA-256 1f376eabe9609eff0248c5ec6d724072ce4e5394171e806abdf46013f982257b.

Full text

                                            November 30, 2021                                 CONGRESSIONAL RECORD — HOUSE                                                                H6693
                                              Pursuant to clause 8 of rule XX, fur-                 subsection (a) is subject to an independent            opioid overdose crisis. From April 2020
                                            ther proceedings on this motion are                     evaluation, beginning 2 years after the date           to April 2021, the Centers for Disease
                                            postponed.                                              of the enactment of this section, and every 2          Control and Prevention estimated that
                                                                                                    years thereafter.
                                                             f                                                                                             over 100,000 people died due to drug
                                                                                                      ‘‘(2) MEASURES AND BENCHMARKS.—For pur-
                                                                                                    poses of an evaluation conducted pursuant to           overdoses, no doubt exacerbated by the
                                                SYNTHETIC OPIOID DANGER
                                                                                                    paragraph (1), the Secretary shall—                    COVID–19 pandemic.
                                                      AWARENESS ACT
                                                                                                      ‘‘(A) establish baseline measures and                  Synthetic opioids like fentanyl and
                                              Mr. PALLONE. Mr. Speaker, I move                      benchmarks to quantitatively evaluate the              fentanyl analogs significantly contrib-
                                            to suspend the rules and pass the bill                  impact of the campaign under this section;
                                                                                                                                                           uted to overdose deaths. In 2019, the
                                            (H.R. 2364) to amend title III of the                   and
                                                                                                      ‘‘(B) conduct qualitative assessments re-            CDC estimated that more than half of
                                            Public Health Service Act to direct the
                                                                                                    garding the effectiveness of strategies em-            overdose deaths involved synthetic
                                            Secretary, acting through the Director
                                                                                                    ployed under this section.                             opioids and drugs mixed with synthetic
                                            of the Centers for Disease Control and                    ‘‘(g) REPORT.—The Secretary shall, begin-            opioids, such as methamphetamine and
                                            Prevention, to provide for a public edu-                ning 2 years after the date of the enactment           cocaine mixed with fentanyl.
                                            cation campaign to raise public aware-                  of this section, and every 2 years thereafter,
                                            ness of synthetic opioids, as amended.                  submit to Congress a report on the effective-            The Energy and Commerce Com-
                                              The Clerk read the title of the bill.                 ness of the campaign implemented under                 mittee has worked throughout the pan-
                                              The text of the bill is as follows:                   subsection (a) towards meeting the measures            demic to address this crisis. The Amer-
                                                                H.R. 2364                           and benchmarks established under sub-                  ican Rescue Plan, passed and signed
                                                                                                    section (e)(2).                                        into law earlier this year, included the
                                              Be it enacted by the Senate and House of Rep-           ‘‘(h)   DISSEMINATION    OF    INFORMATION
                                            resentatives of the United States of America in         THROUGH PROVIDERS.—The Secretary shall                 largest-ever funding boost of over $3
                                            Congress assembled,                                     develop and implement a plan for the dis-              billion for mental health and substance
                                            SECTION 1. SHORT TITLE.                                 semination of information related to syn-              abuse block grants to the Substance
                                             This Act may be cited as the ‘‘Synthetic               thetic opioids, to health care providers who           Abuse and Mental Health Services Ad-
                                            Opioid Danger Awareness Act’’.                          participate in Federal programs, including             ministration, or SAMHSA. That $3 bil-
                                            SEC. 2. SYNTHETIC OPIOIDS PUBLIC AWARENESS              programs administered by the Department of             lion in funding has gone to critical
                                                        CAMPAIGN.                                   Health and Human Services, the Indian                  services for addiction treatment, pre-
                                              Part B of title III of the Public Health              Health Service, the Department of Veterans
                                            Service Act is amended by inserting after               Affairs, the Department of Defense, and the            vention, harm reduction, and recovery.
                                            section 317U (42 U.S.C. 247b–23) the following          Health Resources and Services Administra-                H.R. 2364, the Synthetic Opioid Dan-
                                            new section:                                            tion, the Medicare program under title XVIII           ger Awareness Act, provides an addi-
                                            ‘‘SEC. 317V. SYNTHETIC OPIOIDS PUBLIC AWARE-            of the Social Security Act, and the Medicaid           tional tool to address one piece of the
                                                          NESS CAMPAIGN.                            program under title XIX of such Act.’’.
                                                                                                                                                           opioid crisis. This bill requires the De-
                                               ‘‘(a) IN GENERAL.—Not later than one year            SEC. 3. TRAINING GUIDE AND OUTREACH ON
                                            after the date of the enactment of this sec-                       SYNTHETIC OPIOID EXPOSURE PRE-              partment of Health and Human Serv-
                                            tion, the Secretary shall provide for the                          VENTION.                                    ices to launch a public education cam-
                                            planning and implementation of a public                   (a) TRAINING GUIDE.—Not later than 18                paign on the health risks associated
                                            education campaign to raise public aware-               months after the date of the enactment of              with synthetic opioids and services
                                            ness of synthetic opioids (including fentanyl           this Act, the Secretary of Health and Human            available to address misuse of these
                                            and its analogues). Such campaign shall in-             Services shall design, publish, and make pub-
                                                                                                                                                           products. Further, HHS would be re-
                                            clude the dissemination of information                  licly available on the internet website of the
                                                                                                    Department of Health and Human Services, a             quired to disseminate information re-
                                            that—
                                                                                                    training guide and webinar for first respond-          garding synthetic opioids to healthcare
                                              ‘‘(1) promotes awareness about the potency
                                            and dangers of fentanyl and its analogues               ers and other individuals who also may be at           providers.
                                            and other synthetic opioids;                            high risk of exposure to synthetic opioids               The bill also directs HHS to produce
                                              ‘‘(2) explains services provided by the Sub-          that details measures to prevent that expo-
                                                                                                    sure.
                                                                                                                                                           training materials for first responders
                                            stance Abuse and Mental Health Services                                                                        and other professionals at a higher oc-
                                                                                                      (b) OUTREACH.—Not later than 18 months
                                            Administration and the Centers for Disease
                                                                                                    after the date of the enactment of this Act,           cupational risk of coming into contact
                                            Control and Prevention (and any entity pro-
                                            viding such services under a contract entered
                                                                                                    the Secretary of Health and Human Services             with synthetic opioids. It also requires
                                                                                                    shall also conduct outreach about the avail-           the agency to conduct outreach about
                                            into with such agencies) with respect to the
                                                                                                    ability of the training guide and webinar              the availability of these materials in
                                            misuse of opioids, particularly as such serv-
                                                                                                    published under subsection (a) to—
                                            ices relate to the provision of alternative,                                                                   order to help those on the front lines
                                                                                                      (1) police and fire managements;
                                            non-opioid pain management treatments;
                                                                                                      (2) sheriff deputies in city and county jails;       be aware of the risks associated with
                                            and                                                                                                            synthetic opioids.
                                                                                                      (3) ambulance transport and hospital emer-
                                              ‘‘(3) relates generally to opioid use and
                                                                                                    gency room personnel;                                    The bill is another step the Energy
                                            pain management.
                                                                                                      (4) clinicians; and                                  and Commerce Committee has taken to
                                              ‘‘(b) USE OF MEDIA.—The campaign under
                                                                                                      (5) other high-risk occupations, as identi-
                                            subsection (a) may be implemented through                                                                      address the opioid crisis and protect
                                                                                                    fied by the Assistant Secretary for Mental
                                            the use of television, radio, internet, in-per-                                                                the health and safety of our commu-
                                                                                                    Health and Substance Use.
                                            son public communications, and other com-                                                                      nities. The committee passed this leg-
                                            mercial marketing venues and may be tar-                  The SPEAKER pro tempore. Pursu-
                                                                                                                                                           islation with unanimous, bipartisan
                                            geted to specific age groups.                           ant to the rule, the gentleman from
                                                                                                                                                           support in July.
                                              ‘‘(c) CONSIDERATION OF REPORT FINDINGS.—              New Jersey (Mr. PALLONE) and the gen-
                                            In planning and implementing the public                 tleman from Kentucky (Mr. GUTHRIE)                       I want to thank my New Jersey dele-
                                            education campaign under subsection (a),                each will control 20 minutes.                          gation colleague, Representative KIM,
                                            the Secretary shall take into consideration               The Chair recognizes the gentleman                   and Representative PAPPAS of New
                                            the findings of the report required under sec-          from New Jersey.                                       Hampshire for leading this important
                                            tion 7001 of the SUPPORT for Patients and
                                            Communities Act (Public Law 115–271).                                     GENERAL LEAVE                        legislation. I urge my colleagues to
                                              ‘‘(d) CONSULTATION.—In coordinating the                 Mr. PALLONE. Mr. Speaker, I ask                      support H.R. 2364, the Synthetic Opioid
                                            campaign under subsection (a), the Sec-                 unanimous consent that all Members                     Danger Awareness Act, and I reserve
                                            retary shall consult with the Assistant Sec-            have 5 legislative days in which to re-                the balance of my time.
                                            retary for Mental Health and Substance Use              vise and extend their remarks and in-                    Mr. GUTHRIE. Mr. Speaker, I yield
                                            to provide ongoing advice on the effective-             clude any extraneous material on H.R.
                                            ness of information disseminated through
                                                                                                                                                           myself such time as I may consume.
                                                                                                    2364.
                                            the campaign.                                             The SPEAKER pro tempore. Is there                      Mr. Speaker, I rise today in support
                                              ‘‘(e) REQUIREMENT OF CAMPAIGN.—The cam-                                                                      of H.R. 2364, the Synthetic Opioid Dan-
                                                                                                    objection to the request of the gen-




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                                            paign implemented under subsection (a)                                                                         ger Awareness Act. Synthetic opioids,
                                            shall not be duplicative of any other Federal           tleman from New Jersey?
                                                                                                      There was no objection.                              including fentanyl and fentanyl-related
                                            efforts relating to eliminating the misuse of
                                            opioids.                                                  Mr. PALLONE. Mr. Speaker, I yield                    substances, have been the primary
                                              ‘‘(f) EVALUATION.—                                    myself such time as I may consume.                     drivers of the rise in overdose deaths
                                              ‘‘(1) IN GENERAL.—The Secretary shall en-               Mr. Speaker, we have hit a tragic                    that we have seen over the past year
                                            sure that the campaign implemented under                milestone in our battle against the                    and beyond.



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                                            H6694                                             CONGRESSIONAL RECORD — HOUSE                                                      November 30, 2021
                                               H.R. 2364 requires the Secretary of                     Continuing education on fentanyl and syn-                             GENERAL LEAVE
                                            Health and Human Services to imple-                     thetic opioids is essential for ensuring the             Mr. PALLONE. Mr. Speaker, I ask
                                            ment a public education campaign re-                    health and safety of fire fighters and para-           unanimous consent that all Members
                                            lated to synthetic opioids. Addition-                   medics.                                                may have 5 legislative days in which to
                                            ally, the Secretary is required to pub-                    Passing the Synthetic Opioid Danger                 revise and extend their remarks and in-
                                            lish a training guidance and webinar                    Awareness Act is a step towards ensuring the           clude extraneous material on H.R. 3743.
                                            for first responders and other individ-                 health and wellness of American citizens and             The SPEAKER pro tempore. Is there
                                            uals to better understand synthetic                     reducing the impact synthetic opioids impose           objection to the request of the gen-
                                            opioid exposure prevention. This cam-                   on American communities.                               tleman from New Jersey?
                                            paign will promote awareness around                        I urge my colleagues to pass this bill and I          There was no objection.
                                            the dangers of synthetic opioids and                    thank Congressman ANDY KIM for introducing               Mr. PALLONE. Mr. Speaker, I yield
                                            provide information about available                     such an important piece of legislation.                myself such time as I may consume.
                                            services to address synthetic opioid                       The SPEAKER pro tempore. The                          Mr. Speaker, I rise today in support
                                            abuse.                                                  question is on the motion offered by                   of H.R. 3743, the Supporting the Foun-
                                               I urge my colleagues to support this                 the gentleman from New Jersey (Mr.                     dation for the National Institutes of
                                            bill, and I yield back the balance of my                PALLONE) that the House suspend the                    Health and the Reagan-Udall Founda-
                                            time.                                                   rules and pass the bill, H.R. 2364, as                 tion for the Food and Drug Administra-
                                               Mr. PALLONE. Mr. Speaker, I urge                     amended.                                               tion Act.
                                            support for this bill, and I yield back                    The question was taken.                               The Reagan-Udall Foundation for the
                                            the balance of my time.                                    The SPEAKER pro tempore. In the
                                                                                                                                                           FDA is an independent nonprofit orga-
                                               Ms. JACKSON LEE. Mr. Speaker, I rise in              opinion of the Chair, two-thirds being
                                                                                                                                                           nization established by Congress in 2007
                                            support of H.R. 2364, the ‘‘Synthetic Opioid            in the affirmative, the ayes have it.
                                                                                                                                                           to advance the mission of the FDA to
                                            Danger Awareness Act’’, which will require                 Mrs. BOEBERT. Mr. Speaker, on that
                                                                                                                                                           modernize medical product develop-
                                            several federal agencies to provide education           I demand the yeas and nays.
                                                                                                       The SPEAKER pro tempore. Pursu-                     ment, accelerate innovation, and en-
                                            and training related to synthetic opioids, in-                                                                 hance safety.
                                            cluding fentanyl and its analogues.                     ant to section 3(s) of House Resolution
                                                                                                    8, the yeas and nays are ordered.                        Likewise, the Foundation for the NIH
                                               The CDC reports that more than 93,000
                                                                                                       Pursuant to clause 8 of rule XX, fur-               is an independent nonprofit organiza-
                                            Americans died from drug overdoses in 2020,
                                                                                                    ther proceedings on this motion are                    tion established by Congress in 1990 to
                                            an almost 30 percent increase from 2019.
                                                                                                    postponed.                                             develop private-public partnerships
                                               Regardless of income, race, gender, edu-
                                                                                                                                                           that advance biomedical research, do-
                                            cation, or other demographics, America’s opi-                             f
                                                                                                                                                           mestically and globally.
                                            ate problem has morphed into a full-blown                                     b 1630                             Both organizations work to advance
                                            public health crisis.
                                               Synthetic opioids contribute greatly to this         SUPPORTING        THE      FOUNDATION                  the missions of the NIH and the FDA
                                            drug crisis and are a serious threat to fire              FOR THE NATIONAL INSTITUTES                          and have played important roles in our
                                            fighters and emergency medical responders                 OF HEALTH AND THE REAGAN-                            Nation’s fight against COVID–19. For
                                            who are susceptible to encountering these                 UDALL FOUNDATION FOR THE                             example, the Foundation for the NIH
                                            deadly substances.                                        FOOD AND DRUG ADMINISTRA-                            has worked to coordinate the ACTIV
                                               Increased rates of opiate usage impact the             TION ACT                                             program that is strategizing our re-
                                            types and volume of calls the fire service re-                                                                 search and prioritizing and speeding
                                                                                                      Mr. PALLONE. Mr. Speaker, I move
                                            sponds to and the dangers they encounter                                                                       development of the most promising
                                                                                                    to suspend the rules and pass the bill
                                            when they arrive on the scene, both of which                                                                   COVID–19 vaccines and treatment.
                                                                                                    (H.R. 3743) to increase funding for the
                                            stretch already limited resources even thinner.                                                                Likewise, the Reagan-Udall Founda-
                                                                                                    Reagan-Udall Foundation for the Food
                                               A 2021 Statista study found that nearly two-                                                                tion’s COVID–19 Diagnostics Evidence
                                                                                                    and Drug Administration and for the
                                            thirds of all fire department responses are for                                                                Accelerator has brought stakeholders
                                                                                                    Foundation for the National Institutes
                                            medical aid.                                                                                                   together to collect and evaluate real-
                                                                                                    of Health.
                                               When firefighters or EMS personnel come in             The Clerk read the title of the bill.                world data in a way that is scientif-
                                            contact with opioids—either through direct                The text of the bill is as follows:                  ically useful and meets the FDA stand-
                                            contact or secondary contamination—this cre-                                                                   ards so we can understand the efficacy
                                                                                                                        H.R. 3743
                                            ates a unique, and often unknown, risk for                                                                     of COVID–19 diagnostics in the real
                                                                                                      Be it enacted by the Senate and House of Rep-
                                            these individuals because many opioids can              resentatives of the United States of America in
                                                                                                                                                           world.
                                            be ingested either by skin contact (namely              Congress assembled,                                      Mr. Speaker, the FDA and the NIH
                                            fentanyl) or via inhalation, making it chal-            SECTION 1. SHORT TITLE.                                are currently authorized to transfer
                                            lenging to help the victim.                               This Act may be cited as the ‘‘Supporting            funding to their respective foundations
                                               Firefighters must be properly trained on how         the Foundation for the National Institutes of          within a statutory limit that has not
                                            to safely respond to these life-threatening             Health and the Reagan-Udall Foundation for             been increased since 2007.
                                            emergencies in a way that both helps the vic-           the Food and Drug Administration Act’’.                  H.R. 3743 would increase the transfer
                                                                                                    SEC. 2. REAGAN-UDALL FOUNDATION AND FOUN-              authority for both foundations from up
                                            tim and minimizes risk to their health and                          DATION FOR THE NATIONAL INSTI-
                                            safety.                                                             TUTES OF HEALTH.
                                                                                                                                                           to $1.25 million to up to $5 million.
                                               The Synthetic Opioid Danger Awareness                  (a) REAGAN-UDALL FOUNDATION FOR THE                  This legislation will allow the agencies
                                            Act would require the National Institute for Oc-        FOOD AND DRUG ADMINISTRATION.—Section                  to increase their support consistent
                                            cupational Safety and Health to produce train-          770(n) of the Federal Food, Drug, and Cos-             with the increasing costs of medical
                                            ing materials to prevent exposure to synthetic          metic Act (21 U.S.C. 379dd(n)) is amended by           product research and development.
                                            opioids for first responders and others who are         striking ‘‘$500,000 and not more than                    This bipartisan bill received unani-
                                                                                                    $1,250,000’’ and inserting ‘‘$1,250,000 and not        mous support in the Energy and Com-
                                            at high risk of exposure.
                                                                                                    more than $5,000,000’’.                                merce Committee. I would like to
                                               In addition, the Substance Abuse and Men-              (b) FOUNDATION FOR THE NATIONAL INSTI-
                                            tal Health Services Administration will be re-          TUTES OF HEALTH.—Section 499(l) of the Pub-
                                                                                                                                                           thank my colleagues, Representative
                                            quired to disseminate the mentioned training            lic Health Service Act (42 U.S.C. 290b(l)) is          HUDSON and Health Subcommittee
                                            materials to ambulance transport personnel,             amended by striking ‘‘$500,000 and not more            Chairwoman ESHOO, for their out-
                                            local sheriff deputies, and other first respond-        than $1,250,000’’ and inserting ‘‘$1,250,000 and       standing leadership on this legislation.
                                            ers and individuals in high-risk occupations.           not more than $5,000,000’’.                              Mr. Speaker, I urge my colleagues to
                                               H.R. 2364 would also direct the CDC to                 The SPEAKER pro tempore. Pursu-                      support H.R. 3743, and I reserve the bal-




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                                            conduct a public education campaign that                ant to the rule, the gentleman from                    ance of my time.
                                            raises public awareness of the dangers of syn-          New Jersey (Mr. PALLONE) and the gen-                    Mr. GUTHRIE. Mr. Speaker, I yield
                                            thetic opioids and explains the services avail-         tleman from Kentucky (Mr. GUTHRIE)                     myself such time as I may consume.
                                            able, with respect to opioid treatment.                 each will control 20 minutes.                            Mr. Speaker, I rise today in support
                                               The health of American citizens is one of              The Chair recognizes the gentleman                   of H.R. 3743, Supporting the Founda-
                                            the most pressing issues facing this country.           from New Jersey.                                       tion for the National Institutes of



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