§ 294i. Program for education and training in pain care

Statutory text

In general

The Secretary may make awards of grants, cooperative agreements, and contracts to health professions schools, hospices, tribal health programs (as defined in section 1603 of title 25), and other public and nonprofit private entities for the development and implementation of programs to provide education and training to health care professionals in pain care.

Certain topics

An entity receiving an award under this section shall develop a comprehensive education and training plan that includes information and education on—

recognized means for assessing, diagnosing, preventing, treating, and managing pain and related signs and symptoms, including non-addictive medical products and non-pharmacologic treatments and the medically appropriate use of controlled substances;

applicable Federal, State, and local laws, regulations, rules, and policies on controlled substances, including opioids;

interdisciplinary approaches to the delivery of pain care, including delivery through specialized centers providing comprehensive pain care treatment expertise, integrated, evidence-based pain management, and, as appropriate, non-pharmacotherapy;

cultural, linguistic, literacy, geographic, and other barriers to care in underserved populations;

recent findings, developments, and advancements in pain care research and the provision of pain care, which may include non-addictive medical products and non-pharmacologic treatments intended to treat pain; and

the dangers of opioid abuse and misuse, detection of early warning signs of opioid use disorders (which may include best practices related to screening for opioid use disorders, training on screening, brief intervention, and referral to treatment), and safe disposal options for prescription medications (including such options provided by law enforcement or other innovative deactivation mechanisms).

Evaluation of programs

The Secretary shall (directly or through grants or contracts) provide for the evaluation of programs implemented under subsection (a) in order to determine the effect of such programs on knowledge and practice of pain care.

Pain care defined

For purposes of this section the term “pain care” means the assessment, diagnosis, prevention, treatment, or management of acute or chronic pain regardless of causation or body location.

Authorization of appropriations

There is authorized to be appropriated to carry out this section, such sums as may be necessary for each of the fiscal years 2019 through 2023. Amounts appropriated under this subsection shall remain available until expended.

Legislative history

Reconstructed from this section’s Code source credit and amendment notes, resolved against the local Statutes at Large. Editorial notes are evidence, not the law that made the change.

1944
Patient Protection and Affordable Care Act
Pub. L. 111–148 title IV § 4305(c) · 124 Stat. 119
Enacted · 42 U.S.C. § 294i
July 1, 1944, ch. 373, title VII, § 759, as added Pub. L. 111–148, title IV, § 4305(c), Mar. 23, 2010, 124 Stat. 586
Source evidence
Code source credit
July 1, 1944, ch. 373, title VII, § 759, as added Pub. L. 111–148, title IV, § 4305(c), Mar. 23, 2010, 124 Stat. 586
Enacted provision · exact public law section
(c) Pain Care Education and Training.— Part D of title VII of the Public Health Service Act (42 U.S.C. 294 et seq.) is amended by adding at the end the following new section: “SEC. 759. PROGRAM FOR EDUCATION AND TRAINING IN PAIN CARE. “(a) In General.— The Secretary may make awards of grants, cooperative agreements, and contracts to health professions schools, hospices, and other public and private entities for the development and implementation of programs to provide education and training to health care professionals in pain care. “(b) Certain Topics.— An award may be made under subsection (a) only if the applicant for the award agrees that the program carried out with the award will include information and education on— “(1) recognized means for assessing, diagnosing, treating, and managing pain and related signs and symptoms, including the medically appropriate use of controlled substances; “(2) applicable laws, regulations, rules, and policies on controlled substances, including the degree to which misconceptions and concerns regarding such laws, regulations, rules, and policies, or the enforcement thereof, may create barriers to patient access to appropriate and effective pain care; “(3) interdisciplinary approaches to the delivery of pain care, including delivery through specialized centers providing comprehensive pain care treatment expertise; “(4) cultural, linguistic, literacy, geographic, and other barriers to care in underserved populations; and “(5) recent findings, developments, and improvements in the provision of pain care. “(c) Evaluation of Programs.— The Secretary shall (directly or through grants or contracts) provide for the evaluation of programs implemented under subsection (a) in order to determine the effect of such programs on knowledge and practice of pain care. “(d) Pain Care Defined.— For purposes of this section the term ‘pain care’ means the assessment, diagnosis, treatment, or management of acute or chronic pain regardless of causation or body location. “(e) Authorization of Appropriations.— There is authorized to be appropriated to carry out this section, such sums as may be necessary for each of the fiscal years 2010 through 2012. Amounts appropriated under this subsection shall remain available until expended.” .
2018
Substance Use–Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act
Pub. L. 115–271 § 7073(a)(1) · 132 Stat. 3894
Substituted · 42 U.S.C. § 294i(a)
Pub. L. 115–271, § 7073(a)(1), substituted “hospices, tribal health programs (as defined in section 1603 of title 25), and other public and nonprofit private entities” for “hospices, and other public and private entities”
Source evidence
Code amendment note
Subsec. (a). Pub. L. 115–271, § 7073(a)(1), substituted “hospices, tribal health programs (as defined in section 1603 of title 25), and other public and nonprofit private entities” for “hospices, and other public and private entities”.
Enacted provision · exact public law section
(1) in subsection (a), by striking “hospices, and other public and private entities” and inserting “hospices, tribal health programs (as defined in section 4 of the Indian Health Care Improvement Act), and other public and nonprofit private entities”;
2018
Substance Use–Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act
Pub. L. 115–271 § 7073(a)(2)(A) · 132 Stat. 3894
Substituted · 42 U.S.C. § 294i(b)
Pub. L. 115–271, § 7073(a)(2)(A), substituted “entity receiving an award under this section shall develop a comprehensive education and training plan that includes” for “award may be made under subsection (a) only if the applicant for the award agrees that the program carried out with the award will include” in introductory provisions
Source evidence
Code amendment note
Subsec. (b). Pub. L. 115–271, § 7073(a)(2)(A), substituted “entity receiving an award under this section shall develop a comprehensive education and training plan that includes” for “award may be made under subsection (a) only if the applicant for the award agrees that the program carried out with the award will include” in introductory provisions.
Enacted provision · exact public law section
(A) in the matter preceding paragraph (1), by striking “award may be made under subsection (a) only if the applicant for the award agrees that the program carried out with the award will include” and inserting “entity receiving an award under this section shall develop a comprehensive education and training plan that includes”;
2018
Substance Use–Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act
Pub. L. 115–271 § 7073(a)(2)(B) · 132 Stat. 3894
Inserted · 42 U.S.C. § 294i(b)(1)
Pub. L. 115–271, § 7073(a)(2)(B), inserted “preventing,” after “diagnosing,” and “non-addictive medical products and non-pharmacologic treatments and” after “including”
Source evidence
Code amendment note
Subsec. (b)(1). Pub. L. 115–271, § 7073(a)(2)(B), inserted “preventing,” after “diagnosing,” and “non-addictive medical products and non-pharmacologic treatments and” after “including”.
Enacted provision · exact public law section
(B) in paragraph (1)— (i) by inserting “preventing,” after “diagnosing,”; and (ii) by inserting “non-addictive medical products and non-pharmacologic treatments and” after “including”;
2018
Substance Use–Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act
Pub. L. 115–271 § 7073(a)(2)(C) · 132 Stat. 3894
1. Inserted · 42 U.S.C. § 294i(b)(2)
  Pub. L. 115–271, § 7073(a)(2)(C), inserted “Federal, State, and local” after “applicable”
2. Substituted · 42 U.S.C. § 294i(b)(2)
  Pub. L. 115–271, § 7073(a)(2)(C), substituted “opioids” for “the degree to which misconceptions and concerns regarding such laws, regulations, rules, and policies, or the enforcement thereof, may create barriers to patient access to appropriate and effective pain care”
Source evidence
Code amendment note
Subsec. (b)(2). Pub. L. 115–271, § 7073(a)(2)(C), inserted “Federal, State, and local” after “applicable” and substituted “opioids” for “the degree to which misconceptions and concerns regarding such laws, regulations, rules, and policies, or the enforcement thereof, may create barriers to patient access to appropriate and effective pain care”.
Enacted provision · exact public law section
(C) in paragraph (2)— (i) by inserting “Federal, State, and local” after “applicable”; and (ii) by striking “the degree to which” and all that follows through “effective pain care” and inserting “opioids”;
2018
Substance Use–Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act
Pub. L. 115–271 § 7073(a)(2)(D) · 132 Stat. 3894
Inserted · 42 U.S.C. § 294i(b)(3)
Pub. L. 115–271, § 7073(a)(2)(D), inserted “, integrated, evidence-based pain management, and, as appropriate, non-pharmacotherapy” before semicolon
Source evidence
Code amendment note
Subsec. (b)(3). Pub. L. 115–271, § 7073(a)(2)(D), inserted “, integrated, evidence-based pain management, and, as appropriate, non-pharmacotherapy” before semicolon.
Enacted provision · exact public law section
(D) in paragraph (3), by inserting “, integrated, evidence-based pain management, and, as appropriate, non-pharmacotherapy” before the semicolon;
2018
Substance Use–Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act
Pub. L. 115–271 § 7073(a)(2)(E) · 132 Stat. 3894
1. Added · 42 U.S.C. § 294i(b)(5); 42 U.S.C. § 294i(b)(6)
  Pub. L. 115–271, § 7073(a)(2)(E), (F), added pars. (5) and (6)
2. Struck · 42 U.S.C. § 294i(b)(5); 42 U.S.C. § 294i(b)(6)
  Pub. L. 115–271, § 7073(a)(2)(E), (F), struck out former par. (5) which read as follows: “recent findings, developments, and improvements in the provision of pain care.”
Source evidence
Code amendment note
Subsec. (b)(5), (6). Pub. L. 115–271, § 7073(a)(2)(E), (F), added pars. (5) and (6) and struck out former par. (5) which read as follows: “recent findings, developments, and improvements in the provision of pain care.”
Enacted provision · exact public law section
(E) in paragraph (4), by striking “; and” and inserting “;”; and
2018
Substance Use–Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act
Pub. L. 115–271 § 7073(a)(3) · 132 Stat. 3894
Inserted · 42 U.S.C. § 294i(d)
Pub. L. 115–271, § 7073(a)(3), inserted “prevention,” after “diagnosis,”
Source evidence
Code amendment note
Subsec. (d). Pub. L. 115–271, § 7073(a)(3), inserted “prevention,” after “diagnosis,”.
Enacted provision · exact public law section
(3) in subsection (d), by inserting “prevention,” after “diagnosis,”; and
2018
Substance Use–Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act
Pub. L. 115–271 § 7073(a)(4) · 132 Stat. 3894
Substituted · 42 U.S.C. § 294i(e)
Pub. L. 115–271, § 7073(a)(4), substituted “2019 through 2023” for “2010 through 2012”
Source evidence
Code amendment note
Subsec. (e). Pub. L. 115–271, § 7073(a)(4), substituted “2019 through 2023” for “2010 through 2012”.
Enacted provision · exact public law section
(4) in subsection (e), by striking “2010 through 2012” and inserting “2019 through 2023”.

11 of 11 references resolved to an enrolled provision

Editorial Notes

Prior Provisions

A prior section 294i, act July 1, 1944, ch. 373, title VII, § 771, as added Pub. L. 102–408, title I, § 102, Oct. 13, 1992, 106 Stat. 2049, authorized grants to educational entities offering programs in health administration, hospital administration, or health policy analysis and planning, prior to the general amendment of this part by Pub. L. 105–392.

Another prior section 294i, act July 1, 1944, ch. 373, title VII, § 736, as added Oct. 12, 1976, Pub. L. 94–484, title IV, § 401(b)(3), 90 Stat. 2265; amended Aug. 1, 1977, Pub. L. 95–83, title III, § 307(d), 91 Stat. 390, related to participation by Federal credit unions in Federal, State, and private student loan insurance programs, prior to the general amendment of this subchapter by Pub. L. 102–408. See section 292k of this title.

A prior section 759 of act July 1, 1944, was classified to section 294aa of this title prior to the general amendment of this subchapter by Pub. L. 102–408.

Amendments

2018—Subsec. (a). Pub. L. 115–271, § 7073(a)(1), substituted “hospices, tribal health programs (as defined in section 1603 of title 25), and other public and nonprofit private entities” for “hospices, and other public and private entities”.

Subsec. (b). Pub. L. 115–271, § 7073(a)(2)(A), substituted “entity receiving an award under this section shall develop a comprehensive education and training plan that includes” for “award may be made under subsection (a) only if the applicant for the award agrees that the program carried out with the award will include” in introductory provisions.

Subsec. (b)(1). Pub. L. 115–271, § 7073(a)(2)(B), inserted “preventing,” after “diagnosing,” and “non-addictive medical products and non-pharmacologic treatments and” after “including”.

Subsec. (b)(2). Pub. L. 115–271, § 7073(a)(2)(C), inserted “Federal, State, and local” after “applicable” and substituted “opioids” for “the degree to which misconceptions and concerns regarding such laws, regulations, rules, and policies, or the enforcement thereof, may create barriers to patient access to appropriate and effective pain care”.

Subsec. (b)(3). Pub. L. 115–271, § 7073(a)(2)(D), inserted “, integrated, evidence-based pain management, and, as appropriate, non-pharmacotherapy” before semicolon.

Subsec. (b)(5), (6). Pub. L. 115–271, § 7073(a)(2)(E), (F), added pars. (5) and (6) and struck out former par. (5) which read as follows: “recent findings, developments, and improvements in the provision of pain care.”

Subsec. (d). Pub. L. 115–271, § 7073(a)(3), inserted “prevention,” after “diagnosis,”.

Subsec. (e). Pub. L. 115–271, § 7073(a)(4), substituted “2019 through 2023” for “2010 through 2012”.

Statutory Notes and Related Subsidiaries

Emergency Department Alternatives to Opioids Demonstration Program

Pub. L. 115–271, title VII, § 7091, Oct. 24, 2018, 132 Stat. 4035, which related to emergency department alternatives to opioids demonstration program, was editorially reclassified as section 294i–1 of this title.

Credits

1944–2018 · 2 acts

1944July 1, 1944, ch. 373, title VII, § 759, as added Pub. L. 111–148, title IV, § 4305(c), Mar. 23, 2010, 124 Stat. 586
2018amended Pub. L. 115–271, title VII, § 7073(a), Oct. 24, 2018, 132 Stat. 4031.

Show as published

(July 1, 1944, ch. 373, title VII, § 759, as added Pub. L. 111–148, title IV, § 4305(c), Mar. 23, 2010, 124 Stat. 586; amended Pub. L. 115–271, title VII, § 7073(a), Oct. 24, 2018, 132 Stat. 4031.)