; (B) overall patient outcomes under the Program, such as with respect to hospital readmission; (C) what percentage of patients treated by a site funded through a grant under this section were readmitted to a hospital for non-fatal or fatal overdose; (D) an evaluation determining the effectiveness of having a practitioner onsite to administer and begin medication-assisted treatment for substance use disorder; and (E) a compilation of voluntary guidelines and best practices from the reports submitted under paragraph (1). (f) Authorization of appropriations There is authorized to be appropriated to carry out this subtitle $50,000,000 for the period of fiscal years 2019 through 2023. J Alternatives to Opioids in the Emergency Department 7091. Short title This subtitle may be cited as the Alternatives to Opioids in the Emergency Department Act or the ALTO Act . 7092. Emergency department alternatives to opioids demonstration program (a) Demonstration program grants The Secretary of Health and Human Services (in this section referred to as the Secretary ) shall carry out a demonstration program under which the Secretary shall award grants to hospitals and emergency departments, including freestanding emergency departments, to develop, implement, enhance, or study alternative pain management protocols and treatments that limit the use and prescription of opioids in emergency departments. (b) Eligibility To be eligible to receive a grant under subsection (a), a hospital or emergency department shall submit an application to the Secretary at such time, in such manner, and containing such information as the Secretary may require. (c) Geographic diversity In awarding grants under this section, the Secretary shall seek to ensure geographical diversity among grant recipients. (d) Use of funds Grants under subsection (a) shall be used to— (1) target common painful conditions, such as renal colic, sciatica, headaches, musculoskeletal pain, and extremity fractures