; and (D) the frequency and number of patients with reoccurrences, including readmissions for non-fatal overdoses and evidence of relapse related to substance use disorder. (2) Report by Secretary Not later than 5 years after the date of enactment of this Act, the Secretary shall submit to Congress a report that includes an evaluation of the effectiveness of the grant program carried out under this section with respect to long term health outcomes of the population of individuals who have experienced a drug overdose, the percentage of patients treated or referred to treatment by grantees, and the frequency and number of patients who experienced relapse, were readmitted for treatment, or experienced another overdose. (e) Privacy The requirements of this section, including with respect to data reporting and program oversight, shall be subject to all applicable Federal and State privacy laws. (f) Authorization of appropriations There is authorized to be appropriated to carry out this section $10,000,000 for each of fiscal years 2019 through 2023. J Alternatives to Opioids in the Emergency Department 7091. Emergency department alternatives to opioids demonstration program (a) Demonstration program grants (1) In general The Secretary of Health and Human Services (in this section referred to as the Secretary ) shall carry out a demonstration program for purposes of awarding grants to hospitals and emergency departments, including freestanding emergency departments, to develop, implement, enhance, or study alternatives to opioids for pain management in such settings. (2) Eligibility To be eligible to receive a grant under paragraph (1), 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. (3) Geographic distribution In awarding grants under this section, the Secretary shall seek to ensure geographical distribution among grant recipients. (4) Use of funds Grants under paragraph (1) shall be used to— (A)