; table of contents. Sec. 2. Alternatives to opioids prescribing. Sec. 3. Opioids and STOP Pain Initiative. Sec. 4. Veteran over-medication prevention. Sec. 5. Amendment relating to the account for the State response to the opioid abuse crisis. Sec. 6. Mental health access improvement. Sec. 7. Synthetics Trafficking and Overdose Prevention. Sec. 8. Stop the Importation and Trafficking of Synthetic Analogues. 2. Alternatives to opioids prescribing (a) Establishment Beginning not later than one year after the date of the enactment of this Act, the Secretary of Health and Human Services (in this Act referred to as the Secretary ) shall carry out a 5-year demonstration project under which payment shall be made under the hospital outpatient prospective payment system under part B of title XVIII of the Social Security Act ( 42 U.S.C. 1395j et seq.) to participating hospitals for items and services furnished as alternatives to opioid medications to individuals enrolled under such part to treat conditions designated under subsection (c)(1) for purposes of evaluating the benefits of using, instead of opioid medications, such alternatives to treat in emergency departments such symptoms and conditions. (b) Emergency departments (1) Selection The Secretary shall select from hospitals with emergency departments voluntarily submitting applications under paragraph (4), not fewer than 30 hospitals with emergency departments, and not more than 50 hospitals with emergency departments, for participation in the demonstration project. (2) Diversity In selecting hospitals with emergency departments, the Secretary shall ensure such hospitals and emergency departments are diverse in geography and size. (3) Voluntary participation Participation in the demonstration project under this section shall be on a voluntary basis. (4) Applications (A) In general To participate in the demonstration project, a hospital with an emergency department shall submit to the Secretary an application at such time, in such manner, and containing such