; and (ix) alternative non-opioid pain management medications and other effective treatments; and (B) is— (i) approved by the State agency with primary responsibility for licensing the practitioner to prescribe controlled substances; or (ii) if such State agency does not have in effect an approval of any training program for purposes of this subsection, conforms to the model training program in effect under paragraph (4). (3) Notwithstanding paragraph (2), a training program on prescribing opioids used by a State for purposes of licensing health care practitioners is deemed to meet the criteria in paragraph (2) if the program has been in effect since before the date of enactment of the Abuse Deterrent and Prescriber Training Act of 2018 . (4) The Secretary of Health and Human Services shall— (A) by not later than 60 days after the date of enactment of the Abuse Deterrent and Prescriber Training Act of 2018 , develop a model training program on prescribing opioids to be used for purposes of paragraph (2)(B)(ii)