; (G) an increase in the number of harm reduction organizations, including syringe services programs and naloxone distribution programs; (H) an increase in the number of individuals admitted to opioid use disorder treatment; and (I) additional indicators or metrics, such as metrics pertaining to specific populations, including women and children, American Indians and Alaskan Natives, individuals living in rural and non-urban areas, and justice-involved populations, that would further clarify the progress made in addressing the opioid misuse and abuse epidemic, as the Secretary determines appropriate. (2) A reasonable goal, such as a percentage decrease or other specified metric, that signifies progress in meeting the goal described in subsection (a), and annual targets to help achieve that goal. (c) Extension of period If the Secretary determines that the goal described in subsection (a) will not be achieved with respect to any indicator or metric established under subsection (b)(2) within 5 years of the date of enactment of this Act, the Secretary may extend the timeline for meeting such goal with respect to that indicator or metric. The Secretary shall include with any such extension a rationale for why additional time is needed and a description of changes the Secretary will make in order to achieve such goal with respect to the indicator or metric. (d) Reports During the 5-year period described in subsection (a) or such extended period as the Secretary may determine under subsection (c), the Secretary shall— (1) submit to Congress annual reports on the national milestones