Whereas drug traffickers are mass-producing fake or counterfeit pills and falsely marketing them as legitimate prescription pills to deceive the people of the United States; Whereas many fake or counterfeit pills are made to look like prescription name-brand opioids, stimulants, or anxiety medications; Whereas drug traffickers are using fake or counterfeit pills to exploit the opioid crisis and prescription drug misuse; Whereas the Drug Enforcement Administration (referred to in this preamble as the DEA ) has observed a dramatic rise in the number of counterfeit pills containing not less than 2 milligrams of fentanyl, which is considered a deadly dose; Whereas 6 out of every 10 pills with fentanyl tested by the DEA contain a potentially lethal dose; Whereas counterfeit pills may also contain fentanyl-related substances and methamphetamine; Whereas the number of counterfeit pills with fentanyl seized by law enforcement agencies has increased by nearly 502 percent since 2019; Whereas more than 50,000,000 counterfeit pills were seized within the last year, which represents 379,000,000 doses of illicit fentanyl; Whereas fake or counterfeit pills have been identified in all 50 States, Puerto Rico, the Virgin Islands of the United States, and the District of Columbia; Whereas illicit fentanyl has also been detected in illicit drugs such as heroin, cocaine, and MDMA; Whereas, for the 12-month period ending in September 2022, more than 106,000 individuals in the United States died of drug-induced deaths, and over 70,000 of those deaths involved illicit fentanyl and other synthetic opioids; Whereas, over the last 20 years, drug-induced deaths among individuals 15 to 35 years of age have increased 6-fold, with overdoses topping 100,000 in 2021, largely driven by the increase in illicit fentanyl drugs; Whereas, for the 12-month period ending in June 2022, illicit fentanyl was involved in more deaths of individuals under 50 years of age than any single other cause