I 118th CONGRESS 1st Session H. R. 4773 IN THE HOUSE OF REPRESENTATIVES July 20, 2023 Mr. Bilirakis (for himself, Ms. Blunt Rochester , Mr. Crenshaw , and Mrs. Trahan ) introduced the following bill; which was referred to the Committee on Energy and Commerce A BILL To amend the Public Health Service Act to fund detection and testing activities, such as wastewater surveillance, to detect synthetic opioids, and for other purposes.

1. Short title This Act may be cited as the Substance Wastewater Inspection For Trends in Detection Act of 2023 or the SWIFT Detection Act of 2023 . 2. Use of grants by States, localities, and Indian Tribes to conduct wastewater surveillance Section 392A(a)(3)(A) of the Public Health Service Act ( 42 U.S.C. 280b–1(a)(3)(A) ) is amended by inserting , including through the use of wastewater surveillance to identify trends associated with controlled substance use if it is determined by appropriate evidence that wastewater surveillance is an effective way to survey controlled substance use within a community before the semicolon. 3. Pilot program for public health laboratories to detect fentanyl and other synthetic opioids Section 7011(b) of the SUPPORT for Patients and Communities Act ( 42 U.S.C. 247d–10 note) is amended— (1) in paragraph (2), by striking and at the end; (2) in paragraph (3), by striking the period at the end and inserting ; and ; and (3) by adding at the end the following: (4) public, private, and academic entities with expertise in detection and testing activities, such as wastewater surveillance, with respect to synthetic opioids, including fentanyl and its analogues. .