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              Congressional
          Sa  Research Service






Class-Wide Scheduling of Fentanyl-Related

Substances (FRS)



December 3, 2024

Fentanyl is a synthetic opioid that has recognized medical uses in pain management; it is a Schedule II
controlled substance under the federal Controlled Substances Act (CSA). Fentanyl analogues, in generic
use of the term, are similar in chemical structure to pharmaceutical fentanyl but are distinct substances;
some of these analogues are permanently controlled under the CSA, and some are not. Fentanyl-related
substances (FRS) are a defined set of fentanyl analogues.
On February 6, 2018, the Drug Enforcement Administration (DEA) issued a temporary scheduling order
(TSO) that placed FRS (as a class) in Schedule I under the CSA for two years. Congress has extended the
TSO  several times, and it is currently set to expire on December 31, 2024. This Insight outlines the
history and policy implications of class-wide scheduling. For an overview of the relevant legal
framework, see CRS Legal Sidebar, An Expiration Date for Temporary Control ofFentanyl Analogues.

Scheduling Under the CSA and Issues with Synthetic Substances

The CSA established five schedules into which substances may be classified. Schedule I is the most
restrictive, containing substances such as heroin with no accepted medical use and high potential for
abuse.

Permanent   Scheduling   Procedures
The Attorney General (AG), through DEA, and in consultation with the U.S. Department of Health and
Human  Services, may place substances into schedules under the CSA based on eight factors: potential for
abuse; known scientific evidence ofpharmacological effects; current scientific knowledge ofthe
substance; history and current pattern of abuse; scope, duration, and significance of abuse; risk to public
health; dependence liability; and whether the substance is a precursor of an already-scheduled substance.
Congress may also schedule a substance through legislation.

Temporarily   Scheduling  Procedures
In 1984, Congress gave the AG authority to temporarily place a substance into Schedule I of the CSA to
avoid imminent hazards to public safety. To do so, the AG must consider the substance's history and
                                                              Congressional Research Service
                                                                https://crsreports.congress.gov
                                                                                   IN12468

CRS INSIGHT
Prepared for Members and
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