,i  #aacth ,,congress  #b;d ,session    
,h4 ,r4 #ecci  ,,in ,,the ,,house ,,of  
,,representatives  ,july #ca1 #bjad ,mr4
 ,foster 7for himself1 ,mr4 ,sean       
,patrick ,maloney of ,new ,york1 ,mr4   
,ryan of ,ohio1 ,ms4 ,esty1 and ,ms4    
,shea-,porter7 introduced the following 
bill2 which was referred to the         
,committee on ,energy and ,commerce  ,a 
,,bill  ,to authorize the ,administrator
 of the ,substance ,abuse and ,mental   
,health ,services ,administration1      
acting through the ,director of the     
,center for ,substance ,abuse           
,treatment1 to award grants to ,states  
to expand access to clinically          
appropriate services for opioid abuse1  
dependence1 or addiction4  #a4 ,short   
title ,this ,act may be cited as the    
,expanding ,opportunities for ,recovery 
,act of #bjad4  #b4 ,opioid addiction   
treatment  7a7 ,in general ,the         
,administrator of the ,substance ,abuse 
and ,mental ,health ,services           
,administration1 acting through the     

,director of the ,center for ,substance 
,abuse ,treatment 7in this section      
referred to as the ,administrator7 shall
 award grants to ,states to expand      
access to clinically appropriate        
services for opioid abuse1 dependence1  
or addiction4  7b7 ,requirements ,as    
conditions on the receipt of a grant    
under this section1 a ,state shall agree
 to comply with the following3  7#a7    
,the grant will be administered through 
the head of the ,state's primary agency 
responsible for programs and activities 
relating to the treatment of substance  
abuse4  7#b7 ,the services through the  
grant will be evidence-based such as    
medication-assisted treatment for       
substance use disorder4  7#c7 ,the      
services through the grant will be      
provided according to a physician or a  
clinician's recommendation to ensure    
that individuals receive the optimal    
level of substance use disorder         
treatment for the amount of time that is
 deemed medically necessary4  7#d7 ,the 

services through the grant will be      
provided exclusively to individuals--   
7,a7 who lack health insurance2 or  7,b7
 whose health insurance--  7i7 does not 
cover such services2 or  7ii7 places    
other barriers on the receipt of such   
services1 such as--  7,i7 limiting      
coverage of such services to a certain  
period of time2 or  7,,ii7 imposing     
non-quantitative treatment limitations  
that are more stringent than treatment  
limitations imposed on other medical    
conditions 7such as a requirement to use
 less expensive services1 like          
out-patient treatment1 prior to more    
expensive1 but physician-recommended    
services1 such as in-patient or         
residential treatment74  7#e7 ,the grant
 will not be used to pay or subsidize   
the cost of more than #fj consecutive   
days of opioid abuse1 dependence1 or    
addiction treatment in the case of any  
individual4  7c7 ,permissible provision 
of medications ,in expanding access to  
clinically appropriate services for     

opioid abuse1 dependence1 or addiction  
through a grant under this section1 a   
,state may provide for the use of       
medications1 in conjunction with other  
treatment1 so long as--  7#a7 the       
medications are lawfully marketed under 
the ,federal ,food1 ,drug1 and ,cosmetic
 ,act 7#ba ,u4,s4,c4 #cja et seq472     
7#b7 are clinically indicated to address
 the abuse1 dependence1 or addiction2   
and  7#c7 are offered consistent with   
consumer choice4  7d7 ,coordination ,the
 ,administrator shall coordinate the    
program under this section with the     
program for prevention and treatment of 
substance abuse under subpart ,,ii of   
part ,b of title ,,xix of the ,public   
,health ,service ,act 7#db ,u4,s4,c4    
#cjjx-#ba et seq474  7e7 ,evaluation2   
dissemination of information2 technical 
assistance  7#a7 ,in general ,the       
,administrator shall--  7,a7 require    
,states receiving a grant under this    
section to report appropriate outcome   
measures associated with use of the     

grant1 including any--  7i7 decreases in
 substance use2  7ii7 changes in        
retention in care2  7iii7 connections to
 the next appropriate level of care2    
7iv7 decreases in involvement with      
criminal justice activities2 and  7v7   
other outcome data as appropriate2  7,b7
 require ,states receiving a grant under
 this section to report data on         
individuals' length of time under       
clinically appropriate addiction        
treatment1 and the use of               
medication-assisted treatment2  7,c7    
evaluate the activities supported by    
grants under this section2  7,d7 submit 
to the ,congress and the ,secretary1 and
 make publicly available on the         
,internet site of the ,substance ,abuse 
and ,mental ,health ,services           
,administration1 information about the  
results of such evaluation2 and  7,e7   
offer technical assistance to ,states   
receiving a grant under this section    
regarding activities funded through the 
grant4  7#b7 ,use of certain funds ,of  

the funds appropriated to carry out this
 section for any fiscal year1 #e percent
 shall be available to carry out        
activities under this subsection4