,,ib  ,union ,calendar ,no4 #dcc  #aadth
 ,,congress  #b;d ,session  ,h4 ,r4     
#digh  ,report ,no4 #aad-eei  ,,in ,,the
 ,,house ,,of ,,representatives  ,april 
#ah1 #bjaf ,mr4 ,jenkins of ,west       
,virginia 7for himself1 ,mrs4 ,bustos1  
,mr4 ,costello of ,pennsylvania1 ,ms4   
,kuster1 ,mrs4 ,wagner1 ,mr4 ,poliquin1 
and ,mr4 ,womack7 introduced the        
following bill2 which was referred to   
the ,committee on ,energy and ,commerce 
,may #aj1 #bjaf ,additional sponsors3   
,mr4 ,rogers of ,kentucky1 ,mrs4 ,black1
 ,ms4 ,mc,sally1 ,mr4 ,ryan of ,ohio1   
,ms4 ,kaptur1 ,mrs4 ,hartzler1 ,mr4     
,rokita1 ,mr4 ,kilmer1 and ,mr4 ,turner 
,may #aj1 #bjaf ,reported with          
amendments1 committed to the ,committee 
of the ,whole ,house on the ,state of   
the ,union1 and ordered to be printed   
,strike out all after the enacting      
clause and insert the part printed in   
italic ,for text of introduced bill1 see
 copy of bill as introduced on ,april   
#ah1 #bjaf  ,a ,,bill  ,to require the  

,government ,accountability ,office to  
submit to ,congress a report on neonatal
 abstinence syndrome 7,,nas7 in the     
,united ,states and its treatment under 
,medicaid4  #a4 ,short title ,this ,act 
may be cited as the ,nurturing ,and     
,supporting ,healthy ,babies ,act or as 
the ,,nas ,healthy ,babies ,act4  #b4   
,,gao report on neonatal abstinence     
syndrome 7,,nas7  7a7 ,in general ,not  
later than one year after the date of   
the enactment of this ,act1 the         
,comptroller ,general of the ,united    
,states shall submit to the ,committee  
on ,energy and ,commerce of the ,house  
of ,representatives and the ,committee  
on ,finance and the ,committee on       
,health1 ,education1 ,labor and         
,pensions of the ,senate a report on    
neonatal abstinence syndrome 7in this   
section referred to as ,,nas7 in the    
,united ,states4  7b7 ,information to be
 included in report ,such report shall  
include information on the following3   
7#a7 ,the prevalence of ,,nas in the    

,united ,states1 including the          
proportion of children born in the      
,united ,states with ,,nas who are      
eligible for medical assistance under   
,state ,medicaid programs under title   
,,xix of the ,social ,security ,act at  
birth and the costs associated with     
,,nas through such programs4  7#b7 ,the 
services for which coverage is available
 under ,state ,medicaid programs for    
treatment of infants with ,,nas4  7#c7  
,the settings 7including inpatient1     
outpatient1 hospital-based1 and other   
settings7 for the treatment of infants  
with ,,nas and the reimbursement        
methodologies and costs associated with 
such treatment in such settings4  7#d7  
,the prevalence of utilization of       
various care settings under ,state      
,medicaid programs for treatment of     
infants with ,,nas and any ,federal     
barriers to treating such infants under 
such programs1 particularly in          
non-hospital-based settings4  7c7       
,recommendations ,such report also shall

 include such recommendations as the    
,comptroller ,general determines        
appropriate for improvements that will  
ensure access to treatment for infants  
with ,,nas under ,state ,medicaid       
programs4  #c4 ,excluding               
abuse-deterrent formulations of         
prescription drugs from the ,medicaid   
additional rebate requirement for new   
formulations of prescription drugs  7a7 
,in general ,the last sentence of       
section #aibg7;c77#b77;,c7 of the       
,social ,security ,act 7#db ,u4,s4,c4   
#acifr-#h7;c77#b77;,c77 is amended by   
inserting before the period at the end  
the following3 1 but does not include an
 abuse-deterrent formulation of the drug
 7as determined by the ,secretary71     
regardless of whether such              
abuse-deterrent formulation is an       
extended release formulation4  7b7      
,effective date ,the amendment made by  
subsection 7a7 shall apply to drugs that
 are paid for by a ,state in calendar   
quarters beginning on or after the date 

of the enactment of this ,act4  #d4     
,limiting disclosure of predictive      
modeling and other analytics            
technologies to identify and prevent    
waste1 fraud1 and abuse  7a7 ,in general
 ,title ,,xi of the ,social ,security   
,act is amended by inserting after      
section #aabh;,j 7#db ,u4,s4,c4         
#acbj;a-#gk7 the following new section3 
#aabh,k4 ,disclosure of predictive      
modeling and other analytics            
technologies to identify and prevent    
waste1 fraud1 and abuse  7a7 ,reference 
to predictive modeling technologies     
requirements ,for provisions relating to
 the use of predictive modeling and     
other analytics technologies to identify
 and prevent waste1 fraud1 and abuse    
with respect to the ,medicare program   
under title ,,xviii1 the ,medicaid      
program under title ,,xix1 and the      
,children's ,health ,insurance ,program 
under title ,,xxi1 see section #dbda of 
the ,small ,business ,jobs ,act of #bjaj
 7#db ,u4,s4,c4 #acbj;a-#gm74  7b7      

,limiting disclosure of predictive      
modeling technologies ,in implementing  
such provisions under such section #dbda
 with respect to covered algorithms 7as 
defined in subsection 7c771 the         
following shall apply3 7#a7             
,nonapplication of ,,foia ,the covered  
algorithms used or developed for        
purposes of such section 7including by  
the ,secretary or a ,state 7or an entity
 operating under a contract with a      
,state77 shall be exempt from disclosure
 under section #eeb7;b77#c7 of title #e1
 ,united ,states ,code4  7#b7           
,limitation with respect to use and     
disclosure of information by ,state     
agencies  7,a7 ,in general ,a ,state    
agency may not use or disclose covered  
algorithms used or developed for        
purposes of such section except for     
purposes of administering the ,state    
plan 7or a waiver of the plan7 under the
 ,medicaid program under title ,,xix or 
the ,state child health plan 7or a      
waiver of the plan7 under the           

,children's ,health ,insurance ,program 
under title ,,xxi1 including by enabling
 an entity operating under a contract   
with a ,state to assist the ,state to   
identify or prevent waste1 fraud and    
abuse with respect to such programs4    
7,b7 ,information security ,a ,state    
agency shall have in effect data        
security and control policies that the  
,secretary finds adequate to ensure the 
security of covered algorithms used or  
developed for purposes of such section  
#dbda and to ensure that access to such 
information is restricted to authorized 
persons for purposes of authorized uses 
and disclosures described in            
subparagraph 7,a74  7,c7 ,procedural    
requirements ,state agencies to which   
information is disclosed pursuant to    
such section #dbda shall adhere to      
uniform procedures established by the   
,secretary4  7c7 ,covered algorithm     
defined ,in this section1 the term      
covered algorithm--  7#a7 means a       
predictive modeling or other analytics  

technology1 as used for purposes of     
section #dbda7;a7 of the ,small         
,business ,jobs ,act of #bjaj 7#db      
,u4,s4,c4 #acbj;a-#gm7a77 to identify   
and prevent waste1 fraud1 and abuse with
 respect to the ,medicare program under 
title ,,xviii1 the ,medicaid program    
under title ,,xix1 and the ,children's  
,health ,insurance ,program under title 
,,xxi2 and  7#b7 includes the           
mathematical expressions utilized in the
 application of such technology and the 
means by which such technology is       
developed4  4  7b7 ,conforming          
amendments  7#a7 ,medicaid ,state plan  
requirement ,section #aijb7;a7 of the   
,social ,security ,act 7#db ,u4,s4,c4   
#acif;a7a77 is amended-- 7,a7 in        
paragraph 7#hj71 by striking and at the 
end2  7,b7 in paragraph 7#ha71 by       
striking the period at the end and      
inserting 2 and2 and  7,c7 by inserting 
after paragraph 7#ha7 the following new 
paragraph3  7#hb7 provide that the      
,state agency responsible for           

administering the ,state plan under this
 title provides assurances to the       
,secretary that the ,state agency is in 
compliance with subparagraphs 7,a71     
7,b71 and 7,c7 of section               
#aabh,k7b77#b74  4  7#b7 ,state child   
health plan requirement ,section        
#bajb7;a77#g7 of the ,social ,security  
,act 7#db ,u4,s4,c4 #acig;bb7a77#g77 is 
amended--  7,a7 in subparagraph 7,a71 by
 striking 1 and at the end and inserting
 a semicolon2  7,b7 in subparagraph     
7,b71 by striking the period at the end 
and inserting 2 and2 and  7,c7 by adding
 at the end the following new           
subparagraph3  7,c7 to ensure that the  
,state agency involved is in compliance 
with subparagraphs 7,a71 7,b71 and 7,c7 
of section #aabh,k7b77#b74  4  #e4      
,medicaid ,improvement ,fund ,section   
#aida7;b77#a7 of the ,social ,security  
,act 7#db ,u4,s4,c4 #acifw-#a7;b77#a77  
is amended to read as follows3  7#a7 ,in
 general ,there shall be available to   
the ,fund1 for expenditures from the    

,fund for fiscal year #bjba and         
thereafter1 #e1jjj1jjj4  4  ,amend the  
title so as to read3 ,a bill to require 
the ,government ,accountability ,office 
to submit to ,congress a report on      
neonatal abstinence syndrome 7,,nas7 in 
the ,united ,states and its treatment   
under ,medicaid1 and for other          
purposes44  ,may #aj1 #bjaf ,reported   
with amendments1 committed to the       
,committee of the ,whole ,house on the  
,state of the ,union1 and ordered to be 
printed