,i  #aae? ,,congress  #a/ ,session  ,h4 
,r4 #djig  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,octob] #bc1 #bjag,mr4
 ,neal introduc$ ! foll[+ bill2 :i* 0   
ref]r$ to ! ,committee on ,en]gy &      
,comm]ce1 & 9 addition to ! ,committee  
on ,ways & ,means1 = a p]iod to be      
subsequ5tly det]m9$ by ! ,speak]1 9 ea* 
case = consid]ation ( su* provisions z  
fall )9 ! jurisdiction ( ! committee    
conc]n$  ,a ,,bill  ,to am5d title      
,,xviii ( ! ,social ,security ,act to   
provide = cov]age ( me?adone "u ,m$ic>e 
"p ,b4  #a4 ,%ort title ,?is ,act may be
 cit$ z ! ,m$ic>e ,b5efici>y ,opioid    
,addiction ,treatm5t ,act4  #b4 ,cov]age
 ( me?adone "u ,m$ic>e "p ,b  7a7       
,cov]age ,section #ahfa7s77#b7 ( !      
,social ,security ,act 7#db ,u4,s4,c4   
#aciex7s77#b77 is am5d$--  7#a7 by /rik+
 & at ! end ( subp>agraph 7,,ff72  7#b7 
by add+ & at ! end ( subp>agraph 7,,gg72
 &  7#c7 by ins]t+ aft] subp>agraph     
7,,gg7 ! foll[+ new subp>agraph3  7,,hh7
 me?adone1 if furni%$ or disp5s$        

7includ+ by prescription7 on or aft]    
,janu>y #a1 #bjah1 to an individual = ! 
purpose ( ma9t5ance or detoxification   
treatm5t by a physician or o!r          
practition] :o has 9 effect a           
regi/ration or waiv] "u section #cjc7;g7
 ( su* ,act 7#ba ,u4,s4,c4 #hbc7;g77 to 
disp5se me?adone = su* purpose2  4  7b7 
,paym5t  7#a7 ,9 connection ) physician 
& suppli] s]vice ,section #ahdb7o77#a7 (
 ! ,social ,security ,act 7#db ,u4,s4,c4
 #acieu7o77#a77 is am5d$ by add+ at !   
end ! foll[+ new subp>agraph3  7,h7 ,9 !
 case ( me?adone 7z describ$ 9 section  
#ahfa7s77#b77;,,hh771 ! am\nt provid$ "u
 section #ahdg;,a = su* drug4  4  7#b7  
,cov]$ ,,opd s]vice ,section            
#ahcc7t77#a77;,b77iii7 ( ! ,social      
,security ,act 7#db ,u4,s4,c4           
#aciel7t77#a77;,b77iii77 is am5d$ by    
ins]t+ & me?adone describ$ 9 p>agraph   
7#b77;,,hh7 ( su* section aft] section  
#ahfa7s74  7c7 ,budget neutrality ,!    
,secret>y ( ,heal? & ,human ,s]vices    
%all implem5t ! am5dm5ts made by ?is    

section 9 a mann] su* t--  7#a7 e/imat$ 
exp5ditures "u ! physician fee s*$ule "u
 section #ahdh ( ! ,social ,security    
,act 7#db ,u4,s4,c4 #aciew-#d7 )        
application ( su* am5dm5ts are equal to 
e/imat$ exp5ditures "u su* s*$ule )\t   
application ( su* am5dm5ts2 &  7#b7     
e/imat$ exp5ditures "u ! prospective    
paym5t sy/em "u section #ahcc7t7 ( !    
,social ,security ,act 7#db ,u4,s4,c4   
#aciel7t77 ) application ( su* am5dm5ts 
made by ?is section are equal to e/imat$
 exp5ditures "u su* sy/em )\t           
application ( su* am5dm5ts4