,i  #aae? ,,congress  #b;d ,session  ,h4
 ,r4 #dich  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,febru>y #f1 #bjah,ms4
 ,ku/] ( ,new ,hamp%ire introduc$ !     
foll[+ bill2 :i* 0 ref]r$ to !          
,committee on ,en]gy & ,comm]ce1 & 9    
addition to ! ,committees on !          
,judici>y1 ,ways & ,means1 ,education & 
! ,work=ce1 & ! ,budget1 = 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 address ! opioid
 epidemic1 & = o!r purposes4  #a4 ,%ort 
title ,?is ,act may be cit$ z ! ,respond
 to ! ,ne$s 9 ! ,opioid ,w> ,act or !   
,respond ,,n[ ,act4  ,i ,opioid         
,epidemic ,response ,fund  #aja4 ,opioid
 ,epidemic ,response ,fund  7a7 ,9 g5]al
 ,! ,secret>y ( ,heal? & ,human ,s]vices
 7ref]r$ to 9 ?is section z ! ,secret>y7
 %all use any funds appropriat$ pursuant
 to ! au?orization ( appropriations "u  
subsection 7c7 to c>ry out ! programs & 
activities describ$ 9 subsection 7d7 to 

address ! opioid & sub/ance use         
epidemic4 ,su* funds %all be 9 addition 
to any funds :i* are o!rwise available  
to c>ry out su* programs & activities4  
7b7 ,opioid ,epidemic ,response ,fund   
7#a7 ,e/abli%m5t ( acc\nt ,!re is       
e/abli%$ 9 ! ,treasury an acc\nt1 to be 
kn[n z ! ,opioid ,epidemic ,response    
,fund 7ref]r$ to 9 ?is subsection z !   
,funds71 = purposes ( fund+ ! programs &
 activities describ$ 9 subsection 7d74  
7#b7 ,transf] ,= ea* ( fiscal ye>s #bjah
 ?r\gh #bjbb1 #e1jjj1jjj1jjj %all be    
transf]r$ to ! ,fund f ! g5]al fund ( ! 
,treasury4  7#c7 ,am\nts deposit$ ,any  
am\nts transf]r$ "u p>agraph 7#b7 %all  
rema9 unavailable 9 ! ,fund until su*   
am\nts are appropriat$ pursuant to      
subsection 7c74  7c7 ,appropriations    
7#a7 ,au?orization ( appropriations ,= !
 p]iod ( fiscal ye>s #bjah ?r\gh #bjbb1 
!re is au?oriz$ to be appropriat$ f !   
,fund to ! ,dep>tm5t ( ,heal? & ,human  
,s]vices1 = ! purpose ( c>ry+ out !     
programs & activities describ$ 9        

subsection 7d71 an am\nt n to exce$ !   
total am\nt transf]r$ to ! ,fund "u     
subsection 7b77#b71 to rema9 available  
until exp5d$4  7#b7 ,(fsett+ future     
appropriations ,= any ( fiscal ye>s     
#bjah ?r\gh #bjbb1 = any discretion>y   
appropriation to ! ,dep>tm5t ( ,heal? & 
,human ,s]vices 7or any ag5cy !re97     
pursuant to ! au?orization (            
appropriations "u p>agraph 7#a7 = !     
purpose ( c>ry+ out ! programs &        
activities describ$ 9 subsection 7d71 ! 
total am\nt ( su* appropriations = !    
applicable fiscal ye> 7n to exce$ !     
total am\nt rema9+ 9 ! ,acc\nt7 %all be 
subtract$ f ! e/imate ( discretion>y    
budget au?ority & ! result+ outlays =   
any e/imate "u ! ,congressional ,budget 
& ,imp\ndm5t ,control ,act ( #aigd or ! 
,balanc$ ,budget & ,em]g5cy ,deficit    
,control ,act ( #aihe1 & ! am\nt        
transf]r$ to ! ,fund %all be r$uc$ by ! 
same am\nt4  7d7 ,programs & activities 
,( ! total am\nt au?oriz$ to be         
appropriat$ f ! ,fund to ! ,dep>tm5t (  

,heal? & ,human ,s]vices by subsection  
7c77#a71 su* am\nt %all be allocat$ z   
foll[s3  7#a7 ,,samhsa ,= ! ,sub/ance   
,abuse & ,m5tal ,heal? ,s]vices         
,adm9i/ration to c>ry out programs &    
activities pursuant to section #ajb1    
#c1fej1jjj1jjj = ea* ( fiscal ye>s #bjah
 ?r\gh #bjbb4  7#b7 ,,cdc ,= ! ,c5t]s = 
,disease ,control & ,prev5tion to c>ry  
out programs & activities pursuant to   
section #ajc1 #ejj1jjj1jjj = ea* (      
fiscal ye>s #bjah ?r\gh #bjbb4  7#c7    
,,fda ,= ! ,food & ,drug ,adm9i/ration  
to c>ry out programs & activities       
pursuant to section #ajd1 #fe1jjj1jjj = 
ea* ( fiscal ye>s #bjah ?r\gh #bjbb4    
7#d7 ,,nih ,= ! ,national ,in/itutes (  
,heal? to c>ry out programs & activities
 pursuant to section #aje1 #ejj1jjj1jjj 
= ea* ( fiscal ye>s #bjah ?r\gh #bjbb4  
7#e7 ,,hrsa ,= ! ,heal? ,res\rces &     
,s]vices ,adm9i/ration to c>ry out      
programs & activities pursuant to       
section #ajf1 #bce1jjj1jjj = ea* (      
fiscal ye>s #bjah ?r\gh #bjbb4  7#f7    

,,acf ,= ! ,adm9i/ration = ,*ildr5 &    
,families to c>ry out programs &        
activities pursuant to section #ajg1    
#ej1jjj1jjj = ea* ( fiscal ye>s #bjah   
?r\gh #bjbb4  7e7 ,acc\ntability &      
ov]sight  7#a7 ,"w plan  7,a7 ,9 g5]al  
,n lat] ?an #ahj days aft] ! date (     
enactm5t ( ?is ,act1 ! ,secret>y (      
,heal? & ,human ,s]vices %all submit to 
! ,committee on ,heal?1 ,education1     
,labor1 & ,p5sions & ! ,committee on    
,appropriations ( ! ,s5ate & !          
,committee on ,en]gy & ,comm]ce & !     
,committee on ,appropriations ( ! ,h\se 
( ,repres5tatives1 a "w plan includ+ !  
propos$ allocation ( funds appropriat$  
pursuant to ! au?orization (            
appropriations "u subsection 7c7 = ea* (
 fiscal ye>s #bjah ?r\gh #bjbb & !      
cont5ts describ$ 9 subp>agraph 7,b74    
7,b7 ,cont5ts ,! "w plan submitt$ "u    
subp>agraph 7,a7 %all include-- 7i7 !   
am\nt ( money to be obligat$ or exp5d$  
out ( ! ,fund 9 ea* fiscal ye> = ea*    
program & activity describ$ 9 subsection

 7d72 &  7ii7 a description &           
ju/ification ( ea* su* program &        
activity4  7#b7 ,reports  7,a7 ,annual  
reports ,n lat] ?an ,octob] #a ( ea* (  
fiscal ye>s #bjai ?r\gh #bjbc1 !        
,secret>y ( ,heal? & ,human ,s]vices    
%all submit to ! ,committee on ,heal?1  
,education1 ,labor1 & ,p5sions & !      
,committee on ,appropriations ( ! ,s5ate
 & ! ,committee on ,en]gy & ,comm]ce & !
 ,committee on ,appropriations ( ! ,h\se
 ( ,repres5tatives1 a report includ+--  
7i7 ! am\nt ( money obligat$ or exp5d$  
out ( ! ,fund 9 ! prior fiscal ye> = ea*
 program & activity describ$ 9          
subsection 7d72  7ii7 a description (   
all programs & activities us+ funds     
provid$ pursuant to ! au?orization (    
appropriations "u subsection 7c72 &     
7iii7 h[ ! programs & activities are    
respond+ to ! opioid epidemic4  7,b7    
,additional reports ,at ! reque/ ( !    
,committee on ,heal?1 ,education1       
,labor1 & ,p5sions or ! ,committee on   
,appropriations ( ! ,s5ate1 or !        

,committee on ,en]gy & ,comm]ce or !    
,committee on ,appropriations ( ! ,h\se 
( ,repres5tatives1 ! ,commission] %all  
provide an update 9 ! =m ( te/imony &   
any additional reports to ! respective  
congressional committee reg>d+ !        
allocation ( fund+ "u ?is section or !  
description ( ! programs & activities   
und]tak5 ) su* fund+4  7f7 ,limitations 
,not)/&+ any transf] au?ority au?oriz$  
by ?is ,act or any appropriations ,act1 
any funds made available pursuant to !  
au?orization ( appropriations "u        
subsection 7c7 may n be us$ = any       
purpose o!r ?an ! programs & activities 
describ$ 9 subsection 7d7 to address !  
opioid & sub/ance use epidemic4  7g7    
,sunset ,?is section %all expire at !   
end ( fiscal ye> #bjbg4  #ajb4 ,sub/ance
 ,abuse & ,m5tal ,heal? ,s]vices        
,adm9i/ration ,! entirety ( ! funds made
 available pursuant to section          
#aja7;d77#a7 %all be = c>ry+ out        
subsections 7c7 & 7d7 ( section #ajjc ( 
! #ba/ ,c5tury ,cures ,act1 z am5d$ by  

section #bjc4  #ajc4 ,c5t]s = ,disease  
,control & ,prev5tion  7a7 ,address+    
opioid use disord] ,! entirety ( ! funds
 made available pursuant to section     
#aja7;d77#b7 %all be = ! ,director ( !  
,c5t]s = ,disease ,control & ,prev5tion1
 pursuant to applicable au?orities 9 !  
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bja et seq471 to cont9ue &   
exp& programs ( ! ,c5t]s = ,disease     
,control & ,prev5tion to address opioid 
use disord]1 includ+ by--  7#a7 improv+ 
! timel9ess & quality ( data on ! opioid
 epidemic1 includ+ improvem5t (-- 7,a7  
data on fatal & nonfatal ov]doses2  7,b7
 syndromic surveillance2  7,c7 data on  
long-t]m sequelae 7includ+ neonatal     
ab/95ce syndrome72 &  7,d7 cause ( dea? 
report+ relat$ to sub/ance abuse or     
opioid ov]dose2  7#b7 exp&+ & /r5g!n+   
evid5ce-bas$ prev5tion & education      
/rategies2  7#c7 support+ responsible   
prescrib+ practices1 includ+ ?r\gh      
developm5t & dissem9ation ( prescrib]   
guidel9es2  7#d7 improv+ access to & use

 ( effective prev5tion1 treatm5t1 &     
recov]y support1 includ+ ?r\gh grants & 
! provision ( te*nical assi/ance to     
,/ates & localities2  7#e7 /r5g!n+      
p>tn]%ips ) fir/ respond]s1 includ+ to  
protect _! safety2  7#f7 consid]+ ! ne$s
 ( vuln]able populations2  7#g7 address+
 infecti\s diseases l9k$ to ! opioid    
crisis2 &  7#h7 /r5g!n+ prescription    
drug monitor+ programs4  7b7 ,limitation
 ,( ! funds made available pursuant to  
section #aja7;d77#b7 = c>ry+ out ?is    
section1 n m ?an #bj p]c5t may be us$ = 
intramural purposes4  #ajd4 ,food &     
,drug ,adm9i/ration ,! entirety ( !     
funds made available pursuant to section
 #aja7;d77#c7 %all be = ! ,commission] (
 ,food & ,drugs1 pursuant to applicable 
au?orities 9 ! ,public ,heal? ,s]vice   
,act 7#db ,u4,s4,c4 #bja et seq47 or !  
,f$]al ,food1 ,drug1 & ,cosmetic ,act   
7#ba ,u4,s4,c4 #cja et seq47 & o!r      
applicable law1 to support widespread   
innovation 9 non-opioid & non-addictive 
m$ical products = pa9 treatm5t1 access  

to opioid addiction treatm5ts1          
appropriate use ( approv$ opioids1 &    
ef=ts to r$uce illicit importation (    
opioids4 ,su* support may include !     
foll[+3  7#a7 ,facilitat+ ! developm5t (
 non-opioid & non-addictive pa9         
treatm5ts4  7#b7 ,advanc+ guidance      
docum5ts = sponsors ( non-opioid pa9    
products4  7#c7 ,develop+ evid5ce to    
in=m ! pot5tial = nonprescription       
ov]dose !rapies4  7#d7 ,exam9+ exp&$    
label+ indications = m$ication-assi/$   
treatm5t4  7#e7 ,conduct+ public        
education & outrea*1 includ+ public     
work%ops or public meet+s1 reg>d+ !     
b5efits ( m$ication-assi/$ treatm5t1 &  
approv$ non-opioid drug & device        
treatm5t options4  7#f7 ,explor+ !      
expansion & possible m&atory nature (   
prescrib] education reg>d+ pa9 managem5t
 & appropriate opioid prescrib+ ?r\gh   
au?orities "u section #eje-a ( ! ,f$]al 
,food1 ,drug1 & ,cosmetic ,act 7#ba     
,u4,s4,c4 #cee-a74  7#g7 ,exam9+ options
 to limit ! duration ( opioid           

prescriptions = acute pa91 includ+ ?r\gh
 packag+ options4  7#h7 ,increas+ /aff &
 infra/ructure capacity to inspect &    
analyze packages at int]national mail   
facilities & pursue crim9al             
inve/igations4  #aje4 ,national         
,in/itutes ( ,heal?  ,! entirety ( !    
funds made available pursuant to section
 #aja7;d77#d7 %all be = ! ,director ( ! 
,national ,in/itutes ( ,heal?1 pursuant 
to applicable au?orities 9 ! ,public    
,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bja 
et seq471 to c>ry out activities relat$ 
to--  7#a7 accel]at+ rese>* = address+ !
 opioid epidemic1 includ+ develop+      
non-opioid m$ications & int]v5tions1    
includ+ non-addictive m$ications1 to    
manage pa91 z well z to treat & to      
prev5t sub/ance use disord]s2  7#b7     
conduct+ & support+ rese>* on :i*       
treatm5ts 79 t]ms ( pa9 managem5t z well
 z treat+ & prev5t+ sub/ance use        
disord]s7 are optimal = :i* pati5ts2 &  
7#c7 conduct+ & support+ rese>* on      
creat+ long]-la/+ or fa/]-act+ antidotes

 = opioid ov]dose1 p>ticul>ly 9 response
 to ! preval5ce ( f5tanyl & c>f5tanyl   
ov]doses4  #ajf4 ,heal? ,res\rces &     
,s]vices ,adm9i/ration  ,! entirety ( ! 
funds made available pursuant to section
 #aja7;d77#e7 %all be = ! ,adm9i/rator (
 ! ,heal? ,res\rces & ,s]vices          
,adm9i/ration1 pursuant to applicable   
au?orities 9 titles ,,iii1 ,,vii1 &     
,,viii ( ! ,public ,heal? ,s]vice ,act  
7#db ,u4,s4,c4 #bda et seq471 to c>ry   
out activities t increase ! availability
 & capacity ( ! behavioral heal?        
work=ce4 ,su* activities may include    
provid+ loan repaym5t assi/ance =       
sub/ance abuse treatm5t provid]s4  #ajg4
 ,adm9i/ration = ,*ildr5 & ,families ,( 
! funds made available pursuant to      
section #aja7;d77#f7 = ea* ( fiscal ye>s
 #bjah ?r\gh #bjbb--  7#a7 #be1jjj1jjj =
 ea* su* fiscal ye> %all be = !         
,secret>y ( ,heal? & ,human ,s]vices to 
c>ry out title ,i ( ! ,*ild ,abuse      
,prev5tion & ,treatm5t ,act 7#db        
,u4,s4,c4 #eaja et seq472 &  7#b7       

#be1jjj1jjj = ea* su* fiscal ye> %all be
 = ! ,secret>y ( ,heal? & ,human        
,s]vices to c>ry out title ,,ii ( su*   
,act 7#db ,u4,s4,c4 #eaaf et seq474     
,,ii ,additional ,inve/m5ts 9 ,exi/+    
,programs to ,respond to ! ,opioid      
,epidemic  #bja4 ,increase 9 fund+ =    
regional p>tn]%ip grants ,section #dcf (
 ! ,social ,security ,act 7#db ,u4,s4,c4
 #fbi;f7 is am5d$-- 7#a7 9 subsection   
7a71 by /rik+ #cde1jjj1jjj = ea* (      
fiscal ye>s #bjab ?r\gh #bjaf & ins]t+  
#che1jjj1jjj = ea* ( fiscal ye>s #bjah  
?r\gh #bjbc2 &  7#b7 9 subsection 7b7-- 
7,a7 9 p>agraph 7#d77;,a71 by /rik+     
#bjab ?r\gh #bjaf & ins]t+ #bjah ?r\gh  
#bjbc2 &  7,b7 9 p>agraph 7#e71 by /rik+
 #bj1jjj1jjj = ea* ( fiscal ye>s #bjab  
?r\gh #bjaf & ins]t+ #fj1jjj1jjj = ea* (
 fiscal ye>s #bjah ?r\gh #bjbc4  #bjb4  
,acc\nt = ! ,/ate & ,tribal ,response to
 ! ,opioid ,abuse ,crisis ,section #ajjc
 ( ! #ba/ ,c5tury ,cures ,act 7#db      
,u4,s4,c4 #bij;ee-#c note7 is am5d$--   
7#a7 9 subsection 7b77#b71 by am5d+     

subp>agraph 7,a7 to read z foll[s3  7,a7
 ,9 g5]al ,! foll[+ am\nts %all be      
transf]r$ to ! ,acc\nt f ! g5]al fund ( 
! ,treasury3  7i7 ,= fiscal ye> #bjag1  
#ejj1jjj1jjj4  7ii7 ,= ea* ( fiscal ye>s
 #bjah ?r\gh #bjbb1 #c1gej1jjj1jjj4  2  
7#b7 9 subsection 7b77#b71 by add+ at ! 
end ! foll[+3  7,c7 ,set aside ,( !     
am\nt transf]r$ pursuant to subp>agraph 
7,a7 = ea* ( fiscal ye>s #bjah ?r\gh    
#bjbb1 #c p]c5t %all be set aside =     
,indian tribes1 tribal organizations1 & 
,urban ,indian organizations 7z su* t]ms
 are def9$ 9 section #d ( ! ,indian     
,heal? ,c>e ,improvem5t ,act74  2  7#c7 
9 subsection 7c77#a71 by /rik+ ! second 
s5t5ce & ins]t+ ! foll[+3 ,9 aw>d+ su*  
grants & allocat+ funds pursuant to su* 
grants among ! ,/ates1 ! ,secret>y %all 
acc\nt = ! preval5ce ( opioid use       
disord]s & dea?s f ov]dose1 includ+ tak+
 into acc\nt :i* ,/ates are h>de/ hit by
 ! opioid epidemic42  7#d7 by r$esignat+
 subsection 7f7 z subsection 7g72 &     
7#e7 by ins]t+ aft] subsection 7e7 !    

foll[+3  7f7 ,def9ition ,9 ?is section1 
! t]m ,/ate includes an ,indian tribe1  
tribal organization1 & ,urban ,indian   
organization 7z su* t]ms are def9$ 9    
section #d ( ! ,indian ,heal? ,c>e      
,improvem5t ,act74  4  ,,iii ,exp&+     
,access to ,treatm5t ,s]vices  #cja4    
,all[+ = m flexibility ) respect to     
m$ication-assi/$ treatm5t = opioid use  
disord]s  7a7 ,con=m+ applicable numb]  
,subclause 7,,ii7 ( section             
#cjc7;g77#b77;,b77iii7 ( ! ,controll$   
,sub/ances ,act 7#ba ,u4,s4,c4          
#hbc7;g77#b77;,b77iii77 is am5d$ to read
 z foll[s3  7,,ii7 ,! applicable numb]  
is-- 7aa7 #ajj if1 n soon] ?an #a ye>   
aft] ! date on :i* ! practition]        
submitt$ ! initial notification1 !      
practition] submits a second            
notification to ! ,secret>y ( ! ne$ &   
int5t ( ! practition] to treat up to    
#ajj pati5ts2  7bb7 #ajj if !           
practition] holds additional cr$5tial+1 
z def9$ 9 section #h4b ( title #db1     
,code ( ,f$]al ,regulations 7or         

successor regulations72  7cc7 #ajj if ! 
practition] provides m$ication-assi/$   
treatm5t 7,,mat7 us+ cov]$ m$ications 7z
 def9$ 9 section #h4b ( title #db1 ,code
 ( ,f$]al ,regulations 7or successor    
regulations77 9 a qualifi$ practice     
sett+ 7z describ$ 9 section #h4fae (    
title #db1 ,code ( ,f$]al ,regulations  
7or successor regulations772 or  7dd7   
#bge if ! practition] meets !           
requirem5ts specifi$ 9 section #h4faj ( 
title #db1 ,code ( ,f$]al ,regulations  
7or successor regulations74  4  7b7     
,elim9at+ any "t limitation = nurse     
practition]s1 cl9ical nurse speciali/s1 
c]tifi$ regi/]$ nurse ane/heti/s1       
c]tifi$ nurse midwives1 & physician     
assi/ants ,to become qualify+           
practition]s ,section                   
#cjc7;g77#b77;,g77iii77,,ii7 ( !        
,controll$ ,sub/ances ,act 7#ba         
,u4,s4,c4 #hbc7;g77#b77;,g77iii77,,ii77 
is am5d$ by /rik+ dur+ ! p]iod beg9n+ on
 ! date ( enactm5t ( ! ,compreh5sive    
,addiction & ,recov]y ,act ( #bjaf &    

end+ on ,octob] #a1 #bjba & ins]t+      
beg9n+ on ! date ( enactm5t ( !         
,compreh5sive ,addiction & ,recov]y ,act
 ( #bjaf4  7c7 ,def9ition ( qualify+ o!r
 practition] ,clause 7iv7 ( section     
#cjc7;g77#b77;,g7 ( ! ,controll$        
,sub/ances ,act 7#ba ,u4,s4,c4          
#hbc7;g77#b77;,g77 is am5d$ by /rik+    
nurse practition] or physician assi/ant 
ea* place x appe>s & ins]t+ nurse       
practition]1 cl9ical nurse speciali/1   
c]tifi$ regi/]$ nurse ane/heti/1 c]tifi$
 nurse midwife1 or physician assi/ant4  
#cjb4 ,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 9 an oral =m  
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