,i  #aae? ,,congress  #b;d ,session  ,h4
 ,r4 #ejhj  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,febru>y #bc1         
#bjah,mr4 ,hold+ 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 to provide = cov]age "u ! 
,m$ic>e program ( opioid treatm5t       
program s]vices4  #a4 ,%ort title ,?is  
,act may be cit$ z ! ,compreh5sive      
,opioid ,managem5t & ,bundl$ ,addiction 
,treatm5t ,act ( #bjah or ! ,,combat    
,act ( #bjah4  #b4 ,m$ic>e cov]age (    
c]ta9 s]vices furni%$ by opioid treatm5t
 programs  7a7 ,cov]age ,section        
#ahfa7s77#b7 ( ! ,social ,security ,act 
7#db ,u4,s4,c4 #aciex7s77#b77 is am5d$--
  7#a7 9 subp>agraph 7,,ff71 by /rik+ at
 ! end &2  7#b7 9 subp>agraph 7,,gg71 by
 ins]t+ at ! end 2 &2 &  7#c7 by add+ at

 ! end ! foll[+ new subp>agraph3  7,,hh7
 opioid treatm5t program s]vices 7z     
def9$ 9 subsection 7jjj774  4  7b7      
,opioid use disord] treatm5t s]vices &  
opioid treatm5t program def9$ ,section  
#ahfa ( ! ,social ,security ,act 7#db   
,u4,s4,c4 #aciex7 is am5d$ by add+ at ! 
end ! foll[+ new subsection3  7jjj7     
,opioid treatm5t program s]vices2 opioid
 treatm5t program  7#a7 ,opioid treatm5t
 program s]vices  7,a7 ,9 g5]al ,! t]m  
opioid treatm5t program s]vices means   
items & s]vices describ$ 9 subp>agraph  
7,b7 t are furni%$ z "p (               
m$ication-assi/$ treatm5t = ! treatm5t (
 opioid use disord] at an opioid        
treatm5t program enroll$ "u section     
#ahff7;j74  7,b7 ,items & s]vices       
describ$ ,= purposes ( subp>agraph 7,a71
 ! items & s]vices describ$ 9 ?is       
subp>agraph1 ) respect to an individual 
& episode ( c>e1 are ! foll[+3  7i7     
,initial intake & assessm5t4  7ii7      
,integrat$ & ongo+ psy*osocial & m$ical 
treatm5t = opioid use disord]4  7iii7   

,additional s]vices1 includ+ ur9alysis2 
m$ication adm9i/ration1 disp5s+1 &      
monitor+2 & scre5+4  7iv7 ,"o ( ! foll[+
 products 7or su* o!r products approv$  
aft] ! date ( ! enactm5t ( ?is          
subsection by ! ,food & ,drug           
,adm9i/ration = ! purpose ( ma9t5ance or
 detoxification treatm5t71 z det]m9$    
appropriate = ! individual by an        
appropriately lic5s$ cl9ician = !       
treatm5t ( su* individual3  7,i7        
,me?adone products4  7,,ii7 ,bupr5orph9e
 products4  7,,iii7 ,naltrexone         
products4  7#b7 ,opioid treatm5t program
 ,! t]m opioid treatm5t program means an
 opioid treatm5t program 7z def9$ 9     
section #h4b ( title #db ( ! ,code (    
,f$]al ,regulations1 or any successor   
regulation7 t--  7,a7 has 9 effect an   
opioid treatm5t program c]tification 7z 
def9$ 9 su* section72  7,b7 has 9 effect
 a c]tification by ! ,sub/ance ,abuse & 
,m5tal ,heal? ,s]vices ,adm9i/ration =  
su* a program2 &  7,c7 is accr$it$ by an
 accr$it+ body approv$ by ! ,sub/ance   

,abuse & ,m5tal ,heal? ,s]vices         
,adm9i/ration4  7#c7 ,m$ication-assi/$  
treatm5t ,! t]m m$ication-assi/$        
treatm5t means ! use ( m$ications1 9    
comb9ation ) c\nsel+1 behavioral        
!rapies1 & toxicology te/+1 to provide a
 compreh5sive approa* to ! treatm5t (   
sub/ance use disord]s4  4  7c7 ,paym5t  
7#a7 ,9 g5]al ,section #ahcc7;a77#a7 ( !
 ,social ,security ,act 7#db ,u4,s4,c4  
#aciel7a77#a77 is am5d$-- 7,a7 by /rik+ 
& 7,,bb7 & ins]t+ 7,,bb72 &  7,b7 by    
ins]t+ be=e ! semicolon at ! end !      
foll[+ 1 & 7,,cc7 ) respect to opioid   
treatm5t program s]vices furni%$ dur+ an
 episode ( c>e1 ! am\nt paid %all be    
equal to ! am\nt payable 9 accordance ) 
section #ahcd7v74  7#b7 ,paym5t         
det]m9ation ,section #ahcd ( ! ,social  
,security ,act 7#db ,u4,s4,c4 #aciem7 is
 am5d$ by add+ at ! end ! foll[+ new    
subsection3  7v7 ,opioid treatm5t       
program s]vices  7#a7 ,9 g5]al ,!       
,secret>y %all pay "u ?is "p to an      
opioid treatm5t program 7z def9$ 9      

p>agraph 7#b7 ( section #ahfa7;jjj77 an 
am\nt equal to #abj p]c5t ( ! bundl$    
paym5t am\nt "u a subp>agraph ( p>agraph
 7#b7 = opioid treatm5t program s]vices 
7z def9$ 9 p>agraph 7#a7 ( su* section  
#ahfa7;jjj77 describ$ 9 su* subp>agraph 
t are furni%$ dur+ ! episode ( c>e      
7beg9n+ n lat] ?an ,janu>y #a1 #bjai7   
applicable to su* s]vices describ$ 9 su*
 subp>agraph1 to an individual by a     
physician or o!r practition] at su*     
program4 ,su* a bundl$ paym5t %all be 9 
lieu ( any paym5t t w\ld o!rwise be made
 "u ?is "p to su* physician or          
practition] = furni%+ su* s]vices4  7#b7
 ,paym5t am\nts & episode ( c>e bas$ on 
m$ication involv$ ,subject to p>agraph  
7#c73 7,a7 ,m$ication-assi/$ treatm5t   
bundles includ+ me?adone ,9 ! case (    
opioid treatm5t program s]vices t       
include me?adone1 ! bundl$ paym5t am\nt 
"u ?is subp>agraph is ! paym5t am\nt    
appli$ = ,,hcpcs code ,h#jjbj & %all be 
= an episode ( c>e1 ! duration ( :i* is 
a week4  7,b7 ,m$ication-assi/$ treatm5t

 bundles includ+ bupr5orph9e ,9 ! case (
 opioid treatm5t program s]vices t      
include bupr5orph9e-- 7i7 ! bundl$      
paym5t am\nt "u ?is subp>agraph %all be 
! am\nt equal to ! sum (--  7,i7 )      
respect to s]vices furni%$ z "p ( su*   
bundle1 ! paym5t am\nt appli$ = ,,hcpcs 
code ,h#jjdg2 &  7,,ii7 ) respect to    
buprenorph9e adm9i/]$ or disp5s$ z "p ( 
su* bundle1 ! paym5t am\nt appli$ =     
,,hcpcs code ,j#jega1 ,j#jegb1 or       
,j#jegc1 det]m9$ at an am\nt equal to   
#ie p]c5t ( ! av]age :olesale price ( ! 
drug2  7ii7 su* bundl$ paym5t am\nt--   
7,i7 %all be = an episode ( c>e1 !      
duration ( :i* is a week2 &  7,,ii7 %all
 include paym5t = bupr5orph9e adm9i/]$  
dur+ su* episode ( c>e only if !        
m$ication is disp5s$ or adm9i/]$ by !   
opioid treatm5t program involv$2 &      
7iii7 any claim = paym5t = su* s]vices1 
) respect to su* a episode ( c>e1 "u ?is
 subsection %all include ! ,national    
,drug ,code = ,buprenorph9e1 dosage1 &  
acquisition co/s4  7,c7                 

,m$ication-assi/$ treatm5t bundles      
includ+ naltrexone ,9 ! case ( opioid   
treatm5t program s]vices t include      
naltrexone-- 7i7 ! bundl$ paym5t am\nt  
"u ?is subp>agraph %all be ! am\nt equal
 to ! sum (--  7,i7 ) respect to s]vices
 furni%$ z "p ( su* bundle1 ! paym5t    
am\nt appli$ = ,,hcpcs code ,h#jjdg2    
7,,ii7 ) respect to ! adm9i/ration (    
naltrexone z "p ( su* bundle1 ! paym5t  
am\nt appli$ = ,,cpt code #ifcgb2 &     
7,,iii7 ) respect to naltrexone adm9i/]$
 z "p ( su* bundle1 ! paym5t am\nt      
appli$ = ,,hcpcs code ,j#bcae = ! am\nt 
( milligrams us$2 &  7ii7 su* bundl$    
am\nt %all be = an episode ( c>e1 !     
duration ( :i* is a mon?4  ,9 c>ry+ out 
?is p>agraph1 any ref]5ce to a ,,hcpcs  
code or ,,cpt code %all be treat$ z     
includ+ a ref]5ce to a successor code to
 ! ,,hcpcs code or ,,cpt code1 z det]m9$
 by ! ,secret>y pursuant to rulemak+4   
7#c7 ,limitation ,9 no case %all ! am\nt
 det]m9$ "u a subp>agraph ( p>agraph    
7#b71 ) respect to opioid treatm5t      

s]vices describ$ 9 a subp>agraph (      
p>agraph 7#b7 dur+ an episode ( c>e     
describ$ 9 su* subp>agraph furni%$ 9 a  
c\nt be less ?an ! great] (--  7,a7 !   
rate ( paym5t = comp>able s]vices t are 
paid "u ,/ate plans "u title ,,xix to   
opioid treatm5t programs 9 su* c\nty2 or
  7,b7 ! rate ( paym5t "u ! ,,tric>e    
program "u *apt] #ee ( title #aj1 ,unit$
 ,/ates ,code1 = comp>able s]vices paid 
to opioid treatm5t programs 9 su* c\nty4
  4  7d7 ,includ+ opioid treatm5t       
programs z ,m$ic>e provid]s ,section    
#ahff7;e7 ( ! ,social ,security ,act    
7#db ,u4,s4,c4 #acie;cc7e77 is am5d$--  
7#a7 9 p>agraph 7#b71 by /rik+ at ! end 
&2  7#b7 9 p>agraph 7#c71 by /rik+ !    
p]iod at ! end & ins]t+ 2 &2 &  7#c7 by 
add+ at ! end ! foll[+ new p>agraph3    
7#c7 opioid treatm5t programs 7z def9$ 9
 p>agraph 7#b7 ( section #ahfa7;jjj771 b
 only ) respect to ! furni%+ ( opioid   
treatm5t program s]vices 7z def9$ 9     
p>agraph 7#a7 ( su* section74  4