,i #aaeth ,,congress #b;d ,session ,h4 ,r4 #ejhc ,,in ,,the ,,house ,,of ,,representatives ,february #bc1 #bjah,mr4 ,neal 7for himself and ,mr4 ,pallone7 introduced the following bill2 which was referred to the ,committee on ,energy and ,commerce1 and in addition to the ,committee on ,ways and ,means1 for a period to be subsequently determined by the ,speaker1 in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned ,a ,,bill ,to amend title ,,xviii of the ,social ,security ,act to provide for coverage of certain services furnished by opioid treatment programs under the ,medicare program4 #a4 ,short title ,this ,act may be cited as the ,expanding ,access to ,evidence-,based ,opioid ,treatment for ,seniors ,act of #bjah4 #b4 ,medicare coverage of certain services furnished by opioid treatment programs 7a7 ,coverage ,section #ahfa7s77#b7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciex7s77#b77 is amended-- 7#a7 in subparagraph 7,,ff71 by striking at the end and2 7#b7 in subparagraph 7,,gg71 by inserting at the end 2 and2 and 7#c7 by adding at the end the following new subparagraph3 7,,hh7 opioid use disorder treatment services 7as defined in subsection 7jjj774 4 7b7 ,opioid use disorder treatment services and opioid treatment program defined ,section #ahfa of the ,social ,security ,act is amended by adding at the end the following new subsection3 7jjj7 ,opioid use disorder treatment services2 opioid treatment program 7#a7 ,opioid use disorder treatment services ,the term opioid use disorder treatment services means items and services that-- 7,a7 are furnished for the treatment of opioid use disorder at an opioid treatment program enrolled under section #ahff7;j7 by a physician or other practitioner that is enrolled under such section2 and 7,b7 are certified by the ,substance ,abuse and ,mental ,health ,services ,administration to be provided by such program for such treatment4 7#b7 ,opioid treatment program ,the term opioid treatment program means an opioid treatment program 7as defined in section #h4b of title #db of the ,code of ,federal ,regulations1 or any successor regulation7 that has an opioid treatment program certification 7as defined in such section7 in effect and meets such other conditions of participation as the ,secretary may find necessary in the interest of the health and safety of individuals who are furnished services by such program4 4 7c7 ,payment 7#a7 ,in general ,section #ahcc7;a77#a7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciel7a77#a77 is amended-- 7,a7 by striking and 7,,bb7 and inserting 7,,bb72 and 7,b7 by inserting before the semicolon at the end the following 1 and 7,,cc7 with respect to opioid use disorder treatment services1 the amount paid shall be equal to #hj percent of the amount determined under section #ahcd7w74 7#b7 ,payment determination ,section #ahcd of the ,social ,security ,act 7#db ,u4,s4,c4 #aciem7 is amended by adding at the end the following new subsection3 7w7 ,opioid use disorder treatment services 7#a7 ,in general ,the ,secretary shall pay to an opioid treatment program 7as defined in paragraph 7#b7 of section #ahfa7;jjj77 a bundled payment under this part for opioid use disorder treatment services 7as defined in paragraph 7#a7 of such section7 that are furnished during an episode of care 7as defined by the ,secretary7 beginning on or after ,january #a1 #bjbj1 to an individual by a physician or other practitioner at such program4 ,such payment shall be in lieu of any payment that would otherwise be made under this part to such physician or practitioner for furnishing such services4 7#b7 ,payment amount 7,a7 ,in general ,subject to subparagraph 7,b71 the amount of a bundled payment under this subsection1 with respect to opioid use disorder treatment services 7as so defined7 furnished during an episode of care 7as so defined7 beginning during #bjbj or a subsequent year1 shall be an amount determined by the ,secretary that is based on the rates of payment for comparable services that are paid under ,state plans under title ,,xix4 7,b7 ,periodic updates ,the ,secretary shall1 as determined necessary by the ,secretary 7but not less frequently than once every #e years71 review and update the amount of a bundled payment under this subsection with respect to opioid use disorder treatment services 7as so defined7 furnished during an episode of care 7as so defined74 4 7d7 ,including opioid treatment programs as ,medicare providers ,section #ahff of the ,social ,security ,act 7#db ,u4,s4,c4 #acie;cc7 is amended-- 7#a7 in subsection 7e7-- 7,a7 in paragraph 7#b71 by striking at the end and2 7,b7 in paragraph 7#c71 by striking the period at the end and inserting 2 and2 and 7,c7 by adding at the end the following new paragraph3 7#c7 opioid treatment programs 7as defined in paragraph 7#b7 of section #ahfa7;jjj771 but only with respect to the furnishing of opioid use disorder treatment services 7as defined in paragraph 7#a7 of such section74 2 and 7,d7 in subsection 7j71 by adding at the end the following new paragraph3 7#aj7 ,enhanced oversight for opioid treatment programs ,the ,secretary shall establish procedures to provide that opioid treatment programs 7as defined in paragraph 7#b7 of section #ahff7;jjj77 enrolling or reenrolling under this title are subject to enhanced oversight1 including by requiring annual audits by the ,inspector ,general of the ,department of ,health and ,human ,services for each of the first #e years of such enrollment or reenrollment of such program under this title and audits as deemed necessary by the ,inspector ,general for each subsequent year of enrollment or reenrollment of such program under this title to ensure compliance of the program with the requirements of this section4 4