,i  #aae? ,,congress  #b;d ,session  ,h4
 ,r4 #ejhc  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,febru>y #bc1         
#bjah,mr4 ,neal 7= himself & ,mr4       
,pallone7 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 ( c]ta9 s]vices       
furni%$ by opioid treatm5t programs "u !
 ,m$ic>e program4  #a4 ,%ort title ,?is 
,act may be cit$ z ! ,exp&+ ,access to  
,evid5ce-,bas$ ,opioid ,treatm5t =      
,s5iors ,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 
use disord] treatm5t s]vices 7z def9$ 9 
subsection 7jjj774  4  7b7 ,opioid use  
disord] treatm5t s]vices & opioid       
treatm5t program def9$ ,section #ahfa ( 
! ,social ,security ,act is am5d$ by    
add+ at ! end ! foll[+ new subsection3  
7jjj7 ,opioid use disord] treatm5t      
s]vices2 opioid treatm5t program  7#a7  
,opioid use disord] treatm5t s]vices ,! 
t]m opioid use disord] treatm5t s]vices 
means items & s]vices t-- 7,a7 are      
furni%$ = ! treatm5t ( opioid use       
disord] at an opioid treatm5t program   
enroll$ "u section #ahff7;j7 by a       
physician or o!r practition] t is       
enroll$ "u su* section2 &  7,b7 are     
c]tifi$ by ! ,sub/ance ,abuse & ,m5tal  
,heal? ,s]vices ,adm9i/ration to be     
provid$ by su* program = su* treatm5t4  
7#b7 ,opioid treatm5t program ,! t]m    
opioid treatm5t program means an opioid 
treatm5t program 7z def9$ 9 section #h4b

 ( title #db ( ! ,code ( ,f$]al         
,regulations1 or any successor          
regulation7 t has an opioid treatm5t    
program c]tification 7z def9$ 9 su*     
section7 9 effect & meets su* o!r       
conditions ( p>ticipation z ! ,secret>y 
may f9d necess>y 9 ! int]e/ ( ! heal? & 
safety ( individuals :o are furni%$     
s]vices by su* program4  4  7c7 ,paym5t 
7#a7 ,9 g5]al ,section #ahcc7;a77#a7 ( !
 ,social ,security ,act 7#db ,u4,s4,c4  
#aciel7a77#a77 is am5d$-- 7,a7 by /rik+ 
& 7,,bb7 & ins]t+ 7,,bb72 &  7,b7 by    
ins]t+ be=e ! semicolon at ! end !      
foll[+ 1 & 7,,cc7 ) respect to opioid   
use disord] treatm5t s]vices1 ! am\nt   
paid %all be equal to #hj p]c5t ( !     
am\nt det]m9$ "u section #ahcd7w74  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  7w7 ,opioid use 
disord] treatm5t s]vices  7#a7 ,9 g5]al 
,! ,secret>y %all pay to an opioid      
treatm5t program 7z def9$ 9 p>agraph    

7#b7 ( section #ahfa7;jjj77 a bundl$    
paym5t "u ?is "p = opioid use disord]   
treatm5t s]vices 7z def9$ 9 p>agraph    
7#a7 ( su* section7 t are furni%$ dur+  
an episode ( c>e 7z def9$ by !          
,secret>y7 beg9n+ on or aft] ,janu>y #a1
 #bjbj1 to an individual by a physician 
or o!r practition] at su* program4 ,su* 
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\nt  7,a7 ,9   
g5]al ,subject to subp>agraph 7,b71 !   
am\nt ( a bundl$ paym5t "u ?is          
subsection1 ) respect to opioid use     
disord] treatm5t s]vices 7z s def9$7    
furni%$ dur+ an episode ( c>e 7z s      
def9$7 beg9n+ dur+ #bjbj or a subsequ5t 
ye>1 %all be an am\nt det]m9$ by !      
,secret>y t is bas$ on ! rates ( paym5t 
= comp>able s]vices t are paid "u ,/ate 
plans "u title ,,xix4  7,b7 ,p]iodic    
updates ,! ,secret>y %all1 z det]m9$    
necess>y by ! ,secret>y 7b n less       
frequ5tly ?an once e #e ye>s71 review & 

update ! am\nt ( a bundl$ paym5t "u ?is 
subsection ) respect to opioid use      
disord] treatm5t s]vices 7z s def9$7    
furni%$ dur+ an episode ( c>e 7z s      
def9$74  4  7d7 ,includ+ opioid treatm5t
 programs z ,m$ic>e provid]s ,section   
#ahff ( ! ,social ,security ,act 7#db   
,u4,s4,c4 #acie;cc7 is am5d$-- 7#a7 9   
subsection 7e7--  7,a7 9 p>agraph 7#b71 
by /rik+ at ! end &2  7,b7 9 p>agraph   
7#c71 by /rik+ ! p]iod at ! end & ins]t+
 2 &2 &  7,c7 by add+ at ! end ! foll[+ 
new p>agraph3  7#c7 opioid treatm5t     
programs 7z def9$ 9 p>agraph 7#b7 (     
section #ahfa7;jjj771 b only ) respect  
to ! furni%+ ( opioid use disord]       
treatm5t s]vices 7z def9$ 9 p>agraph    
7#a7 ( su* section74  2 &  7,d7 9       
subsection 7j71 by add+ at ! end !      
foll[+ new p>agraph3  7#aj7 ,enhanc$    
ov]sight = opioid treatm5t programs ,!  
,secret>y %all e/abli% proc$ures to     
provide t opioid treatm5t programs 7z   
def9$ 9 p>agraph 7#b7 ( section         
#ahff7;jjj77 enroll+ or re5roll+ "u ?is 

title are subject to enhanc$ ov]sight1  
includ+ by requir+ annual audits by !   
,inspector ,g5]al ( ! ,dep>tm5t ( ,heal?
 & ,human ,s]vices = ea* ( ! fir/ #e    
ye>s ( su* enrollm5t or re5rollm5t ( su*
 program "u ?is title & audits z deem$  
necess>y by ! ,inspector ,g5]al = ea*   
subsequ5t ye> ( enrollm5t or re5rollm5t 
( su* program "u ?is title to ensure    
compliance ( ! program ) ! requirem5ts (
 ?is section4  4