,i #aae? ,,congress #b;d ,session ,h4 ,r4 #eeeh ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,april #ah1 #bjah,mr4 ,bu*anan 7= himself & ,mr4 ,ha/+s7 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 require ! ,secret>y ( ,heal? & ,human ,s]vices to c>ry out "u ! ,m$ic>e program an alt]natives to opioids 9 em]g5cy dep>tm5ts demon/ration project4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,alt]natives to ,opioids ,prescrib+ ,act4 #b4 ,alt]natives to opioids 9 em]g5cy dep>tm5ts ,m$ic>e demon/ration project 7a7 ,e/abli%m5t ,beg9n+ n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices 79 ?is ,act ref]r$ to z ! ,secret>y7 %all c>ry out a #e-ye> demon/ration project "u :i* paym5t %all be made "u ! hospital outpati5t prospective paym5t sy/em "u "p ,b ( title ,,xviii ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie;j et seq47 to p>ticipat+ hospitals = items & s]vices furni%$ z alt]natives to opioid m$ications to individuals enroll$ "u su* "p to treat conditions designat$ "u subsection 7c77#a7 = purposes ( evaluat+ ! b5efits ( us+1 in/ead ( opioid m$ications1 su* alt]natives to treat 9 em]g5cy dep>tm5ts su* symptoms & conditions4 7b7 ,em]g5cy dep>tm5ts 7#a7 ,selection ,! ,secret>y %all select f hospitals ) em]g5cy dep>tm5ts volunt>ily submitt+ applications "u p>agraph 7#d71 n few] ?an #cj hospitals ) em]g5cy dep>tm5ts1 & n m ?an #ej hospitals ) em]g5cy dep>tm5ts1 = p>ticipation 9 ! demon/ration project4 7#b7 ,div]sity ,9 select+ hospitals ) em]g5cy dep>tm5ts1 ! ,secret>y %all ensure su* hospitals & em]g5cy dep>tm5ts are div]se 9 geography & size4 7#c7 ,volunt>y p>ticipation ,p>ticipation 9 ! demon/ration project "u ?is section %all be on a volunt>y basis4 7#d7 ,applications 7,a7 ,9 g5]al ,to p>ticipate 9 ! demon/ration project1 a hospital ) an em]g5cy dep>tm5t %all submit to ! ,secret>y an application at su* "t1 9 su* mann]1 & conta9+ su* in=mation 79 addition to ! writt5 commitm5t describ$ 9 subp>agraph 7,b77 z specifi$ by ! ,secret>y4 ,! ,secret>y %all take su* measures z is necess>y to make available su* application =m to pot5tial p>ticipants no lat] ?an #ahj days aft] ! date ( ! enactm5t ( ?is ,act4 7,b7 ,in=mation requir$ ,ea* application submitt$ by a hospital "u subp>agraph 7,a7 %all include a b9d+ writt5 commitm5t to p>ticipate 9 ! demon/ration project = ! duration ( ! project sign$ by ! ,*ief ,executive ,(fic] ( ! hospital1 ! physician m$ical director ( ! em]g5cy dep>tm5t ( ! hospital1 ! nurs+ director ( ! em]g5cy dep>tm5t ( ! hospital1 & ! ph>macy director ( ! em]g5cy dep>tm5t ( ! hospital4 7c7 ,elem5ts ( demon/ration project ,"u ! demon/ration project1 ! foll[+ %all apply3 7#a7 ,! ,secret>y %all designate no few] ?an five conditions or sets ( symptoms t w be monitor$ dur+ ! demon/ration project4 7#b7 ,! p]=mance dur+ ea* ye> ( ! demon/ration project1 ) respect to su* conditions designat$ "u p>agraph 7#a71 ( all em]g5cy dep>tm5ts ( hospitals p>ticipat+ 9 ! demon/ration project w be measur$ aga9/ ! p]=mance ( su* em]g5cy dep>tm5ts dur+ a base ye>1 :i* %all repres5t ! mo/ rec5t set ( full ye> data available be=e ! fir/ date ( ! demon/ration project4 7#c7 ,! ,secret>y %all provide hospitals p>ticipat+ 9 ! demon/ration project ) a description ( cle>ly def9$ treatm5ts t are consid]$ alt]natives to opioids to be appli$ = purposes ( subsection 7a74 7d7 ,inc5tive paym5t ,"u ! demon/ration project1 ! ,secret>y %all create a paym5t /ructure "u :i* hospitals p>ticipat+ 9 ! demon/ration project t increase ! use ( alt]natives to opioids & decrease ! use ( opioids may receive a %>$ sav+s bonus 9 addition to :at w\ld o!rwise be made = items & s]vices furni%$ "u subsection 7a74 ,! am\nt ( su* %>$ sav+s %all be bas$ on ! diff]5ce betwe5 readmission rates = individuals treat$ ) an alt]native to opioids at ! em]g5cy dep>tm5t ( ! p>ticipat+ hospital & ! av]age rate ( readmissions = individuals treat$ ) opioids & dis*>g$ f a repres5tative gr\p ( em]g5cy dep>tm5ts ( hospitals n p>ticipat+ 9 ! demon/ration project 9 ! same region z ! p>ticipat+ hospital ov] a p]iod ( five ye>s4 7e7 ,cl>ification ,no?+ "u ?is section %all prev5t a heal? c>e provid] f prescrib+ an opioid if an opioid is a m$ically necess>y treatm5t4 7f7 ,reports to ,congress 7#a7 ,initial report ,n lat] ?an #ahj days aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y %all submit to ,congress a report t includes-- 7,a7 ! application =m describ$ 9 subsection 7b77#d77;,a7 t is to be made available to pot5tial p>ticipants2 & 7,b7 a progress report ) respect to designat+ ! conditions "u subsection 7c77#a7 & e/abli%+ ! description ( cle>ly def9$ treatm5ts describ$ 9 subsection 7c77#c74 7#b7 ,p]iodic demon/ration reports ,beg9n+ aft] ! fir/ ye> ( ! demon/ration project & annually !reaft] = ea* ye> ( ! demon/ration project & n lat] ?an "o ye> aft] ! completion ( ! demon/ration1 ! ,secret>y %all submit to ,congress a report t includes ! foll[+ data = ea* hospital p>ticipat+ "u ! demon/ration project3 7,a7 ,) respect to ea* condition or set ( symptom designat$ "u subsection 7c77#a71 ! numb] ( individuals treat$4 7,b7 ,) respect to ea* su* condition1 ! numb] ( individuals treat$ only ) an alt]native to opioids4 7,c7 ,) respect to ea* su* condition1 ! numb] ( individuals treat$ fir/ ) an alt]native to opioids1 foll[$ by an opioid 9 ! same visit4 7,d7 ,) respect to ea* su* condition1 ! numb] ( individuals treat$ only ) an opioid4 7,e7 ,) respect to ea* individual describ$ 9 subp>agraph 7,a7 treat$ = su* a condition or set ( symptoms1 :e!r or n ! individual involv$ return$ to ! em]g5cy dep>tm5t ( ! hospital or an em]g5cy dep>tm5t ( a diff]5t hospital = ! same condition or symptoms4 7,f7 ,! diff]5ce 9 co/ betwe5 treat+ an individual ) an alt]native to opioid v]sus an opioid4 7,g7 ,any additional in=mation ! ,secret>y det]m9es necess>y4