,i  #aae? ,,congress  #b;d ,session  ,h4
 ,r4 #efjc  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,april #bd1 #bjah ,ms4
 ,matsui 7= h]self & ,mr4 ,crd5as7      
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 !     
,secret>y ( ,heal? & ,human ,s]vices    
au?ority to waive c]ta9 ,m$ic>e         
teleheal? requirem5ts 9 ! case ( c]ta9  
treatm5t ( an opioid use disord] or     
co-occurr+ m5tal heal? disord]4  #a4    
,%ort title ,?is ,act may be cit$ z !   
,access to ,teleheal? ,s]vices = ,opioid
 ,use ,disord]s ,act4  #b4 ,au?ority to 
waive c]ta9 ,m$ic>e teleheal?           
requirem5ts 9 ! case ( c]ta9 treatm5t ( 
an opioid use disord] or co-occurr+     
m5tal heal? disord] ,section #ahcd7m7 ( 

! ,social ,security ,act 7#db ,u4,s4,c4 
#aciem7m77 is am5d$--  7#a7 9 p>agraph  
7#b77;,b77i71 by ins]t+ & p>agraph      
7#g77;,e7 aft] subject to clause 7ii72 &
  7#b7 by add+ at ! end ! foll[+ new    
p>agraph3  7#g7 ,au?ority to waive c]ta9
 requirem5ts 9 ! case ( c]ta9 treatm5t (
 opioid use disord] or co-occurr+ m5tal 
heal? disord]  7,a7 ,9 g5]al ,= purposes
 ( paym5t "u ?is subsection1 9 ! case ( 
teleheal? s]vices furni%$ on or aft]    
,janu>y #a1 #bjai1 to an eligible       
b5efici>y 7z def9$ 9 subp>agraph        
7,f77i77 = ! treatm5t ( an opioid use   
disord] or a m5tal heal? disord] t is   
co-occurr+ ) an opioid use disord]1 !   
,secret>y may waive any ( ! requirem5ts 
describ$ 9 subp>agraph 7,b7 if !        
conditions describ$ 9 clauses 7i71 7ii71
 & 7iii7 ( subp>agraph 7,d7 are met )   
respect to su* waiv]4  7,b7 ,requirem5ts
 describ$ ,= purposes ( ?is p>agraph1 ! 
requirem5ts describ$ 9 ?is subp>agraph  
include-- 7i7 requirem5ts relat+ to     
qualifications = an orig9at+ site "u    

p>agraph 7#d77;,c77ii72  7ii7 geographic
 limitations "u p>agraph 7#d77;,c77i7   
7o!r ?an applicable ,/ate law           
requirem5ts1 includ+ ,/ate lic5sure     
requirem5ts72 &  7iii7 any limitation on
 ! use ( /ore-&-=w>d te*nologies        
describ$ 9 p>agraph 7#a74  7,c7         
,id5tification ( "p ,b codes =          
application ( waiv]s  7i7 ,9 g5]al ,n   
lat] ?an #f mon?s aft] ! date ( !       
enactm5t ( ?is p>agraph1 ! ,secret>y    
%all review evid5ce relat$ to codes "u  
?is "p = teleheal? s]vices = ! treatm5t 
( sub/ance abuse & behavioral heal? t h 
be5 approv$ by ! ,c5t]s = ,m$ic>e       
,m$icaid ,s]vices z "p ( ! process      
e/abli%$ "u p>agraph 7#d77;,f77ii7 =    
purposes ( det]m9+ ! codes = :i* a waiv]
 appli$ "u ?is p>agraph w\ld meet "o or 
m ( ! conditions describ$ 9 subp>agraph 
7,b74 ,9 c>ry+ out ?is clause1 p>ticul> 
priority %\ld be giv5 to review+ evid5ce
 relat$ to codes = behavioral heal?     
s]vices t w\ld be appropriate to provide
 to individuals receiv+ treatm5t f an   

opioid agoni/ treatm5t practition]4     
7ii7 ,annual review process ,! ,secret>y
 %all review evid5ce p]ta9+ to sub/ance 
abuse & behavioral heal? codes z "p ( ! 
annual process "u p>agraph 7#d77;,f77ii7
 to det]m9e if a waiv] may be grant$4   
7,d7 ,conditions = waiv] ,= purposes (  
subp>agraph 7,a71 ! conditions describ$ 
9 ?is subp>agraph1 ) respect to a waiv] 
( any requirem5t describ$ 9 subp>agraph 
7,b71 are ea* ( ! foll[+3  7i7 ,!       
,secret>y det]m9es t ! application ( !  
waiv] is expect$ to-- 7,i7 r$uce sp5d+  
"u ?is title )\t r$uc+ ! quality ( c>e2 
7,,ii7 improve ! quality ( c>e )\t      
increas+ sp5d+2 or  7,,iii7 increase    
access to behavioral heal? & sub/ance   
use s]vices = individuals ) opioid use  
disord]s4  7ii7 ,! ,*ief ,actu>y ( !    
,c5t]s = ,m$ic>e  ,m$icaid ,s]vices     
c]tifies t ! condition describ$ 9 clause
 7i7 or 7iii7 is met4  7iii7 ,!         
,secret>y det]m9es t su* waiv] w\ld n   
d5y or limit ! cov]age or provision (   
b5efits "u ?is title = individuals4     

7,e7 ,treatm5t ( orig9at+ site facility 
fee ,no facility fee %all be paid "u    
p>agraph 7#b77;,b7 to an orig9at+ site )
 respect to a teleheal? s]vice = :i*    
paym5t is made "u ?is subsection by     
reason ( a waiv] "u ?is p>agraph if     
paym5t = su* s]vice w\ld n be p]mitt$ "u
 ?is subsection )\t su* waiv]4  7,f7    
,def9itions ,= purposes ( ?is p>agraph3 
7i7 ,eligible b5efici>y ,! t]m eligible 
b5efici>y means an individual :o--  7,i7
 is entitl$ to b5efits "u "p ,a &       
enroll$ = b5efits "u ?is "p2  7,,ii7 is 
n enroll$ 9 a ,m$ic>e ,advantage plan "u
 "p ,c2  7,,iii7 has a diagnosis = an   
opioid use disord]2 &  7,,iv7 meets su* 
o!r crit]ia z ! ,secret>y det]m9es      
appropriate4  7ii7 ,opioid agoni/       
treatm5t practition] ,! t]m opioid      
agoni/ treatm5t practition] means a     
practition] :o-- 7,i7 is enroll$ "u     
section #ahff7;j72 &  7,,ii7 is au?oriz$
 to prescribe or disp5se opioid agoni/  
treatm5t m$ication = ma9t5ance or       
detoxification treatm5t pursuant to a   

waiv] "u section #cjc7;g77#b7 ( !       
,controll$ ,sub/ances ,act4  7,g7       
,report ,n lat] ?an #e ye>s aft] ! date 
( ! enactm5t ( ?is p>agraph1 ! ,secret>y
 %all submit to ,congress a report on ! 
impact ( any waiv]s grant$ "u ?is       
p>agraph on--  7i7 any *ange 9          
utilization rates = behavioral heal?    
s]vices = opioid use disord]s2  7ii7 any
 *ange 9 rates or av]age l5g? ( "t (    
ret5tion 9 treatm5t = opioid use        
disord]s2  7iii7 any *ange 9 em]g5cy    
dep>tm5t visits relat$ to opioid        
ov]doses2 &  7iv7 any *ange 9 ov]dose   
dea?s relat$ to opioids abuse4  7,h7    
,fund+ ,= purposes ( c>ry+ out ?is      
p>agraph1 9 addition to funds o!rwise   
appropriat$1 ! ,secret>y %all provide = 
! transf]1 f ! ,f$]al ,supplem5t>y      
,m$ical ,insurance ,tru/ ,fund "u       
section #ahda1 ( #b1jjj1jjj to ! ,c5t]s 
= ,m$ic>e  ,m$icaid ,s]vices ,program   
,managem5t ,acc\nt4  4