,,ib  ,union ,cal5d> ,no4 #egi  #aae?   
,,congress  #b;d ,session  ,h4 ,r4 #efjc
  ,report ,no4 #aae-gde1 ,"p ,i  ,,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$  ,june #ab1 #bjah;,additional   
sponsors3 ,mr4 ,johnson ( ,ohio1 ,mrs4  
,blackburn1 ,mr4 ,griffi?1 ,mr4 ,?ompson
 ( ,cali=nia1 ,mr4 ,wald51 ,mr4         
,mit*ell1 & ,mr4 ,bo/  ,june #ab1 #bjah 
,report$ f ! ,committee on ,en]gy &     
,comm]ce ) am5dm5ts ,/rike out all aft] 
! enact+ clause & ins]t ! "p pr9t$ 9    
italic  ,june #ab1 #bjah,! ,committee on
 ,ways & ,means dis*>g$2 committ$ to !  
,committee ( ! ,:ole ,h\se on ! ,/ate ( 
! ,union & ord]$ to be printed,for text 
( introduc$ bill1 see copy ( bill z     

introduc$ on ,april #bd1 #bjah  ,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 =        
,sub/ance ,use ,disord]s ,act4  #b4     
,au?ority n to apply c]ta9 ,m$ic>e      
teleheal? requirem5ts 9 ! case ( c]ta9  
treatm5t ( a sub/ance use disord] or    
co-occurr+ m5tal heal? disord] ,section 
#ahcd7m7 ( ! ,social ,security ,act 7#db
 ,u4,s4,c4 #aciem7m77 is am5d$--  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>agraphs3  7#g7 ,au?ority n 
to apply c]ta9 requirem5ts 9 ! case (   
c]ta9 treatm5t ( sub/ance use disord] or
 co-occurr+ m5tal heal? disord]  7,a7 ,9
 g5]al ,= purposes ( paym5t "u ?is      

subsection1 9 ! case ( teleheal? s]vices
 describ$ 9 subp>agraph 7,c7 furni%$ on 
or aft] ,janu>y #a1 #bjbj1 to an        
eligible b5efici>y 7z def9$ 9           
subp>agraph 7,f77 = ! treatm5t ( a      
sub/ance use disord] or a m5tal heal?   
disord] t is co-occurr+ ) a sub/ance use
 disord]1 ! ,secret>y is au?oriz$ to1   
?r\gh rulemak+1 n apply any ( !         
requirem5ts describ$ 9 subp>agraph 7,b74
  7,b7 ,requirem5ts describ$ ,= purposes
 ( ?is p>agraph1 ! requirem5ts describ$ 
9 ?is subp>agraph are any ( ! foll[+3   
7i7 ,qualifications = an orig9at+ site  
"u p>agraph 7#d77;,c77ii74  7ii7        
,geographic limitations "u p>agraph     
7#d77;,c77i74  7,c7 ,teleheal? s]vices  
describ$ ,= purposes ( ?is p>agraph1 !  
teleheal? s]vices describ$ 9 ?is        
subp>agraph are s]vices t are bo?       
teleheal? s]vices & id5tifi$ by !       
,secret>y1 ?r\gh rulemak+1 z s]vices t  
are ! mo/ commonly furni%$ 7z def9$ by !
 ,secret>y7 "u ?is "p to individuals    
diagnos$ ) a sub/ance use disord] or a  

m5tal heal? disord] t is co-occurr+ ) a 
sub/ance use disord]4  7,d7             
,cl>ification ,no?+ 9 ?is p>agraph %all 
be con/ru$ z limit+ or o!rwise affect+ !
 au?ority ( ! ,secret>y to limit or     
elim9ate ! non-application pursuant to  
?is p>agraph ( any ( ! requirem5ts "u   
subp>agraph 7,b74  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 describ$ 9 subp>agraph 
7,b7 = :i* paym5t is made "u ?is        
subsection by reason ( ! non-application
 ( a requirem5t describ$ 9 subp>agraph  
7,b7 pursuant to ?is p>agraph if paym5t 
= su* s]vice w\ld n o!rwise be p]mitt$  
"u ?is subsection if su* requirem5t 7   
appli$4  7,f7 ,eligible b5efici>y def9$ 
,= purposes ( ?is p>agraph1 ! t]m       
eligible b5efici>y means an individual  
:o-- 7i7 is entitl$ to1 or enroll$ =1   
b5efits "u "p ,a & enroll$ = b5efits "u 
?is "p2  7ii7 has a diagnosis = a       
sub/ance use disord]2 &  7iii7 meets su*

 o!r crit]ia z ! ,secret>y det]m9es     
appropriate4  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    
non-application "u ?is p>agraph ( any ( 
! requirem5ts describ$ 9 subp>agraph    
7,b7 on  7i7 ! utilization ( heal? c>e  
s]vices relat$ to sub/ance use disord]1 
su* z behavioral heal? s]vices & em]g5cy
 dep>tm5t visits2 &  7ii7 heal? outcomes
 relat$ to sub/ance use disord]1 su* z  
sub/ance use ov]dose dea?s4  7,h7 ,fund+
 ,= purposes ( c>ry+ out ?is p>agraph1 9
 addition to funds o!rwise available1 ! 
,secret>y %all provide = ! transf]1 f ! 
,f$]al ,supplem5t>y ,m$ical ,insurance  
,tru/ ,fund "u section #ahda1 (         
#c1jjj1jjj to ! ,c5t]s = ,m$ic>e        
,m$icaid ,s]vices ,program ,managem5t   
,acc\nt to rema9 available until exp5d$4
  7#h7 ,rule ( con/ruction ,no?+ 9 ?is  
subsection may be con/ru$ z waiv+       
requirem5ts "u ?is title to comply )    
applicable ,/ate law1 includ+ ,/ate     

lic5sure requirem5ts4  4  ,am5d ! title 
s z to read3 ,a bill to am5d title      
,,xviii ( ! ,social ,security ,act to   
provide ! ,secret>y ( ,heal? & ,human   
,s]vices au?ority n to apply c]ta9      
,m$ic>e teleheal? requirem5ts 9 ! case (
 c]ta9 treatm5t ( a sub/ance use disord]
 or co-occurr+ m5tal heal? disord]44    
,june #ab1 #bjah ,report$ f ! ,committee
 on ,en]gy & ,comm]ce ) amendments,june 
#ab1 #bjah,! ,committee on ,ways &      
,means dis*>g$2 committ$ to ! ,committee
 ( ! ,:ole ,h\se on ! ,/ate ( ! ,union &
 ord]$ to be pr9t$