,i  #aae? ,,congress  #b;d ,session  ,h4
 ,r4 #efce  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,april #bf1 #bjah,mr4 
,gro?man introduc$ ! foll[+ bill2 :i* 0 
ref]r$ to ! ,committee on ,en]gy &      
,comm]ce  ,a ,,bill  ,to am5d title     
,,xix ( ! ,social ,security ,act to     
impose re/rictions "u ! ,m$icaid program
 ) respect to opioid prescriptions1 & = 
o!r purposes4  #a4 ,%ort title ,?is ,act
 may be cit$ z ! ,responsible ,opioid   
,prescription ,act4  #b4 ,m$icaid       
re/rictions relat+ to opioid            
prescriptions  7a7 ,9 g5]al ,section    
#aibg7;d7 ( ! ,social ,security ,act    
7#db ,u4,s4,c4 #acifr-#h7;d77 is am5d$  
by add+ at ! end ! foll[+ new p>agraph3 
7#h7 ,re/rictions relat+ to opioids     
7,a7 ,9 g5]al ,subject to subp>agraph   
7,b71 ) respect to cal5d> qu>t]s beg9n+ 
on or aft] ,janu>y #a1 #bjai1 a ,/ate   
may only provide cov]age "u ! ,/ate plan
 7or a waiv] ( su* plan7 = an opioid    
disp5s$ to an individual enroll$ "u !   
plan 7or waiv]7 to ! ext5t t--  7i7 9 ! 

case ( an initial prescription = !      
opioid to ! individual1 su* prescription
 is limit$ to a maximum ( a #g-;day     
supply2 &  7ii7 9 ! case ( a refill (   
su* prescription1 su* refill is limit$  
to a maximum ( a #cj-;day supply &      
prescrib$ only if a provid]--  7,i7     
det]m9es t ! expect$ b5efits ( us+ !    
opioid to treat or improve !            
individual's pa9 or function1           
respectively1 outweigh ! risks ( su*    
use2  7,,ii7 to ! ext5t appropriate1    
comb9es ! use ( ! opioid )              
non-ph>macologic !rapy & non-opioid     
ph>macologic !rapy2  7,,iii7 e/abli%es  
treatm5t goals = ! individual & takes   
/eps to ensure t ! use ( ! opioid w be  
discont9u$ if ! provid] det]m9es t !    
b5efits ( su* use no long] outweigh !   
risks2 &  7,,iv7 discusses ) !          
individual ! kn[n risks ( su* use1 !    
reali/ic b5efits ( su* use1 & !         
responsibilities ( ! provid] &          
individual 9 manag+ su* use4  7,b7      
,exception ,subp>agraph 7,a7 %all n     

apply ) respect to opioids disp5s$ to   
individuals :o are-- 7i7 receiv+        
treatm5t = canc]2  7ii7 receiv+ hospice 
or palliative c>e2 or  7iii7 pati5ts 9 a
 long-t]m c>e facility or a skill$ nurs+
 facility4  7,c7 ,def9itions ,9 ?is     
p>agraph3 7i7 ,initial prescription ,!  
t]m initial prescription1 ) respect to  
an individual1 includes ! issuance ( a  
new prescription to ! individual = an   
opioid t ! individual 0 previ\sly       
prescrib$1 provid$ t su* new            
prescription is issu$ m ?an #fj days    
aft] ! expiration ( su* previ\s         
prescription4  7ii7 ,opioid ,! t]m      
opioid has ! mean+ giv5 su* t]m 9       
section #ajb ( ! ,controll$ ,sub/ances  
,act 7#ba ,u4,s4,c4 #hjb7 & includes    
drugs includ$ 9 s*$ules ,,ii1 ,,iii1 &  
,,iv ( section #bjb7;c7 ( su* ,act 7#ba 
,u4,s4,c4 #hab7;c774  4  7b7            
,prohibition on paym5ts = c]ta9 opioid  
prescriptions ,section #aijc7;i7 ( !    
,social ,security ,act 7#db ,u4,s4,c4   
#acif;b7i77 is am5d$ by ins]t+ aft]     

p>agraph 7#h7 ! foll[+ new p>agraph3    
7#i7 ) respect to opioids 7z def9$ 9    
section #aibg7;d77#h77 disp5s$ 9 cal5d> 
qu>t]s beg9n+ on or aft] ,janu>y #a1    
#bjai1 unless su* opioids are disp5s$ 9 
accordance ) section #aibg7;d77#h72 or  
4