,i  #aae? ,,congress  #b;d ,session  ,h4
 ,r4 #efii  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,may #h1 #bjah,mr4    
,curbelo ( ,florida 7= himself & ,ms4   
,ku/] ( ,new ,hamp%ire7 introduc$ !     
foll[+ bill2 :i* 0 ref]r$ to !          
,committee on ,ways & ,means  ,a ,,bill 
,to direct ! ,secret>y ( ,heal? & ,human
 ,s]vices to develop guidance on pa9    
managem5t & ! prev5tion ( opioid use    
disord] = hospitals receiv+ paym5t "u "p
 ,a ( ! ,m$ic>e program4  #a4 ,%ort     
title ,?is ,act may be cit$ z !         
,hospital ,opioid ,solutions ,toolkit   
,act ( #bjah or ! ,,ho/ ,act ( #bjah4   
#b4 ,develop+ guidance on pa9 managem5t 
& opioid use disord] prev5tion =        
hospitals receiv+ paym5t "u "p ,a ( !   
,m$ic>e program  7a7 ,9 g5]al ,n lat]   
?an ,janu>y #a1 #bjai1 ! ,secret>y (    
,heal? & ,human ,s]vices 79 ?is section 
ref]r$ to z ! ,secret>y7 %all develop & 
publi% on ! public website ( ! ,c5t]s = 
,m$ic>e  ,m$icaid ,s]vices guidance =   
hospitals receiv+ paym5t "u "p ,a (     

title ,,xviii ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #acie;c et seq47 on pa9 
managem5t /rategies & opioid use disord]
 prev5tion /rategies ) respect to       
individuals entitl$ to b5efits "u su*   
"p4  7b7 ,consultation ,9 develop+ !    
guidance describ$ 9 subsection 7a71 !   
,secret>y %all consult ) relevant       
/akehold]s1 includ+--  7#a7 m$ical      
pr(essional organizations2  7#b7        
provid]s & suppli]s ( s]vices 7z su*    
t]ms are def9$ 9 section #ahfa ( !      
,social ,security ,act 7#db ,u4,s4,c4   
#aciex772  7#c7 pati5t advocacy         
organizations & organizations repres5t+ 
,m$ic>e b5efici>ies2 &  7#d7 o!r        
entities det]m9$ appropriate by !       
,secret>y4  7c7 ,cont5ts ,! guidance    
describ$ 9 subsection 7a7 %all include1 
) respect to hospitals & individuals    
describ$ 9 su* subsection1 ! foll[+3    
7#a7 ,be/ practices reg>d+ evid5ce-bas$ 
scre5+ & practition] education          
initiatives relat+ to scre5+ & treatm5t 
protocols = opioid use disord]1         

includ+--  7,a7 me?ods to id5tify su*   
individuals at-risk ( opioid use        
disord]1 includ+ risk /ratification2    
7,b7 ways to prev5t1 recognize1 & treat 
opioid ov]doses2 &  7,c7 res\rces       
available to su* individuals1 su* z     
opioid treatm5t programs1 pe] support   
gr\ps1 & o!r recov]y programs4  7#b7    
,be/ practices = su* hospitals to       
educate practition]s furni%+ items &    
s]vices at su* hospital ) respect to pa9
 managem5t & sub/ance use disord]s1     
includ+ education on--  7,a7 ! adv]se   
effects ( prolong$ opioid use2  7,b7    
alt]native1 evid5ce-bas$1               
non-ph>macological pa9 managem5t        
treatm5ts2  7,c7 monitor+ programs =    
individuals :o h be5 prescrib$ opioids2 
&  7,d7 ! prescrib+ ( naloxone along )  
an initial opioid prescription4  7#c7   
,be/ practices = su* hospitals to make  
su* individuals aw>e ( ! risks associat$
 ) opioid use 7:i* may include use ( !  
notification template describ$ 9        
p>agraph 7#d774  7#d7 ,a notification   

template develop$ by ! ,secret>y = su*  
individuals :o are prescrib$ an opioid  
t--  7,a7 expla9s ! risks & side effects
 associat$ ) opioid use 7includ+ ! risks
 ( addiction & ov]dose7 & ! importance (
 adh]+ to ! prescrib$ treatm5t regim51  
avoid+ m$ications t may h an adv]se     
int]action ) su* opioid1 & /or+ su*     
opioid safely & securely2  7,b7         
highlights multimodal & evid5ce-bas$    
non-opioid alt]natives = pa9 managem5t2 
7,c7 enc\rages su* individuals to talk  
to _! heal? c>e provid]s ab\t su*       
alt]natives2  7,d7 provides = a me?od   
7?r\gh signature or o!rwise7 = su* an   
individual1 or p]son act+ on su*        
individual's behalf1 to ackn[l$ge       
receipt ( su* notification template2    
7,e7 is word$ 9 an easily und]/&able    
mann] & made available 9 multiple       
languages det]m9$ appropriate by !      
,secret>y2 &  7,f7 includes any o!r     
in=mation det]m9$ appropriate by !      
,secret>y4  7#e7 ,be/ practices = su*   
hospital to track opioid prescrib+ tr5ds

 by practition]s furni%+ items & s]vices
 at su* hospital1 includ+--  7,a7 ways =
 su* hospital to e/abli% t>get levels ) 
respect to opioids prescrib$ by su*     
practition]s2  7,b7 guidance on *eck+ ! 
m$ical records ( su* individuals aga9/  
in=mation includ$ 9 prescription drug   
monitor+ programs2  7,c7 /rategies to   
r$uce long-t]m opioid prescriptions2 &  
7,d7 me?ods to id5tify su* practition]s 
:o may be ov]-prescrib+ opioids4  7#f7  
,o!r in=mation ! ,secret>y det]m9es     
appropriate1 includ+ any su* in=mation f
 ! ,opioid ,safety ,initiative e/abli%$ 
by ! ,dep>tm5t ( ,vet]ans ,affairs or ! 
,opioid ,ov]dose ,prev5tion ,toolkit    
publi%$ by ! ,sub/ance ,abuse & ,m5tal  
,heal? ,s]vices ,adm9i/ration4