,i  #aaeth ,,congress  #b;d ,session    
,h4 ,r4 #egfi  ,,in ,,the ,,house ,,of  
,,representatives  ,may #aj1 #bjah,mr4  
,rothfus 7for himself and ,mr4 ,danny   
,k4 ,davis of ,illinois7 introduced the 
following bill2 which was referred to   
the ,committee on ,energy and ,commerce1
 and in addition to the ,committee on   
,ways and ,means1 for a period to be    
subsequently determined by the ,speaker1
 in each case for consideration of such 
provisions as fall within the           
jurisdiction of the committee concerned 
,a ,,bill  ,to amend title ,,xviii of   
the ,social ,security ,act to expand    
access under the ,medicare program to   
addiction treatment in ,federally       
qualified health centers and rural      
health clinics4  #a4 ,short title ,this 
,act may be cited as the ,expanding     
,access to ,treatment ,act4  #b4        
,expanding access under the ,medicare   
program to addiction treatment in       
,federally qualified health centers and 
rural health clinics  7a7 ,federally    

qualified health centers ,section       
#ahcd7o7 of the ,social ,security ,act  
7#db ,u4,s4,c4 #aciem7o77 is amended by 
adding at the end the following new     
paragraph3  7#c7 ,additional payments   
for certain ,f,q,h,cs with practitioners
 receiving ,,data #bjjj certification   
7,a7 ,in general ,in the case of a      
,federally qualified health center with 
respect to which1 beginning ,january #a1
 #bjai1 ,federally-qualified health     
center services 7as defined in section  
#ahfa7;aa77#c77 are furnished by a      
health care practitioner who first      
receives on or after such date a        
registration or waiver under section    
#cjc7;g7 of the ,controlled ,substances 
,act to prescribe or dispense methadone1
 buprenorphine1 or suboxone for the     
purpose of maintenance or detoxification
 treatment1 the ,secretary shall1       
subject to availability of funds under  
subparagraph 7,b71 make a payment 7in   
accordance with such timing1 method1 and
 procedures as specified by the         

,secretary7 to such ,federally qualified
 health center in an amount determined  
by the ,secretary1 based on an          
approximation of the cost to receive    
training for purposes of such           
registration or waiver1 as applicable4  
,for purposes of the previous sentence1 
a ,federally-qualified health center    
shall apply for a payment described in  
such sentence at such time and in such  
manner as specified by the ,secretary   
and may apply for such a payment for    
each practitioner furnishing such       
services at such center who is described
 in such sentence4  7,b7 ,funding ,for  
purposes of making payments under this  
paragraph1 there are appropriated1 out  
of amounts in the ,treasury not         
otherwise appropriated1 #f1jjj1jjj1     
which shall remain available until      
expended4  4  7b7 ,rural health clinic  
,section #ahcc of the ,social ,security 
,act 7#db ,u4,s4,c4 #aciel7 is amended--
 7#a7 by redesignating the subsection   
7z7 relating to medical review of spinal

 subluxation services as subsection     
7aa72 and  7#b7 by adding at the end the
 following new subsection3  7bb7        
,additional payments for certain rural  
health clinics with practitioners       
receiving ,,data #bjjj certification    
7#a7 ,in general ,in the case of a rural
 health clinic with respect to which1   
beginning ,january #a1 #bjai1 rural     
health clinic services 7as defined in   
section #ahfa7;aa77#a77 are furnished by
 a health care practitioner who first   
receives on or after such date a        
registration or waiver under section    
#cjc7;g7 of the ,controlled ,substances 
,act to prescribe or dispense methadone1
 buprenorphine1 or suboxone for the     
purpose of maintenance or detoxification
 treatment1 the ,secretary shall1       
subject to availability of funds under  
subparagraph 7,b71 make a payment 7in   
accordance with such timing1 method1 and
 procedures as specified by the         
,secretary7 to such rural health clinic 
in an amount determined by the          

,secretary1 based on an approximation of
 the cost to receive training for       
purposes of such registration or waiver1
 as applicable4 ,for purposes of the    
previous sentence1 a rural health clinic
 shall apply for a payment described in 
such sentence at such time and in such  
manner as specified by the ,secretary   
and may apply for such a payment for    
each practitioner furnishing such       
services at such clinic who is described
 in such sentence4  7#b7 ,funding ,for  
purposes of making payments under this  
subsection1 there are appropriated1 out 
of amounts in the ,treasury not         
otherwise appropriated1 #b1jjj1jjj1     
which shall remain available until      
expended4  4