,i  #aae? ,,congress  #b;d ,session  ,h4
 ,r4 #eggh  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,may #aa1 #bjah,mr4   
,m>*ant 7= himself & ,mr4 ,lev97        
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 =     
review & adju/m5t ( paym5ts "u ! ,m$ic>e
 outpati5t prospective paym5t sy/em to  
avoid f9ancial inc5tives to use opioids 
in/ead ( non-opioid alt]native          
treatm5ts1 & = o!r purposes4  #a4 ,%ort 
title ,?is ,act may be cit$ z ! ,promot+
 ,outpati5t ,access to ,non-,opioid     
,treatm5ts ,act4  #b4 ,review & adju/m5t
 ( paym5ts "u ! ,m$ic>e outpati5t       
prospective paym5t sy/em to avoid       
f9ancial inc5tives to use opioids in/ead
 ( non-opioid alt]native treatm5ts  7a7 

,outpati5t prospective paym5t sy/em     
,section #ahcc7t7 ( ! ,social ,security 
,act 7#db ,u4,s4,c4 #aciel7t77 is am5d$ 
by add+ at ! end ! foll[+ new p>agraph3 
7#bb7 ,review & revisions ( paym5ts =   
non-opioid alt]native treatm5ts  7,a7 ,9
 g5]al ,) respect to paym5ts made "u ?is
 subsection = cov]$ ,,opd s]vices 7or   
gr\ps ( s]vices71 includ+ cov]$ ,,opd   
s]vices assign$ to a compreh5sive       
ambulatory paym5t classification1 !     
,secret>y--  7i7 %all1 z soon z         
practicable1 conduct a review 7"p ( :i* 
may include a reque/ = in=mation7 (     
paym5ts = opioids & evid5ce-bas$        
non-opioid alt]natives = pa9 managem5t  
7includ+ drugs & devices1 n]ve blocks1  
surgical injections1 & neuromodulation7 
) a goal ( ensur+ t !re are n f9ancial  
inc5tives to use opioids in/ead (       
non-opioid alt]natives2  7ii7 may1 z !  
,secret>y det]m9es appropriate1 conduct 
subsequ5t reviews ( su* paym5ts2 &      
7iii7 %all consid] ! ext5t to :i*       
revisions "u ?is subsection to su*      

paym5ts 7su* z ! creation ( additional  
gr\ps ( cov]$ ,,opd s]vices to classify 
sep>ately ^? proc$ures t utilize opioids
 & non-opioid alt]natives = pa9         
managem5t7 w\ld r$uce paym5t inc5tives  
to use opioids in/ead ( non-opioid      
alt]natives = pa9 managem5t4  7,b7      
,priority ,9 conduct+ ! review "u clause
 7i7 ( subp>agraph 7,a7 & consid]+      
revisions "u clause 7iii7 ( su*         
subp>agraph1 ! ,secret>y %all focus on  
cov]$ ,,opd s]vices 7or gr\ps ( s]vices7
 assign$ to a compreh5sive ambulatory   
paym5t classification1 ambulatory paym5t
 classifications t prim>ily include     
surgical s]vices1 & o!r s]vices det]m9$ 
by ! ,secret>y :i* g5]ally involve      
treatm5t = pa9 managem5t4  7,c7         
,revisions ,if ! ,secret>y id5tifies    
revisions to paym5ts pursuant to        
subp>agraph 7,a77iii71 ! ,secret>y %all1
 z det]m9$ appropriate1 beg9 mak+ su*   
revisions = s]vices furni%$ on or aft]  
,janu>y #a1 #bjbj4 ,revisions "u !      
previ\s s5t5ce %all be treat$ z         

adju/m5ts = purposes ( application (    
p>agraph 7#i77;,b74  7,d7 ,rules (      
con/ruction ,no?+ 9 ?is p>agraph %all be
 con/ru$ to preclude ! ,secret>y-- 7i7 f
 conduct+ a demon/ration be=e mak+ !    
revisions describ$ 9 subp>agraph 7,c72  
or  7ii7 prior to implem5tation ( ?is   
p>agraph1 f *ang+ paym5ts "u ?is        
subsection = cov]$ ,,opd s]vices 7or    
gr\ps ( s]vices7 :i* include opioids or 
non-opioid alt]natives = pa9 managem5t4 
4  7b7 ,ambulatory surgical c5t]s       
,section #ahcc7;i7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4 #aciel7i77 is am5d$
 by add+ at ! end ! foll[+ new p>agraph3
  7#h7 ,! ,secret>y %all apply !        
provisions ( p>agraph 7#bb7 ( section   
#ahcc7t71 includ+ ! second s5t5ce (     
subp>agraph 7,c7 ( su* p>agraph1 to     
paym5t = s]vices "u ?is subsection 9 an 
appropriate mann] 7z det]m9$ by !       
,secret>y74  4