,i #aaeth ,,congress #b;d ,session ,h4 ,r4 #egig ,,in ,,the ,,house ,,of ,,representatives ,may #ae1 #bjah,mrs4 ,mimi ,walters of ,california 7for herself1 ,mr4 ,knight1 and ,mr4 ,guthrie7 introduced the following bill2 which was referred to the ,committee on ,energy and ,commerce ,a ,,bill ,to amend title ,,xix of the ,social ,security ,act to allow ,states to provide under ,medicaid services for certain individuals with opioid use disorders in institutions for mental diseases4 #a4 ,short title ,this ,act may be cited as the ,individuals in ,medicaid ,deserve ,care that is ,appropriate and ,responsible in its ,delivery ,act or the ,,imd ,,care ,act4 #b4 ,medicaid ,state plan option ,to provide services for certain individuals with opioid use disorders in institutions for mental diseases ,section #aiae of the ,social ,security ,act 7#db ,u4,s4,c4 #acifn7 is amended by adding at the end the following new subsection3 7l7 ,state plan option ,to provide services for certain individuals in institutions for mental diseases 7#a7 ,in general ,with respect to calendar quarters beginning during the period beginning ,january #a1 #bjai1 and ending ,december #ca1 #bjbc1 a ,state may elect1 through a ,state plan amendment1 to1 notwithstanding section #aije7;a71 provide medical assistance for services furnished in institutions for mental diseases to eligible individuals with opioid use disorders1 in accordance with the requirements of this subsection4 7#b7 ,payments 7,a7 ,in general ,amounts expended under a ,state plan amendment under paragraph 7#a7 for services described in such paragraph furnished1 with respect to a #ab-month period1 in an institution for mental diseases to an eligible individual with an opioid use disorder shall be treated as medical assistance for which payment is made under section #aijc7;a7 but only to the extent that1 subject to subparagraph 7,b71 such services are furnished for not more than a period of #cj days 7whether or not consecutive7 during such #ab-month period4 7,b7 ,limitations ,payment for expenditures described in subparagraph 7,a71 with respect to services described in paragraph 7#a7 furnished in an institution for mental diseases to an eligible individual with an opioid use disorder during a #ab-month period1 shall not be made under section #aijc7;a7 with respect to such services furnished during any period exceeding #cj consecutive days during such #ab-month period1 unless the ,state requires under the ,state plan amendment continued medically necessary treatment during the entire period for which such services are furnished and for which payment is made pursuant to this paragraph in order to promote recovery1 stable transition to ongoing treatment1 and discharge4 7,c7 ,clarification ,payment made under this paragraph for expenditures under a ,state plan amendment under this subsection with respect to services described in paragraph 7#a7 furnished to an eligible individual with an opioid use disorder shall not affect payment that would otherwise be made under section #aijc7;a7 for expenditures under the ,state plan 7or waiver of such plan7 for medical assistance for such individual4 7#c7 ,information required in ,state plan amendment 7,a7 ,in general ,a ,state electing to provide medical assistance pursuant to this subsection shall include with the submission of the ,state plan amendment under paragraph 7#a7 to the ,secretary-- 7i7 a plan on how the ,state will improve access to outpatient care during the period of the ,state plan amendment1 including a description of-- 7,i7 the process by which eligible individuals with opioid use disorders will make the transition from receiving inpatient services in an institution for mental diseases to appropriate outpatient care2 and 7,,ii7 the process the ,state will undertake to ensure individuals with opioid use disorder are provided care in the most integrated setting appropriate to the needs of the individuals2 and 7ii7 a description of how the ,state plan amendment ensures an appropriate clinical screening of eligible individuals with an opioid use disorder1 including assessments to determine level of care and length of stay recommendations based upon the multidimensional assessment criteria of the ,american ,society of ,addiction ,medicine4 7,b7 ,report ,not later than one year after the date of the termination of a ,state plan amendment under this subsection1 the ,state shall submit to the ,secretary a report that includes at least-- 7i7 the number of eligible individuals with opioid use disorders who received services pursuant to such plan2 7ii7 the length of the stay of each such individual in an institution for mental diseases2 and 7iii7 the type of outpatient treatment1 including medication-assisted treatment1 each such individual received after being discharged from such institution4 7#d7 ,definitions ,in this subsection3 7,a7 ,eligible individual with an opioid use disorder ,the term eligible individual with an opioid use disorder means an individual who-- 7i7 with respect to a ,state1 is enrolled for medical assistance under the ,state plan 7or a waiver of such plan72 7ii7 is at least #ba years of age2 7iii7 has not attained #fe years of age2 and 7iv7 has been diagnosed with at least one opioid use disorder4 7,b7 ,institution for mental diseases ,the term institution for mental diseases has the meaning given such term in section #aije7;i74 7,c7 ,opioid prescription pain reliever ,the term opioid prescription pain reliever includes hydrocodone products1 oxycodone products1 tramadol products1 codeine products1 morphine products1 fentanyl products1 buprenorphine products1 oxymorphone products1 meperidine products1 hydromorphone products1 methadone1 and any other prescription pain reliever identified by the ,assistant ,secretary for ,mental ,health and ,substance ,use4 7,d7 ,opioid use disorder ,the term opioid use disorder means a disorder that meets the criteria of the ,diagnostic and ,statistical ,manual of ,mental ,disorders1 #dth ,edition 7or a successor edition71 for heroin use disorder or pain reliever use disorder 7including with respect to opioid prescription pain relievers74 4