,i  #aae? ,,congress  #b;d ,session  ,h4
 ,r4 #egig  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,may #ae1 #bjah,mrs4  
,mimi ,walt]s ( ,cali=nia 7= h]self1    
,mr4 ,knight1 & ,mr4 ,gu?rie7 introduc$ 
! foll[+ bill2 :i* 0 ref]r$ to !        
,committee on ,en]gy & ,comm]ce  ,a     
,,bill  ,to am5d title ,,xix ( ! ,social
 ,security ,act to all[ ,/ates to       
provide "u ,m$icaid s]vices = c]ta9     
individuals ) opioid use disord]s 9     
in/itutions = m5tal diseases4  #a4 ,%ort
 title ,?is ,act may be cit$ z !        
,individuals 9 ,m$icaid ,des]ve ,c>e t  
is ,appropriate & ,responsible 9 its    
,deliv]y ,act or ! ,,imd ,,c>e ,act4    
#b4 ,m$icaid ,/ate plan option ,to      
provide s]vices = c]ta9 individuals )   
opioid use disord]s 9 in/itutions =     
m5tal diseases ,section #aiae ( !       
,social ,security ,act 7#db ,u4,s4,c4   
#acifn7 is am5d$ by add+ at ! end !     
foll[+ new subsection3  7l7 ,/ate plan  
option ,to provide s]vices = c]ta9      
individuals 9 in/itutions = m5tal       

diseases  7#a7 ,9 g5]al ,) respect to   
cal5d> qu>t]s beg9n+ dur+ ! p]iod beg9n+
 ,janu>y #a1 #bjai1 & end+ ,decemb] #ca1
 #bjbc1 a ,/ate may elect1 ?r\gh a ,/ate
 plan am5dm5t1 to1 not)/&+ section      
#aije7;a71 provide m$ical assi/ance =   
s]vices furni%$ 9 in/itutions = m5tal   
diseases to eligible individuals )      
opioid use disord]s1 9 accordance ) !   
requirem5ts ( ?is subsection4  7#b7     
,paym5ts  7,a7 ,9 g5]al ,am\nts exp5d$  
"u a ,/ate plan am5dm5t "u p>agraph 7#a7
 = s]vices describ$ 9 su* p>agraph      
furni%$1 ) respect to a #ab-mon? p]iod1 
9 an in/itution = m5tal diseases to an  
eligible individual ) an opioid use     
disord] %all be treat$ z m$ical         
assi/ance = :i* paym5t is made "u       
section #aijc7;a7 b only to ! ext5t t1  
subject to subp>agraph 7,b71 su* s]vices
 are furni%$ = n m ?an a p]iod ( #cj    
days 7:e!r or n consecutive7 dur+ su*   
#ab-mon? p]iod4  7,b7 ,limitations      
,paym5t = exp5ditures describ$ 9        
subp>agraph 7,a71 ) respect to s]vices  

describ$ 9 p>agraph 7#a7 furni%$ 9 an   
in/itution = m5tal diseases to an       
eligible individual ) an opioid use     
disord] dur+ a #ab-mon? p]iod1 %all n be
 made "u section #aijc7;a7 ) respect to 
su* s]vices furni%$ dur+ any p]iod      
exce$+ #cj consecutive days dur+ su*    
#ab-mon? p]iod1 unless ! ,/ate requires 
"u ! ,/ate plan am5dm5t cont9u$ m$ically
 necess>y treatm5t dur+ ! entire p]iod =
 :i* su* s]vices are furni%$ & = :i*    
paym5t is made pursuant to ?is p>agraph 
9 ord] to promote recov]y1 /able        
transition to ongo+ treatm5t1 & dis*>ge4
  7,c7 ,cl>ification ,paym5t made "u ?is
 p>agraph = exp5ditures "u a ,/ate plan 
am5dm5t "u ?is subsection ) respect to  
s]vices describ$ 9 p>agraph 7#a7 furni%$
 to an eligible individual ) an opioid  
use disord] %all n affect paym5t t w\ld 
o!rwise be made "u section #aijc7;a7 =  
exp5ditures "u ! ,/ate plan 7or waiv] ( 
su* plan7 = m$ical assi/ance = su*      
individual4  7#c7 ,in=mation requir$ 9  
,/ate plan am5dm5t  7,a7 ,9 g5]al ,a    

,/ate elect+ to provide m$ical assi/ance
 pursuant to ?is subsection %all include
 ) ! submission ( ! ,/ate plan am5dm5t  
"u p>agraph 7#a7 to ! ,secret>y--  7i7 a
 plan on h[ ! ,/ate w improve access to 
outpati5t c>e dur+ ! p]iod ( ! ,/ate    
plan am5dm5t1 includ+ a description (-- 
7,i7 ! process by :i* eligible          
individuals ) opioid use disord]s w make
 ! transition f receiv+ inpati5t s]vices
 9 an in/itution = m5tal diseases to    
appropriate outpati5t c>e2 &  7,,ii7 !  
process ! ,/ate w und]take to ensure    
individuals ) opioid use disord] are    
provid$ c>e 9 ! mo/ integrat$ sett+     
appropriate to ! ne$s ( ! individuals2 &
  7ii7 a description ( h[ ! ,/ate plan  
am5dm5t ensures an appropriate cl9ical  
scre5+ ( eligible individuals ) an      
opioid use disord]1 includ+ assessm5ts  
to det]m9e level ( c>e & l5g? ( /ay     
recomm5dations bas$ ^u ! multidim5sional
 assessm5t crit]ia ( ! ,am]ican ,society
 ( ,addiction ,m$ic9e4  7,b7 ,report ,n 
lat] ?an "o ye> aft] ! date ( !         

t]m9ation ( a ,/ate plan am5dm5t "u ?is 
subsection1 ! ,/ate %all submit to !    
,secret>y a report t includes at lea/-- 
7i7 ! numb] ( eligible individuals )    
opioid use disord]s :o receiv$ s]vices  
pursuant to su* plan2  7ii7 ! l5g? ( !  
/ay ( ea* su* individual 9 an in/itution
 = m5tal diseases2 &  7iii7 ! type (    
outpati5t treatm5t1 includ+             
m$ication-assi/$ treatm5t1 ea* su*      
individual receiv$ aft] be+ dis*>g$ f   
su* in/itution4  7#d7 ,def9itions ,9 ?is
 subsection3 7,a7 ,eligible individual )
 an opioid use disord] ,! t]m eligible  
individual ) an opioid use disord] means
 an individual :o--  7i7 ) respect to a 
,/ate1 is enroll$ = m$ical assi/ance "u 
! ,/ate plan 7or a waiv] ( su* plan72   
7ii7 is at lea/ #ba ye>s ( age2  7iii7  
has n atta9$ #fe ye>s ( age2 &  7iv7 has
 be5 diagnos$ ) at lea/ "o opioid use   
disord]4  7,b7 ,in/itution = m5tal      
diseases ,! t]m in/itution = m5tal      
diseases has ! mean+ giv5 su* t]m 9     
section #aije7;i74  7,c7 ,opioid        

prescription pa9 reliev] ,! t]m opioid  
prescription pa9 reliev] includes       
hydrocodone products1 oxycodone         
products1 tramadol products1 code9e     
products1 morph9e products1 f5tanyl     
products1 bupr5orph9e products1         
oxymorphone products1 mep]id9e products1
 hydromorphone products1 me?adone1 & any
 o!r prescription pa9 reliev] id5tifi$  
by ! ,assi/ant ,secret>y = ,m5tal ,heal?
 & ,sub/ance ,use4  7,d7 ,opioid use    
disord] ,! t]m opioid use disord] means 
a disord] t meets ! crit]ia ( !         
,diagno/ic & ,/ati/ical ,manual ( ,m5tal
 ,disord]s1 #d? ,edition 7or a successor
 edition71 = h]o9 use disord] or pa9    
reliev] use disord] 7includ+ ) respect  
to opioid prescription pa9 reliev]s74  4