,i  #aaeth ,,congress  #b;d ,session    
,h4 ,r4 #ehjb  ,,in ,,the ,,house ,,of  
,,representatives  ,may #ae1 #bjah,mr4  
,gene ,green of ,texas 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 require       
,states to include under their ,state   
,medicaid plans coverage for            
medication-assisted treatment1 and for  
other purposes4  #a4 ,short title ,this 
,act may be cited as the ,ensuring      
,complete ,coverage of                  
,medication-,assisted ,treatment ,act4  
#b4 ,requirement for ,state ,medicaid   
plans to provide coverage for           
medication-assisted treatment  7a7      
,requirement for ,state ,medicaid plans 
,to provide coverage for                
medication-,assisted treatment ,section 
#aijb7;a77#aj77;,a7 of the ,social      
,security ,act 7#db ,u4,s4,c4           
#acif;a7a77#aj77;,a77 is amended1 in the
 matter preceding clause 7i71 by        

striking and 7#bh7 and inserting 7#bh71 
and 7#bi74  7b7 ,inclusion of           
medication-,assisted treatment as       
medical assistance ,section #aije7;a7 of
 the ,social ,security ,act 7#db        
,u4,s4,c4 #acif;d7a77 is amended-- 7#a7 
in paragraph 7#bh71 by striking and at  
the end2  7#b7 by redesignating         
paragraph 7#bi7 as paragraph 7#cj72 and 
7#c7 by inserting after paragraph 7#bh7 
the following new paragraph3  7#bi7     
beginning1 subject to paragraph 7#b7 of 
subsection 7ee71 ,january #a1 #bjbj1    
medication-assisted treatment 7as       
defined in paragraph 7#a7 of such       
subsection72 and  4  7c7                
,medication-,assisted treatment defined2
 ,waivers ,section #aije of the ,social 
,security ,act 7#db ,u4,s4,c4 #acif;d7  
is amended by adding at the end the     
following new subsection3  7ee7         
,medication-,assisted treatment defined2
 ,waivers  7#a7 ,medication-assisted    
treatment defined ,for purposes of      
subsection 7a77#bi71 the term           

medication-assisted treatment-- 7,a7    
means all drugs approved under section  
#eje of the ,federal ,food1 ,drug1 and  
,cosmetic ,act 7#ba ,u4,s4,c4 #cee71    
including methadone1 and all biological 
products licensed under section #cea of 
the ,public ,health ,service ,act 7#db  
,u4,s4,c4 #bfb7 to treat substance use  
disorders2 and  7,b7 includes1 with     
respect to the provision of such drugs  
and biological products1 counseling     
services and behavioral therapy4  7#b7  
,waivers ,for purposes of subsection    
7a77#bi71 the ,secretary may grant a    
waiver1 with respect to a ,state1 to    
delay the application of such subsection
 if the ,state submits a waiver request 
that includes the following3  7,a7 ,the 
reasoning for such waiver4  7,b7 ,a     
timeline for the ,state to implement the
 requirement of such subsection4  7,c7  
,a review of any prior authorization    
program and any drug utilization        
management program established by the   
,state under the ,state plan 7or a      

waiver of such plan7 to assess the types
 of barriers that individuals encounter 
in accessing medication-assisted        
treatment 7as defined in paragraph 7#a77
 under such plan 7or waiver74  7,d7 ,any
 other information that the ,secretary  
may require4  4  7d7 ,effective date    
7#a7 ,in general ,subject to paragraph  
7#b71 the amendments made by this       
section shall take effect with respect  
to medical assistance provided on or    
after ,january #a1 #bjbj4  7#b7         
,exception for ,state legislation ,in   
the case of a ,state plan under title   
,,xix of the ,social ,security ,act 7#db
 ,u4,s4,c4 #acif et seq47 that the      
,secretary of ,health and ,human        
,services determines requires ,state    
legislation in order for the respective 
plan to meet any requirement imposed by 
the amendments made by this section1 the
 respective plan shall not be regarded  
as failing to comply with the           
requirements of such title solely on the
 basis of its failure to meet such an   

additional requirement before the first 
day of the first calendar quarter       
beginning after the close of the first  
regular session of the ,state           
legislature that begins after the date  
of the enactment of this ,act4 ,for     
purposes of the previous sentence1 in   
the case of a ,state that has a #b-year 
legislative session1 each year of the   
session shall be considered to be a     
separate regular session of the ,state  
legislature4