,i  #aaeth ,,congress  #b;d ,session    
,h4 ,r4 #ehaj  ,,in ,,the ,,house ,,of  
,,representatives  ,may #ae1 #bjah,mr4  
,lance 7for himself1 ,mr4 ,welch1 and   
,mr4 ,rothfus7 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 provide for an
 extension of the enhanced ,,fmap for   
certain ,medicaid health homes for      
individuals with substance use          
disorders4  #a4 ,short title ,this ,act 
may be cited as the ,medicaid ,health   
,homes for ,opioid-,use-,disorder       
,medicaid ,enrollees ,encouraged ,act or
 the ,medicaid ,health ,,home ,act4  #b4
 ,extension of enhanced ,,fmap for      
certain health homes for individuals    
with substance use disorders ,section   
#aide of the ,social ,security ,act 7#db
 ,u4,s4,c4 #acifw-#d7 is amended--  7#a7
 in subsection 7c7-- 7,a7 in paragraph  
7#a71 by inserting subject to paragraph 
7#d71 after except that12 and  7,b7 by  

adding at the end the following new     
paragraph3  7#d7 ,special rule relating 
to substance use disorder health homes  
7,a7 ,in general ,in the case of a      
,state with an ,,sud-focused ,state plan
 amendment approved by the ,secretary on
 or after ,october #a1 #bjah1 the       
,secretary may1 at the request of the   
,state1 extend the application of the   
,federal medical assistance percentage  
described in paragraph 7#a7 to payments 
for the provision of health home        
services to ,,sud-eligible individuals  
under such ,state plan amendment1 in    
addition to the first #h fiscal year    
quarters the ,state plan amendment is in
 effect1 for the subsequent #b fiscal   
year quarters that the ,state plan      
amendment is in effect4 ,nothing in this
 section shall be construed as          
prohibiting a ,state with a ,state plan 
amendment that is approved under this   
section and that is not an ,,sud-focused
 ,state plan amendment from additionally
 having approved on or after such date  

an ,,sud-focused ,state plan amendment  
under this section1 including for       
purposes of application of this         
paragraph4  7,b7 ,report requirements   
,in the case of a ,state with an        
,,sud-focused ,state plan amendment for 
which the application of the ,federal   
medical assistance percentage has been  
extended under subparagraph 7,a71 such  
,state shall1 at the end of the period  
of such ,state plan amendment1 submit to
 the ,secretary a report on the         
following1 with respect to              
,,sud-eligible individuals provided     
health home services under such ,state  
plan amendment3  7i7 ,the quality of    
health care provided to such            
individuals1 with a focus on outcomes   
relevant to the recovery of each such   
individual4  7ii7 ,the access of such   
individuals to health care4  7iii7 ,the 
total expenditures of such individuals  
for health care4  ,for purposes of this 
subparagraph1 the ,secretary shall      
specify all applicable measures for     

determining quality1 access1 and        
expenditures4  7,c7 ,best practices ,not
 later than ,october #a1 #bjbj1 the     
,secretary shall make publicly available
 on the ,internet website of the        
,centers for ,medicare  ,medicaid       
,services best practices for designing  
and implementing an ,,sud-focused ,state
 plan amendment1 based on the           
experiences of ,states that have ,state 
plan amendments approved under this     
section that include ,,sud-eligible     
individuals4  7,d7 ,definitions ,for    
purposes of this paragraph3 7i7         
,,sud-eligible individuals ,the term    
,,sud-eligible individual means1 with   
respect to a ,state1 an individual who  
satisfies all of the following3  7,i7   
,the individual is an eligible          
individual with chronic conditions4     
7,,ii7 ,the individual is an individual 
with a substance use disorder4  7,,iii7 
,the individual has not previously      
received health home services under any 
other ,state plan amendment approved for

 the ,state under this section by the   
,secretary4  7ii7 ,,sud-focused ,state  
plan amendment ,the term ,,sud-focused  
,state plan amendment means a ,state    
plan amendment under this section that  
is designed to provide health home      
services primarily to ,,sud-eligible    
individuals4  4