,i  #aae? ,,congress  #b;d ,session  ,h4
 ,r4 #ehaj  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,may #ae1 #bjah,mr4   
,lance 7= himself1 ,mr4 ,wel*1 & ,mr4   
,ro?fus7 introduc$ ! foll[+ bill2 :i* 0 
ref]r$ to ! ,committee on ,en]gy &      
,comm]ce  ,a ,,bill  ,to am5d title     
,,xix ( ! ,social ,security ,act to     
provide = an ext5sion ( ! enhanc$ ,,fmap
 = c]ta9 ,m$icaid heal? homes =         
individuals ) sub/ance use disord]s4    
#a4 ,%ort title ,?is ,act may be cit$ z 
! ,m$icaid ,heal? ,homes =              
,opioid-,use-,disord] ,m$icaid          
,enrollees ,enc\rag$ ,act or ! ,m$icaid 
,heal? ,,home ,act4  #b4 ,ext5sion (    
enhanc$ ,,fmap = c]ta9 heal? homes =    
individuals ) sub/ance use disord]s     
,section #aide ( ! ,social ,security    
,act 7#db ,u4,s4,c4 #acifw-#d7 is       
am5d$--  7#a7 9 subsection 7c7-- 7,a7 9 
p>agraph 7#a71 by ins]t+ subject to     
p>agraph 7#d71 aft] except t12 &  7,b7  
by add+ at ! end ! foll[+ new p>agraph3 
7#d7 ,special rule relat+ to sub/ance   

use disord] heal? homes  7,a7 ,9 g5]al  
,9 ! case ( a ,/ate ) an ,,sud-focus$   
,/ate plan am5dm5t approv$ by !         
,secret>y on or aft] ,octob] #a1 #bjah1 
! ,secret>y may1 at ! reque/ ( ! ,/ate1 
ext5d ! application ( ! ,f$]al m$ical   
assi/ance p]c5tage describ$ 9 p>agraph  
7#a7 to paym5ts = ! provision ( heal?   
home s]vices to ,,sud-eligible          
individuals "u su* ,/ate plan am5dm5t1 9
 addition to ! fir/ #h fiscal ye> qu>t]s
 ! ,/ate plan am5dm5t is 9 effect1 = !  
subsequ5t #b fiscal ye> qu>t]s t ! ,/ate
 plan am5dm5t is 9 effect4 ,no?+ 9 ?is  
section %all be con/ru$ z prohibit+ a   
,/ate ) a ,/ate plan am5dm5t t is       
approv$ "u ?is section & t is n an      
,,sud-focus$ ,/ate plan am5dm5t f       
additionally hav+ approv$ on or aft] su*
 date an ,,sud-focus$ ,/ate plan am5dm5t
 "u ?is section1 includ+ = purposes (   
application ( ?is p>agraph4  7,b7       
,report requirem5ts ,9 ! case ( a ,/ate 
) an ,,sud-focus$ ,/ate plan am5dm5t =  
:i* ! application ( ! ,f$]al m$ical     

assi/ance p]c5tage has be5 ext5d$ "u    
subp>agraph 7,a71 su* ,/ate %all1 at !  
end ( ! p]iod ( su* ,/ate plan am5dm5t1 
submit to ! ,secret>y a report on !     
foll[+1 ) respect to ,,sud-eligible     
individuals provid$ heal? home s]vices  
"u su* ,/ate plan am5dm5t3  7i7 ,!      
quality ( heal? c>e provid$ to su*      
individuals1 ) a focus on outcomes      
relevant to ! recov]y ( ea* su*         
individual4  7ii7 ,! access ( su*       
individuals to heal? c>e4  7iii7 ,!     
total exp5ditures ( su* individuals =   
heal? c>e4  ,= purposes ( ?is           
subp>agraph1 ! ,secret>y %all specify   
all applicable measures = det]m9+       
quality1 access1 & exp5ditures4  7,c7   
,be/ practices ,n lat] ?an ,octob] #a1  
#bjbj1 ! ,secret>y %all make publicly   
available on ! ,int]net website ( !     
,c5t]s = ,m$ic>e  ,m$icaid ,s]vices be/ 
practices = design+ & implem5t+ an      
,,sud-focus$ ,/ate plan am5dm5t1 bas$ on
 ! exp]i5ces ( ,/ates t h ,/ate plan    
am5dm5ts approv$ "u ?is section t       

include ,,sud-eligible individuals4     
7,d7 ,def9itions ,= purposes ( ?is      
p>agraph3 7i7 ,,sud-eligible individuals
 ,! t]m ,,sud-eligible individual means1
 ) respect to a ,/ate1 an individual :o 
satisfies all ( ! foll[+3  7,i7 ,!      
individual is an eligible individual )  
*ronic conditions4  7,,ii7 ,! individual
 is an individual ) a sub/ance use      
disord]4  7,,iii7 ,! individual has n   
previ\sly receiv$ heal? home s]vices "u 
any o!r ,/ate plan am5dm5t approv$ = !  
,/ate "u ?is section by ! ,secret>y4    
7ii7 ,,sud-focus$ ,/ate plan am5dm5t ,! 
t]m ,,sud-focus$ ,/ate plan am5dm5t     
means a ,/ate plan am5dm5t "u ?is       
section t is design$ to provide heal?   
home s]vices prim>ily to ,,sud-eligible 
individuals4  4