,,ib  ,union ,calendar ,no4 #efb  #aaeth
 ,,congress  #b;d ,session  ,h4 ,r4     
#ehaj  ,report ,no4 #aae-gbg  ,,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  ,june #ab1               
#bjah;,additional sponsors3 ,mr4 ,walden
 and ,mrs4 ,blackburn  ,june #ab1 #bjah 
,reported with amendments1 committed to 
the ,committee of the ,whole ,house on  
the ,state of the ,union1 and ordered to
 be printed ,strike out all after the   
enacting clause and insert the part     
printed in italic ,for text of          
introduced bill1 see copy of bill as    
introduced on ,may #ae1 #bjah  ,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  #c4 ,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 subject 
to paragraph 7#b7 of subsection 7ee71   
for the period beginning ,october #a1   
#bjbj1 and ending ,september #cj1 #bjbe1
 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  7#a7    
,definition ,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 opioid use     
disorders2 and  7,b7 includes1 with     
respect to the provision of such drugs  
and biological products1 counseling     
services and behavioral therapy4  7#b7  
,exception ,the provisions of paragraph 
7#bi7 of subsection 7a7 shall not apply 
with respect to a ,state for the period 
specified in such paragraph1 if before  
the beginning of such period the ,state 
certifies to the satisfaction of the    
,secretary that implementing such       
provisions statewide for all individuals
 eligible to enroll in the ,state plan  

7or waiver of the ,state plan7 would not
 be feasible by reason of a shortage of 
qualified providers of                  
medication-assisted treatment1 or       
facilities providing such treatment1    
that will contract with the ,state or a 
managed care entity with which the      
,state has a contract under section     
#aijc7m7 or under section #aije7t77#c74 
4  7d7 ,effective date  7#a7 ,in general
 ,subject to paragraph 7#b71 the        
amendments made by this section shall   
apply with respect to medical assistance
 provided on or after ,october #a1      
#bjbj1 and before ,october #a1 #bjbe4   
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  ,amend the title so as to 
read3 ,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          
disorders1 and to require ,states to    
include under their ,state ,medicaid    
plans coverage for medication-assisted  
treatment44  ,june #ab1 #bjah ,reported 
with amendments1 committed to the       

,committee of the ,whole ,house on the  
,state of the ,union1 and ordered to be 
printed